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Federal health advisors say women can now consider three options when it's time for their cervical cancer screening tests. The influential group, the U.S. Preventive Services Task Force (USPSTF), has expanded its recommendations for this potentially life-saving exam.

The new recommendations were published in the latest issue of JAMA.

Pap smears have saved many lives since they became available decades ago. Inspecting samples of cervical tissue for pre-cancerous changes is effective at catching possible cancer, and is still the go-to test for women aged 21 to 29, according to the USPSTF guidelines. But there's another option. 

"Most cervical cancer is caused by what's called the human papilloma virus, or HPV," says Stanford Health Policy's Dr. Douglas Owens, a professor of medicine at Stanford Medicine and vice-chair of the USPSTF. "And we now have tests for HPV and that's an important step forward."

Read the full NPR story

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Ben Priestley provides leadership and oversight for financial operations, strategic planning, human resources, grant and contract administration, academic affairs, and facilities/space planning. Ben has expertise in interventional clinical research operations and management, specifically in cancer trials. His interest and career in public health began in the field of Parkinson’s Disease research. He received his MPH from Johns Hopkins Bloomberg School of Public Health and his BS in Cognitive Science from University of California San Diego.  

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"If you want some notion of the problem, just try uttering the words “public administration” before a roomful of students and watch them look at their phones or start to fall asleep. Nonetheless, the classic field of public administration is one of the most important today, and its decline (at least in the United States) is one of the reasons why we get poor service from government," writes CDDRL Director Francis Fukuyama. Read the article here.

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In this study published in the American Journal of Managed Care, the authors found that premiums for ACA Marketplace plans were higher in rating areas in which physician, hospital, and insurance markets were less competitive. An increase from the 10th to the 90th percentile of physician concentration and hospital concentration was associated with increases of $393 and $189, respectively, in annual premiums for the Silver plan with the second lowest cost. A similar increase in the number of insurers was associated with a $421 decrease in premiums. Physician–hospital integration was not significantly associated with premiums.

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Maria Polyakova
Laurence C. Baker
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The Trump administration's immigration crackdown may be leading to an unintended consequence: a drop-off in benefits enrollment among legal Hispanic immigrants, according to new research by Stanford Health Policy's Marcella Alsan.

This CBS News story about her work notes that an immigration program called Secure Communities, which was rolled out during the Obama administration, is linked to a lower take-up of benefits such as food stamps and health care enrollment.

In a new paper published by the National Bureau of Economic Research, Alsan and Crystal Yang of Harvard Law School found Hispanic households were particularly hard-hit, even those with legal immigration status.

"We find evidence that our results may be driven by deportation fear rather than lack of benefit information or stigma," the researchers wrote.  "Though not at personal risk of deportation, Hispanic citizens may fear their participation could expose non-citizens in their network to immigration authorities. We find significant declines in SNAP and ACA enrollment, particularly among mixed-citizenship status households and in areas where deportation fear is highest."

Read the CBS News story.

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"What is different today is the speed and extraterritorial reach of disinformation. Over-restriction on content undermines our democratic values, but understanding the mechanisms of manipulation opens up the solutions." Our Eileen Donahoe, Executive Director of CDDRL's Global Digital Policy Incubator, said in the podcast "Digital Media: Combatting Threats in the Era of Fake News." Listen here.

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Vincent Tanutama is a research data analyst at the Center on Food Security and the Environment, where he supports the work of Marshall Burke on climate’s impact on economic outcomes such as workers' labor productivity and subnational economic output. Vincent's interest in the environment sprouts from investigating the distribution of rent among bureaucrats in their management of forest and oil palm resources in Indonesia, his country of origin. He has worked at the Indonesian Ministry for Economic Development Planning (Bappenas), The Abdul Latif Jameel Poverty Action Lab (JPAL Southeast Asia), Oxford Policy Management (OPM), and the United Nations Economic and Social Commission for Asia and the Pacific (UNESCAP).  He holds a B.A. in Ethics, Politics and Economics from Yale University.

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CDDRL Predoctoral Fellow, 2018-20
Fellow, Program on Democracy and the Internet, 2018-20
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​I am a Junior Fellow at the Harvard Society of Fellows. Starting in 2023, I will be an Assistant Professor at Harvard Business School's Business, Government and the International Economy (BGIE) unit.

My research examines political extremism, destigmatization, and radicalization, focusing on the role of popularity cues in online media. My related research examines a broad range of threats to democratic governance, including authoritarian encroachment, ethnic prejudice in public goods allocation, and misinformation. 

​My dissertation won APSA's Ernst B. Haas Award for the best dissertation on European Politics. I am currently working on my book project, Engineering Extremism, with generous funding from the William F. Milton Fund at Harvard.

My published work has appeared in the American Political Science Review,  Governance,  International Studies QuarterlyPublic Administration Review, and the Virginia Journal of International Law, along with an edited volume in Democratization (Oxford University Press). My research has been featured in KQED/NPRThe Washington Post, and VICE News.

I received my Ph.D. in Political Science at the University of California, Berkeley in 2020. I was a Predoctoral Research Fellow at the Center on Democracy, Development and the Rule of Law at Stanford University and the Stanford Program on Democracy and the Internet. I hold a B.A. (Magna Cum Laude; Phi Beta Kappa) from Cornell University and an M.A. (with Distinction) from the University of California, Berkeley.

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