Wednesday, March 11, 2026

 

US Telemedicine remains popular, but who uses it varies widely





University of Pennsylvania School of Medicine




Use of telemedicine spiked amid the COVID-19 pandemic, but is still used significantly more in the years following crisis compared to the time before, new analysis from Penn Medicine researchers shows. Telemedicine’s usage varies across patient groups as well, the researchers found. They published their work in the Journal of General Internal Medicine.

Elderly people were more than 50 percent less likely to use telemedicine for their health care visits than going to an office-based appointment. The researchers also found that telemedicine visits were more common in primary care. Those in lower income brackets also more likely (by 6 percent) to make visits via telemedicine than in-office.

White patients more likely to use telemedicine, Asian patients 18 percent less likely to use it, Black patients 12 percent less likely, and Hispanic patients 6 percent less likely.

Distance and usage of technology also had a significant bearing on telemedicine usage as well. If a patient was more than 15 miles away from their nearest care provider, they were 42 percent more likely to use telemedicine over in-person care. And if they already used an online patient portal, they were 44 percent more likely to go with telemedicine.

“Telemedicine is no longer just a pandemic workaround—it has become a routine part of care delivery,” said senior author Yong Chen, PhD, a professor of Biostatistics. “The next step is ensuring it can improve access and convenience for all patients, with an eye toward determining and addressing the differences in who is able to use it.”

 

US study finds correlation between public health, tax policies




North Carolina State University




A new study finds that the more a state’s budget relied on sales tax revenue, the more likely it was to shorten stay-at-home orders during the early stages of the COVID pandemic. The findings suggest that state public-health decisions may have been influenced by unexpected budgetary constraints imposed by public-health restrictions.

“For this study, we looked at a host of state data – and it is important to note that observational studies cannot prove causation,” says Nathan Goldman, co-author of the study and an associate professor of accounting in North Carolina State University’s Poole College of Management. “However, we did find a very strong correlation between a state’s sources of revenue and its public-health policies during the early days of the pandemic.”

There is tremendous variability between states in the extent to which they rely on consumption taxes versus income taxes. For example, Washington State has no income tax but has a state sales tax of 6.5%. Oregon, on the other hand, has no sales tax, but has a progressive income tax system that tops out at 9.9%.

“The pandemic created a situation where people were staying home and many businesses were closed,” Goldman says. “We wanted to see how tax policy, coupled with the pandemic, may have influenced other policy decisions.”

For this study, the researchers evaluated data from all 50 states and the District of Columbia. Specifically, the researchers drew on each state’s tax revenue data, as well as three state-level health-related policies that were widespread during the early days of the COVID-19 pandemic: stay-at-home orders, restaurant closures and bar closures.

The researchers also controlled for the political party of the state’s governor, historical presidential election voting patterns of the state, population, population density, unemployment, poverty rates, minimum wage, tax collections per capita, and geographic region.

“We wanted to account for those variables because they are indicators of conservative political orientation, which could also inform policy decisions on things like stay-at-home orders,” Goldman says. “We wanted to see if there was a possible relationship between tax revenue and public-health policy, so we used statistical tools to account for these political proxies.”

The researchers found that states without a sales tax were associated with longer stay-at-home orders than states that did have a sales tax. Further, the researchers found that the higher the proportion of a state’s total tax revenue came from sales tax, the shorter the state’s stay-at-home order duration.

“We conducted similar analyses at the national level for countries in the European Union and found the same correlation,” says Goldman. “We also looked at county-by-county data for the states of Virginia and Georgia – and, again, the correlation was there.

“Studies like this one underscore the complex set of issues that inform public-health decisions and could shed light on how tax policies can constrain or influence policy issues seemingly unrelated to state revenue.”

The paper, “Is State Tax Policy Associated with State-Level COVID-19 Restrictions?,” is published open access in the journal Contemporary Accounting Research. The paper was co-authored by Stephen Lusch, the Deloitte-Touche Professor of Accountancy in the University of Kentucky’s Gatton College of Business and Economics and by Luke Watson, an associate professor of accounting and information systems at Villanova University.

 


Do US abortion bans affect birth rates and food-assistance costs?





Wiley





A study in Economic Inquiry reveals how total abortion bans are reshaping public health systems and safety‐net programs in the United States.

Using state‐level data from 2017–2023, Lilly Springer, a PhD candidate at the University of Kansas, found that states with full abortion bans (after the Supreme Court overturned the federal right to abortion with the Dobbs decision in 2022) experienced a 1.6% increased birth rate in 2023. They also experienced 4.3% and 2.1% increases in participation in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) among postpartum women and formula‐fed infants, respectively.

These changes led to a $6.9 million increase in WIC food‐assistance costs in 2023, revealing how abortion bans can rapidly increase demand on federally funded nutrition programs.

“The findings highlight important under‐examined consequences of reproductive policy on state budgets, public health infrastructure, and low‐income families,” said Springer.

URL upon publication: https://onlinelibrary.wiley.com/doi/10.1111/ecin.70053

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