Kritee Gujral, 10 June 2020

A quarter of all rural US hospitals, most of which are highly essential to their communities, are at high risk of closing.Hospital closures may increase transport time and delay treatment. This column examines hospital closures in California from 1995 to 2011 to assess the effects of rural and urban hospital closures on inpatient mortality. Mortality increases after a rural hospital closure not only in the local rural area but in the neighbouring urban areas as well. This adverse effect is larger for Medicaid patients and racial minorities.

Janet Currie, Hannes Schwandt, Josselin Thuilliez, 10 August 2018

Understanding how inequalities in health are related to inequalities in income is a key issue for policymakers. This column describes how despite increasing income inequality in both countries, the development of mortality has been very different in France compared with the US. The findings show that inequalities in income and health do not necessarily move in tandem, and highlight how public policy helps to break this link. 

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