Research Library

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

When illegal workers use false documents to get a job in the U.S., their employers may complete the paperwork by deducting Social Security, federal, state and Medicare taxes from each paycheck. As of 2010, illegal workers have contributed $12 billion to the Social Security system alone. Such workers face poverty in old age, as they are barred from collecting retirement benefits because of their immigration status, and they have not accrued a pension in their home country.

Rising health care costs and generational attitudes toward convenience and the ability to personalize life choices are driving a trend toward greater individual responsibility over the use of health care services.

With the Texas Legislature now considering several bills that would decrease penalties for marijuana possession and legalize the use of medical marijuana to treat a variety of conditions, authors William Martin and Katharine A. Neill present updated findings in this new issue brief that support the case for reforming marijuana policy in Texas.

Drug Policy Program director Bill Martin summarizes the scientific and fiscal evidence supporting the efficacy of syringe exchange programs and outlines a framework for public policies to deal with this aspect of drug use and abuse.

Texans who bought their own health insurance were less likely to understand basic terms and how to use their plans compared to those with Medicare, Medicaid or employee-sponsored health insurance.

While the recent fiscal troubles in Greece have received much attention, the U.S. fiscal position is hardly comparable to that of Greece. However, the United States is experiencing, and will continue to experience, one of the fundamental economic costs of relatively large and persistent deficits.

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.

Many contemporary medical ethicists dismiss the centuries-old Hippocratic Oath as outdated because of the enormous scientific, social, economic, and political changes since Hippocrates' time. Health policy scholar Hagop Kantarjian makes a case for its relevance.