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University Roundtable Puts Latino Mental Health Front and Center

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University Roundtable Puts Latino Mental Health Front and Center

“Keep it to yourself. Push it down. Don’t say anything.” That is how Isis Lara Fernandez was taught to live with her status as an undocumented immigrant in the United States.

At 6-years-old, Lara Fernandez fled to the U.S. with her mother and siblings to escape domestic violence in Honduras. From that point forward, Lara Fernandez navigated life with a persistent fear that her secret could be discovered at any point in time.

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The Health Care Debate & Feldstein’s Fix
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The Health Care Debate & Feldstein’s Fix

Serving in Congress during the implementation of President Barack Obama’s Affordable Care Act, Republicans embraced the position of “repeal and replace.” Repeal the ACA, but replace it with what? The debate is front-and-center again, though the ground has shifted some. There is more support for the ACA. Even some Republicans are looking to temporarily extend COVID-era subsidies for ACA health plans. Other Republicans want Health Savings Accounts, so more money goes to individuals instead of insurance companies. Democratic leadership seeks an approach temporarily extending the expanded premium subsidies, during which the entire approach to health care can be rethought.

The late economist Martin Feldstein had the fix: Martin Feldstein proposed a voucher system in which everyone could purchase a health insurance plan covering health care expenses exceeding 15% of their income. This could be combined with HSAs if they prove popular with the public.

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When Medical Misinformation Costs Lives: Balancing Free Speech and Public Health
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When Medical Misinformation Costs Lives: Balancing Free Speech and Public Health

In my corner of the world, it feels like 2020 all over again, experiencing the push and pull between losing someone I love due to medical misinformation, all while holding respect for free speech.

The tension between combating medical misinformation and protecting free speech represents one of the most challenging dilemmas of our age. On one side lies the very real danger of false health claims that can literally cost lives. On the other side, there is a fundamental democratic principle that has historically protected unpopular truths from suppression.

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World AIDS Day and the Fight to Sustain PEPFAR
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Photo by Bermix Studio on Unsplash

World AIDS Day and the Fight to Sustain PEPFAR

Every year on December 1, World AIDS Day isn't just a time to look back, but it’s a call to action. This year, that call echoes louder than ever. Even as medicine advances and treatments improve, support from political leaders remains shaky. When the Trump administration threatened to roll back the President's Emergency Plan for AIDS Relief (PEPFAR), it became clear just how vulnerable such critical programs can be. The effort to weaken or even dismantle PEPFAR wasn't just a policy debate; it lifted the curtain on how fragile moral commitments are. Revealing how easily leaders can forget the human stakes when political winds shift.

Despite these challenges, PEPFAR endures. It remains among the world's most effective global health efforts. For over twenty years, it has received bipartisan backing, saved more than 25 million lives, and strengthened public health systems across dozens of countries, notably in Africa and the Caribbean. Its ongoing existence stands as a testament to what is possible when compassion and strategic investment align. Yet the program's continued effectiveness is anything but guaranteed. As attempts to chip away at its foundation recur, PEPFAR's future depends on unflagging advocacy and renewed resolve to keep it robust and responsive.

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