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.
A Design Lab Pilot to Inform Strategies for Expanding Access to Medications for Opioid Use Disorder in Community Mental Health Centers
English Summary
Despite MOUD being the standard of care for opioid use disorder, access remains severely limited in Community Mental Health Centers (CMHCs), which serve the primary population with co-occurring disorders. A Design Lab pilot identified payment limitations and regulatory complexity as the chief barriers to implementation. The most feasible and high-impact strategy identified was establishing a structured learning exchange between CMHC leaders and insurers to improve reimbursement understanding. Policymakers and payers are therefore advised to pilot this learning exchange model to initiate broader payment reform and expand evidence-based care for this vulnerable population.
中文摘要
儘管藥物輔助治療（MOUD）是鴉片類成癮失調的標準照護，但在服務主要患有共病障礙的社區精神健康中心（CMHCs）中，其可及性仍極為有限。一個設計實驗室的試點計畫指出，支付限制和監管複雜性是實施的主要障礙。所識別出的最具可行性和高影響力的策略是建立一個結構化的學習交流機制，讓CMHC領導者與保險公司進行交流，以提升對報銷制度的理解。因此，建議政策制定者和支付方應試點實施此學習交流模式，以啟動更廣泛的支付改革，並擴大這群弱勢群體的循證照護。
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