The article argues that recent executive overreach and politicization have severely undermined established norms of U.S. civil-military relations. To restore professional standards, the incoming Congress must actively exercise its oversight powers, moving beyond mere criticism to demanding transparency in defense policy and personnel decisions. Key reforms include enforcing meritocratic promotion processes, requiring documented justification for senior officer removals, and preventing the partisan use of the military. These actions are crucial for bolstering public trust and ensuring the military remains a nonpartisan instrument of civilian control.
Evaluation of depot buprenorphine provision in treatment and recovery services in England
English Summary
The RAND evaluation concludes that depot buprenorphine (DB) provision has expanded markedly in England following new grant funding, exhibiting a rapid, S-shaped uptake curve. Key evidence shows a sharp increase in provision, with recipients often being younger women with lower disability rates compared to other opioid substitution treatment groups. The report advises policymakers that while DB offers benefits like improved adherence, its high cost and limited real-world evidence base require careful management. Therefore, the findings are intended to guide the Department of Health and Social Care in optimizing the provision of this long-acting injectable treatment to maximize recovery outcomes and ensure cost-effectiveness.
中文摘要
蘭德研究所（RAND）的評估報告指出，在獲得新的撥款資助後，英格蘭地區的儲配型丁丙諾啡（depot buprenorphine, DB）服務提供量顯著擴大，呈現出快速的S型採用曲線。關鍵證據顯示，服務提供量急劇增加，且接受服務的個案往往是相較於其他鴉片類替代治療群體中，具有較低殘疾率的年輕女性。報告建議政策制定者，雖然DB能帶來改善依從性等益處，但其高昂的成本和有限的真實世界證據基礎，要求必須謹慎管理。因此，本研究結果旨在指導衛生與社會照護部（Department of Health and Social Care），優化此種長效注射治療的提供方式，以最大化恢復成效並確保成本效益。
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