Artwork stating 'Education Destroys Barriers', 'We Demand Treatment', and 'I Need A Chance'

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  • In California, saving teeth and money—one mouth at a time

    In California, the highest poverty rate also corresponds with an alarmingly high rate of tooth decay in children. Now, state officials are working to pilot changes to Denti-Cal, which is part of California's health program for low-income residents; so far, they've budgeted more than $200 million more for rate increases and recruited hundreds more dentists. Those changes and a focus on prevention are helping children get the dental care they need.

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  • The business of voluntourism: do western do-gooders actually do harm?

    Voluntourism, or the practice of western volunteers paying to do service in developing countries, seems like a moral, do-good activity. However, the practice has been proven to have consequences, including reducing the need for local labor and stunting development of children in orphanages. There has recently been progress in discouraging volunteers from working in orphanages - the volunteer efforts in institutions never benefit the children - but true progress might involve staying at home.

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  • Medicare's cost surprise: It's going down

    Despite reports of projected increased spending on Medicare and Medicaid, Medicare spending per-person has actually decreased in recent years, a change that has been attributed to a web of factors like value-centered care and better coordination for complex patients. However, although positive results have been found, researchers caution that is is hard to ascertain the exact cause and replicate it flawlessly.

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  • Connecting your medical data could be the next big payoff

    As new Medicare requirements and expenses change, new start-ups are stepping up to move the hospital industry to share data more easily and break down the silos that keep care from being efficient for both patient and provider. The new strategies are helping to coordinate care and services for the highest-risk patients, but there are still concerns that the data sharing is not a long-term solution.

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  • A health care policy that puts the ending first

    The Medicare system is struggling with rising costs and a rapidly aging population, but one solution to the issue might be to encourage people to lay out end-of-life plans and wishes before a health crisis. The Providence St. Joseph health care system is piloting an effort to do just that, working through the barriers to end-of-life planning with financial incentives, comprehensive data, and targeted efforts to make advanced directives, also known as living wills, more common. So far, the initiative has seen "slightly more than 13 percent [of patients] complete [and record] an advance directive."

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  • Should Medicare pay for toothpaste and shoes?

    In Massachusetts, nonprofit Commonwealth Care Alliance is piloting a new experiment: using federal dollars from Medicare and Medicaid to provide preventive care and pay for the things that aren't explicitly medical, but are vital for maintaining good health. According to the company, "hospital admissions plunged 27 percent for the organization’s elderly clientele between 2011 and 2017," but there are concerns about whether this model could successfully scale to a national level.

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  • Government can send immigrants to rural areas. But can it make them stay?

    Canada and Australia have both used targeted immigration policies to grow their rural populations. But Canada’s more holistic approach seems to match the long-term needs of migrant and local populations better than Australia’s.

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  • Kyrgyzstan wants transparency to curb corruption

    Kyrgyzstan is using technology to tackle corruption and reduce costs. The country is centralizing and digitizing government services with help from Estonia. It is also using biometrics in elections to reduce the chances of rigged ballots and build public trust.

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  • Is Cash Better for Poor People Than Conventional Foreign Aid?

    Direct cash transfers to poor people in developing countries is a newer way to spend foreign aid dollars. GiveDirectly is the prominent charity who pioneered this method of giving cash as a form of aid, with the rationale that poor people are better equipped to decide where a dollar should go than an outside organization. A study sponsored by the United States Agency for International Development aims to compare the effectiveness of cash transfers and traditional nonprofit programs. The results may shape the future of aid in America and around the globe.

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  • Eight drivers, five days: A migrant's emotional journey to find her daughter

    Immigrant Families Together is a coalition of volunteers trying reunify parents and children that were separated due to the Donald Trump administration’s “Zero Tolerance” policy. They are paying for bonds, releasing immigrants, and driving them across state lines to be reunited with their children. Already, they’ve helped reunite a dozen families.

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