HeyJaredRationing by Inconvenience
Miranda Yaver's Substack on all things health care access and bureaucracy
- Indexed issues, last 90 days
- 4
- Latest publication
- Sep 23, 2026
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- Earliest in this view
- Aug 20, 2026
Latest issues
The Medical Debt Crisis is a Policy Choice (opens the original)
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A new report by The Commonwealth Fund highlights the widespread extend to which even people with health insurance bear medical debt – and it’s only going get worse with looming premium hikes.Though much public attention understandably centers on the effect of being uninsured, far too often in a country with notably costly medical care, being insured proves insufficient to affording needed care. On Thursday, researchers at The Commonwealth Fund reported on insu
My Career Is What Public Investment in Science Looks Like (opens the original)
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I recently returned from the annual meeting of the American Political Science Association, heart full with gratitude to my amazing friends and colleagues who have cheered me on as I published my book, had an “Author Meets Critics” panel on my book, and accepted two section awards. But I also couldn’t help reflecting on the forces that aligned to help me to get to this point in my career, and the instrumental role of the Agency for Healthcare Research and Quality (AHRQ), which has been hollowed o
Beyond Just Right-Sizing Prior Authorization (opens the original)
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It is no secret that prior authorization is a significant pain point for American patients, though there have been ongoing debates as to whether the answer is to “right size” prior authorization in order to maintain guardrails without its current ubiquity in areas of medicine where there is not demonstrable overuse, or whether the practice ought to be banned altogether. A new report b
Review: Rural Pain, Republican Gain a critical examination of the urban-rural health divide (opens the original)
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On July 4, 2025, President Donald Trump signed into law H.R. 1, the “One Big Beautiful Bill Act,” which hollowed out the American safety net and left rural Americans’ health in an even more precarious position. The irony, of course, is that this Republican policy – a policy that garnered the support of nearly every Republican in Congress, even those in especially Medicaid-reliant districts – will be especially harmful to Republican voters. Amid this comparatively covert retrenchment of health ca
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