Healthcare Policy

Healthcare (Or Lack Thereof) in Communist Albania

March 9, 2018
Healthcare (Or Lack Thereof) in Communist Albania

By Mariela Mitre

Peer Reviewed

I was born in the late 1980s, a relatively fortunate time in Albanian history, considering that Enver Hoxha (1908-1985), the most xenophobic communist dictator of the Eastern European bloc, had recently died and the country was on the verge of transformative demonstrations. My parents, on the other hand, were born in the 1950s during the first decade of the establishment of the Communist regime. Over the four decades of the dictator’s rule, he became increasingly paranoid, managed to break ties …

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Burnout- The Hot Topic in Medicine

December 8, 2017
Burnout- The Hot Topic in Medicine

By Monica Gupta, MD and Alice Tang, MD

Peer reviewed

Physician burnout is a phenomenon that is becoming recognized as widespread in both trainees and in practicing doctors. Long taxing hours, insurmountable educational debt, the burden of daily decisions affecting patients’ lives, and the routine sacrifice of self-care are just a few of the factors that physicians identify as causes of their burnout.

What exactly is burnout?

Burnout is assessed across multiple professional fields with the Maslach Burnout Inventory. It has 3 scales that measure …

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Presidential Politics-How Do the Candidates Healthcare Policies Measure Up?

March 25, 2016
Presidential Politics-How Do the Candidates Healthcare Policies Measure Up?

By Ajay Prakash, MD

Peer Reviewed

Discussions about healthcare policy have played a central role throughout the presidential primaries. It is incredibly important for healthcare providers to have an understanding of healthcare’s current state and the manner in which each of the presidential candidates intends to reform it. This work will describe the public positions espoused by the presidential candidates in both the Republican and Democratic primaries. Where specifics are available, we will provide them. Where they are not, we will attempt to highlight those …

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What is An Accountable Care Organization (ACO)?

January 25, 2012
What is An Accountable Care Organization (ACO)?

By Karen Kan, MD

Faculty Peer Reviewed

Last March, the Department of Health and Human Services released a set of proposed regulations that would govern Accountable Care Organizations (ACOs), bringing ACOs back to the forefront of health policy news and re-opening the debate about healthcare reform . More recently, at the beginning of November, the Centers for Medicare and Medicaid Services (CMS) issued a final set of regulations that will govern these organizations . As we will likely hear increasingly more about ACOs in the …

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Watermelons for Medicine: Global Health and Residency Training

April 29, 2011
Watermelons for Medicine: Global Health and Residency Training

By Lucy Doyle, MD

Faculty Peer Reviewed

Ten years ago, I found myself in a village in rural central China that was ravaged by AIDS. Villagers had contracted the disease through a contaminated blood-selling program.  It was there that I met a rural doctor riding his bicycle to see his patients.  In his basket, he was carrying watermelons.  It was heartbreaking to realize that this was all he could offer to his patients, who were all going to die.  Growing up in Long Island and …

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From the Archives – $50,000: The price of a car or the price of life?

October 21, 2010
From the Archives – $50,000: The price of a car or the price of life?

Commentary by Vlad Fridman, MD

$50,000. This is the price of a new (and cheap) model BMW, and also a price the US government is willing to spend to prolong your medically trained (or everyone else’s for that matter) life by one year. Before describing why $50,000 was chosen it’s necessary to describe what this number stands for.

For years, health economists have been struggling to determine a way to ration health care. Since resources are limited, who is to say which treatments should be …

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The Ethics of Electronic Health Records

January 15, 2010
The Ethics of Electronic Health Records

John J. Mercuri

Faculty peer reviewed

Introduction
The 111th Congress allocated $19 billion of the American Recovery and Reinvestment Act of 2009 toward the creation of an electronic health record (EHR) for each person in the United States by 2014.(1) The recent debate over EHRs has focused largely on the economic, logistical, and political consequences of implementing such a system; however, the country should also contemplate the ethical ramifications of EHRs. Addressing these concerns requires the application of ethical principles such as autonomy, justice, beneficence/non-maleficence, …

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PrimeCuts: This Week in the Journals

September 21, 2009
PrimeCuts: This Week in the Journals

Carolyn Bevan MD

Faculty Peer Reviewed

With health care spending increasing at an unsustainable rate while an estimated 46 million Americans live without insurance , the urgent need for healthcare reform in the US is clear. Much less obvious, however, is how to go about it. At the beginning of the month, President Obama addressed Congress in a political call to arms, emphasizing that Americans must come together to address this important issue. This week, many of the major medical journals weighed in on the …

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