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Last update: October 2026

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Dr. Sara R. Machado is a Senior Research Scientist at the Center for Health System Sustainability (CHeSS) at Brown University School of Public Health, where she is also Adjunct Instructor of Health Services, Policy & Practice. She earned her PhD in Economics from Boston University and was an LSE Fellow in the Department of Health Policy and a Research Officer at LSE Health. Her research asks how health and wealth move together from midlife onward, and what longer lives mean for the systems that finance and deliver care. Using quasi-experimental methods and cross-national longitudinal data on older adults, she has shown how wealth tracks mortality in the United States and Europe, how midlife wealth mobility shapes cardiovascular risk, and how care systems can meet rising demand as populations live longer. She is Principal Investigator at Brown SPH for CARDIO-DAY, a La Caixa-funded consortium evaluating a cardiology day-hospital model. Her work appears in the New England Journal of Medicine, JAMA Cardiology, and Health Economics, with work forthcoming in Nature Aging. She serves on the board of the Portuguese Health Economics Association.

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