Indiana University Robert H. McKinney School of Law
Medicaid is at the core of the opioid overdose epidemic. Both state and federal government reactions continue to shape the outcomes of this epidemic while death rates in some states continue to increase. There is a strong correlation between those suffering from opioid use disorder and those eligible for Medicaid. Most significantly, individuals with opioid use disorder enrolled in their state’s Medicaid program experience greater positive health outcomes compared to those without coverage.
The global abortion field has a murky understanding of the impact of abortion laws. With legal epidemiology, legal and scientific researchers can together produce a clearer view of the relationships between laws and public health outcomes. Scientists study public health with a required degree of rigor, while the global study of abortion laws globally and how it they impacts public health outcomes remains less developed. Global abortion researchers tend to focus on the circumstances in which abortion is legal as the independent variable when investigating public health outcomes.
The United States currently ranks last among high‑income countries for life expectancy. Since 2014, U.S. life expectancy has declined. By now, these alarming trends are well known to researchers, the public, and policymakers. Nevertheless, there is no consensus among researchers on the causes of the trends, and there has been no serious and effective bipartisan effort to solve the problem. The dominant narrative has implicated Americans’ behaviors, such as smoking, illicit drug use, and suicide; yet, this narrative is misguided and counterproductive.
This essay reflects on 10 years of legal epidemiology, and projects a research agenda for the next decade of work. Mello describes the innovations behind measuring the law, testing its effects, and disseminating discoveries. The essay was adapted from Mello's keynote address at the Center's 10th anniversary symposium in September 2019.
Policy is a powerful tool that can improve health and wellbeing by addressing specific risks or impacting social conditions that are drivers of health and quality of life. But governmental policies can vary immensely from one jurisdiction to another. Surveillance of policies at the local level can help facilitate evidence‑based policy adoption between cities, states, and beyond. This essay highlights the CityHealth model, which has successfully influenced policy change by illuminating the quality and quantity of nine key city policies in the forty most populous U.S. metropolitan areas.
Tables on LawAtlas.org catalog resources tracking emergency declarations, mitigation policies, and other topic-specific resources available at every jurisdictional level related to the response to the COVID-19 coronavirus pandemic.
Center for Public Health Initiatives, University of Pennsylvania
Corey Davis, JD, MSPH •
University of North Carolina at Chapel Hill
Leo Beletsky, JD, MPH •
Health in Justice Action Lab
A new Perspective article in the New England Journal of Medicine examines a recent decision by a Philadelphia judge to reject the argument that an overdose prevention site, called Safehouse, would violate the Controlled Substances Act.
The decision signals a move toward an approach to regulating drugs that minimizes both the harms of drugs and the harms caused by regulation itself – worthy goals all around, the authors write.
This draft memo, prepared by Angus Corbett, addresses the question of how local governments can enforce housing codes to enable low-income tenants to live in safe and healthy housing. It reviews the market for low-cost rental housing and provides an outline of the “dynamics” of this market. The memo identifies three models in use for enforcing housing codes: the “deterrence” model, the strategic code enforcement model and a meta-regulation model.
Public health leaders are called to develop more effective messages that appeal to a broader range of “moral foundations” and also to the new millennial generation who represent the future of the public health workforce. In this column, the authors turn the focus from the tools we can use to craft persuasive messages to the virtues that can make us worthy of being heeded.