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**The Latest Research, Commentary, and News from Health Affairs**

**Thursday, November 7, 2019**

TODAY ON THE BLOG

ACCESS TO CARE

Bridging The Gap In Rural Health Access

By Robert Brodell

By applying innovative approaches such as rural residencies, community
clinics, and teledermatology, the field of dermatology is striving to
bridge the gap in rural health access. Read More >>

PHARMACEUTICALS AND MEDICAL TECHNOLOGY

Self-Managed Abortion May Be On The Rise, But Probably Not A Significant
Driver Of The Overall Decline In Abortion

By Rachel K. Jones and Megan K. Donovan

As we look ahead at what the future holds for abortion access in the
United States, it will be critical to put in place policies and
practices that ensure that people self-managing their care have the
information and support they need. Read More >>

FOLLOWING THE ACA

New York Court Vacates Conscience Rule

By Katie Keith

Judge Paul A. Engelmayer, a federal district court judge in the Southern
District of New York, vacated a provider conscience regulation that
would have expanded and consolidated enforcement authority over a
variety of federal health care conscience laws, including three parts of
the Affordable Care Act. Read More >>

SMOKING PREVENTION

Tobacco Use Reduction: Policy Wins In Kentucky

By Ben Chandler

A foundation has started doing most of its own advocacy work and,
working with a broad coalition, has racked up two significant policy
wins: an increased state cigarette excise tax and a model tobacco-free
schools policy. By July 1, 2020, each school district must pass the
tobacco-free campus policy or opt out (so far, only one has opted out).
The author, the foundation's president and CEO and a former member of
Congress, describes how these wins were achieved. Read More >>

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IN THE JOURNAL

GLOBAL HEALTH POLICY

Cost-Effectiveness Of The Sugar-Sweetened Beverage Excise Tax In Mexico

By Ana Basto-Abreu, Tonatiuh Barrientos-Gutiérrez, Dèsirée
Vidaña-Pérez, M. Arantxa Colchero, Mauricio Hernández-F., Mauricio
Hernández-Ávila, Zachary J. Ward, Michael W. Long, and Steven L.
Gortmaker

Mexico imposed a sugar-sweetened beverage tax in 2014. Ana Basto-Abreu
and coauthors simulate the effects of the tax on obesity-related
diseases and health care spending over ten years. They find that the
current tax of one peso per liter will prevent 239,900 cases of obesity
and 61,340 cases of diabetes, while saving $3.98 of health care costs
(adjusted) for every dollar spent. These health benefits and savings
lead the authors to recommend similar taxes in countries with comparable
conditions. Read More >>

Noncommunicable Diseases Attributable To Tobacco Use In China:
Macroeconomic Burden And Tobacco Control Policies

By Simiao Chen, Michael Kuhn, Klaus Prettner, and David E. Bloom

China is the world's leading tobacco producer and consumer. Simiao
Chen and coauthors estimate the economic burden of tobacco consumption
arising from eight tobacco-attributable diseases at US$2.3 trillion in
the period 2015-30 and suggest that "if China raised the tobacco tax
to 75 percent of the current retail price and implemented complementary
policies..., the country's economy could save 7.1 trillion yuan
(US$1.0 trillion) from 2015 to 2030." Read More >>

Read the November 2019 Table of Contents

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HEALTH AFFAIRS EVENTS-SAVE THE DATE

Rural Health Briefing - December 4

Get notified when
there's more information available on this event.

A CLOSER LOOK- Mental Health Resources For Migrant Children

**** Yesterday, Judge John A. Kronstadt of the United States District
Court in Los Angeles ordered the federal government to immediately make
available mental health screenings and treatment to thousands of
families forcibly separated through the Trump administration's border
policies. ThisHealth Affairs Blog

post from 2018 evaluates how New York City is addressing the need for
mental health resources for migrant children separated from their
families.

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About Health Affairs

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