The corporate medical department and AIDS. (17/21)

HIV infection in the workplace reflects the dimensions and distribution of the problem in the community at large. Despite this, accommodation of ill employees has been the general pattern and disruptions of any kind the exception. Corporate medical departments can be important participants in the clinical and social response to AIDS. Recognition of the illness itself, collaboration in the provision of health services, referral when necessary for treatment and counselling, assistance with medical benefits, and arranging for appropriate workplace modifications are among ways in which medical departments can assist concerned or ill employees. Confidentiality is essential in all of these interactions. Education of the workforce about AIDS is especially important from a public health as well as from an administrative standpoint. Providing input on relevant corporate policies and in determination of corporate philanthropy can be other dimensions of corporate medical departments' response to AIDS.  (+info)

National health insurance in America--can we practice with it? Can we continue to practice without it? (18/21)

Health insurance in the United States is failing patients and physicians alike. In this country 37 million uninsured face economic barriers to care, and the health of many suffers as a result. The "corporatization" of medical care threatens professional values with an unprecedented administrative and commercial intrusion into the daily practice of medicine. Competitive strategies have also failed their most ostensible goal--cost control. In contrast, Canada offers a model of a national health insurance plan that provides universal and comprehensive coverage, succeeds at restraining health care inflation, and does little to abrogate the clinical autonomy of physicians in private practice. I propose that American physicians relent in their historical opposition to national health insurance and participate in the development of a universal, public insurance plan responsive to the needs of both patients and physicians.  (+info)

Traditional and emerging forms of dental practice. Cost, accessibility, and quality factors. (19/21)

The traditional and predominant manner of delivering dental care is through a fee-for-service, private practice system. A number of alternative dental care delivery systems have emerged and are being tested, and others are just emerging. These systems include department store practices, hospital dental services, health maintenance organizations, the independent practice of dental hygiene, and denturism. Although it is too soon to draw final conclusions about the efficacy and effectiveness of these systems, we examine them for their potential to compete with and change the way dental care is currently delivered. Using the parameters of cost, accessibility, and quality, we compare these systems to traditional dental practice. Some of these emerging forms clearly have the potential to complete favorably with traditional practice. Other seem less likely to alter the existing system substantially. The system which can best control costs, increase accessibility, and enhance quality will gain the competitive edge.  (+info)

Incorporation--a solution to the veterinarian's income tax miseries? (20/21)

This series of three articles discusses the new income tax rules regarding the incorporation of professionals in general and veterinarians in particular. It points out that while there may be some degree of tax saving or deferral achieved by incorporating, many provincial veterinary associations may not yet permit its members to incorporate. The incorporation of the nonprofessional aspects, however, should be carefully considered.  (+info)

'Health law 2000': the legal system and the changing health care market. (21/21)

The failure of national health reform confirmed in many ways the conservative nature of the American legal system. Legislatures, regulatory agencies, and courts usually find themselves in a reactive posture, responding to groups and individuals aggrieved by changing circumstances. The rapid transformation of the U.S. health care system through managed care presents an extreme example of this phenomenon, involving billions of dollars, millions of lives, and thousands of existing laws. Over the next few years the legal system will face a host of difficult issues deriving from the integration of health care financing and delivery, and the consolidation of fragmented providers into large corporations and contractual networks. What emerges may be neither logical nor consistent but no doubt will reflect the intricate interplay of societal and individual interests in health care.  (+info)