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Related Concept Videos

What is Climate?01:16

What is Climate?

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Climate refers to the prevailing weather conditions in a specific area over an extended period. As the saying goes, “Climate is what you expect. Weather is what you get.” Climate is influenced by geographic factors, such as latitude, terrain, and proximity to bodies of water.
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Adaptations that Reduce Water Loss01:57

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Though evaporation from plant leaves drives transpiration, it also results in loss of water. Because water is critical for photosynthetic reactions and other cellular processes, evolutionary pressures on plants in different environments have driven the acquisition of adaptations that reduce water loss.
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Global Climate Change01:50

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Throughout its ~4.5 billion year history, the Earth has experienced periods of warming and cooling. However, the current drastic increase in global temperatures is well outside of the Earth’s cyclic norms, and evidence for human-caused global climate change is compelling. Paleoclimatology, the study of ancient climate conditions, provides ample evidence for human-caused global climate change by comparing recent conditions with those in the past.
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Microbes and Climate Change01:27

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Design Example: Analyzing Capacity Contours for Flood Risk Assessment01:17

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Flood risk assessment involves careful planning and analysis to ensure the safety of communities near water retention structures. Capacity contours are a vital tool in this process, as they illustrate the potential spread of water at specific levels in a given area. In the context of building a bund across a small valley, these contours play a critical role in evaluating the safety of nearby residential areas.In this example, the bund is intended to store stormwater in the valley. The engineers...
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Updated: May 6, 2026

Visualizing Visual Adaptation
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Health Insurance As Climate Adaptation: A Practical Framework.

Carlos F Gould1, An-Chi Tsou2, Shiv Puliady3

  • 1Carlos F. Gould (cagould@health.ucsd.edu), University of California San Diego, La Jolla, California.

Health Affairs (Project Hope)
|May 4, 2026
PubMed
Summary

US health insurance can integrate climate adaptation strategies to address daily hazards like heat and wildfire smoke. This framework uses public indicators to trigger support, reducing exposure and preserving care access during climate events.

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Area of Science:

  • Environmental Health
  • Health Policy
  • Climate Science

Background:

  • Climate-sensitive hazards (heat, wildfire smoke, floods, hurricanes) increase illness and death, disrupting healthcare.
  • Current US policy primarily addresses large-scale disaster declarations, neglecting frequent, day-to-day climate-related health risks.

Purpose of the Study:

  • To propose a practical framework for integrating climate adaptation into health insurance coverage.
  • To outline mechanisms for using public health indicators to activate support during climate hazard periods.

Main Methods:

  • Utilizing public indicators (e.g., heat alerts, air quality indices) to trigger regional climate adaptation actions.
  • Implementing two pathways: reducing exposure (cooling centers, air filtration) and preserving care access (early refills, network flexibility).
  • Identifying near-term implementation channels: Medicaid demonstrations, Medicare Advantage benefits, and commercial plan flexibilities.

Main Results:

  • A framework is presented to proactively manage health impacts of climate-sensitive hazards through health insurance.
  • The framework enables timely interventions to reduce exposure and maintain healthcare continuity during hazard windows.
  • Potential implementation pathways are identified within existing health insurance structures.

Conclusions:

  • Integrating climate adaptation into health insurance is a practical and scalable strategy to protect population health against growing climate risks.
  • Proactive adaptation within insurance systems can mitigate morbidity and mortality associated with climate-sensitive hazards.
  • Policy shifts towards addressing daily climate hazards through insurance are crucial for future public health resilience.