Research Library

The number of migrants crossing the U.S.-Mexico border far exceeds the immigration system’s capacity, and the flow is not stopping. In this brief, visiting scholar Katia Adimora talks to experts in the field about what the real issues are and how best to solve them.

This brief outlines how the Small Business Administration's long-standing 7(a) loan program can build upon the lessons learned during the COVID-19 pandemic to strengthen its operations and impact.

The authors review the impact of the Paycheck Protection Program (PPP), a government initiative that allowed small businesses to apply for low-interest loans during the COVID-19 pandemic. While the PPP helped cover employment-related expenses and mitigated unemployment for some businesses, it remained inaccessible to others, they conclude.

The authors examine the investments, trade-offs and broad policy changes necessary to reimagine the U.S. health care delivery system.

Contrary to expectations, the relationship between Ennahdha and the Salafis in Tunisia was destined for failure. The authors explain why, but note that the reasons young people looked to Salafism for revolutionary purity and inspiration remain. Those interested in the stability of Tunisia's regime should not take the defeat of Salafism for granted, they write.

The Advancing Care for Exceptional Kids Act proposes a national database that would serve as a centralized source of information on children with medically complex conditions. The aim is to improve treatment and care coordination. The authors of this brief argue, however, that the database could put children and their families at risk of discrimination by making their health information public, and therefore accessible to employers and health insurers.

Children with medical complexity (CMC), defined as children who have chronic medical conditions that can be expected to last at least one year and to require speciality pediatric care, depend on technology and multiple providers for their acute and daily health needs. The authors explore how the use of telemedicine, coupled with a patient-centered medical home model of care, can improve the efficacy and efficiency of care for CMC.

The Health Reform Monitoring Survey (HRMS)-Texas report is based on the HRMS, a national project that provides timely information on implementation issues under the Affordable Care Act (ACA) and changes in health insurance coverage and related health outcomes. The Baker Institute and the Episcopal Health Foundation are partnering to fund and report on key factors about Texans obtained from an expanded representative sample of Texas residents.

In this issue brief, Rice University's Baker Institute and The Episcopal Health Foundation ask, "Were Texans satisfied with the cost of health care and health insurance prior to the Affordable Care Act?" By Vivian Ho, Ph.D.; Elena M. Marks, J.D., M.P.H.; and Patricia Gail Bray, Ph.D.