Healthcare Policy

Grand Rounds: “Health Care Access and Its Impact on Health Disparities”

February 11, 2009
Grand Rounds: “Health Care Access and Its Impact on Health Disparities”

Commentary by Zackary Berger MD PhD, PGY-3, Health Care Policy Section Editor 

As Massachusetts’ Secretary of Health and Human Services, JudyAnn Bigby, MD, is charged with overseeing the health-care program which covers nearly all of the Commonwealth’s residents (nearly 98%) while costing more than anyone expected (about 800 million dollars in 2008). On February 4th, Dr. Bigby spoke at NYU’s Medicine Grand Rounds, where she summarized the approach and accomplishments of Title 58, the health care legislation passed in 2006. The program had several goals: …

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Pay for Performance: A Temporary Solution for Improving Health Care Quality

February 4, 2009
Pay for Performance: A Temporary Solution for Improving Health Care Quality

Commentary by Amit Sura, MD, MBA, PGY-1 and Nirav Shah MD, MPH, NYU Assistant Professor of Medicine

On March 1, 2001 the Institute of Medicine (IOM) released “Crossing the Quality Chasm: A New Health System for the 21st Century” in response to alarming rates of medical errors that led to thousands of unnecessary deaths. (Washburn 2001) The report called for changes within information technology (IT), payment policies, and the medical workforce. By stressing a “new paradigm for health care delivery,” rules, aims, and the top …

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Tackling Cancer Control Worldwide: Report From the 2008 World Cancer Congress

December 11, 2008
Tackling Cancer Control Worldwide: Report From the 2008 World Cancer Congress

Commentary by Antonella Surbone MD PhD FACP, NYU Department of Medicine and Clinical Correlations Ethics Section Editor

On Tuesday December 9th 2008, leading global cancer organizations met in Atlanta to discuss the 2008 WHO World Cancer Report predicting that cancer will overtake heart disease as the world’s top killer by 2010, and that global cancer cases and deaths will more than double by 2030. They called on governments to act, by ratifying an international tobacco control treaty and by asking the US to also invest …

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Thanksgiving Day Post-The History of Veterans Healthcare

November 27, 2008
Thanksgiving Day Post-The History of Veterans Healthcare

By: Erin E. Ducharme, MD  PGY-1

With deep and humble gratitude we thank our nation’s veterans for the selfless sacrifices they and their families have made to establish and preserve the costly freedoms we take for granted.   On this Thanksgiving and in celebration of Veteran’s Day we are reinvigorated in our efforts to uphold the promise made by President Lincoln in his second inaugural address, “to care for him who shall have borne the battle and for his widow, and his orphan.” As physicians it …

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The Genetic Information Nondiscrimination Act (GINA)

October 25, 2008
The Genetic Information Nondiscrimination Act (GINA)

Commentary by Bani Chander MD, PGY-3.  Reviewed by Antonella Surbone MD PhD FACP, Ethics Section Editor.

On May 21, 2008, president George W. Bush signed the Genetic Information Nondiscrimination Act (GINA) into effect. After 13 years of debate in Congress, the bill finally passed through both the senate and the house nearly unanimously. So what is GINA? This piece of legislation prohibits insurance companies from taking into account genetic conditions or family history when determining risk assessment. In addition, GINA makes it illegal for employers …

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Ethical Responsbilities After GINA

October 25, 2008

Commentary by Antonella Surbone, MD PhD FACP, Ethics Section Editor

The Genetic Information Nondiscrimination Act (GINA), passed by the US Congress on May 1st 2008, protects individuals against discrimination by health insurers and employers on the basis of genetic information.(1-4) Genetic information refers to genetic tests of a person’s or a family member up to fourth-degree relatives. Genetic test is any analysis to detect genotypes, genetic mutations or chromosomal changes, not including analysis of proteins or metabolites directly related to a manifested disease. Genetic information …

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Plans for Healthcare Reform, by People Not Running for President

October 24, 2008
Plans for Healthcare Reform, by People Not Running for President

Commentary by Zackary Berger MD PhD, PGY-3, Health Care Policy Section Editor 

Even in the midst of the presidential campaign, we should remember that there are a number of health care plans other than those proposed by McCain or Obama. Given the vagaries of politics, any given plan is very unlikely to be passed. Thus we should become familiar with the details of a variety of them, since any compromise will look like a hybrid of them. What follows is a subjective summary.

Ezekiel Emanuel, …

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Election ’08: Science Research and Biomedical Issues

October 15, 2008
Election ’08: Science Research and Biomedical Issues

Commentary by Andrew McKinstry MD PGY-1  

Reviewed by Albert B. Knapp MD, FACP, NYU Clinical Professor of Medicine 

Biomedical and basic science research are the undisputed driving forces that will shape the future of medicine in the United States.  Both presidential campaigns have weighed in regarding science policy and research funding.  What follows is a quick comparison of the candidates’ stated policies on science research and biomedical issues, as well as any relevant votes they may have cast in the senate.

Senator Barack Obama (D-IL)

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