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Rationing by Inconvenience

Miranda Yaver
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Miranda Yaver's Substack on all things health care access and bureaucracy

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Latest Issues

The Medical Debt Crisis is a Policy Choice

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 cen...

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My Career Is What Public Investment in Science Looks Like

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...

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Beyond Just Right-Sizing Prior Authorization

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 c...

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Review: Rural Pain, Republican Gain a critical examination of the urban-rural health divide

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...

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What New OIG Reports Reveal About Medicare Advantage Prior Authorization

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  • Miranda Yaver

    Political scientist. Assistant Professor of Health Policy and Management at the University of Pittsburgh. Writing on administrative burden and inequality in health care. Bylines at NYT, WaPo, and The Guardian. Coverage Denied (CUP 2026).

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