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Did individuals' experiences with the harms of the COVID-19 pandemic influence their attitudes towards safety-net programs? To assess this question, we combine rich information about county-level impacts and individual-level perceptions of the early pandemic, repeated measurements of attitudes towards safety-net expansion, and pre-pandemic measurements of related political attitudes. Individuals facing higher county-level impact or greater perceived risks are more likely to support long-term expansions to unemployment insurance and government-provided healthcare when surveyed in June 2020. These differences persist across time, with experiences in the early months of the pandemic remaining strongly predictive of attitudes towards safety-net expansion in early 2021.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9263690 | PMC |
http://dx.doi.org/10.1016/j.jebo.2022.07.002 | DOI Listing |
Am J Prev Med
August 2025
Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, MA. Electronic address:
Introduction: Mental health problems during the COVID-19 pandemic in the US were partly alleviated by economic policies. For example, the 2021 expansion of the Child Tax Credit (CTC) provided cash support to many families and improved mental health. While the CTC was a federal policy, there may be geographic disparities in policy impacts depending on state contexts.
View Article and Find Full Text PDFJ Public Health Manag Pract
August 2025
Author Affiliations: Research Department, OCHIN Inc., Portland, Oregon (Dr Cook, Jones, Crist, McGrath, and Goueth); LifeLong Medical Care, Berkely, California (Nishiike); and Center for Community Health Integration, Case Western Reserve University, Cleveland, Ohio (Bindas and Stange).
Community-based health centers play a crucial role in delivering care to medically under-resourced communities but operate in a state of financial instability exacerbated by the COVID-19 pandemic. To improve understanding of the pandemic on health centers we assessed monthly and annual accounts receivables (AR) data over 5 years (2019-2023) for 81 health centers. Between 2019 and 2023, health centers improved their Days in AR, decreasing from 49.
View Article and Find Full Text PDFAm J Public Health
August 2025
Nicole Fernández-Viña and Lia C. H. Fernald are with the Division of Community Health Sciences, School of Public Health, University of California, Berkeley. Rita Hamad and Kaitlyn E. Jackson are with the Department of Social & Behavioral Sciences, Harvard School of Public Health, Boston, MA. Wen
To understand the experiences of families with low income in California with pandemic safety net support expansions and retractions, including barriers to program access. Using open-ended questions, we explored the self-reported experiences of pandemic-era safety net expansions and expirations between January and June 2023 among a group of caregivers of young children (n = 44). We used the Immersion-Crystallization technique to analyze the data, creating a codebook and identifying themes as they emerged.
View Article and Find Full Text PDFAm Surg
July 2025
Department of Surgery, Morehouse School of Medicine, Atlanta, GA, USA.
Disparities in health care access have long affected both rural and urban communities across the United States. While much of the discourse has focused on rural hospital closures, inner-city hospitals-often safety-net institutions serving vulnerable populations-are increasingly shutting down due to financial instability, systemic underfunding, and policy changes. These closures have profound consequences for access to surgical care, exacerbating existing disparities and straining remaining health care infrastructure.
View Article and Find Full Text PDFJ Am Board Fam Med
June 2025
From the Meharry Medical College, Nashville, TN (WMR, JRMR, MA); William Carey Osteopathic College of Medicine, Hattiesburg, MS (WMR); University of Tennessee-Clinica Medicos, Chattanooga, TN (KRA, NB); University of Tennessee Health Science Center, Memphis, TN (JRMR, NB, MA); University of Memphis,
Background: This prospective study of all pregnancies explored the impact of infrastructure changes reducing health care disparities over 18 years. Office redesign, hospital privileges, and expanded point of care services allowed family physicians to sustain comprehensive family care including obstetrics.
Research Design: Family physicians leased office space in a chronically underserved urban area, with clinical revenue as the primary funding source.