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

**Tuesday, December 17, 2019**

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TODAY ON THE BLOG

COSTS AND SPENDING

Assessing The Presidential Proclamation On Visas And Health Insurance

By Leighton Ku

Uninsured recent immigrants consume minuscule shares of the total
medical resources in the nation. Read More >>

HEALTH PROFESSIONALS

Reflecting Back On Fitz: A Life Well Lived

By Edward Salsberg, Candice Chen, and Patricia Pittman

Fitzhugh Mullan was a courageous leader who was not afraid of
controversy and advocated for social justice until the last day of his
life. As a teacher, mentor, and role model, he developed the next
generation of leaders and researchers in pursuit of a fairer, more just
health care system and society. He built an infrastructure to advance
social justice and equity within the health care system. Read More >>

IN THE JOURNAL

RURAL HEALTH

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When Rural Hospitals Close, The Physician Workforce Goes

By Hayley Drew Germack, Ryan Kandrack, and Grant R. Martsolf

Growing numbers of rural hospital closures raise serious concerns about
access to care. Hayley Drew Germack and coauthors find that in
1997-2016, in the four years leading up to a rural hospital closure,
there was an average 6.9 percent annual loss in general surgeons in that
county. Over the six-plus years following a closure, there was an
average 10.5 percent annual loss in physicians overall, including an
average 8.2 percent annual loss in primary care physicians. Read More >>

Access, Quality, And Financial Performance Of Rural Hospitals Following
Health System Affiliation

By Claire E. O'Hanlon, Ashley M. Kranz, Maria DeYoreo, Ammarah Mahmud,
Cheryl L. Damberg, and Justin Timbie

One potential response to impending hospital closure is to become part
of a larger hospital system. Claire O'Hanlon and coauthors compare the
attributes of the 306 rural hospitals that created such affiliations in
2009-17 with those of rural hospitals that did not. Read More >>

Read the December 2019 Table of Contents

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A CLOSER LOOK-Chronic Disease

Approximately 6 in 10 adults in the United States have a chronic
disease. As millions of Americans with chronic and serious illnesses
continue going to work, their employers are finding new ways to adjust.
This article from Health Affairs sheds light on what it's like to work
with a chronic disease
.

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About Health Affairs

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at the intersection of health,
health care, and policy. Published monthly by Project HOPE, the journal
is available in print and online. Late-breaking content is also found
through healthaffairs.org , Health Affairs
Today , and Health Affairs
Sunday Update .  

Project HOPE is a global health and
humanitarian relief organization that places power in the hands of local
health care workers to save lives across the globe. Project HOPE has
published Health Affairs since 1981.

Copyright © Project HOPE: The People-to-People Health Foundation, Inc.

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