Insights & Perspectives

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State Policy

Federal Government Permanently Extends Addiction Treatment Through Telehealth

As of Dec. 31, 2025, it’s easier for Americans with opioid use disorder (OUD) to get access to critical medications through telehealth visits, thanks to a pandemic-era rule that the federal government has made permanent. This change helps to ensure that more people can get the treatment they need, even if they cannot routinely see their health care providers in person.

A hand holds a tube of hand cream while shopping at a store.
How Are People Exposed to Harmful Endocrine-Disrupting Chemicals?

More than 97% of U.S. adults have at least one chemical in their body that is known to disrupt their sensitive hormone system. And because hormones are essential to many functions of the human body—from reproduction and puberty to metabolism and immunity—these chemicals have been linked to an array of health effects, including infertility, low birth weight and preterm birth, diabetes, heart disease, and hormone-related cancers.

A blue Mediterranean nudibranch, a type of sea slug, sits on top of a red rock.
Sea Slugs Offer Insights Into Regenerative Medicine

When a person scrapes their knee or breaks a bone, their body works quickly to rebuild cells and tissues to repair the injury. But some species possess highly complex regenerative abilities—regrowing lost limbs or even repairing a damaged heart. Scientists such as Dr. Luiza de Oliveira Saad, a 2023 Pew Latin American fellow, believe these organisms might offer key insights into how humans heal.

How Alabama Is Synthesizing Data to Strengthen Its Opioid Crisis Response

Opioid-related overdose deaths continue to devastate communities throughout the country and put a strain on local resources, including emergency medical services, law enforcement, and health care providers. Understanding the scale of the problem is critical to tackling this public health threat, and that requires comprehensive data from a myriad of sources.

Fentanyl test strip
Drug Checking Equipment Can Reduce Overdose Deaths

Addressing fentanyl overdose deaths is a bipartisan priority in Congress and statehouses across the country. As a result, many policymakers are working to increase access to drug checking equipment in tandem with greater access to treatment and services for people with substance use disorders.

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As the U.S. Nears Its 250th Birthday, Dissatisfaction With Democracy Is Widespread

Since its founding, the United States has often been referred to as a “grand experiment” in democracy, but as the nation approaches its 250th birthday, many Americans think the experiment is going badly: In a spring 2025 Pew Research Center poll, 62% were dissatisfied with the way democracy is working.

Trust Magazine

How the U.S. Can Start to Curb Plastic Waste and Pollution

Plastic is pervasive in modern society, used in virtually every sector of the global economy and every aspect of human lives. This has led to a 20-fold increase in global production of plastic over the past 60 years, with about one-fifth of that rise occurring in North America.

How Informed Citizens Strengthen Democracy

As Americans come together to celebrate the 250th anniversary of our nation’s founding, many of us are reflecting on the aspirations expressed in the Declaration of Independence and the Constitution.

Trust Magazine

Courts Should Ensure That People Are Served

These days, when a package is delivered, it’s normal to receive confirmation via a photo of a box or envelope next to the front door. Although this practice is ubiquitous for something as basic as package delivery, it is uncommon in the civil legal system. Rarely is visual confirmation used to ensure that someone has been informed of a lawsuit, eviction, or divorce filed against them—proceedings with consequences that are typically far greater than the loss of a misdelivered package.

Utilities and States Tap Unused Power Plant Capacity

As demand for electricity continues to rise in the United States, policymakers and utilities are increasingly concerned about how to meet consumers’ needs cost-effectively, especially because it takes an average of five years for new energy projects to connect to the grid after they are proposed.