The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.
Branch of medicine concerned with the prevention and control of disease and disability, and the promotion of physical and mental health of the population on the international, national, state, or municipal level.
The concept concerned with all aspects of providing and distributing health services to a patient population.
Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system.
A systematic collection of factual data pertaining to health and disease in a human population within a given geographic area.
Innovation and improvement of the health care system by reappraisal, amendment of services, and removal of faults and abuses in providing and distributing health services to patients. It includes a re-alignment of health services and health insurance to maximum demographic elements (the unemployed, indigent, uninsured, elderly, inner cities, rural areas) with reference to coverage, hospitalization, pricing and cost containment, insurers' and employers' costs, pre-existing medical conditions, prescribed drugs, equipment, and services.
Encouraging consumer behaviors most likely to optimize health potentials (physical and psychosocial) through health information, preventive programs, and access to medical care.
The state wherein the person is well adjusted.
The state of the organism when it functions optimally without evidence of disease.
Public attitudes toward health, disease, and the medical care system.
Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.
Planning for needed health and/or welfare services and facilities.
The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.
Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)
Behaviors expressed by individuals to protect, maintain or promote their health status. For example, proper diet, and appropriate exercise are activities perceived to influence health status. Life style is closely associated with health behavior and factors influencing life style are socioeconomic, educational, and cultural.
The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.
Services for the diagnosis and treatment of disease and the maintenance of health.
Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading.
The concept pertaining to the health status of inhabitants of the world.
Men and women working in the provision of health services, whether as individual practitioners or employees of health institutions and programs, whether or not professionally trained, and whether or not subject to public regulation. (From A Discursive Dictionary of Health Care, 1976)
The optimal state of the mouth and normal functioning of the organs of the mouth without evidence of disease.
Health services required by a population or community as well as the health services that the population or community is able and willing to pay for.
Education that increases the awareness and favorably influences the attitudes and knowledge relating to the improvement of health on a personal or community basis.
The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)
The amounts spent by individuals, groups, nations, or private or public organizations for total health care and/or its various components. These amounts may or may not be equivalent to the actual costs (HEALTH CARE COSTS) and may or may not be shared among the patient, insurers, and/or employers.
Management of public health organizations or agencies.
Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).
The science of controlling or modifying those conditions, influences, or forces surrounding man which relate to promoting, establishing, and maintaining health.
Variation in rates of disease occurrence and disabilities between population groups defined by socioeconomic characteristics such as age, ethnicity, economic resources, or gender and populations identified geographically or similar measures.
The promotion and maintenance of physical and mental health in the work environment.
The seeking and acceptance by patients of health service.
Planning for the equitable allocation, apportionment, or distribution of available health resources.
The activities and endeavors of the public health services in a community on any level.
Preferentially rated health-related activities or functions to be used in establishing health planning goals. This may refer specifically to PL93-641.
Components of a national health care system which administer specific services, e.g., national health insurance.
Organized services to provide mental health care.
A health care system which combines physicians, hospitals, and other medical services with a health plan to provide the complete spectrum of medical care for its customers. In a fully integrated system, the three key elements - physicians, hospital, and health plan membership - are in balance in terms of matching medical resources with the needs of purchasers and patients. (Coddington et al., Integrated Health Care: Reorganizing the Physician, Hospital and Health Plan Relationship, 1994, p7)
The concept covering the physical and mental conditions of women.
Economic sector concerned with the provision, distribution, and consumption of health care services and related products.
The status of health in rural populations.
Degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.
Diagnostic, therapeutic and preventive health services provided for individuals in the community.
The status of health in urban populations.
Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.
Organized services to provide health care for children.
A specialized agency of the United Nations designed as a coordinating authority on international health work; its aim is to promote the attainment of the highest possible level of health by all peoples.
Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).
Planning that has the goals of improving health, improving accessibility to health services, and promoting efficiency in the provision of services and resources on a comprehensive basis for a whole community. (From Facts on File Dictionary of Health Care Management, 1988, p299)
Health services, public or private, in rural areas. The services include the promotion of health and the delivery of health care.
Institutions which provide medical or health-related services.
Planning for health resources at a regional or multi-state level.
The availability of HEALTH PERSONNEL. It includes the demand and recruitment of both professional and allied health personnel, their present and future supply and distribution, and their assignment and utilization.
Social and economic factors that characterize the individual or group within the social structure.
Available manpower, facilities, revenue, equipment, and supplies to produce requisite health care and services.
Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.
Facilities which administer the delivery of health care services to people living in a community or neighborhood.
Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.
Services designed for HEALTH PROMOTION and prevention of disease.
A nursing specialty concerned with promoting and protecting the health of populations, using knowledge from nursing, social, and public health sciences to develop local, regional, state, and national health policy and research. It is population-focused and community-oriented, aimed at health promotion and disease prevention through educational, diagnostic, and preventive programs.
Professions or other business activities directed to the cure and prevention of disease. For occupations of medical personnel who are not physicians but who are working in the fields of medical technology, physical therapy, etc., ALLIED HEALTH OCCUPATIONS is available.
The physical condition of human reproductive systems.
Media that facilitate transportability of pertinent information concerning patient's illness across varied providers and geographic locations. Some versions include direct linkages to online consumer health information that is relevant to the health conditions and treatments related to a specific patient.
Organized services to provide health care to expectant and nursing mothers.
Health insurance plans for employees, and generally including their dependents, usually on a cost-sharing basis with the employer paying a percentage of the premium.
Health services for employees, usually provided by the employer at the place of work.
Services for the diagnosis and treatment of diseases in the aged and the maintenance of health in the elderly.
The systematic application of information and computer sciences to public health practice, research, and learning.
The organization and administration of health services dedicated to the delivery of health care.
An operating division of the US Department of Health and Human Services. It is concerned with the overall planning, promoting, and administering of programs pertaining to health and medical research. Until 1995, it was an agency of the United States PUBLIC HEALTH SERVICE.
State plans prepared by the State Health Planning and Development Agencies which are made up from plans submitted by the Health Systems Agencies and subject to review and revision by the Statewide Health Coordinating Council.
Those actions designed to carry out recommendations pertaining to health plans or programs.
Activities concerned with governmental policies, functions, etc.
Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.
Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.
A geographic area defined and served by a health program or institution.
Health care services related to human REPRODUCTION and diseases of the reproductive system. Services are provided to both sexes and usually by physicians in the medical or the surgical specialties such as REPRODUCTIVE MEDICINE; ANDROLOGY; GYNECOLOGY; OBSTETRICS; and PERINATOLOGY.
Organized services to provide health care to women. It excludes maternal care services for which MATERNAL HEALTH SERVICES is available.
Voluntary groups of people representing diverse interests in the community such as hospitals, businesses, physicians, and insurers, with the principal objective to improve health care cost effectiveness.
Health care provided to specific cultural or tribal peoples which incorporates local customs, beliefs, and taboos.
The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.
Longitudinal patient-maintained records of individual health history and tools that allow individual control of access.
The concept covering the physical and mental conditions of men.
Recommendations for directing health planning functions and policies. These may be mandated by PL93-641 and issued by the Department of Health and Human Services for use by state and local planning agencies.
The health status of the family as a unit including the impact of the health of one member of the family on the family as a unit and on individual family members; also, the impact of family organization or disorganization on the health status of its members.
Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.
Organized systems for providing comprehensive prepaid health care that have five basic attributes: (1) provide care in a defined geographic area; (2) provide or ensure delivery of an agreed-upon set of basic and supplemental health maintenance and treatment services; (3) provide care to a voluntarily enrolled group of persons; (4) require their enrollees to use the services of designated providers; and (5) receive reimbursement through a predetermined, fixed, periodic prepayment made by the enrollee without regard to the degree of services provided. (From Facts on File Dictionary of Health Care Management, 1988)
Health services, public or private, in urban areas. The services include the promotion of health and the delivery of health care.
Psychiatric illness or diseases manifested by breakdowns in the adaptational process expressed primarily as abnormalities of thought, feeling, and behavior producing either distress or impairment of function.
Financial resources provided for activities related to health planning and development.
A situation in which the level of living of an individual, family, or group is below the standard of the community. It is often related to a specific income level.
Organized services to provide health care to adolescents, ages ranging from 13 through 18 years.
Educational institutions for individuals specializing in the field of public health.
Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.
An interactive process whereby members of a community are concerned for the equality and rights of all.
Health care workers specially trained and licensed to assist and support the work of health professionals. Often used synonymously with paramedical personnel, the term generally refers to all health care workers who perform tasks which must otherwise be performed by a physician or other health professional.
A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.
Diagnostic, therapeutic and preventive mental health services provided for individuals in the community.
Ongoing scrutiny of a population (general population, study population, target population, etc.), generally using methods distinguished by their practicability, uniformity, and frequently their rapidity, rather than by complete accuracy.
Preventive health services provided for students. It excludes college or university students.
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.
Differences in access to or availability of medical facilities and services.
The decision process by which individuals, groups or institutions establish policies pertaining to plans, programs or procedures.
Community or individual involvement in the decision-making process.
Providing for the full range of personal health services for diagnosis, treatment, follow-up and rehabilitation of patients.
A cabinet department in the Executive Branch of the United States Government concerned with administering those agencies and offices having programs pertaining to health and human services.
Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.
Community health education events focused on prevention of disease and promotion of health through audiovisual exhibits.
The inhabitants of rural areas or of small towns classified as rural.
A non-medical term defined by the lay public as a food that has little or no preservatives, which has not undergone major processing, enrichment or refinement and which may be grown without pesticides. (from Segen, The Dictionary of Modern Medicine, 1992)
Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.
Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)
The transfer of information from experts in the medical and public health fields to patients and the public. The study and use of communication strategies to inform and influence individual and community decisions that enhance health.
Application of marketing principles and techniques to maximize the use of health care resources.
Systematic identification of a population's needs or the assessment of individuals to determine the proper level of services needed.
Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.
Federal, state, or local government organized methods of financial assistance.
Educational attainment or level of education of individuals.
A stratum of people with similar position and prestige; includes social stratification. Social class is measured by criteria such as education, occupation, and income.
A constituent organization of the DEPARTMENT OF HEALTH AND HUMAN SERVICES concerned with protecting and improving the health of the nation.
Services designed to promote, maintain, or restore dental health.
An infant during the first month after birth.
Generally refers to the amount of protection available and the kind of loss which would be paid for under an insurance contract with an insurer. (Slee & Slee, Health Care Terms, 2d ed)
Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)
Contracts between an insurer and a subscriber or a group of subscribers whereby a specified set of health benefits is provided in return for a periodic premium.
That distinct portion of the institutional, industrial, or economic structure of a country that is controlled or owned by non-governmental, private interests.
Organized groups serving in advisory capacities related to health planning activities.
The interaction of persons or groups of persons representing various nations in the pursuit of a common goal or interest.
Studies in which variables relating to an individual or group of individuals are assessed over a period of time.
The process of formulating, improving, and expanding educational, managerial, or service-oriented work plans (excluding computer program development).
Demographic and epidemiologic changes that have occurred in the last five decades in many developing countries and that are characterized by major growth in the number and proportion of middle-aged and elderly persons and in the frequency of the diseases that occur in these age groups. The health transition is the result of efforts to improve maternal and child health via primary care and outreach services and such efforts have been responsible for a decrease in the birth rate; reduced maternal mortality; improved preventive services; reduced infant mortality, and the increased life expectancy that defines the transition. (From Ann Intern Med 1992 Mar 15;116(6):499-504)
The practice of nursing in the work environment.
The interaction of two or more persons or organizations directed toward a common goal which is mutually beneficial. An act or instance of working or acting together for a common purpose or benefit, i.e., joint action. (From Random House Dictionary Unabridged, 2d ed)
The purposes, missions, and goals of an individual organization or its units, established through administrative processes. It includes an organization's long-range plans and administrative philosophy.
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.
A course or method of action selected, usually by a government, from among alternatives to guide and determine present and future decisions.
Education and training in PUBLIC HEALTH for the practice of the profession.
Elements of residence that characterize a population. They are applicable in determining need for and utilization of health services.
Payment by a third-party payer in a sum equal to the amount expended by a health care provider or facility for health services rendered to an insured or program beneficiary. (From Facts on File Dictionary of Health Care Management, 1988)
Health insurance coverage for all persons in a state or country, rather than for some subset of the population. It may extend to the unemployed as well as to the employed; to aliens as well as to citizens; for pre-existing conditions as well as for current illnesses; for mental as well as for physical conditions.
The interactions between representatives of institutions, agencies, or organizations.
Administrative units of government responsible for policy making and management of governmental activities.
The circumstances in which people are born, grow up, live, work, and age, as well as the systems put in place to deal with illness. These circumstances are in turn shaped by a wider set of forces: economics, social policies, and politics (
Facilities which administer the delivery of health care services to mothers and children.
The inhabitants of a city or town, including metropolitan areas and suburban areas.
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
Health as viewed from the perspective that humans and other organisms function as complete, integrated units rather than as aggregates of separate parts.
Descriptions and evaluations of specific health care organizations.
A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.
Time period from 1901 through 2000 of the common era.
The smallest continent and an independent country, comprising six states and two territories. Its capital is Canberra.
A systematic collection of factual data pertaining to dental or oral health and disease in a human population within a given geographic area.
The state of being engaged in an activity or service for wages or salary.
Stress wherein emotional factors predominate.
The area of a nation's economy that is tax-supported and under government control.
Support systems that provide assistance and encouragement to individuals with physical or emotional disabilities in order that they may better cope. Informal social support is usually provided by friends, relatives, or peers, while formal assistance is provided by churches, groups, etc.
A system of medical care regulated, controlled and financed by the government, in which the government assumes responsibility for the health needs of the population.
All organized methods of funding.
Individuals or groups with no or inadequate health insurance coverage. Those falling into this category usually comprise three primary groups: the medically indigent (MEDICAL INDIGENCY); those whose clinical condition makes them medically uninsurable; and the working uninsured.
A group of people with a common cultural heritage that sets them apart from others in a variety of social relationships.
Public Law 104-91 enacted in 1996, was designed to improve the efficiency and effectiveness of the healthcare system, protect health insurance coverage for workers and their families, and to protect individual personal health information.
Education which increases the awareness and favorably influences the attitudes and knowledge relating to the improvement of dental health on a personal or community basis.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Health care provided to individuals.
Inhaling and exhaling the smoke of burning TOBACCO.
Management of the organization of HEALTH FACILITIES.
The process by which decisions are made in an institution or other organization.
The obligations and accountability assumed in carrying out actions or ideas on behalf of others.
The field of information science concerned with the analysis and dissemination of medical data through the application of computers to various aspects of health care and medicine.
Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.
A dental specialty concerned with the prevention of disease and the maintenance of oral health through promoting organized dental health programs at a community, state, or federal level.
Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS.
Elements of limited time intervals, contributing to particular results or situations.
Smallest political subdivisions within a country at which general governmental functions are carried-out.
Typical way of life or manner of living characteristic of an individual or group. (From APA, Thesaurus of Psychological Index Terms, 8th ed)
Statistical interpretation and description of a population with reference to distribution, composition, or structure.
The concept covering the physical and mental conditions of members of minority groups.
The level of governmental organization and function below that of the national or country-wide government.
Organized services to provide information on any questions an individual might have using databases and other sources. (From Random House Unabridged Dictionary, 2d ed)
The exposure to potentially harmful chemical, physical, or biological agents in the environment or to environmental factors that may include ionizing radiation, pathogenic organisms, or toxic chemicals.
Groups of persons whose range of options is severely limited, who are frequently subjected to COERCION in their DECISION MAKING, or who may be compromised in their ability to give INFORMED CONSENT.
The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.
The circulation or wide dispersal of information.
Customer satisfaction or dissatisfaction with a benefit or service received.
Critical and exhaustive investigation or experimentation, having for its aim the discovery of new facts and their correct interpretation, the revision of accepted conclusions, theories, or laws in the light of newly discovered facts, or the practical application of such new or revised conclusions, theories, or laws. (Webster, 3d ed)
The interactions between members of a community and representatives of the institutions within that community.
Organized periodic procedures performed on large groups of people for the purpose of detecting disease.
Persons living in the United States having origins in any of the black groups of Africa.
Payment by individuals or their family for health care services which are not covered by a third-party payer, either insurance or medical assistance.
Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.
The level of governmental organization and function at the national or country-wide level.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
The personal cost of acute or chronic disease. The cost to the patient may be an economic, social, or psychological cost or personal loss to self, family, or immediate community. The cost of illness may be reflected in absenteeism, productivity, response to treatment, peace of mind, or QUALITY OF LIFE. It differs from HEALTH CARE COSTS, meaning the societal cost of providing services related to the delivery of health care, rather than personal impact on individuals.
That portion of total HEALTH CARE COSTS borne by an individual's or group's employing organization.
A plan for collecting and utilizing data so that desired information can be obtained with sufficient precision or so that an hypothesis can be tested properly.
Organized efforts by communities or organizations to improve the health and well-being of the mother.
The function of directing or controlling the actions or attitudes of an individual or group with more or less willing acquiescence of the followers.
The teaching or training of patients concerning their own health needs.

The cost of obesity in Canada. (1/684)

BACKGROUND: Almost one-third of adult Canadians are at increased risk of disability, disease and premature death because of being obese. In order to allocate limited health care resources rationally, it is necessary to elucidate the economic burden of obesity. OBJECTIVE: To estimate the direct costs related to the treatment of and research into obesity in Canada in 1997. METHODS: The prevalence of obesity (body mass index of 27 or greater) in Canada was determined using data from the National Population Health Survey, 1994-1995. Ten comorbidities of obesity were identified from the medical literature. A population attributable fraction (PAF) was calculated for each comorbidity with data from large cohort studies to determine the extent to which each comorbidity and its management costs were attributable to obesity. The direct cost of each comorbidity was determined using data from the Canadian Institute of Health Information (for direct expenditure categories) and from Health Canada (for the proportion of expenditure category attributable to the comorbidity). This prevalence-based approach identified the direct costs of hospital care, physician services, services of other health professionals, drugs, other health care and health research. For each comorbidity, the cost attributable to obesity was determined by multiplying the PAF by the total direct cost of the comorbidity. The overall impact of obesity was estimated as the sum of the PAF-weighted costs of treating the comorbidities. A sensitivity analysis was completed on both the estimated costs and the PAFs. RESULTS: The total direct cost of obesity in Canada in 1997 was estimated to be over $1.8 billion. This corresponded to 2.4% of the total health care expenditures for all diseases in Canada in 1997. The sensitivity analysis revealed that the total cost could be as high as $3.5 billion or as low as $829.4 million; this corresponded to 4.6% and 1.1% respectively of the total health care expenditures in 1997. When the contributions of the comorbidities to the total cost were considered, the 3 largest contributors were hypertension ($656.6 million), type 2 diabetes mellitus ($423.2 million) and coronary artery disease ($346.0 million). INTERPRETATION: A considerable proportion of health care dollars is devoted to the treatment and management of obesity-related comorbidities in Canada. Further research into the therapeutic benefits and cost-effectiveness of management strategies for obesity is required. It is anticipated that the prevention and treatment of obesity will have major positive effects on the overall cost of health care.  (+info)

Selection for oesophagectomy and postoperative outcome in a defined population. (2/684)

OBJECTIVE: To measure the extent of use of, and perioperative mortality from, oesophagectomy for carcinoma of the oesophagus, and to examine the association between oesophagectomy and long term survival. DESIGN: Retrospective cohort study of cases of oesophageal carcinoma notified to the Thames Cancer Registry. SETTING: South East Thames and South West Thames health regions. PATIENTS: 3273 patients first registered with carcinoma of the oesophagus during 1985-9, 789 of whom were excluded because of incomplete data, leaving 2484 (75.9%) for further analysis. MAIN MEASURES: Treatment of oesophagectomy, mortality within 30 days of oesophagectomy, and duration of survival from date of diagnosis to death, according to patient and tumour characteristics. RESULTS: Oesophagectomy was performed in 571(23.0%) patients. Its use decreased with increasing age (odds ratio (95% confidence interval) 0.935(0.925 to 0.944) per year) and was less common for tumours of the middle or upper third of the oesophagus than the lower third (0.56(0.42 to 0.75)). The proportion of patients undergoing oesophagectomy varied threefold among the 28 districts of residence. The perioperative mortality rate was 15.1(86/571) (12% to 18%); it increased with age (odds ratio 1.05(1.02 to 1.08) per year) and for tumours of the middle or upper third of the oesophagus compared with the lower third (2.52(1.31 to 4.84)). Long term survival was slightly higher for patients undergoing oesophagectomy (0.5% v 0.2%). CONCLUSIONS: Despite a high perioperative mortality rate patients selected for oesophagectomy showed better long term survival than those who were not, suggesting that clinical judgements used in selection were independent markers of a better prognosis. The nature of this selection needs to be more completely characterised to permit a valid evaluation of outcome of oesophagectomy.  (+info)

Resource allocation for public hospitals in Andhra Pradesh, India. (3/684)

The composition of the hospital sector has important implications for cost effectiveness accessibility and coverage. The classification of acute general hospitals is reviewed here with particular reference to India and Andhra Pradesh. Approaches to arrive at a norm for allocation of hospital expenditure among secondary and tertiary hospitals are discussed. The actual allocation of public sector hospital expenditures is analyzed with data from Andhra Pradesh. The shift in allocative emphasis away from hospitals and in favour of primary health care during the 1980s was found to have been equally shared by secondary and tertiary hospitals. The shares of recurrent (non-plan) expenditure to secondary and tertiary hospitals were 51% and 49% respectively. This can be compared to a derived norm of 66% and 33%. The opportunity that new investment funds (plan schemes) could have provided to rectify the expenditure bias against secondary level hospitals was missed as two-thirds of plan expenditure were also spent on tertiary level hospitals. The share of secondary hospital bed capacity was 45.5% against India's Planning Commission norm of 70%. Public spending strategies should explicitly consider what mix of hospital services is being financed as well as the balance between hospital and primary health care expenditures.  (+info)

Ability to pay for health care: concepts and evidence. (4/684)

In many developing countries people are expected to contribute to the cost of health care from their own pockets. As a result, people's ability to pay (ATP) for health care, or the affordability of health care, has become a critical policy issue in developing countries, and a particularly urgent issue where households face combined user fee burdens from various essential service sectors such as health, education and water. Research and policy debates have focused on willingness to pay (WTP) for essential services, and have tended to assume that WTP is synonymous with ATP. This paper questions this assumption, and suggests that WTP may not reflect ATP. Households may persist in paying for care, but to mobilize resources they may sacrifice other basic needs such as food and education, with serious consequences for the household or individuals within it. The opportunity costs of payment make the payment 'unaffordable' because other basic needs are sacrificed. An approach to ATP founded on basic needs and the opportunity costs of payment strategies (including non-utilization) is therefore proposed. From the few studies available, common household responses to payment difficulties are identified, ranging from borrowing to more serious 'distress sales' of productive assets (e.g. land), delays to treatment and, ultimately, abandonment of treatment. Although these strategies may have a devastating impact on livelihoods and health, few studies have investigated them in any detail. In-depth longitudinal household studies are proposed to develop understanding of ATP and to inform policy initiative which might contribute to more affordable health care.  (+info)

Choice and accountability in health promotion: the role of health economics. (5/684)

Choices need to be made between competing uses of health care resources. There is debate about how these choices should be made, who should make them and the criteria upon which they should be made. Evaluation of health care is an important part of this debate. It has been suggested that the contribution of health economics to the evaluation of health promotion is limited, both because the methods and principles underlying economic evaluation are unsuited to health promotion, and because the political and cultural processes governing the health care system are more appropriate mechanisms for allocating health care resources than systematic economic analysis of the costs and benefits of different health care choices. This view misrepresents and misunderstands the contribution of health economics to the evaluation of health promotion. It overstates the undoubted methodological difficulties of evaluating health promotion. It also argues, mistakenly, that economists see economic evaluation as a substitute for the political and cultural processes governing health care, rather than an input to them. This paper argues for an economics input on grounds of efficiency, accountability and ethics, and challenges the critics of the economic approach to judge alternative mechanisms for allocating resources by the same criteria.  (+info)

Audit in the therapy professions: some constraints on progress. (6/684)

AIMS: To ascertain views about constraints on the progress of audit experienced by members of four of the therapy professions: physiotherapy, occupational therapy, speech and language therapy, and clinical psychology. METHODS: Interviews in six health service sites with a history of audit in these professions. 62 interviews were held with members of the four professions and 60 with other personnel with relevant involvement. Five main themes emerged as the constraints on progress: resources; expertise; relations between groups; organisational structures; and overall planning of audit activities. RESULTS: Concerns about resources focused on lack of time, insufficient finance, and lack of access to appropriate systems of information technology. Insufficient expertise was identified as a major constraint on progress. Guidance on designing instruments for collection of data was the main concern, but help with writing proposals, specifying and keeping to objectives, analysing data, and writing reports was also required. Although sources of guidance were sometimes available, more commonly this was not the case. Several aspects of relations between groups were reported as constraining the progress of audit. These included support and commitment, choice of audit topics, conflicts between staff, willingness to participate and change practice, and concerns about confidentiality. Organisational structures which constrained audit included weak links between heads of professional services and managers of provider units, the inhibiting effect of change, the weakening of professional coherence when therapists were split across directorates, and the ethos of regarding audit findings as business secrets. Lack of an overall plan for audit meant that while some resources were available, others equally necessary for successful completion of projects were not. CONCLUSION: Members of four of the therapy professions identified a wide range of constraints on the progress of audit. If their commitment to audit is to be maintained these constraints require resolution. It is suggested that such expert advice, but also that these are directed towards the particular needs of the four professions. Moreover, a forum is required within which all those with a stake in therapy audit can acknowledge and resolve the different agendas which they may have in the enterprise.  (+info)

Aid instruments and health systems development: an analysis of current practice. (7/684)

There has been a clear shift in the policy of many donors in the health sector-away from discrete project assistance towards more broad-based sectoral support. This paper, based on interviews with officials in a number of bilateral and multilateral agencies, explores whether this shift in policy has been matched by similar changes in the form or range of aid instruments. The paper develops a framework for examining current practice in relation to the different objectives that donors seek to promote through technical and financial assistance. In particular, it looks in some detail at the advantages and disadvantages of budgetary support compared to more traditional forms of project assistance. It concludes that the debate should not be about whether one form of aid is better than another. Ideally, they should be complementary and the forms, channels and systems used for managing aid need to be assessed in relation to how they help to achieve the mix of development objectives that are most appropriate to the country concerned. The review demonstrates that this is a complex task and that to achieve an effective balance is not easy. The final section summarizes the main themes emerging from the discussion and suggests some preliminary conclusions and proposals for future action.  (+info)

Costs and financing of improvements in the quality of maternal health services through the Bamako Initiative in Nigeria. (8/684)

This paper reports on a study to assess the quality of maternal health care in public health facilities in Nigeria and to identify the resource implications of making the necessary quality improvements. Drawing upon unifying themes from quality assurance, basic microeconomics and the Bamako Initiative, locally defined norms were used to estimate resource requirements for improving the quality of maternal health care. Wide gaps existed between what is required (the norm) and what was available in terms of fixed and variable resources required for the delivery of maternal health services in public facilities implementing the Bamako Initiative in the Local Government Areas studied. Given such constraints, it was highly unlikely that technically acceptable standards of care could be met without additional resource inputs to meet the norm. This is part of the cost of doing business and merits serious policy dialogue. Revenue generation from health services was poor and appeared to be more related to inadequate supply of essential drugs and consumables than to the use of uneconomic fee scales. It is likely that user fees will be necessary to supplement scarce government budgets, especially to fund the most critical variable inputs associated with quality improvements. However, any user fee system, especially one that raises fees to patients, will have to be accompanied by immediate and visible quality improvements. Without such quality improvements, cost recovery will result in even lower utilization and attempts to generate new revenues are unlikely to succeed.  (+info)

Two Medicare cases illustrate the importance of NCDs and LCDs. Proving medical necessity is really no secret at all: Medicare national coverage determinati
Hospitals have waited with bated breath for RAC medical necessity audits to begin. Now that the audits are well under way, the focus has shifted from anticipatory anxiety to best-practice defense strategies that experts say should involve a team of clinical individuals as well as coders.
A simulator of a Participatory Economics allocation system using variable data and inputs Participatory Economics is an economic vision based upon the values of equity solidarity diversity selfmanagement and efficiency
Get in touch with Abbott to order educational resources that can support important conversations about chronic pain and neurostimulation.
Efforts to fix what has been identified as the first significant issue to emerge under ICD-10 - medical necessity - appear to be underway with Medicar...
The lung allocation score (LAS) is a numerical value used by the United Network for Organ Sharing (UNOS) to assign relative priority for distributing donated lungs for transplantation within the United States. The lung allocation score takes into account various measures of a patients health in order to direct donated organs towards the patients who would best benefit from a lung transplant. The LAS system replaces the older method within the United States of allocating donated lungs strictly on a first-come, first-served basis, according to blood type compatibility and distance from the donor hospital. The older method is still used for patients under the age of 12. The LAS system is still being evaluated and revised.[1] The reason for this continuing analysis is the need to balance on one hand the desire to help those patients in direct need, versus the statistical likelihood of the patient to survive the procedure, as well as the post-operative risks of infection and transplant rejection.[2] ...
Implemented in 2005, the lung allocation score is used to prioritize patients awaiting lung transplants in the US. Sicker transplant candidates have a higher calculated score and are placed at the top of the list. But a recent study led by Maryam Valapour, M.D., MPP, director of Lung Transplant Outcomes in Cleveland Clinics Respiratory Institute, found including new clinical variables helped to better identify the sickest cystic fibrosis and chronic obstructive pulmonary disease patients awaiting transplants.
Download, Fill In And Print Certificate Of Medical Necessity Form - Custom Breast Prosthesis L8035 Pdf Online Here For Free. Certificate Of Medical Necessity Form - Custom Breast Prosthesis L8035 Is Often Used In Medical Necessity Form, Certificate Of Medical Necessity Form, Medical Forms And Medical.
The decision to develop a NICE guideline or quality standard on a particular health, public health or social care topic is influenced by a number of factors.. Generally, the topics selected come either from libraries of quality standard topics already referred to NICE, or from updates of previously published guidelines.. The focus on topic selection at NICE therefore is largely on prioritising existing topics. Alongside this portfolio of topics, NICEs commissioners(NHS England and the Department of Health) are likely to continue to identify a small number of new topics, which will have to be similarly prioritised.. On this page the approach to prioritising referred topics for guidelines and quality standards is set out, along with the mechanism for agreeing any additional new topics. The core elements of this process will be included in the new unified guideline manual.. This process applies only to guidelines for public health, social care and clinical topics, not to NICE guidance on new ...
The United States allocates health care without an overt system of rationing. This article analyzes the forces that guide resource allocation to craniofacial care. Various possible allocation systems are reviewed for how decision makers might evaluate proposed programs for legislative funding. Using a case-based exercise, readers are asked to weigh the potential costs and benefits of six health and social programs. These programs are also systematically examined for factors that are likely to affect resource allocation decisions. Eleven factors that affect decision-making are utilized in the analysis, ranging from the cost per client to emotional or human interest content of the proposed programs. Decisions about preventive programs are compared with those involving therapeutic programs. The allocation of resources to craniofacial programs, including those for children with rare major craniofacial conditions, is considered in the context of social justice and broad contemporary ethical and ...
An accompanying editorial by Richard B. Freeman, M.D. of the Division of Transplant Surgery at Tufts-New England Medical Center in Boston, MA, notes that while quality of life is an important component of healthcare decision-making, decisions about organ allocation must be considered within the context of the severe organ shortage. In the current extremely constrained donor supply, the question is not whether an individual patient s HRQL [health-related quality of life] is poor enough to warrant intervention with transplantation but more directly, to whom, among all of the potential recipients of a given donor liver, should that donor liver be offered. He maintains that quality of life should not outweigh mortality risk in organ allocation decisions and that a patient must first be alive in order to measure his or her quality of life ...
TY - GEN. T1 - Resource allocation over network dynamics without timescale separation. AU - Proutiere, Alexandre. AU - Yi, Yung. AU - Tian, Lan. AU - Chiang, Mung. PY - 2010. Y1 - 2010. N2 - We consider a widely applicable model of resource allocation where two sequences of events are coupled: on continuous time axis (t), network dynamics evolve over time. On a discrete time axis [t], certain control laws update resource allocation variables according to some proposed algorithm. The algorithmic updates, together with exogenous events out of the algorithms control, change the network dynamics, which in turn changes the trajectory of the algorithm, thus forming a loop that couples the two sequences of events. In between the algorithmic updates at [t - 1] and [t], the network dynamics continue evolve randomly as influenced by the previous variable settings at time [t - 1]. The standard way used to avoid the subsequent analytic difficulty is to assume the separation of timescales, which in turn ...
Given the added specificity inherent in ICD-10, its no surprise that medical necessity denials for physician practices and medical groups are expecte...
This paper analyses whether the use of uncorrelated underlying risk factors, as opposed to correlated asset returns, can lead to a more efficient framework for measuring and managing portfolio diversification.. The paper, by academics at EDHEC Business School and SYMMYS, acknowledges that the ability to construct well-diversified portfolios is a challenge of critical importance in the context of designing good proxies for performance-seeking portfolios. It shows that a seemingly well-diversified allocation to asset classes may well result in a portfolio that is heavily concentrated in terms of factor exposures. In this context, it argues, it is of high relevance to measure and manage the effective number of bets in a portfolio.. To access the paper click below. Risk Parity and Beyond - From Asset Allocation to Risk Allocation Decisions. ...
BACKGROUND.Lungs are allocated in the United States using the lung allocation score (LAS). We investigated the effect of LAS trends on lung transplant-related ...
Resource Allocation with Time Intervals Andreas Darmann Ulrich Pferschy Joachim Schauer Abstract We study a resource allocation problem where jobs have the following characteristics: Each job consumes
There are three ways in which you can approach this: planning, prioritising and problem solving. The aim with these three solutions is for you to able to undertake your duties to the standards required by your employer whilst being able to control your symptoms. It is normal to feel tired especially at the end of the working day but arthritis sufferers experience chronic tiredness or fatigue which needs to be managed.. So what you are aiming for is being be able to do your job without becoming too tired and hurting your joints, further exacerbating your arthritis. Planning. Break down your tasks into manageable chunks. Make sure that you include a rest break between the more demanding tasks or alternate difficult tasks with easy tasks. Pace yourself. Prioritising. Review your tasks and see if you can delegate some of these or obtain help with the more complex jobs. Problem solving. Look at the way you complete these tasks and see if there are ways of simplifying the process. Try to avoid ...
Launch Recruitment offers strategies to help prioritise wellbeing during the current lockdowns. WFH has its own unique stresses. Tips for WFH successfully.
Medicare will always pay for an evaluation or re-evaluation to determine medical necessity however if the patient has exceeded the $3700 prior to the new evaluation then any subsequent treatment after the evaluation will not be paid. You must see them and then submit based on medical necessity. If you evaluate and feel that the services are not needed then you will be paid for the evaluation only as no additional services will be required. If you decide that the services are medically appropriate and the patient has exceeded the $3700- then you need to include all the relevant data to that NEW case which would include the evaluation with solid documentation for medical necessity, strong functionally oriented goals to support activity limitations noted requiring the patient to seek your services and the requested documentation as noted by your MAC per the transmittal form (PART B Transmittal) for Out Patient Services.. Posted by Lisa Kemp on 10/22/2012 3:41 PM. ...
Medicare will always pay for an evaluation or re-evaluation to determine medical necessity however if the patient has exceeded the $3700 prior to the new evaluation then any subsequent treatment after the evaluation will not be paid. You must see them and then submit based on medical necessity. If you evaluate and feel that the services are not needed then you will be paid for the evaluation only as no additional services will be required. If you decide that the services are medically appropriate and the patient has exceeded the $3700- then you need to include all the relevant data to that NEW case which would include the evaluation with solid documentation for medical necessity, strong functionally oriented goals to support activity limitations noted requiring the patient to seek your services and the requested documentation as noted by your MAC per the transmittal form (PART B Transmittal) for Out Patient Services.. Posted by Lisa Kemp on 10/22/2012 3:41 PM. ...
The Chief Minister directed the officials to vaccinate students going abroad for studies and also to people who are going abroad on a work visa.
We recommend two important assessments in prioritising research needs in medicines for children: public health assessment,16 comprising the severity and prevalence of disease and the availability of treatment alternatives; and assessment of use. This may comprise the frequency or volume of use and the licensing/labelling status of medicines for children. The use of off label and unlicensed medicines implies that there are no proper labelling and dosing recommendations, which can potentially be harmful to children.17 18 19 20 Therefore off label and unlicensed medicines should be a higher priority for research than licensed/on label medications, especially if no data on safety and efficacy in children are available. We focused on assessing the volume and labelling status to provide knowledge to experts and facilitate research prioritisation that includes both the public health as well as the assessment of use.. Our data on use support the conclusions of the recently published EMEA ...
Im trying to add parts of 2 scripts together but Im getting a host of errors. Any help is welcome. Trying to add this ROC code: [CODE] for(int bar = GetTradingLoopStartBar(119); bar , Bars.Count; bar++) { if (Close[bar] , Close[bar - 118]) if( BuyAtMarket(bar + 1) != null ) LastPosition.Priority = ROC.Series( Close,118 )[bar];[/CODE] to the LDL2 script [CODE]using System; using System.Collections.Generic; using System.Text; using WealthLab; using WealthLab.Indicators; using System.Windows.Forms; using System.Drawing; namespace WealthLabCompile { class LDL2 : WealthScript { private StrategyParameter limitMultiplierParam; private StrategyParameter maxBarsToHoldParam; private StrategyParameter profitTargetParam; double limitPrice; public LDL2() { limitMultiplierParam = this.CreateParameter(Limit Mulitpiler, 0.94, 0.8, 0.99, 0.01); maxBarsToHoldParam = this.CreateParameter(Bars to Hold, 2, 2, 25, 1); profitTargetParam = this.CreateParameter(Exit Profit %, 3, 1, 25, 1); } protected override ...
Evidence-based statements to deliver quality improvements in clinical assessment, prioritising and managing healthcare for adults with multimorbidity
Keeping yourself fit and active is one of the most important things to living a healthy life. It makes you confident in performing all the activities of a busy lifestyle. Some people feel it is difficult to adjust their routine to make jogging part of their exercise routine. It does require prioritising other activities. Jogging is more effective than walking or biking in getting fit. The following are the benefits of jogging:. ...
We are pleased to tell you that the repair of this defect is now complete. The reports you make to us are invaluable, they help us achieve our pledge to always put safety first by prioritising the most critical repairs, being available to react 24/7 and regularly inspecting the highway ...
We are pleased to tell you that the repair of this defect is now complete. The reports you make to us are invaluable, they help us achieve our pledge to always put safety first by prioritising the most critical repairs, being available to react 24/7 and regularly inspecting the highway ...
Usage Notes. Specifying the Path of the Allocation. The path of the allocation is the route the allocation system takes to go from the source data to the target data. Very different results derive from different allocation paths. You specify the path with the RELATION statements that you enter in the aggmap. The relation objects in the RELATION statements and the order of those statements specify the path and the method of allocation.. The allocation path goes from any level in the hierarchy of a dimension to any lower level of the hierarchy. You use a relation object that relates the members of the hierarchy to each other (a self-relation) to identify the elements of the hierarchy that you want to participate in the allocation. The allocation proceeds down the hierarchy of the dimension in the first RELATION statement in the aggmap, then down the hierarchy of the second RELATION statement, and so on.. When the dimension has multiple hierarchies, you must use the qdr argument in the RELATION ...
Posted on 07/26/2004 7:41:11 PM PDT by Bob J. The last few months Ive seen an increasing trend for FReepers to start going for each others jugular. Sometimes we forget (Ive certainly done it myself) that in the grand scheme of things, we are on the same team. We may disagree on priorities or how far we are willing to go, but we have enough enemy in the left without creating more amongst ourselves. We can disagree but be civil to each other. We can debate nuance, but not believe that our personal positions are more important than the health of the whole. Lets argue vigorously but remind ourselves the guy whose trachia we are ripping out today may be sitting next to us in a foxhole tommorrow. Im going to propose that we all make a new start. Lets put all past differences behind us and resolve to band together and fight the good fight, the elimination of liberalism as a significant culturual influence in America...and see that to its end in our lifetimes.. If you agree, please post your ...
Each year we will focus on priority areas inspired by member feedback and agreed by BVA Council that will drive our campaigns for the coming year.
Dear Customers, We are doing our best to serve the orders on priority. Due to COVID-19 , may experience the delay in delivery. We sincerely regret the inconvenience caused ...
1.Does the patient meet medical necessity for the proposed chemotherapy 2. Is it consistent with patients condition or accepted standards of medical
This project report is the product of an extensive survey and analysis by Swedens National Centre for Priority Setting in Health Care. The project was commissioned by the National Board of Health and Welfare, which shall report to the Swedish Government on the priority setting activities of local governments (eg, county councils and municipalities) and assess how well they comply with the intent of Swedens Health and Medical Services Act and the Riksdags (Swedish parliament) resolutions on priority setting. We were also assigned to analyse problems in applying the guidelines on priority setting and to propose changes and clarification.. The National Centre for Priority Setting in Health Care has been engaged in the complexities of prioritisation issues for many years. We welcomed the Governments initiative and gladly accepted this assignment. Our ambition has been to describe the situation throughout Sweden from multiple perspectives. We reviewed the literature on studies and follow-ups ...
TY - JOUR. T1 - Meld and Peld. T2 - Application of survival models to liver allocation. AU - Wiesner, Russell H.. AU - McDiarmid, Sue V.. AU - Kamath, Patrick S.. AU - Edwards, Eric B.. AU - Malinchoc, Michael. AU - Kremers, Walter K.. AU - Krom, Ruud A.F.. AU - Kim, W. Ray. PY - 2001/1/1. Y1 - 2001/1/1. N2 - Compared to the CTP score (Table 9), the MELD and PELD models provide the means to more accurately measure liver disease severity and to better predict which patients are at risk of dying on the waiting list. The relation between the MELD score and the risk of 3-month mortality is shown in Fig. 7. Most importantly, by de-emphasizing waiting time these two models will allow organ allocation based on medical urgency, as mandated in the DHHS final rule. However, while the MELD score is an extremely powerful predictor of the probability of death in patients with chronic liver disease, it does not address one of the guidelines in the final rule, that an organ allocation system should promote the ...
Enroll during your wait list appointment: If the course you need is full, enroll on to the wait list as soon as it is available. Check your MyUCSC portal for your wait list appointment time.. Avoid wait-list limbo: Students who wait-list courses that conflict with their existing schedule or would put them over the unit limit will NOT be enrolled.. Avoid course conflicts: ONLY wait list courses that fit in your existing schedule. Use the weekly schedule view in your MyUCSC portal to check for course conflicts. If you are trying to wait list a course for which you have a schedule conflict, you will need to SWAP the conflicting course to enroll onto the wait list.. If you are enrolled in 15 units, SWAP onto a wait list: You will not be enrolled from the wait list in to a course that exceeds the campus unit limit, you MUST SWAP on to the wait list to enroll. If you are enrolled on a wait list and you are passed over for enrollment, you will be notified that you have an enrollment error. You MUST ...
A system is provided for transmitting/receiving downlink resource allocation information in a communication system. In the system, a base station generates first information including downlink resource allocation information necessary for supporting a first mode supported by the base station, generates second information including length information of the first information, and transmits the first information and the second information. A mobile station notifies the base station of a second mode supported by the mobile station, receives, after the notification, the first information and the second information from the base station, and skips without decoding as much downlink resource allocation information as a length corresponding to the length information without decoding, if the first mode is different from the second mode.
BACKGROUND Recently, a global commitment has been made to expand access to antiretrovirals (ARVs) in the developing world. However, in many resource-constrained countries the number of individuals infected with HIV in need of treatment will far exceed the supply of ARVs, and only a limited number of health-care facilities (HCFs) will be available for ARV distribution. Deciding how to allocate the limited supply of ARVs among HCFs will be extremely difficult. Resource allocation decisions can be made on the basis of many epidemiological, ethical, or preferential treatment priority criteria. METHODS AND FINDINGS Here we use operations research techniques, and we show how to determine the optimal strategy for allocating ARVs among HCFs in order to satisfy the equitable criterion that each individual infected with HIV has an equal chance of receiving ARVs. We present a novel spatial mathematical model that includes heterogeneity in treatment accessibility. We show how to use our theoretical framework, in
CASBO. (n.d.). Best practices for engaging stakeholders in the budget. Sacramento, CA: CASBO. Available at This pamphlet provides tips for district leaders on how to share budget information with stakeholders to elicit meaningful community involvement. Specifically, it recommends first identifying the information the public needs. This information may include an overall picture of the districts financials, any major initiatives and how much they will cost, a realistic break-down of needs versus wants, and a rationale of how resource allocation decisions will serve student learning. The guidelines next recommend a set of effective communication strategies. Among these, information should connect decisions to activities at local sites, be specific and relevant to community members students and schools, be concise, jargon-free, and easy to understand. Visual tools are helpful in this effort. The piece ...
My second set of recommendations is centered on marketing & manufacturing strategies and tactics, particularly in the U. S. After read the case, I am convinced that to successfully grow EMI medical imaging business and continue to reduce its dependence on the fickle and low margin music business, EMI has to succeed in the U. S market - the largest and most lucrative market. EMI should streamline and strengthen its U. S. operations, including manufacturing, and provide U. S. subsidiary more decision-making power on product development, parts supplying, pricing and service.. First, recruitment of a leader for its worldwide medical imaging business should be a priority. This person must have a strong U. S. operation experience and expertise in the medical diagnostics imaging industry. He or she should focus all energy to manage the relatively small but growing and most profitable EMIs medical imaging business. Marketing, manufacturing, R&D and resource allocation decisions should be made swiftly ...
For example, MMSD has used essentially the same staffing allocation process for over ten years under the cost to continue approach, with only minor modifications along the way. While the existing allocation process is uniform and consistent, it can be improved by making it more responsive to the challenges presented by individual schools. The senior leadership team, with input from the principals, is assessing the staffing allocation process this month before any allocation decisions are put into motion in February ...
Downloadable! Currently, we are in the process of experimenting a diversification and refinement of the consumerâ€(tm)s expectations, as well as a growing demand for innovative, quality products and customized services, exacerbated by rapid technological change affecting both them and the producers. It is also the case of health services that, with Romaniaâ€(tm)s accession to the EU, must align to the European requirements. In the context of limited public resources and growing healthcare needs, socio-economic criteria are necessary for substantiating allocation decisions. With the continuous increase in costs of medical interventions but also the expansion of the range of treatment options available, there is a need to develop and use a range of tools to help establish treatment adopted in the context of justifying the benefits resulting from its implementation. In health, the greatest difficulty for the documentation of investment projects is the main overall effect measurement and evaluation -
Downloadable! We study the portfolio allocation decisions of Australian households using the relatively new Household Income and Labour Dynamics in Australia (HILDA) survey. We focus on household allocations to risky financial assets. Our empirical analysis considers a range of hypothesised determinants of these allocations. We find background risk factors posed by labour income uncertainty and health risk are important. Credit constraints and observed risk preferences play the expected role. A positive age gradient is identified for risky asset holdings and home-ownership is associated with greater risky asset holdings. A unifying theme for many of our empirical findings is the important role played by financial awareness and knowledge in determining risky asset holdings. Many non-stockholding households appear to lack the experience and financial literacy that might enable them to benefit from direct investment in stocks.
Lung Allocation Score United Network for Organ Sharing, Organ transplantation, Lung transplantation, Blood type. Médecine Cede Publishing (09-12-2011) - ISBN-13: 978-613-9-91431-9 ...
Reporting to the NMRT President, the charge of the Self-Study/Resource Allocation Committee is broad and transcends overall NMRT committee lines. This Committee is responsible for the ongoing examination of the use of resources (people, fiscal, etc.) within NMRT in light of the NMRT Mission Statement and NMRT Budget. For this reason, this Committee must establish communication early on and work closely with the NMRT Treasurer and NMRT Governance Committee. As delegated by the NMRT President, the Self-Study/Resource Allocation Committee researches, analyzes, and evaluates the trends of NMRT as they relate to the Round Tables mission statement. ...
Historically credit risk portfolios have been managed within separate lines of business, creating silos of activity separate from market and operational risk. But regulatory requirements, accounting rules changes and an evolving economic environment are forcing financial and risk stakeholders to collaborate across the firm. Banks are now integrating credit portfolio strategies with other lines of business that affect market, liquidity and operational risk.. With this sea change, credit risk models need to support risk management and capital allocation decisions at a firmwide level - and they need powerful, automated tools to address this challenge. Developing and executing credit risk models as they become increasingly integrated with firmwide risk, balance sheet targets and limits will require new software and technology, from more sophisticated models to enhanced data management and high performance computing.. ...
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Article A seasonal waste load allocation policy in an integrated discharge permit and reclaimed water market. This paper intends to assess the seasonal demand for nitrogen discharge permits and its influence on waste load allocation (WLA) strategies....
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Disclosed are various embodiments for a resource allocation application. Usage data for application program interfaces is aggregated over time. Limits for an allocation of resources for each of the ap
Cost Effectiveness and Resource Allocation accepts manuscripts on all aspects of cost-effectiveness analysis. This includes conceptual or methodological work, ...
Cost Effectiveness and Resource Allocation accepts manuscripts on all aspects of cost-effectiveness analysis. This includes conceptual or methodological work, ...
We asked lawmakers and stakeholders to use post-election perspective to define priorities for both the state Legislatures special session on health care next month and the legislative session that follows.
The assessment of quality within health care, and perhaps particularly primary health care, remains both difficult and controversial. There are as yet no tools capable of assessing the quality of primary care delivered to those who have multiple and compounding conditions. Such tools will be dependent on a much richer understanding of the complex interactions between different conditions, diagnoses, and contexts and of the challenges of prioritising, integrating, and personalising care for a succession of different individuals, families, and communities.15. Quality of care needs to be assessed and calibrated at many different levels: the level of the implementation of evidence based guidelines; the level of the needs, values, and priorities of the individual patients; the level of the family and the community involved in the care and support of that patient; various population levels; and finally the level of the whole healthcare system, where affordability and equity become the over-riding ...
Any eligible student wishing to enroll in a course that has reached its authorized capacity may request to be added to that sections wait list. The student is not automatically added to a course wait list unless the student makes this request. For enrollment through WebReg, the student will be prompted to be placed on a wait list. If they are registering by paper, the
Patients prioritised those problems that they thought would be helpful to discuss at their next review appointment. Other patients discounted those problems that they felt were unrelated to their health, or that they already had plans for dealing with. Patients found that using the form and then reflecting on their answers by attempting to prioritise three problems helped them to identify where their main issues were and reflect on health issues as they related to the rest of their life, rather than in a condition-specific way (as is the norm in a consultation). See box 4.. Box 4: The process of completing PRISMS - Prioritising Quotes: A and shortness of breath is on... you marked it as a bigger problem, but is it not something that youd want to... you feel you need any help with or.. B Not really, because I dont, I, I dont, I dont know how... I think... I dont know how anybody else could help me with that.. A Right. So maybe that that would be helped more by learning about your ...
I just had to insert this photo of Edric. I think he looks so handsome here!). What do I mean? Sometimes Edric will assign me a task or responsibility and he expects me to get it done expediently. My problem is I get so busy with the kids and other commitments so that I either forget or delay acting upon his requests.. He will ask me, Did you get such and such done? and I will be like, Ummm…oh yah, I forgot…okay I will do it.. Other times, prioritising him is about dropping what I am doing in the present to give him attention. When Im at the table with him, he prefers that I dont exit the scene until he is done eating, too. He asks me to ignore all my gadgets and set them aside when we are together. When he comes home from work, he wants me to spend time with him and ask him about his day.. Edric isnt unreasonable about his desire for respect. He doesnt even say, I want you to respect me by doing this and that… But Gods word commands me to.. Nevertheless, each individual among ...
Nobody in the legal sector is denying the importance of cyber-security. Protecting the sensitive data your firm holds on behalf of its clients is essential.. Its an established fact that the threat from cyber criminals is increasing and evolving rapidly, and law firms are responding by prioritising cyber-security. It is now the sectors number one technology investment area.. Nevertheless, different firms have different ways of tackling this crucial issue. As legal sector cloud and IT specialists, we deal almost exclusively with law firms. In our experience, their approaches broadly divide into three strands.. Weve never been attacked, so lets just make sure were compliant and get the basics right. Just enough but no more is a tempting philosophy for a cost-conscious firm. Especially if you have never experienced the severe damage a cyberattack can cause.. Firms understand the need to be compliant, not least to avoid severe penalties in such a heavily regulated sector. They also ...
Currently I am prioritising vitamins for another health condition but I do get really good results from L-Lysine for my skin and I take 300mg of Co-Enzyme Q10 a day which I would be loath to give up. If I go a week without it I really notice a negative difference. I also suspect my high strength B-Complex has helped slow down my hair greying both my parents went grey in their early 30s and my younger brother is about 50% grey while I only have the odd strand at nearly 40 which is good going for any early greying family so I think that helps too ...
To celebrate ISMAs 12th National Stress Awareness Day, Stress Management Expert and ISMA Member, Annie Lawler gives insights, hints and top tips on 4 keys to stress-free living: Sleeping Well, Prioritising, Becoming Active and Valuing yourself. Therell ...
SPAQuE develops projects in cooperation with other walloon companies : inventory and prioritising of polluted sites feasibility studies - technic...
In fact the extremes in many categories were over 25% declines. Of course a 10% decline in revenue is a extreme for many firms.. When we asked about business challenges the top three reported by the respondents were:. 1. Increasing revenue. 2. Maximizing Profit. 3. More effective and efficient project management. Also high on the list was gaining better customer insight and increasing visibility into key business metrics. In a similar question on priorities for the next 12 months the answers were identical for the top 3. In addition firms also ranked gaining better customer insights and increasing visibility into key business metrics very high. Across the respondents a couple of IT / technology issues emerged that were linked to many of the challenges and priorities. While there was a good incidence of systems in use, the were clearly places where the firms were not getting what they needed from those systems. The following lists shows the incidence of systems deployed in the respondents by ...
The showdown between Mamata and the Modi government does not bode well for Indias federal polity, and needs to be de-escalated on priority.
Plan Ahead-Use a planner to help map out your week. If you have events coming up, start by putting those commitments on your calendar. Add deadlines that you have to make, such as turning in an assignment in or an upcoming exam. As you receive assignments, be sure to place them on the day received and make sure you also note when they are due. This will help you create a to-do list based on priorities in order to meet all of your deadlines ...
For space-division multiplexing (SDM) via block diagonalization on multiuser multiple-input multiple-output (MIMO) wireless downlink, it is shown that rece
I call Medtronic to see what my options are - either I return the un-returnable medical supplies that I cannot use OR I see if a larger pump is covered under my current pump warranty (expires spring 2015 - eep!) and their legal definition of medical necessity. Fortunately, since their customer service rocks as I said, they were quick to discover that YES! I am entitled to a new pump… but its on back order for at least 5 to 6 weeks due to increased demand for the 3.0 mL size snazzy, updated MiniMed pump. Knowing I cant use the supplies I have on hand and cant go without insulin for the next month and a half, Medtronic generously covered a box of the 1.8 mL size reservoirs for me so as to get me through the wait time. Thanks, Medtronic! Grumble, supply company, thanks for screwing with my supplies and demand ...
Beginning with the OES 2015 SP1 release, the NSS file system has improved disk storage allocation policies. This improvement in disk storage allocation is referred to as delayed block allocation. Delayed block allocation improves the file system performance and reduces the file fragmentation by effectively writing larger amounts of data at a time. Delayed block … +read more. ...
Sets the priority of a message. Note that this wont have any effect unless used before the message is added to the sessions message processing queue.. The message will be placed just before any other previously added message with lower priority (messages with the same priority are processed on a FIFO basis).. Setting priorities does not currently work with SoupSessionSync (or with synchronous messages on a plain SoupSession) because in the synchronous/blocking case, priority ends up being determined semi-randomly by thread scheduling.. ...
RSource recovers on claims denied due to a disputed clinical component or requirement and includes missing or invalid authorizations, medical necessity denials, level of care denials, and services denied as experimental. RSource has demonstrated a 20-30% improvement over prior resolution rates.
While the state lifted its mask requirement, this does not include healthcare facilities. TNC will continue to require all patients to wear masks while in our offices regardless of vaccination status. We thank you for your assistance in helping protect the vulnerable among us ...
Thank you for registering for the Wait List for the Orientation Professionals Institute! The NODA Association Office will let you know if a spot opens for OPI!. ...
If it should be necessary to decide between children within any of these priority groups, the local authority will use an electronic random allocation system to decide which of the children within that priority should be offered the available places. This system will be independently monitored.. The following information, reflecting the outcome of the admission arrangements at 11+ for September 2015 may give parents/carers some idea of their chances of obtaining a place for their child at this school in September 2016.. Table A. ...
The Danny Haren trade actually is a great comp. While Haren is a tick below Peavy in talent and was under team control for 3 years instead of 5, you have to look at the production vs cost of those years they are under control. As of the Haren trade, he was under contract from 2008 at 4M, 2009 at 5.5M and 2010 at a 6.75M club option. Making for a total of 3 years of Haren at 16.25M. Peavys deal is 5/78M (assuming option is picked up). Peavys deal is very team friendly in year 1, but escalates significantly in 2010. Its still below market value, but by somewhere around 3-5M a year, whereas Haren is being compensated under market value by roughly 10M/year. If you add up all the years, Haren over 3 years and Peavy over 5 years, (even though Peavy is more years) are worth about the same under market value in total. Throw in that Haren (while not being the caliber of Peavy) was going to be paid roughly 5M as opposed to roughly 15M leaving more of a scarce resource ($) to be utilized elsewhere as ...
Please refer to the DPMI Specification (see section DPMI Specification) for details on DPMI function call operation. Also see the DPMI Overview (see section DPMI Overview) for general information. DPMI function AX = 0x0002 This function returns a selector that maps to what the real-mode segment provided would have referenced. Warning: this is a scarce resource. ...
The Africa Early Childhood Network (AfECN) is a professional network established in 2015 to serve as a platform for the promotion of excellence and collaboration in protecting childrens rights, influencing policy and practice through advocacy, strengthened partnership and sharing of experience and knowledge. The Africa ECD network focuses primarily on strengthening the capacity of national and regional civil society organization network to better advocate for increased prioritization and resource allocation to ECD. To achieve this, AfECN focuses on the following four strategic goals:. ...
Testing - Lab Testing with Limited Resource How do you assure the quality of a system that in production is deployed to several large servers so as to scale to thousands of users and handle millions of data points when all you have is a test lab with much more. 1 Answers are available for this question.
Learn how to enhance your organizations business development strategy process in order to improve resource allocation and maximize profits.
In Part 2 of this series, you will learn how to check your status, what each of the status means, how to update your intake, as well as learn what resources are available to those when you meet the criteria.. To register: ...
© 2013 UZH, Slide 1 of 10 Fair Allocation of Multiple Resources Using a Non-monetary Allocation Mechanism Patrick Poullie, Burkhard Stiller, 1 Department of In…
Every asset in a strategic asset allocation has an important role to play. Here are the main asset classes that will nourish and protect your portfolio.
Indicates the relative priority of the annotated component. Components with a higher priority are considered before those with lower priority ...
Mean-variance criteria remain prevalent in multi-period problems, and yet not much is known about their dynamically optimal policies. We provide a fully analyti
NISE is a mechanism used for allocating the NERSC reserve (10% of the total allocation). It is a competitive allocation administered by NERSC staff and management. Awarded projects for 2011 as of March are listed.
Rottenberg, Simon; Theroux, David (1 February 1994). "Rationing Health Care". Independent Institute. Retrieved 20 January 2016 ... Higgs, Robert (Winter 1997). "Hazardous To Our Health? FDA Regulation of Health Care Products". Hacienda Publishing. Retrieved ... Kroncke, Charles; White, Ronald F. (Fall 2009). "The Modern Health Care Maze: Development and Effects of the Four-Party System ... Gregory, Anthony (2 April 2012). "Ubiquitous Hypocrisy on Health Care and the Individual Mandate". Huffington Post. Retrieved ...
"Doctors say Venezuela's health care in collapse". Associated Press. Archived from the original on 26 February 2014. Retrieved ... In 2011, it had so many problems that rations on electricity were put in place to help ease blackouts. On 3 September 2013, 70 ... The Bolivarian government's failure to concentrate on healthcare for Venezuelans, the reduction of healthcare spending and ... initial healthcare practices were promising with the installation of a free healthcare system parallel to the existing national ...
Aaron concluded that rationing of healthcare was necessary. Aaron is a member of the Institute of Medicine, the American ... He has been a proponent of a single-payer health care system, though he has questioned the feasibility of implementation in the ... ISBN 978-0-8157-1777-5. Appearances on C-SPAN Roberts, Russ (November 15, 2007). "Henry Aaron on Health Care Costs". EconTalk. ... 1984: The painful prescription: rationing hospital care, WB Schwartz. 2010: Politics and the professors: The great society in ...
Just Caring: Health Care Rationing and Democratic Deliberation. Oxford: Oxford University Press; 2009. Regulating reproductive ... with a broad range of topics in health care ethics and especially on issues related to health care justice and health care ... The Moral and Practical Challenges of Health Reform and Health Care Rationing" which explores the role of democratic ... Fleck's work primarily focuses on medical ethics, priority-setting or rationing, health care policy, and decision making in ...
Public venues can open but must comply with public health measures. Health and disability care services operate as normally as ... Rationing of supplies and requisitioning of facilities possible. Reprioritisation of healthcare services. The "essential ... primary care clinics, pharmacies, medical laboratories, care facilities (e.g. rest homes) Emergency dental and optometry care ... transport services to the Ministry of Health, a District Health Board, a Medical Officer of Health, or a Controller (as defined ...
1968 Rationing Health Care. Croom Helm, 1975 Sinclair, Kay (14 October 2017). "Economics professor shining star in health arena ... Topham-Kindley, Liane (2 August 2017). "Michael Cooper, NZ's father of health economics, understood primary care". "Two ... He chaired the Otago Area Health Board. In 1990 he was awarded the New Zealand 1990 Commemoration Medal, and in the 1994 New ... was a British-born economist and one of the first to develop the field of health economics in the 1960s. He later moved to the ...
"Overtaxed Idaho health facilities on brink of rationing care". MSN News. AP. Retrieved December 7, 2020. "Idaho health ... and that the organization's clinics were 10-15 days from rationing care. A meeting by health officials in Boise had to be ... "Joint news release with Idaho Department of Health and Welfare" (PDF). Idaho Central District Health. Retrieved March 24, 2020 ... "one lifting restrictions in 125 administrative rules to increase healthcare provider capacity and reduce barriers to healthcare ...
Rationing Sanity: Ethical Issues in Managed Mental Health Care ed Jamie Nelson. Washington, DC: Georgetown University Press, ... Ethical Issues in Managed Mental Health Care and Meaning and Medicine: A Reader in the Philosophy of Health Care with Hilde ... Ethical Issues in Managed Mental Health Care, Meaning and Medicine: A Reader in the Philosophy of Health Care and the book ... Rationing Sanity: Ethical Issues in Managed Mental Health Care (Washington, DC: Georgetown University Press, 2003) Lindemann ...
"COVID-19 and Healthcare Rationing: A Disabled Doc's View". Medscape. Retrieved 24 May 2020. Moore, Tony (10 November 2020). " ... Stanford Medicine X, Dinesh Palipana, MD on inclusivity in health care, retrieved 27 January 2019 "We need to show leadership ... access-date= requires ,url= (help) "COVID-19 and Healthcare Rationing: A Disabled Doc's View". Medscape. 21 May 2020. Retrieved ... devlinka (20 August 2018). "Health service champions diversity and inclusion". Retrieved 27 ...
"Disability and Health Care Rationing" Stanford Encyclopedia of Philosophy. Retrieved June 25, 2017. "Voluntary Euthanasia" ... can take many different forms but one of the most influential and most widely utilised approaches in bioethics and health care ... health, technology, law, and leadership. For example, the bioethics community is concerned with identifying the correct ... the best approach is to withhold extraordinary medical care, while disagreeing on the reasons that support their individual ...
"The Ethics of Rationing Health Care" (Routledge, 2014) Iwao Hirose. "Egalitarianism" (Routledge, 2014) Hirose, Iwao (2019), ...
"Arizona activates hospital plan with guidance for rationing health care". 2020-06-30. Retrieved 2020-07-14. Lerner, ... no hospitals reported rationing health care at the state's infection peak. On August 6, Ducey, State Superintendent Hoffman, ... In September 2017, Ducey released a statement endorsing the Graham-Cassidy health care amendment as "the best path forward to ... Grigg, Nicole (2020-07-03). "Health officials backtrack as no 'triage' taking place in hospitals under Arizona's Crisis of Care ...
Connolly, Ceci (September 29, 2009). "In Rationing Health Care, More Not Always Better, Experts Say". Washington Post. ... The organization is active in the policy areas of education, economics, health care, and the environment. It operates the ... Eggen, Dan (January 7, 2010). "How interest groups behind health-care legislation are financed is often unclear". Washington ... PRI started the Center for Medicine in the Public Interest, a New York-based think tank focusing on health policy. State Policy ...
The National Institute for Health and Care Excellence recommends up to 3 cycles of treatment for women under 40 years old with ... "CCGs propose range of new rationing cuts to fill deficit". Healthcare Leader. 16 August 2017. Retrieved 5 October 2017. "Number ... Call for infertility care awareness. RTÉ News. 23 September 2009. Appel, J.M. (15 July 2009) Motherhood: Is It Ever Too Late? ... The Israeli Health Ministry says it spends roughly $3450 per procedure.[citation needed] One, two or three IVF treatments are ...
Bor, Jonathan (June 25, 1992). "Conference is warned health care rationing lies ahead". The Baltimore Sun. pp. 1F. Archived ... With a medical career focused on pediatric intensive care, Rogers was founder of the Pediatric Intensive Care Unit at Johns ... Rogers became CEO of the Duke Hospital and Health Network and Vice-Chancellor for Health Affairs. In 1996, he initiated a novel ... His studies were funded by a National Institutes of Health (NIH) grant with 6-month-long stints each year working at an NIH ...
... based on comments he made about health care being, by definition, redistribution of wealth, rationing care with "our eyes open ... Excellent health care is by definition redistributional." An editorial wrote that his policy ideas could cut health care costs ... Curing Health Care (1990), and New Rules: Regulation, Markets and the Quality of American Health Care (1996). In February 2013 ... They quote Berwick as saying, "The decision is not whether or not we will ration care-the decision is whether we will ration ...
A genetic test is considered a direct-to-consumer test if it is presented to the consumer separate from a health care provider ... "COVID-19 Medical Rationing & Facility Visitation Policies - Center for Public Representation". ... "COVID-19 and Disability-Based Discrimination in Health Care". Retrieved 2021-04-21. News Division (2020-06 ... "COVID-19 and Disability-Based Discrimination in Health Care". Retrieved 2021-04-21. "COVID-19 Medical ...
Health care rationing "How the NHS places a value on life". BBC News. 21 August 2006. Retrieved 28 August 2017. CS1 maint: ... These include but are not limited to procedures which the National Institute for Health and Care Excellence (NICE) has ruled of ... In the English National Health Service and NHS Wales the Blacklist (officially Schedule 1 to the National Health Service ( ... CS1 maint: discouraged parameter (link) "OTC medication rationing only made a quarter of its targeted savings". Pulse. 17 April ...
"N95 mask shortage scares health care workers ahead of projected COVID-19 spike". Chicago Sun-Times. "Hospitals Still Ration ... The HIPAA is a data protection law for the health care industry, and does not actually apply in this manner. Opposing views ... these incredible health care personnel, and look them in the eye and say 'thank you'." When visiting a ventilator factory on ... Health care workers continued to express fears of shortages. N95 manufacturers and other companies were reluctant to invest ...
"Bedside Rationing by Physicians: the case against", Healthcare Papers, v. 2, n 2., 45-52. 2001. "The Great Canadian Health Care ... "Moral Leadership in Health Care", Dimensions in Health Care, Mar., 1980. "The Ethics of Research on Human Beings: A Critical ... "Review of A Cross-Cultural Dialogue on Health Care Ethics." Harold Coward and Pinit Ratanakul, eds. Wilfrid Laurier University ... "Waiting for Romanow: Canada's health care values under fire". Report commissioned and published by the Canadian Centre for ...
ISBN 978-0-8229-7079-8. "Cuban workers are able to survive despite their low wages because they receive free health care and ... The government sets most prices and rations goods to citizens. In 2019, Cuba ranked 70th out of 189 countries, with a Human ... Organization, World Health. (2015). World Health Statistics 2015. World Health Organization. ISBN 9789240694439. OCLC 911246910 ... health-care). Around 2000, half the country's sugar mills closed. Prior to reforms, imports were double exports, doctors earned ...
OECD Health Stats-Health Expenditure and Financing-Retrieved July 2, 2017 *^ PBS-Why does health care cost so muc in America? ... Right now healthcare is rationed based on wealth; about 45 million people cannot afford insurance, so we pay anyway when they ... and higher income levels driving greater demand for healthcare.[9][10][11] Healthcare costs are a fundamental driver of health ... There is a bill called the United States National Health Care Act that proposes this, which is what Americans should be ...
Improvements in health care (quality, efficiency and the empowerment of patients); Improving quality of life and independent ... Ration Watch' calling for a national body to scrutinise decisions by individual CCGs and ensure patient access to treatments is ... despite National Institute for Health and Care Excellence clinical guidelines recommending UFE as a first-line treatment for ... In 2010 the MTG made a freedom of information request to primary care trusts in England on the provision of insulin pumps to ...
... education makes people productive and good health care keeps the education investment around and able to produce. One of his ... Contrast this with the United Kingdom which was still rationing food long after the war. His conclusion was that the speed of ... He advocates for humans to invest in their health, internal migration, and on-the-job training; however, he focuses on ...
Health care rationing Healthcare reform in the United States Medicare Payment Advisory Commission Specialty Society Relative ... Roe charged that IPAB would deny care. However, the legislation governing IPAB bared "any recommendation to ration health care ... He opposed the premise of the board, writing in The Wall Street Journal that it was "a health-care rationing body" and that " ... With regard to IPAB's recommendations, the law said: "The proposal shall not include any recommendation to ration health care, ...
... of the Dalit population in India was worse than that of the overall Indian population on metrics such as access to health care ... 47 per cent of Dalits were not allowed entry into ration shops; and 64 per cent were given less grains than non-Dalits.[79] In ... Healthcare and nutrition[edit]. Discrimination can also exist in access to healthcare and nutrition. A sample survey of Dalits ... Many social organisations have promoted better conditions for Dalits through education, healthcare and employment. Nonetheless ...
... "healthcare rationing in the United States". Since doctors do not want to be seen as withholding care, they are hesitant to ... inherent in patient-centered care of giving patients some basis for understanding how to make decisions about their health care ... The charter states that physicians have a responsibility to promote health equity when some health resources are scarce. As a ... about unnecessary health care. The campaign identifies over 500 tests and procedures and encourages doctors and patients to ...
He criticized public-option proposals as a step toward single-payer health insurance and health-care rationing. He supported a ... During 2009, Sasse advised private equity clients and health care investors and taught at the University of Texas. In October ... Sasse, Benjamin E. (July 2, 2009). "Health-Care Reform: The Rush to Pass a Bad Bill". Bloomberg Businessweek. Archived from the ... Morton, Joseph (July 1, 2017). "Ben Sasse offers alternative strategy amid uncertainty over GOP health care bill". Omaha World- ...
The Camp Humphreys Army Health Clinic provides outpatient primary care services to active duty service members and their ... Korea is a ration control assignment. Upon arrival, military personnel, family members and civilian employee need to get a ... Major services include general medical and surgical care, adult and pediatric primary care clinics, specialty clinics, clinical ... "Army Health Clinic". U.S. Army Garrison Humphreys. Archived from the original on 16 January 2012. Retrieved 12 January 2012. ...
In declining health, Pol Pot stepped back from many of his roles in the movement. In 1998 the Khmer Rouge commander Ta Mok ... These mass killings, coupled with malnutrition and poor medical care, killed between 1.5 and 2 million people, approximately a ... were entitled to full rations, and able to hold political posts in the co-operatives and join both the army and the Communist ... We cannot last like this for very long".[393] Pol Pot's health was declining. He suffered from aortic stenosis and no longer ...
JEL: I1 - Health JEL: I10 - Geral. JEL: I11 - Analysis of Health Care Markets. JEL: I12 - Health Production: Nutrition, ... JEL: K32 - Environmental, Health, and Safety Law. JEL: K33 - International Law. JEL: K34 - Tax Law. JEL: K35 - Personal ... JEL: I18 - Government Policy; Regulation; Public health. JEL: I19 - Outros. JEL: I2 - Education ... JEL: J13 - Fertility; Family Planning; Child Care; Children; Youth. JEL: J14 - Economics of the Elderly; Economics of the ...
The times are lawless, and waiter Boldt is assaulted by hoodlums and robbed of both cash box and his illegal ration stamps. ... Personality: Kind, loving and to some extent care-free. For the most part, a competent bank director although his bank tends to ... Colonel Hackel is hospitalized with failing health. Upon learning of a change in the Danish army's command structure, he ... World War II breaks out causing rationing of certain goods in Denmark (sugar and gasoline). Agnes is to wait at Daniel's ...
"BMC Public Health (Review). 18 (1): 37. doi:10.1186/s12889-017-4573-4. PMC 5537921. PMID 28760147.. ... With the 1900s bringing two devastating world wars, many countries set wartime regulations for rationing almost all aspects of ... Wearing high-heeled shoes is strongly associated with injury, including injury requiring hospital care. There is evidence that ... It has been argued that high heels in the workplace should be subject to a health and safety assessment.[31] ...
... the crisis overwhelmed the provision of health care and key supplies: food relief and medical rehabilitation were supplied too ... and then unfair rationing.[280] There was also rampant corruption and nepotism in the distribution of government aid; often as ... unsanitary conditions and lack of health care. Millions were impoverished as the crisis overwhelmed large segments of the ... Medicine and medical care were also directed to these priority groups - particularly the military. Public and private medical ...
... and health care, they had not been granted citizenship and continued to be regarded by the government as refugees. Their ... reduction of food rations and exclusion from certain fields of study, a measure considered necessary for national security.[171 ... in the field of amusement and recreation was 20 percent and made up 80 percent of the total investment in medical and health ...
Health[edit]. Main article: Health in Ivory Coast. Life expectancy at birth was 42 for males in 2004; for females it was 47.[ ... leaving them in the care of resident merchants. The trading post at Grand Bassam in Ivory Coast was left in the care of a ... In World War I, France organized regiments from Ivory Coast to fight in France, and colony resources were rationed from 1917- ... "Population, Health, and Human Well-Being-- Côte d'Ivoire" (PDF). EarthTrends. 2003. Archived from the original (PDF) on 11 May ...
Economic analysis can be applied throughout society, in real estate,[6] business,[7] finance, health care[8], engineering[9] ... and health care.[98] Applied subjects include market and legal remedies to spread or reduce risk, such as warranties, ... Tarricone, Rosanna (2006). "Cost-of-illness analysis". Health Policy. 77 (1): 51-63. doi:10.1016/j.healthpol.2005.07.016. PMID ... health economics, war economics, and of course, production, distribution and consumption economics as valid subjects of the ...
Community Health Care in Cuba: An Enduring Model; Health, Politics, and Revolution in Cuba Since 1898; Primary Health Care in ... "this embargo has raised the cost of medical supplies and food Rationing, universal access to primary health services" ... National Health Systems of the World: The issues.. *^ Pan American Health Organization, Health situation in the Americas: Basic ... "Cuban infant mortality and longevity: health care or repression?". Health Policy and Planning. doi:10.1093/heapol/czy033.. ...
Metropolitan New Orleans is a major regional hub for the health care industry and boasts a small, globally competitive ... 1943 waiting line at wartime Rationing Board office in New Orleans. New Orleans' economic and population zenith in relation to ... The City that Care Forgot has been used since at least 1938,[21] and refers to the outwardly easy-going, carefree nature of the ... Louisiana State University Health Sciences Center. *University of Holy Cross, a Catholic liberal arts college founded in 1916. ...
The health care services available to Aboriginal people is rarely delivered in a [[culturally sensitive]] approach. It is the ... cut rations to indigenous people in an attempt to reduce government costs. Between 1880 and 1885, approximately 3,000 ... First Nations Comparable Health Indicators ,work=Health Canada First Nations, Inuit & Aboriginal Health Diseases & Health ... It was argued by Ontario finance minister Jim Flaherty in 1992 that the Canadian government could boost health-care funding for ...
Day care. *Disability insurance. *Health insurance. *Life insurance. *Marriage leave. *Parental leave ...
"Natural Health Product Monograph. Health Canada. Archived from the original on April 3, 2013.. ... in addition to normal rations, while others continued on cider, vinegar, sulfuric acid or seawater, along with their normal ... Diabetes Care. 27 (10): 2491-2. doi:10.2337/diacare.27.10.2491. PMID 15451922.. ... "Fact Sheet for Health Professionals - Vitamin C". Office of Dietary Supplements, US National Institutes of Health. February 11 ...
Throughout his life, Ramanujan was plagued by health problems. His health worsened in England; possibly he was also less ... Since Ramanujan's father was at work most of the day, his mother took care of the boy as a child. He had a close relationship ... resilient due to the difficulty of keeping to the strict dietary requirements of his religion in England and wartime rationing ... In 1919, ill health - now believed to have been hepatic amoebiasis (a complication from episodes of dysentery many years ...
Health effects[edit]. Risks of malnutrition[edit]. The term "calorie restriction" as used in the study of aging refers to ... Current Opinion in Clinical Nutrition and Metabolic Care. 13 (1): 40-5. doi:10.1097/MCO.0b013e3283331384. PMID 19851100.. ... Reduced rations had turned out to be "not necessarily cataclysmic." Faced with some evidence for what was unknown at the time ... 1 Health effects *1.1 Risks of malnutrition *1.1.1 Musculoskeletal losses. *1.1.2 Lower-than-normal body mass index, high ...
The company pleaded guilty to breaching the Occupational Health Safety and Welfare Act after a SafeWork prosecution and was ... leading to down-time in the manufacturing sector and short-term rationing measures in both states while repairs were made. ... by not ensuring its employees were safe from injury and risk to health. The company was fined $105,000. The magistrate said ...
The second canal, in addition to shipping, also allowed Chicago to address specific health issues (typhoid fever, cholera and ... This resulted in widespread shortages, high prices, and rationing of coal in January and February.[86] ...
... and Rationing in Critical Care (VERICC) Task Force, purportedly to address ethical issues raised by rationing in the intensive ... U.S. Department of Health and Human Services. October 25, 2011. Retrieved May 24, 2017.. ... Drotrecogin should only be administered in a critical care area such as an Intensive Care Unit (ICU), or other unit with very ... Drotrecogin should only be ordered by a critical care specialist with experience weighing the risks and benefits of this ...
Inadequate food rations also formed part of The Holocaust, resulting in tens of thousands of deaths in Warsaw alone, and around ... The precise effect of the food crisis on German health and mortality has been a matter of some contention. Speaking of the ... GARIOA CRALOG Forced labor of Germans after World War II Industrial plans for Germany Hunger Plan CARE (relief agency) The U.S ... Balabkins also notes that the distributed food rations were of poor composition and "considerably below minimum nutrition ...
The air of central London was not conducive to the health of the Beetons' son, and he began to ail. Three days after Christmas ... The remainder provided advice on fashion, child care, animal husbandry, poisons, the management of servants, science, religion ... or facilitates the many little troubles and cares that fall to the lot of every wife and mother. She may safely predict that ... "she preceded the family health guides of today".[104] Robin Wensley, a professor of strategic management, believes that ...
There are several assessment tools available to therapists and health care professionals working with patients with ataxia. The ... "PubMed Health. Archived from the original on 27 July 2014.. *^ a b c Mitoma H, Adhikari K, Aeschlimann D, Chattopadhyay P, ... Díez S (2009). "Human health effects of methylmercury exposure". Reviews of Environmental Contamination and Toxicology. 198: ...
"American Indian Health - Health". Retrieved 2011-12-17.. *^ Song, Jung-Kook; Bae, Jong-Myon (2013-03-01). "Citrus ... British sailors were given a ration of citrus fruits on long voyages to prevent the onset of scurvy, hence the British nickname ... Compared to many of the usual "green shrubs", citrus trees better tolerate poor container care. For cooler winter areas, limes ... "Grapefruit and Medication". Total Health. 27 (2): 39-39. 2005.. *^ Carr, Jackie (22 April 2010). "Five Ways to Prevent Kidney ...
T., Folland, Sherman (2017). The economics of health and health care. Goodman, Allen C. 1947-, Stano, Miron (Eighth ... resulting in rationing of the treatments. These include Harvoni at $91,589.40 per 12-week treatment in 2016, and simeprevir/ ... Cunningham, Peter J. (2010-05-01). "The Growing Financial Burden Of Health Care: National And State Trends, 2001-2006". Health ... Cunningham, Peter J. (2010-05-01). "The Growing Financial Burden Of Health Care: National And State Trends, 2001-2006". Health ...
However, many of the ration packs did not reach victims due to laws regarding mad cow disease.[48] It also offered medical ... China also offered to send medical care and rescue workers if they were needed.[14] This aid package consisting of 104 tons of ... September 4, On the request from U.S. Department of Health and Human Services, Canada sent thousands of beds, blankets, ... Germany: Two German military Airbus planes landed in Florida with about 25 tons of food rations to be transported to the ...
That's rationing too, by ability to pay.. *^ John P. Geyman (2003). "Myths as Barriers to Health Care Reform in the United ... See also: Health care in the United States, Health care reform in the United States, and Health insurance in the United States ... the terms most commonly used are universal health care or public health care.[citation needed] According to health economist ... For national health care systems generally, see Universal health care.. Socialized medicine is a term used in the United States ...
Care for elderly 'increasingly rationed' in England BBC *^ a b c d e f g h i j "Status Report on Elderly People in Nepal, ... free medicine and health care in all districts.[33] In its yearly budget, the government has planned to fund free health care ... long term care, nursing homes (often referred to as residential care), hospice care, and home care. Because of the wide variety ... Kijong Kim; Rania Antonopoulos (2011). Unpaid and Paid Care: The Effects of Child Care and Elder Care on the Standard of Living ...
T., Folland, Sherman (2017). The economics of health and health care. Goodman, Allen C. 1947-, Stano, Miron (Eighth ... resulting in rationing of the treatments. These include Harvoni at $91,589.40 per 12-week treatment in 2016, and simeprevir/ ... "Specialty Drugs and Health Care Costs".. *^ "Trends in Retail Prices of Specialty Prescription Drugs Widely Used by Older ... "Patient Protection and Affordable Care Act of 2010: Reforming the Health Care Reform for the New Decade". Pain Physician. 14 (1 ...
... who spent nine years overseeing health care and who served as the Minister of Health in the 1947 Provisional Communist Military ... Food was rationed, and everyone needed passes to enter or leave the ghetto.[2] ...
Johnson believed in expanding the federal government's roles in education and health care as poverty reduction strategies. In ... Basic income, health and poverty[edit]. The first comprehensive systematic review of the health impact of basic income (or ... effect on use of health services and health outcomes in low- and middle-income countries". Cochrane Database of Systematic ... in recipient families are also more likely to attend school and the cash transfers may increase money spent on health care.[50] ...
Paul Broun Compares Health Care Reform To 'The Great War Of Yankee Aggression' "If ObamaCare passes, that free insurance card ... Rations. *Signal Corps. *Turning point. *Union corps badges. *U.S. Balloon Corps ...
... is one of the scariest words in the health-care debate.It conjures up apocalyptic nightmare images from Soylent Green, the ... And Sarah hears the fears of those who suspect national reform will lead to government rationing of health care. Im old enough ... Left unsaid by those who raise fears of rationing by any "government-run" or government-related health care is how much ... "Rationing" is one of the scariest words in the health-care debate. ...
Responsibility, fairness and rationing in health care.. Cappelen AW1, Norheim OF. ... It is possible to assign a limited but significant role to individual responsibility in the rationing of health-care resources ... The liberal egalitarian argument captures a concern that is not captured by traditional criteria for priorities in health care ... to sketch an argument that assigns a limited but significant role to individual responsibility in the design of the health-care ...
... among conservatives and many in the public that national health insurance would be government run health care wit... ... These are some of the many ways that we ration health care in our largely private, under-regulated for-profit health care ... Canada proves that single-payer health care inevitably results in rationing and lost lives. Government-run health care is one ... All health care systems ration care one way or another. There are good ways and bad ways to do it. Ours is a bad and irrational ...
Health care rationing refers to mechanisms that are used to allocate (viz. ration) health care resources. Healthcare rationing ... and the Indian Health Service. Most Americans have private health insurance, and non-emergency health care rationing decisions ... Among those who have argued in favor of health care rationing are moral philosopher Peter Singer and Oregon governor John ... Rare disease ICD coding for rare diseases Reinhardt, Uwe E. (July 3, 2009). "Rationing Health Care: What Does It Mean?". The ...
While Tulare Countys COVID-19 metrics are still bleak, the rate of new infections is slightly decreasing, but healthcare rationing possible.
This is what health care rationing looks like. by SHADOWFAX September 15, 2011 ... Rationing is here, not covert rationing, but open and unapologetic rationing. It may be blocked before it goes into effect; I ... The Health Care Authority (HCA) had been set a hard target of cost savings -- $72 million -- that they were mandated to achieve ... However, in what I believe to be a first in the nation (for now) approach, they directed the state Health Care Authority to ...
Political Health Care Rationing. --by Sebastian. I realize that the UK has different ideas about free speech than the US. So it ... That sounds very close to government health care discrimination based on the political viewpoint of the patient. Im not ... but Im really appalled that the hospital thinks political viewpoint discrimination regarding health care treatment is ok. ... Quoth Sebastian: Is being denied medical care considered a legitimate punishment for criminals in the UK? I suspect not. ...
The debate over health care reform in the United States should start from the premise that some form of health care rationing ... Rationing Americas medical care. ISBN 978-0-8157-8197-4. Singer, Peter (2009-07-15). "Why We Must Ration Health Care". New ... Its between rationing well and rationing badly. Given that the United States devotes far more of its economy to health care ... Peter Singer wrote for the New York Times Magazine in July 2009 that healthcare is rationed in the United States: "Health care ...
... a disabled woman fought for her life as her friends and advocates pleaded for proper care. Her case raises the question: Are ... Shots - Health News What Bidens Election Means For U.S. Health Care And Public Health. ... How Are Disabled People Affected When COVID-19 Health Care Rationing Happens? In an Oregon hospital, a disabled woman fought ... Conger, in her complaint with the hospital, too, protested the pressure to change McSweeneys stated wishes for health care. ...
... explains how government policies lead to shortages of health care. ... Home Video Health Care Rationing Explained. Health Care Rationing Explained. January 21, 2010. , Accuracy in Academia, Leave a ...
... discretionary outpatient care in 1991 to varying degrees; and (4) the VA medical centers that ration care make their rationing ... outpatient care, focusing on how VA: (1) determines veterans eligibility for outpatient care; and (2) rations care when ... care at VA medical centers varies because medical centers interpret VA eligibility criteria differently and make rationing ... resulting in veterans with similar medical conditions receiving different levels of care. ...
We need a better care model. The private cost of health-care queues in Canada. By The Fraser Institute on June 15, 2018. Health ... Canadas health-care wait times hit new record high. By The Fraser Institute on December 13, 2017. Health, Politics/Law, ... Looking beyond our borders for health-care cures. By The Fraser Institute on October 6, 2017. Health, Politics/Law, Viewpoint ... How to put Canadian health-care innovation into practice. By on February 11, 2018. Health, Viewpoint ...
Sarah Palin is keeping up her full court press against President Obamas health care plan. ... lead to health care rationing. Pointing to an essay co-written earlier this year by White House health care adviser Dr. Ezekiel ... "Health care is without a doubt a complex and contentious issue, but health care reform should be a market oriented solution," ... What part of there is no health care rationing does she not understand. Medicare stays as it is - AND THERE ARE NO DEATH PANELS ...
Engelhard is director of the Health Policy Program, Department of Public Health Sciences, University of Virginia. ... not, and Consumer Reports even compares prices - which is specifically prohibited from Medicare and from the new health law. ... Sarah Palin charged in 2009 that the proposed legislation would decide whether dying Americans were worthy of medical care. ... studies show that patients want 40 percent less care than is sometimes recommended by a physician. [...] ...
This move suggests that the FDA is keen on rationing womens access to health care. ... Heres a secret that Nancy Pelosi forgot to tell you: Health insurance does not equal health care. ... theres a finite number of health care providers. In a free market, people rise up to supply the demands of society. In an ... because theres just too much hassle and red tape involved with government-run health care. ...
Reviews of new health care products and startups. Data driven analysis of health care trends. Policy proposals. E-mail us a ... The Business of Health Care. *Top tags: Uncategorized / Policy / Startups / Policy/Politics / Quality / The ACA / Health 2.0 / ... Great ideas for improving the health care system. Pitches for healthcare-focused startups and business.Write-ups of original ... Top categories: Uncategorized / THCB / OP-ED / Physicians / Tech / Health 2.0 / Matthew Holt / Health Tech / Jessica DaMassa / ...
HEALTH SYSTEM $#@!!!. If youve healthcare professional or consumer and have had a recent experience with the U.S. health care ... Top categories: Uncategorized / THCB / OP-ED / Physicians / Health 2.0 / Matthew Holt / Tech / The Business of Health Care / ... Reviews of new healthcare products and startups. Datad riven analysis of health care trends. Policy proposals. E-mail us a copy ... Great ideas for improving the health care system. Pitches for healthcare-focused startups and business.Write ups of original ...
Government Health Care Rationing Puts Women at Risk. Related Content. * FOX News: Health Care Call-To-Arms. December 8, 2009 * ... Health care reform will be expensive. Do not believe politicians who promise simultaneously to insure more people, expand ... American health care needs fixing. But in attempting to nationalize the medical system, Congress has forgotten the Hippocratic ... Obviously, we cant provide everyone with everything when it comes to health care. Tough trade-offs have to be made. But ...
Communicating the economics of social determinants of health and health inequalities  World Health Organization (‎World Health ... Action on the social determinants of health: learning from previous experiences  World Health Organization (‎World Health ... A conceptual framework for action on the social determinants of health  World Health Organization (‎World Health ... Policy tools for allocative efficiency of health services / Xingzhu Liu  Liu, Xingzhu (‎World Health OrganizationWorld Health ...
Expert Network on Health Care Reform Strategies in Southern Europe. Meeting (‎2nd: 1998: Thessaloniki, Greece)‎; World Health ... Browsing Technical documents by Subject "Health Care Rationing". 0-9. A. B. C. D. E. F. G. H. I. J. K. L. M. N. O. P. Q. R. S. ... Expert Network on Health Care Reform Strategies in Southern Europe (‎SOUTHNET)‎ : report on a WHO meeting, Jerusalem, Israel 8- ... The objectives for the third meeting of the Expert Network on Health Care Reform Strategies in Southern Europe (‎SOUTHNET)‎, ...
If the federal government intervenes to hold health care costs down, Kyl said, the result would be something nobody wants: ... as the Senate Finance Committee labored to produce its version of a health care bill, the Republican whip, Sen. Jon Kyl of ... But we do ration health care indirectly, in two ways:. First, we ration health insurance. We make affordable insurance ... Its true that we dont ration health care directly. If youre willing to pay cash, you can buy all the health care you want - ...
... "best available evidence to help patients and their health care providers make more informed decisions." PCORI claims its ... Ration Healthcare. New Obamacare Tax To Help Govt. Ration Healthcare. New Obamacare Tax To Help Govt. Ration Healthcare. ... thats supposed to help the government save money by finding ways to ration healthcare. ... When his Affordable Care Act passed, the newly created PCORI became the official center to find ways to more "effectively and ...
Kennedy: Lets Ration Health Care (Looks like Mary Jos Killer is killing Obamacare). weekly standard ^ , 7/20/09 , William ... Personal choice in health care = freedom; government health care = tyranny. ... puts us on a course towards government rationing of health care. Heres the key paragraph from Kennedy and Shrum: We also need ... If I was a tort lawyer, Id be terrified at the idea of having the government "health care" REMOVE my one and only target. ...
Cookson, Richard and Dolan, Paul (1999) Public views on health care rationing: a group discussion study. Health Policy, 49 (1-2 ... This small-scale study develops a new methodology for investigating which ethical principles of health care rationing the ... health maximisation and (3) equalisation of lifetime health. To our knowledge, this pluralistic viewpoint on rationing has ... nor into a quantifiable model that health care managers can use for guidance. ...
Ethical Issues in Health Care System Reform: The Provision of Adequate Health Care, JAMA 272 (1994): 1056-62. ... 4. G. Grumet, Health Care Rationing through Inconvenience, N Engl J Med 321 (1989): 607-11. ... Healthcare services should only reflect differences in health- care needs and not other individual or group differences. The ... trative barriers in the way of health-care services one can definitely reduce costs.[4] At a recent conference on rationing, ...
Rationing Health Care An article in the Washington Post this morning complains that Obamas health care package will result in ... This is a rationing system, that pulls health care away from those who do not have enough money to pay for health care that ... See: Washington Post ObamaCare Is All About Rationing by Martin Feldstein.). I am not at all certain whether the health care ... The implication in Feldsteins editorial that we have a choice between rationing under this health care proposal and no ...
Gel Health News. Hands Off My Health. Health Business Blog. Health Care BS. Health Care for All Healthy Skepticism Hooked: ... Jazd Healthcare. Jazd Pharmaceutical Industry. Jim Edwards NRx. Kaus Files KevinMD Laffer Health Care Report. Little Green ... reduce health disparities, extend life and make health care more affordable, preventive and patient-centered. CMPI also ... Government-paid healthcare presents significant hurdles as well as interesting opportunities and healthcare rationing is an ...
The Arizona Department of Health promulgated a COVID-19 addendum for the allocation of scarce resources in acute care ... Arizona Department of Health Services activates plan to ration healthcare for COVID-19 patients. By Benjamin Mateus 2 July 2020 ... Abrazo Healthcare, Carondelet Healthcare, Common Spirit Arizona Division Dignity Health, Banner Health, and Phoenix Childrens ... Equally distressing was the shortage of critical care capacity at health systems overwhelmed by COVID-19 cases. Experiences in ...
Future Issues in Health Care. Social Policy and the Rationing of Medical Services.. Ann Intern Med. ;91:510. doi: 10.7326/0003- ... When the market does not work efficiently, as in health and medical care, rationing is accomplished by other means, usually by ... Future Issues in Health Care. Social Policy and the Rationing of Medical Services. ... Resources (or goods and services) are rationed to those willing and able to meet the established market price. This market ...
... health care rationing, Jill Stanek, Kristan Hawkins, nationalized health care, pro-abortion, pro-choice, pro-life, Students for ... Its also about reforming health care delivery in a way that puts the government in the middle of health care decisions that ... They want government control over the delivery of health care services, not simply paid access to health care services for the ... 23 Comments on "SFLAs Kristan Hawkins on Fox: Health care rationing would hurt son with cystic fibrosis". * Pro-life atheist. ...
  • Sarah also has received the inevitable scolding in the blogosphere from opponents of national health-insurance reform. (
  • And Sarah hears the fears of those who suspect national reform will lead to government rationing of health care. (
  • In an e-mail to Obama supporters, David Axelrod wrote, "Reform will stop 'rationing' - not increase it. (
  • It's a myth that reform will mean a 'government takeover' of health care or lead to 'rationing. (
  • To the contrary, reform will forbid many forms of rationing that are currently being used by insurance companies. (
  • The House VA Committee has acknowledged that eligibility reform of VA health-care is a priority agenda item. (
  • VA presented its legislative proposal to reform eligibility for the Department of Veterans Affairs health-care benefits to the House Committee on Veterans' Affairs in July 1995. (
  • The 2008 Republican vice presidential nominee concludes her Facebook post by attacking the cost of health care reform, which she said will only deepen the country's debt and force the president to raise taxes. (
  • Health care is without a doubt a complex and contentious issue, but health care reform should be a market oriented solution," she writes. (
  • For those with short memories, USPSTF is the government panel that in the midst of the health care reform debate had the temerity to suggest the evidence was iffy on the wisdom of mammography for women under 50. (
  • His plan of putting a waiver request in front of Congress will force this debate for real: Health System Reform: A New Hope. (
  • Congress is still considering health care reform. (
  • Health care reform will be expensive. (
  • Expert Network on Health Care Reform Strategies in Southern Europe. (
  • Healthcare reform and rationing have become almost house- hold words in many Western countries, including Israel. (
  • Laudable steps have also been taken to arrive not only at medically and economically sound bases for healthcare planning and reform, but at healthcare systems that meet a civilized society s concept of equity and fairness. (
  • CMPI also provides the public, policymakers and the media a reliable source of independent scientific analysis on issues ranging from personalized medicine, food and drug safety, health care reform and comparative effectiveness. (
  • As health care costs soar past $2.5 trillion and more than 47 million people remain uninsured, Americans must be willing to give up certain medical options to ensure health care reform is successful, argues a Michigan State University medical ethicist. (
  • If we are unable to control health care costs, we have no chance at health care reform. (
  • In a post titled "Reality Check: Beware What 'Critics Say' on Reform and Mammograms" he wrote: "One of the hallmark tactics from opponents of health insurance reform has been to grab onto any convenient piece of information and twist it into some misguided attack on reform, no matter how unrelated it may actually be. (
  • Pfeiffer wrote: "Under the health insurance reform legislation, the USPTF [sic] would have no power to deny insurance coverage in any way. (
  • Health care reform was motivated not by the desire or need to provide better access, but by a concern for cost containment. (
  • First we don't seem to be able to find a structure to assure health care access to all our citizens (reform may help with this). (
  • Tackling drug shortages and health rationing head on While arguing that the market needs to be given more leeway to dictate effective outcomes, Emanuel also took a moment to scold those who have, as he put it, engaged in "scare-mongering about death panels and health care reform. (
  • In light of President Obama's September 9th speech to Congress where he stressed that he will not tolerate any more delays on health care reform, and that the "time for talk is winding down," it is more important now than ever for pro-lifer to keep up to date with the rationing and euthanasia issues in the health care restructuring! (
  • More recently, American conservative critics of health care reform have attempted to broaden the term by applying it to any publicly funded system. (
  • There are a number of different bills making their way through Congress right now but we do know this: The reform bill that the President signs will not lead to rationing. (
  • But as you're saying, Jason, it may come down to numbers and whether estimates of the cost of health care reform are accurate. (
  • These are precisely the preoccupations that the right so cynically exploited in the debate over health care reform, with that ominous talk of Washington bean counters deciding who lives and dies. (
  • But at the same time, supporters of health care reform seemed to me too quick to dismiss old people's fears as just so much paranoid foolishness. (
  • Liberals, including supporters of President Obama's health care reform, advocate subsidies, regulation, and other modest measures to give the less fortunate a little more buying power. (
  • Health Syst Reform. (
  • Other conservative protesters rally around the effigy, waving signs and chanting anti-health care reform slogans. (
  • Reporter Glenn Thrush opines, "If this is the face of anti-health care reform protest, the GOP has a serious problem. (
  • [Source: WNY Media] The Republican National Committee plans to spend a million dollars in August on television ads opposing health care reform. (
  • One of the key elements of the ad campaign is a study released today by the Lewin Group that finds 119 million Americans would lose the coverage they currently have under the Obama administration's health care reform proposal. (
  • MSNBC's progressive talk show host Rachel Maddow airs video clips of Senators John Barrasso (R-WY) and Chuck Grassley (R-IA), Representatives John Boehner (R-OH), Tom Price (R-GA), Paul Ryan (R-WI), and former House Speaker Newt Gingrich (R-GA) all citing the Lewin study as evidence that health care reform is bad for Americans. (
  • President Obama holds a "town hall" meeting on health care reform, sponsored by the American Association of Retired Persons (AARP). (
  • Rumor Control - In his introduction, AARP CEO A. Barry Rand tells the participants: "There's a lot of misinformation about health care reform-even on what AARP stands for, and what AARP supports. (
  • The America I know and love is not one in which my parents or my baby with Down's Syndrome will have to stand in front of Obama's 'death panel' so his bureaucrats can decide, based on a subjective judgment of their 'level of productivity in society,' whether they are worthy of health care. (
  • Just last week I wrote about Kristan Hawkins , executive director of Students for Life of America , and her valid concern that infant son Gunner would receive inadequate care under nationalized health care. (
  • According to MSU's Leonard Fleck, whose book " Just Caring " was recently published by Oxford University Press, a discussion on rationing health care is needed to tackle the paradox that represents health care in America. (
  • When it comes to health care in America, we have limited resources for unlimited health care needs," said Fleck, a philosophy professor and faculty member in MSU's Center for Ethics and Humanities in the Life Sciences. (
  • Used by an estimated 40 million people, Medicare is a federally funded health care program providing basic medical care to elderly and disabled individuals across America. (
  • Whither Rationing in America? (
  • We Don't Ration Health Care in America. (
  • Instead of rationing with waiting lists, America rations with price. (
  • It is unfair and inhumane when so many millions of Americans cannot gain access to necessary care because of financial barriers. (
  • Most Americans have private health insurance, and non-emergency health care rationing decisions are made based on what the insurance company or government insurance will pay for, what the patient is willing to pay for (though health care prices are often not transparent), and the ability and willingness of the provider to perform uncompensated care. (
  • The 2010 Patient Protection and Affordable Care Act (known as the PPACA or Obamacare) contained many changes to these regulations, including the first requirement that all Americans purchase health insurance (starting in 2014), which significantly changed the calculus of rationing decisions, including for preventive care. (
  • A 2008 study by researchers at the Urban Institute found that health spending for uninsured non-elderly Americans was only about 43% of health spending for similar, privately-insured Americans. (
  • One-third of Americans recently surveyed said the new health law would allow a government "death panel" to make decisions about end-of-life care. (
  • Former Gov. Sarah Palin charged in 2009 that the proposed legislation would decide whether dying Americans were worthy of medical care. (
  • Most Americans agree that everyone should have shelter, food and decent health care. (
  • But the objective should be to improve the care received by all Americans. (
  • Most Americans are opposed to Obama's hostile takeover of the nation's healthcare system and two separate federal courts-in Florida and Virginia-have ruled it unconstitutional. (
  • Decisions on how to best ration health care require Americans to recognize they all are part of the same health care system, in which the savings achieved by imposing rationing on our future selves will be captured and used for what we judge are higher priority, more cost worthy and more beneficial services, Fleck said. (
  • The study found that U.S. health citizens continue to self-ration health care: 1 in 5 older Americans has cut back on health care to save money, in the form of postponing visits to doctors, cutting medication dosages (against physician prescriptions), and stopping pills altogether. (
  • Under the ACA, we still have almost 30 million Americans without health insurance, with tens of millions more underinsured. (
  • There are about 3.2 million Americans with chronic hepatitis C, a life-threatening disease for individuals and a serious public health problem that can be cured by new drugs at a cost approaching $90,000 per patient. (
  • On a blog on Fox News earlier this year, the conservative writer John Lott wrote, "Americans should ask Canadians and Brits - people who have long suffered from rationing - how happy they are with central government decisions on eliminating 'unnecessary' health care. (
  • Even worse, decisions like this are at the heart of the concern Americans have with a government run healthcare system because they cause the most harm to the least fortunate. (
  • We find it entirely inappropriate for you to use as a platform to unleash your attack dogs against Americans who simply are concerned about ensuring proper care for themselves and their loved ones. (
  • As the toll of the coronavirus pandemic rises, Americans confront with increasing distress the idea of rationing health care. (
  • The Act places the rationing function in the hands of managed care plans owned by private enterprise (199) Private enterprise, however, will not be able to control cost if the majority of Americans do not elect managed care plans. (
  • Furthermore, many consumers will not be responsive to the premium difference (205) But, those who are likely to be the most responsive to premiums are the ethnic Americans and the poor, resulting in a health care ghetto. (
  • We ration care for millions of americans today because it is so ridiculously expensive. (
  • Let's roll our sleeves up to control our out of control health care system for all Americans, rather than poke holes at valuable efforts that try to actually discern value, or just is another chance at taking a swipe at the Affordable Care Act, which in fact, has made health insurance more affordable for millions of americans. (
  • Rationing Among Insured Americans. (
  • Healthcare rationing in the United States is largely accomplished through market forces, though major government programs include Medicare, Medicaid, Veterans Affairs, and the Indian Health Service. (
  • The Emergency Medical Treatment and Active Labor Act of 1986 requires any properly equipped hospital receiving Medicare funds (nearly all private hospitals) to provide emergency healthcare regardless of citizenship, immigration status, or ability to pay. (
  • In the media and in academia, some have advocated explicit healthcare rationing to limit the cost of Medicare and Medicaid. (
  • In the public sector, primarily Medicare, Medicaid and hospital emergency rooms, health care is rationed by long waits, high patient copayment requirements, low payments to doctors that discourage some from serving public patients and limits on payments to hospitals. (
  • Early drafts of the legislation did include a section that paid physicians for providing voluntary counseling to Medicare patients about advance directives and end-of-life care options, but the language never made it into the final legislation. (
  • Of course not, and Consumer Reports even compares prices - which is specifically prohibited from Medicare and from the new health law. (
  • Second, our insurers - insurance companies or the government, if you're on Medicare or Medicaid - ration what they'll pay for. (
  • I've been saying it all along and it's the truth, that anyone opposed to medicare, is either young, healthy, has nothing to loose in terms of a home or retirement, or already has a cadilac health insurance plan because they are a retired doctor or CEO. (
  • As the country's leading health care program, Medicare offers qualified residents an affordable solution for their medical needs. (
  • Despite a growing fear of socialized medicine, Johnson believed Medicare was a necessity, and in an effort to provide affordable insurance to elderly residents, he became the first U.S. president to approve a national health insurance policy. (
  • Part B Medicare, on the other hand, provides standard medical care, including outpatient surgery, medical equipment and other primary care services. (
  • Contrary to what you may think, Medicare does not provide free health care. (
  • Obama-care kills Medicare as we know it. (
  • When healthcare costs are rising exponentially, one tool that people are tempted to use is price controls, and Medicare is certainly an instrument of cost containment policy. (
  • WASHINGTON - The health care bill proposed by Senate Finance Committee Chairman Max Baucus on September 16 contains a dangerous provision that creates a financial incentive for Medicare doctors to deny treatments to seniors. (
  • Medicaid, Medicare, and third party private insurance all promote the use of wasteful health care spending. (
  • Canada's Medicare system and most of the UK's NHS general practitioner and dental services, which are systems where health care is delivered by private business with partial or total government funding, fit the broader definition, as do the health care systems of most of Western Europe. (
  • What the scaremongers don't like to talk about is how much our private insurers ration now -- mostly for the sake of their own profits. (
  • Even with the ACA, insurers have many ways to limit choice and access to care, including high-deductible plans (annual deductibles of5,000 for an individual and10,000 for families are part of bronze policies), narrow networks without coverage of out-of-network costs, high co-insurance for specialty drugs, restrictive definitions of medical necessity, and denial of services. (
  • An investigation by the House Subcommittee on Oversight and Investigations showed that health insurers WellPoint Inc., UnitedHealth Group and Assurant Inc. canceled the coverage of more than 20,000 people, allowing the companies to avoid paying more than $300 million in medical claims over five years. (
  • We resist rationing because someone else (insurers, the government) usually pays for it, and we want everything to be available for ourselves and our families. (
  • While billions are poured into the search for a magic pill, health insurers and local groups like the YMCA are looking for more pragmatic, low-tech solutions like the one recommended by USPSTF. (
  • The USPSTF gave the counseling approach to controlling obesity a 'B' rating, which means under the Affordable Care Act that insurers will have to cover its cost with no co-pays to the insured. (
  • In seeking the status quo, do these pols really imagine that health care isn't now rationed by private insurers? (
  • Merrill Goozner has been writing about economics and health care for many years. (
  • As usual they have forgotten that economics is the study of how to allocate scare resources and so all economics is about rationing. (
  • The Big Headline under the banner of Health Economics this week is the statistic that growth in U.S. national health spending slowed to an anemic 3.9% in 2010 - the slowest rate of growth in the 51-year history of keeping the National Health Expenditure Accounts. (
  • The reformed health care system will continue to ration health care based on economics (200) It will continue to ration health care based on race (201) It will continue to ration health care based on class (202) Universal portable coverage, by itself, is not 'good' if, in fact, the care received is discriminatory, inadequate, incompetent and inappropriate. (
  • This entry was posted in General Cynicism , Health Economics . (
  • He is the Walter McNerneyDistinguished Professor of Health Industry Managementat Northwestern University's Kellogg Graduate School ofManagement, as well as Director of the Center for HealthIndustry Market Economics there. (
  • He has published over 70research papers, monographs, and book chapters on healtheconomics and pharmacoeconomics, and is co-author ofthe popular textbook The Economics of Strategy and the tradebooks How Hospitals Survived and The Economic Evolution ofAmerican Health Care: From Marcus Welby to Managed Care . (
  • Aside from a core group of specialists in health economics, the books will be accessible to general non-specialist economists and to non-economists in related areas, such as health policy, epidemiology or public health. (
  • In an ObamaCare world, people don't want to be doctors anymore, because there's just too much hassle and red tape involved with government-run health care. (
  • In just a few days a new Obamacare tax-that will double the following year-will kick in to fund "comparative effectiveness research" that's supposed to help the government save money by finding ways to ration healthcare. (
  • A new quasi-governmental agency ( Patient-Centered Outcomes Research Institute or PCORI) created by Obamacare to provide information about the "best available evidence to help patients and their health care providers make more informed decisions. (
  • Judicial Watch has been a leader in comprehensively investigating Obamacare and has uncovered details related to secret healthcare meetings between powerful unions and Health Secretary Kathleen Sebelius, waivers to companies and unions exempting them from inconvenient provisions of the new law and the regulation and funding of Obamacare in general. (
  • Make no mistake: Beyond all the other crippling problems with the Democrats' health care proposal--its cost at a time of massive deficits, the tax increases it requires at a time of recession, its preference for government over the private sector and for central planning over free competition--the deepest vulnerability of Obamacare is that it (intentionally) puts us on a course towards government rationing of health care. (
  • See: Washington Post ObamaCare Is All About Rationing by Martin Feldstein. (
  • Will Obamacare Ration Healthcare? (
  • In the ad President Barack Obama throws Granny off the cliff rather than give her the health care she needs just like Obamacare! (
  • Among those who have argued in favor of health care rationing are moral philosopher Peter Singer and Oregon governor John Kitzhaber. (
  • Dr. Emanuel - an oncologist who studies end-of-life issues - told The Washington Times Thursday that he used to favor health care rationing, but no longer does. (
  • Lastly it will kill old people or those who some federal human bean counter says have been assessed to be somehow less deserving of the rationed resource in favor of some other more "important or deserving" group. (
  • In other words - the type of medical care rationing that many conservatives seem to favor, that allow rich people to bid medical care away from the poor by bidding the price above what the poor are capable of paying, would still exist. (
  • What does bedside rationing mean in this case? (
  • Antimicrobial stewardship programmes: bedside rationing by another name? (
  • In this paper, I argue that antimicrobial stewardship programmes are indeed a form of bedside rationing, and explore the risks and benefits of such programmes for individual patients in the intensive care unit, and the critically ill population in general. (
  • Using Norman Daniels' Accountability for Reasonableness as a framework for evaluating resource allocation policies, I conclude that antimicrobial stewardship programmes are an ethically sound form of bedside rationing. (
  • In this paper, I will argue that despite the claims of proponents, ASPs are in fact a form of bedside rationing, which despite posing some risk to individual patients, can reduce the incidence of AROs and lower healthcare costs. (
  • Rather, I argue that ASPs are consistent with Norman Daniels' model of 'accountability for reasonableness' (AFR) and are thus a fair and ethically sound form of bedside rationing. (
  • Are ASPs a form of bedside rationing? (
  • The first claim to be proved is that ASPs are in fact a form of bedside rationing. (
  • Do they prefer implicit bedside rationing that allows the physician-patient relationship broad leeway in individual decisions? (
  • When his Affordable Care Act passed, the newly created PCORI became the official center to find ways to more "effectively and appropriately" prevent, diagnose, treat, monitor and manage health conditions. (
  • when the Trump administration decides to shut down the Federal marketplace for the Affordable Care Act. (
  • While, as Landsem states, "the Affordable Care Act… says coverage decisions cannot discriminate against people because of their diagnoses and life expectancies," where will the federal government draw the line? (
  • The graph shows the sharp drop in future deficit projections following the passage of the Patient Protection and Affordable Care Act (PPACA) in March of 2010. (
  • The Supreme Court's review of the Patient Protection and Affordable Care Act is one of its most closely watched cases in decades, a fact of which the justices are well aware. (
  • Many others see that private markets already ration care based on ability to pay, and support the role of government providing for the common good, in this case by assuring access to care based on medical need. (
  • Um, we already ration care. (
  • The industry has proposed "guaranteed coverage for pre-existing conditions, discontinuing rating based on a person's health status or gender and a personal coverage requirement to get everyone into the system," said Robert Zirkelbach, spokesman for America's Health Insurance Plans. (
  • The objective of this article is, drawing on normative political theory, to sketch an argument that assigns a limited but significant role to individual responsibility in the design of the health-care system. (
  • Once the government takes over the healthcare system, it's nearly impossible to undo the damage. (
  • These kinds of views presume that our free market-based system offers full choice of health care without rationing--completely untrue. (
  • But our current system of employer-financed health insurance exists only because the federal government encouraged it by making the premiums tax deductible. (
  • If Congress prefers that the current priorities for discretionary outpatient care be implemented consistently on a systemwide basis, it should direct the Secretary of Veterans Affairs to develop a different system for allocating its resources to the medical centers so that veterans within the same priority categories, to the extent practical, receive access to discretionary outpatient care at each medical center. (
  • Pointing to an essay co-written earlier this year by White House health care adviser Dr. Ezekiel Emanuel - the brother of White House Chief of Staff Rahm Emanuel - Palin claims the president wants to enact a rationing system that would "refuse to allocate medical resources to the elderly, the infirm, and the disabled who have less economic potential. (
  • Everything you always wanted to know about the Health Care system. (
  • Multi-payor universal (MPU) health system will need some thoughtful cross-subsidy / regulation. (
  • Unfortunately, legislators appear ready to push our medical system in the wrong direction, and to empower government to ration access to potentially life-saving treatment. (
  • Unfortunately, when the government becomes the financial gatekeeper of the medical system, it automatically controls access to care. (
  • Republicans pretend that our current system doesn't stop anyone from getting all the care they need. (
  • It's part of a "little-known provision" of the president's socialist takeover of the nation's healthcare system. (
  • The facetious nature of Feldstein criticism is simply illustrated by pointing out the fact that free markets themselves are defined as a system for rationing scarce goods and services. (
  • This is a rationing system, that pulls health care away from those who do not have enough money to pay for health care that suits their preferences and assigns it instead to those who do have money. (
  • They wrote that "it is the intention of Arizona health systems to collaborate such that no system reaches a contingency or crisis level unless all do … if time does not permit and/or other facilities are short on critical resources (hospital beds, ICU beds, ventilators, dialysis machines, etc.), triage protocols as outlined here will go into effect. (
  • When a "Crisis Standards of Care" is implemented, a facility system Incident Commander will coordinate priorities within the Emergency Operations Center. (
  • Having a for-profit health care system allows for these corporate entities to place a dollar amount on human life. (
  • What I didn't know was how horrific the last six weeks of her life would be in the hospital as she fought to live--or that the health system to which I'd entrusted her would not always be her ally in that fight, but would declare it to be over well before she had given up. (
  • I call it unacknowledged rationing in an underfunded health system. (
  • The British health system that Donald Berwick, Obama's health care czar, adores and finds "romantic," has released a list of rationed surgeries. (
  • It will be of interest to policy-makers, commissioners, managers and academics with an interest in health system efficiency and equity. (
  • The United States allocates health care without an overt system of rationing. (
  • UNHCR collects health information in refugee camps and reports this information in their Health Information System (HIS). (
  • However, we all know that there is way too much waste in the health care system. (
  • Sadly, the HSA envisions not across-the-board rationing, but the continuation of a tiered health care system with rationing only for some. (
  • If one state has resorted to a system of rationing, what will keep a larger entity from doing the same? (
  • In the US health-care system, we try to do everything for everyone every time. (
  • The German system, so favored by Mr. Clinton, has affected rationing by putting their government-employed physicians on a $40,000 per year salary. (
  • It is unfortunate that most of the policy community insists on focusing on the deficit and ignoring the fact that the health care system is both the country's major long-term fiscal problem and economic problem. (
  • previews tomorrow's healthcare system, showing what it'll feel like to be at the mercy of a system that might choose not to cure you. (
  • JUNEAU, Alaska (AP) - Alaska plans to emphasize telework for state employees for the next month as the COVID-19 pandemic strains Alaska's health care system. (
  • We can create a healthcare system where no ankle gets more than a physical exam and ibuprofen (so we can forcibly prevent over-utilization), or we can teach people to use healthcare resources responsibly. (
  • The term is often used by conservatives in the U.S. to imply that the privately run health care system would become controlled by the government, thereby associating it with socialism , which has negative connotations to some people in American political culture. (
  • The consequences of population ageing for the health care system and health care costs may be less severe than is commonly assumed. (
  • The Teacher Retirement System of Texas received $70,629,796 from the feds to offer health insurance to early retirees, and the Employees Retirement system of Texas received $30,175,627. (
  • Costs do need to be controlled, for sure, but the costs are just a symptom of bad decisions and perverse incentives that have made America's health care system No. 37 in the world-even though we're No. 1 in per-capita spending. (
  • I guess my question is, under a public option or government run health care system, would that type of care be possible? (
  • Is it something that 10 years from now we're going to have to sacrifice or come up with a tremendous amount of cash to pay for it because it would be rationed under our government run health care system? (
  • Unfortunately, liberals have fallen into a different trap, because they refuse to take on the real enemies of affordable health care for all: the insurance companies, drug manufacturers, and other profiteers of our private health care system. (
  • We've seen, in the past couple of weeks, that our health care system is at capacity," state epidemiologist Dr. Angela Dunn said. (
  • I want to preface my concerns about the problems relating to the Intensive Care Units, by stating that the vast majority of people who use the public health system in Ireland, have an extremely positive experience. (
  • Within the next 25 years, the number of people aged 65 years and older in British Columbia will double, resulting in a significant burden on the health care system. (
  • As narrower insurance networks begin to limit where we can get our care and contradict the American notion of abundant choices, I thought about the Canadian health care system and rumors of its long waiting lists that grab U.S. headlines. (
  • Political decisions in 20 states rationed care by not expanding Medicaid under the ACA, leading to a projection that more than 7,000 people will die without access to necessary care in those states. (
  • Primary care, and especially urgent care, for Medicaid patients essentially does not exist, not in any meaningful way. (
  • A new study in Health Services Research reveals that expanding Medicaid to cover more adults boosts health care access and use in rural populations. (
  • He found that uninsured patients stayed in hospitals for less time, received 20 percent less care and died at a rate 37 percent higher than the insured. (
  • Last Friday, Arizona hospitals asked their state's health department to formally activate the "Crisis Standards of Care" guidelines that would provide hospitals the legal right to determine who and how patients should be treated for the coronavirus. (
  • Throughout June, the local media, via updates from the health department, had been highlighting Arizona hospitals' dwindling ICU capacity. (
  • In some, if not many cases, the care and treatment of elderly people in hospitals and nursing homes "is not meeting acceptable standards," he says. (
  • The number of coronavirus patients needing care at hospitals jumped more than 20% in a day. (
  • That goes some way to explaining why the U.S. now has the steepest trajectory of COVID-19 cases of any nation so far, including China and Italy, and is experiencing a critical-care crisis in hospitals across the land. (
  • As the first wave of the SARS-CoV-2 outbreak begins to crest over the nation during April and early May, it will send patients in respiratory distress to hospitals en masse, where many of them may die for lack of treatment. (
  • As intensive care wards fill up with patients needing ventilators, hospitals expect to see a shortfall. (
  • Idaho's public health officials say crisis standards of care are "imminent" for the state's most populated region as hospitals in the Boise area continue to be overrun with unvaccinated coronavirus patients. (
  • Hospitals in the northern half of the state were given permission to begin rationing care last week. (
  • BOISE, Idaho (AP) - An advocacy group for older adults has filed a civil rights complaint against Idaho over the state's "crisis standards of care" guidelines for hospitals that are overwhelmed by patients amid the coronavirus pandemic. (
  • A group of administrators representing Utah's hospitals presented Gov. Gary Herbert with a list of "criteria they propose doctors should use if they are forced to decide which patients can stay in overcrowded intensive care units," The Salt Lake Tribune reported. (
  • However, we also need to eliminate the egregious supply-side excess that has dominated this country's health care for the past three or more decades by imposing global budgets on hospitals and other health care providers and by constraining the never-ending expansion and diffusion of beds and technology. (
  • The federal bureaucrats would, in effect, reduce the payment to providers, forcing them to reduce the care," Kyl warned. (
  • a semi-secret tax so the feds have cash to pay bureaucrats to examine everyone's health records and, in turn, the government can save money by cutting back on care. (
  • This is especially true on the right, as illustrated by former vice president candidate Sarah Palin's warning during the 2009 debate that the ACA that would bring on rationing and "empower unelected bureaucrats to make decisions affecting life or death health care matters," referring to Medicare's funding of end-of-life counseling sessions as "death panels. (
  • It takes the telltale fingerprints from the government: instead of bureaucrats directly specifying the treatment denials that will mean death and poorer health for older people, it compels individual doctors to do the dirty work. (
  • At the heart of bioethics new orientation is the goal of clarity on a complex set of questions in rationing and resource allocation. (
  • Rationing and Resource Allocation in Healthcare: Essential Readings provides key excerpts from seminal and pertinent texts and case studies about these topics, contextualized by original introductions. (
  • This article analyzes the forces that guide resource allocation to craniofacial care. (
  • No need to weight community health programmes for resource allocation? (
  • On the basis of an innovative qualitative data analysis, which translates what people say into ethical principles identified in the theoretical literature, the public appear to support three main rationing principles: (1) a broad 'rule of rescue' that gives priority to those in immediate need, (2) health maximisation and (3) equalisation of lifetime health. (
  • Many of the initial attempts are ultimately abandoned and may, in retrospect, seem pathetically simplistic, but terms such as rationing, efficiency, cost-benefit analysis, priority-setting, QUALYs (Quality Adjusted Life Years), DALYs (Disability Adjusted Life Years), and evidence-based medicine have become integral parts of the vocab- ulary of almost everyone involved in healthcare. (
  • For a variety of reasons, rationing and priority setting were not discussed very much when I was a medical student in the early 1950s. (
  • In 1984, Victor Fuchs, a leading health economist, described a statement that the United States will soon have to begin rationing as sheer nonsense because, he pointed out, rationing and priority-setting, both on micro and macro levels, have been with us since the dawn of time. (
  • The SOFA score is added to the mortality score-ranging from 1 to 8-after which a triage color grouping is assigned-Red for those expected to survive, while Yellow then Blue are afforded the lowest priority for critical care resources. (
  • In a statement published shortly after the pope's announcement, Cardinal Kevin J. Farrell, prefect of the Dicastery for Laity, the Family and Life, said the yearly event was "a gift to the whole church" that emphasizes the pastoral care of the elderly as "a priority that can no longer be postponed by any Christian community. (
  • Efficiency and priority setting : some problems in cost-effectiveness analysis of health care / Erik Nord. (
  • Managing scarcity : priority setting and rationing in the National Health Service / Rudolf Klein, Patricia Day, and Sharon Redmayne. (
  • Priority setting : the health care debate / edited by Joanna Coast, Jenny Donovan and Stephen Frankel. (
  • Resource scarcity and priority setting: from management to leadership in the rationing of health care? (
  • Peter Singer wrote for the New York Times Magazine in July 2009 that healthcare is rationed in the United States: "Health care is a scarce resource, and all scarce resources are rationed in one way or another. (
  • Peter Singer, always interesting, on rationing health care (long). (
  • New York Times writer Peter Singer has argued that rationing is inevitable and decisions about cancer drug treatment will become the purview of US government agencies as time goes on. (
  • Left unsaid by those who raise fears of rationing by any "government-run" or government-related health care is how much rationing the insurance industry does now. (
  • It is a widespread myth, long a meme, among conservatives and many in the public that national health insurance would be "government-run" health care with rationing of services, as opposed to the free market offering more choice without rationing. (
  • Government-run health care is one Canadian import we should turn away. (
  • In the United Kingdom, the National Institute for Health and Care Excellence (NICE) sets coverage requirements for the National Health Service (NHS), which is funded and operated by the government. (
  • That sounds very close to government health care discrimination based on the political viewpoint of the patient. (
  • The Congressional Budget Office (CBO) has argued that health care costs are the primary driver of government spending in the long term. (
  • That is, in effect, a more than $200 billion government subsidy for health care. (
  • During 2007, nearly 45% of US healthcare expenses were paid for by the government. (
  • The Democratic National Committee responded to Palin's most recent treatise with a point-by-point rebuttal of what they called her "absurd" claims that the government wants to create "death panels" and ration care for the elderly. (
  • Since the government can't force anyone to be a doctor, nurse, or drug-developing scientist, there's a finite number of health care providers. (
  • Government health care at work: Good-bye innovation, hello rationing. (
  • Government Proposes (Food) Rationing! (
  • Does it help to not make the distinction crystal clear and not strongly distance from the idea of complete government control over healthcare? (
  • The key word is IF, as in "IF the politicians accept…" But he realizes that full socialized/nationalized medicine isnt going to happen here, and so what he actually argues for is the expanded but limited role of government in medical care provision. (
  • Even more obvious is rationing by foreign government-run systems. (
  • If the federal government intervenes to hold health care costs down, Kyl said, the result would be something nobody wants: rationing. (
  • government health care = tyranny. (
  • This is a Government death care plan, make no mistake. (
  • U]nlike reductions in care achieved by government rationing, individuals with different preferences about health and about risk could buy the care that best suits their preferences. (
  • The second definition of rationing is the type that one might be familiar with from World War II, where the government passed laws prohibiting people from purchasing more than a certain minimum amount of goods and services deemed essential to the war - such as gasoline and sugar. (
  • However, proof that the government is going to engage in this second type of rationing requires evidence that the government is going to prohibit people from buying particular goods and services. (
  • It is the case that the government health bill says that the government will not pay for certain types of procedures. (
  • In other words, they 'ration' in exactly the same way the government would be required to ration. (
  • one urgent issue relative to a broader government role in providing healthcare is rationing. (
  • Government-paid healthcare presents significant hurdles as well as interesting opportunities and healthcare rationing is an important part of the discussion about any kind of government-run healthcare proposal. (
  • A recent article in the Irish Times lambasted the Irish government for failing in their duty to care to vulnerable citizens and calling it a public scandal. (
  • He (of course) sited the WHO statistics that say the US has the lowest life expectancy of several government run healthcare countries. (
  • Rationing, the hated R-word, evokes widespread resentment and debate whenever mentioned in connection with health care in the U. S. There are many who hold that we don't ration care now, never want to, and that the free market will work its magic and be fair to all without rationing if we just keep the government out of health care. (
  • Drug companies are charging high prices without any restrictions by government, while states with their limited budgets are looking at treating just some of the sicker patients, leaving the rest of the population with hepatitis C untreated and a public health threat. (
  • Leaders of the Republican National Committee say revised recommendations issued by a government-funded panel that say women only need to be screened for breast cancer after the age of 50 could be the beginning of health care rationing by the government. (
  • The U.S. Preventative Services Task Force, an independent panel of doctors and scientists that makes health recommendations to the government, issued these guidelines. (
  • USPSTF's decisions are neither binding nor final, but RNC officials say it shows how the government could ration care. (
  • It is clear that this decision is just the first step toward total government rationing of health care. (
  • In the future it will be complete government control of the tests we receive, the doctors we see and the care the government decides that we deserve. (
  • Adding insult to injury, in addition to Pfeiffer's accusation that anyone who opposed the ruling is arguing in bad faith, he made several misleading claims about government rationing of health care under the new government-run health care experiment you plan to impose on the country. (
  • More specifically, they were motivated by problems associated with uncompensated care and the cost of health care to employers and the government. (
  • When an inherently impersonal government makes health care decisions for those who need access to care, with what do we result? (
  • Government-Sponsored Rationing in the United States. (
  • Because vaccination is both an individual medical intervention and a central component of public health efforts, it raises a distinct set of legal and ethical issues-from debates over their risks and benefits to the use of government vaccination requirements-and makes vaccine policymaking uniquely challenging. (
  • medical and hospital care for all by means of government regulation of health care and subsidies derived from taxation . (
  • The original meaning was confined to systems in which the government operates health care facilities and employs health care professionals. (
  • When used in that way, the narrow definition permits a clear distinction from single payer health insurance systems, in which the government finances health care but is not involved in care delivery. (
  • Jonathan Oberlander , a professor of health policy at the University of North Carolina , maintains that the term is merely a political pejorative that has been defined to mean different levels of government involvement in health care, depending on what the speaker was arguing against at the time. (
  • Predictably, the GOP has capitalized on the recent uproar over revised mammogram recommendations as proof that the federal government is trying to ration your health care. (
  • The government is trying to ration health care. (
  • The latest issue of Mother Jones includes an article by me about the controversy over age-based health care rationing, which got transformed by the right into government "death panels. (
  • Sarah Palin is keeping up her full court press against President Obama's health care plan. (
  • (CNN) - Sarah Palin is keeping up her full court press against President Obama's health care plan, penning yet another Facebook message that accuses the administration of misleading the public about its true goals. (
  • An article in the Washington Post this morning complains that Obama's health care package will result in the rationing of health care services. (
  • The Arizona Department of Health promulgated a COVID-19 addendum for the allocation of scarce resources in acute care facilities back in April during the initial surge of the pandemic in the United States. (
  • The allocation of resources to craniofacial programs, including those for children with rare major craniofacial conditions, is considered in the context of social justice and broad contemporary ethical and health care delivery issues. (
  • The reality is, we already have a very unfair allocation of health care resources," says Dr. Robert Truog, a critical-care pediatrician and bioethicist at Harvard. (
  • To the extent that allocation decisions are driven by concerns about distributive justice and the efficient use of scarce resources, it would be more justifiable to ration intensive care for the very old than the very young. (
  • Daniel Wikler's current research interests are ethical issues in population and international health, including the allocation of health resources, health research involving human subjects, ethical dilemmas arising in public health practice, and ethical dimensions of global tobacco control policy. (
  • Resource-based thresholds for potentially inappropriate treatment in intensive care. (
  • In intensive care, disputes sometimes arise when patients or surrogates strongly desire treatment, yet health professionals regard it as potentially inappropriate. (
  • Intensive care units around the nation are packed with patients extremely ill with the coronavirus - even in places where hospitalizations have not yet reached earlier peaks. (
  • FILE - In this Tuesday, Aug. 31, 2021 file photo Ann Enderle R.N. attends to a COVID-19 patient in the Medical Intensive care unit (MICU) at St. Luke's Boise Medical Center in Boise, Idaho. (
  • The southwestern and southern Idaho regions that include Boise and Twin Falls may get official authorization to begin rationing health care - a step intended to ensure the patients most likely to survive are given access to scarce resources like intensive care unit beds - any day now, Idaho Department of Health and Welfare Director Dave Jeppesen said Tuesday. (
  • Infectious diseases are one of the leading causes of admission and death in the intensive care unit (ICU). (
  • This is already happening in intensive care units, and in emergency rooms. (
  • Laurie Terry needed special equipment in a hospital's intensive care unit. (
  • Tom Ryan is a Consultant in Intensive Care and Anesthesia in St James's Hospital and he is a senior medical professional who knows what he is speaking about. (
  • I could quote from the INMO, SIPTU and other unions on the frontline in intensive care units. (
  • That is why the type of problems, being experienced within the Intensive Care Units is so alarming. (
  • TIME ) - Those tough choices, he admitted, include discussions about whether scarce resources should go to people who haven't been vaccinated, and the difficult ethical questions about personal choice that rationing crises raise. (
  • Personal responsibility must play a role in healthcare utilization, just as efforts to protect our environment and scarce resources require participation by individuals. (
  • Dialysis machines for patients in kidney failure were rationed between 1962 and 1967. (
  • However, in what I believe to be a first in the nation (for now) approach, they directed the state Health Care Authority to find $72 million in savings specifically from emergency department (ED) utilization, and more specifically from those patients who over-utilize the ED for non-emergent medical care. (
  • The idea, should this go into effect as planned, was that patients would redirect their care back to clinics and primary care providers. (
  • I believe people who work for the NHS, and particularly at Queen Elizabeth Hospital, are passionate about providing excellent care for their patients. (
  • Simply put if you add 50 million more patients on the same number of doctors that we currently have it is NOT possible to avoid longer waits and some form of rationing. (
  • In fact, studies show that patients want 40 percent less care than is sometimes recommended by a physician. (
  • It is time to begin open discussions about how to deal with expensive, minimally effective, medical care with patients, families, professionals and ethicists and not the medical industrialists who gain from prolonging life at every expense. (
  • These things aren't "rationing" in the old-fashioned sense, but as far as patients are concerned (to quote Kyl), "it's the same result. (
  • It's not exactly rationing - but as far as patients are concerned, "it's the same result. (
  • PCORI claims its research is intended to give patients a better understanding of the prevention, treatment and care options available. (
  • By changing that, we'll save billions of dollars while improving the quality of care for patients. (
  • In ten groups of about six people, members of the public are asked to discuss a hypothetical rationing choice, concerning four identified patients who are described in general terms but without detailed information. (
  • When a hospital phy- sician-in-training goes home leaving more work behind from which patients might benefit, she is rationing her time. (
  • Based on estimates provided by various health officials, concerns were raised that there would be insufficient capacity to ventilate patients. (
  • Infected patients who have arrived for life-saving treatments and critical care at the hospital will have to first undergo an assessment on "the best available relevant and objective medical evidence. (
  • When Globerman surveyed people at the forum--about 85 attended including hospital reps, health care professionals, elderly people, and family members of elderly patients--100 percent responded affirmatively to the question: "Do you believe that some health care providers would have treated you (or a senior you know) better if you or they had been younger? (
  • Private insurance places guidelines on repayment and reimbursement schedules, and primary care doctors have to fill out pre-approval forms for patients to get an MRI or CT. (
  • He knew that failing to take the medication could cause graft rejection, so he made an appointment with Dr. Roberts, a nephrologist at a local academic center who specialized in care of renal transplant patients. (
  • Further, Dr. Roberts was wary because purchasing organs was illegal in the U.S. Having worked in the transplant field for several decades and witnessed numerous changes in the regulations about and care of transplant patients, Dr. Roberts understood how difficult it was to secure an organ, but didn't want to be perceived as condoning Mr. Lawrence's actions. (
  • Rationing healthcare is a difficult task, which includes preventing patients from accessing potentially beneficial treatments. (
  • Anderson Lopez Castillo, a nurse who cares for seriously ill COVID-19 patients at UAB Hospital in Birmingham, Alabama, said treating people as young as 16 in critical care has become an additional strain on top of a nearly yearlong ordeal that left him questioning his choice of a profession. (
  • 23 Only certain refugees, including young or malnourished children, pregnant and lactating women, and infectious tuberculosis patients, receive additional rations and multivitamin supplements. (
  • WMUK, a member of the Specialised Healthcare Alliance, has signed a letter to Theresa May calling for fair treatment for patients with rare and complex conditions. (
  • We urge you to ensure that this year's budget provides the NHS with the funding it needs to deliver the standards of care patients expect. (
  • NHS England is now choosing to restrict and ration treatments that patients with rare and complex conditions need - often without proper consultation with patients. (
  • Although their goal is to '…lead to the best clinical outcome for the treatment or prevention of infection while producing the fewest possible side effects and the lowest risk for subsequent resistance', 5 clinicians often have concerns that ASPs ration care, putting their patients at risk of worsening infection due to hasty discontinuation or narrowing of antibiotics. (
  • National Right to Life Executive Director, David N. O'Steen, Ph.D, says, "This is the cruelest and most effective way to ensure that doctors are forced to ration care for their senior citizen patients. (
  • Menstruation dignity for patients in mental health care A guide for UNISON health branches. (
  • Hospital discharge data from Germany's largest health insurer (AOK) show that the care of patients during their last year of life is less costly if they die at an advanced age. (
  • Police are considering whether to launch a criminal investigation after regulators the Care Quality Commission (CQC) found evidence that staff were put under pressure to falsify data, leaving some patients waiting up to four months for urgent treatment. (
  • BOISE, Idaho (AP) - In another ominous sign about the spread of the delta variant, Idaho public health leaders on Thursday expanded health care rationing statewide and individual hospital systems in Alaska and Montana have enacted similar crisis standards amid a spike in the number of unvaccinated COVID-19 patients requiring hospitalization. (
  • What makes it worse in the case of ICU, is that it directly impacts upon serious elective surgery, such as cancer, and also hinders Doctors from escalating a really medically sick patients care, for example a patient with pneumonia. (
  • As we head into health insurance enrollment season, which opens in November, consumers/patients will face yet another challenge in selecting the best health plan. (
  • Among the uninsured, tens of thousands die each year because of lack of health insurance. (
  • The costs of health insurance and care have reached more than25,000 a year for a typical family of four insured by an average employer-sponsored PPO (4), having doubled over the last ten years--clearly a huge burden when we consider that the median household income is now about53,000. (
  • There has been a large cost shift from employers to employees in employer-sponsored health insurance as employees find themselves with higher deductibles, higher coinsurance, and a higher share of premiums. (
  • Access to private health insurance is rationed on price and ability to pay. (
  • Those unable to afford a health insurance policy are unable to acquire a private plan except by employer-provided and other job-attached coverage, and insurance companies sometimes pre-screen applicants for pre-existing medical conditions. (
  • In other words, more expensive insurance premiums reduce the growth in household income, which forces tradeoffs between healthcare services and other consumption. (
  • The increases also prevent smaller companies from affording health insurance for their workers. (
  • In 2009, an estimated 46 million individuals in the United States did not have health insurance coverage. (
  • Fareed Zakaria wrote that only 38% of small businesses provided health insurance for their employees during 2009, versus 61% in 1993, because of rising costs. (
  • It's (relatively) easy to pass a law requiring all citizens to purchase health insurance. (
  • Here's a secret that Nancy Pelosi forgot to tell you: Health insurance does not equal health care. (
  • Once Washington imposes a health insurance mandate, it has to decide what benefits fulfill its requirements and what it is willing to subsidize. (
  • First, we ration health insurance. (
  • Who gets affordable health insurance? (
  • In 2005, Joseph J. Doyle Jr., an economist at the Massachusetts Institute of Technology, studied the health outcomes of people who were seriously injured in automobile accidents - a population he chose because they had little control, at that moment, over what insurance they had or what care they received. (
  • So one major form of rationing - the rationing of health insurance - would be relieved. (
  • If we are to turn this issue into a pro-life issue, then I'll ask this - what about the children of people who can't afford health insurance on their own? (
  • Then deregulate consumption of healthcare and free up the healthcare & insurance markets. (
  • The private insurance companies ration care. (
  • Because the elderly couldn't find health insurance. (
  • Believe me when I tell you that things look a whole lot different when you've worked your butt off your whole life through to secure yourself a home and a little nest egg, only to loose it because you can't afford health insurance or you have pre existing conditions that aren't covered. (
  • Simplee calculated the real value of that insurance payment to consumers, based on the negotiated discount received by Simplee consumers' health plan sponsors. (
  • The analysts talk about the spending slowdown in the context of the highest unemployment rate in 27 years, the erosion of private health insurance provision by employers and plan sponsors, employers' caution about hiring new workers, and the lowest median household income since 1996. (
  • For those who really don't like the idea of rationalized care and promote private insurance as the way to get around it, unfortunately rationing of health care dollars is not uncommon in the private care model. (
  • In her excellent 2012 book Health Care for Some: Rights and Rationing in the United States since 1930, Beatrix Hoffman shows us how we have long rationed health care, not in a top-down way but "by price, insurance coverage and other methods involving both the private and public sectors in ways both official and unofficial, intended and unintended, visible and invisible. (
  • But suppose it's not you with the cancer but a stranger covered by your health-insurance fund. (
  • To control costs, individuals, providers or health insurance plans will need to ration care. (
  • In no instance can it be justified to spend $100,000 in public resources to increase an individual's expected survival by three months when hundreds of thousands of Oregonians are without any form of health insurance," the Oregon Health Evidence Review Commission was quoted as saying in an opinion article by Hope Landsem featured in The Wall Street Journal. (
  • It's gotten worse in recent years with costs increasing at near double digits each year (130% over 10 years) and health insurance becoming unaffordable for many. (
  • The state has well over $200 billion in unfunded pension liabilities, some $73 billion in unfunded state retiree health insurance benefits, and billions in unpaid bills, and it hasn't had a balanced budget since 2001. (
  • The resulting MRI led to blood testing, which led to more testing, and more specialist input, etc. until the costs had spiraled out of control - not that Tara cared much because (as she admits) "I had lost track because it was all covered by insurance. (
  • [22] Universal health care and national health insurance were first proposed by U.S. President Theodore Roosevelt . (
  • The Lewin Group is a subsidiary of UnitedHealth Group, a health insurance provider. (
  • This is about the health insurance agency versus the American people. (
  • This is, Emanuel noted, a form of de facto rationing that stems from legislated attempts to constrain market forces that might otherwise have worked to make generic drugs more profitable. (
  • CHICAGO - Having practiced medicine at a large, inner-city public hospital for the past 20 years, I can readily attest to the long-term existence of de facto rationing of health care in this country. (
  • It is possible to assign a limited but significant role to individual responsibility in the rationing of health-care resources. (
  • ration) health care resources. (
  • The London Health Observatory calculated that these procedures amounted to between 3% and 10% of clinical activity and that the resources could be used more effectively. (
  • and (2) rations care when resources are insufficient to serve all eligible veterans. (
  • Then it will kill ANY freedom of choice individuals once exercised for their health care, then it will kill the flow of the current resources to those who are unfairly obtaining it so that they can be redistributed in a more just and fair manner. (
  • Let spell this one out for you - this explicitly means that health care resources will be denied in specified areas so that they can then be freely provided to Illegal Aliens and people who vote for 0bama. (
  • This decade has been one of almost incessant struggle by different Western societies to cope with a seemingly inexorable rise in healthcare needs, demands, desires, and costs, almost invariably outstripping the available or made available resources. (
  • The only resources that do not have to be rationed are those that are so common that everybody can have all they want without effort, or public goods from which individuals cannot be excluded. (
  • Resources (or goods and services) are rationed to those willing and able to meet the established market price. (
  • What we have to identify are marginally beneficial, non-cost-worthy health care options that we would be willing to deny to our future selves to guarantee we have sufficient resources to provide health care to everyone," he said. (
  • Containing the most important and classic articles surrounding the theoretical and practical issues related to rationing and how to allocate scare medical resources, this collection aims to assist and inform those who wish to be a part of bioethics' 21st century shift including practitioners and policy-makers, and students and scholars in the health sciences, philosophy, law, and medical ethics. (
  • Up-to-date information about the economic impact of dental diseases is essential for health care decision makers when seeking to make rational use of available resources. (
  • Here, we have just such a case in which market forces - had they been left unfettered - might have allowed for a more rational and humane distribution of healthcare resources. (
  • And demonizing good-faith efforts to grapple with difficult choices about how to spend limited public healthcare resources sets the process back. (
  • Although debates over these issues are ongoing, there are few comprehensive resources for addressing such dilemmas in the practice of psychology, psychiatry, social work, and other behavioral and mental health care professions. (
  • Whether or not you agree that socialized medicine reduces healthcare costs, it seems to me that we all have a responsibility not to over-utilize medical resources so that they will still be there when we really need them. (
  • Over-investigating every pediatric ankle sprain will simply drain our collective resources, ultimately resulting in further healthcare rationing. (
  • Mr Lansley told the conference in Harrogate: 'It would be unacceptable for the rationing of limited resources to take place at the level of the GP and their patient. (
  • On the redesigned Be a Prepared Patient website, we have collected trusted resources and tips to help people navigate their way through health and health care decisions and experiences. (
  • President Obama noted that US healthcare was rationed based on income, type of employment, and pre-existing medical conditions, with nearly 46 million uninsured. (
  • You would think that's a concept fiscal conservatives would applaud, but they're more intent on blocking any expansion of the federal role in health care - and on thwarting President Barack Obama. (
  • Judicial Watch has also obtained internal Justice Department documents that suggest Supreme Court Justice Elena Kagan helped coordinate the Obama Administration's legal defense of the healthcare law while she served as Solicitor General. (
  • I'm writing in response to John Lengemann's recent editorial in the Oct. 27 issue under 'Letters to the Editor' and his opinion regarding health care and the potential for rationing under the Obama health care plan. (
  • He served as the first Staff Ethicist for the World Health Organization, and served as Staff Philosopher for the President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research. (
  • The World Bank, long regarded by many as a bastion of incorrigible conservatism and lacking adequate social conscious- ness, broke precedent by devoting its entire 1993 World Develop- ment Report to health. (
  • That emergency room doctor would be the first at the hospital to raise a question that would shadow decisions about McSweeney's care over nearly three weeks at the hospital: Why does a woman with significant and complex disabilities have a legal order that requires the hospital to take all measures to save her life? (
  • and (4) the VA medical centers that ration care make their rationing decisions based on income levels, medical service, and the type of medical condition, resulting in veterans with similar medical conditions receiving different levels of care. (
  • As for making decisions about what care is paid for, and at what price - the indirect form of rationing Kyl warned about - that's a stickier point. (
  • No one has a moral right to impose rationing decisions on others if they are unwilling to impose those same rationing decisions on themselves in the same medical circumstances. (
  • It's clear that for many people, tough decisions are being made regarding their willingness-to-pay for expensive cancer drugs on one end of the health continuum, to visits to doctors when "I feel sick" on the other less-acute end of the health-illness spectrum. (
  • The drive to devolve greater responsibility for decision-making to local clinicians is expected to result in wider variations in funding and purchasing decisions, and some fear this could result in greater inequities in access to care. (
  • Although health-care rationing can be conceived as a socially constructed process, little is known about how decisions emerge within the context of face-to-face doctor-patient interactions. (
  • Your doctor will still be responsible for making decisions about your health care. (
  • We hope that you will take action to ensure full patient involvement in these decisions, and to ensure that any decision to ration treatment is overseen by democratically-elected politicians. (
  • But as this generic drug shortage scenario illustrates, we make decisions all the time as a society that result in healthcare rationing - whether anyone wants to see it, acknowledge it, or call it what it is. (
  • Where investment or disinvestment are needed there will be collective decisions in conjunction with healthcare providers and local authorities. (
  • Whereas rationing of health care isn't an ideal situation, I'd rather have that then not have universal coverage for everyone else. (
  • In Bhutanese refugee camps, prenatal care coverage is approximately 91-97% including antenatal tetanus toxoid administration. (
  • Consequently, universal portable coverage has been offered as the quid pro quo for accepting managed care rationing. (
  • We limit first dollar coverage in many plans, limit the number of providers in plan networks, limit formularies for drug coverage, and create mind-numbing prcedural hoops to go through before care is accessed… to try and control costs. (
  • Most industrialized countries and many developing countries operate some form of publicly funded health care with universal coverage as the goal. (
  • Our mission is to help fill the widening gap in media coverage by providing crucial information about health care in Georgia. (
  • They went on to say, that the President won't sign a bill that doesn't guarantee coverage to all people of all ages regardless of specific health conditions. (
  • Making Fair Choices on the Path to Universal Health Coverage: Applying Principles to Difficult Cases. (
  • Three Case Studies in Making Fair Choices on the Path to Universal Health Coverage. (
  • And, while I endorse the Oregon health plan and its approval by the Clinton administration, as your March 27 editorial points out, the plan meets only one of two critical needs: It attempts to provide basic coverage for all but does not address the issue of spiraling health care costs. (
  • It was a legal document that explained what medical care this disabled woman - who couldn't speak for herself - wanted. (
  • Some fear that this initiative will lead to rationing certain medical services. (
  • But when it comes to expensive, marginally effective medical care, we feel differently. (
  • As medical technology improves, there's no way all of us can have all the high-end care we want - unless we are willing to pay for it. (
  • Center for Medicine in the Public Interest is a nonprofit, non-partisan organization promoting innovative solutions that advance medical progress, reduce health disparities, extend life and make health care more affordable, preventive and patient-centered. (
  • The proposal, written in careful medical-legal jargon, was drafted by the chief medical officers of the University of Arizona College of Medicine, Abrazo Healthcare, Carondelet Healthcare, Common Spirit Arizona Division Dignity Health, Banner Health, and Phoenix Children's Hospital. (
  • Social Policy and the Rationing of Medical Services. (
  • We health economists used to consider medical goods, like insulin and pacemakers, as having "inelastic demand:" that is, as prices would go up on these items, demand would still be there. (
  • But as it happens, last year the Gallup organization did ask Canadians and Brits, and people in many different countries, if they have confidence in "health care or medical systems" in their country. (
  • The Association of Medical Doctors of Asia (AMDA)-Nepal, a non-governmental organization, provides inpatient and outpatient medical care and community health education in all refugee camps in Nepal. (
  • Services include pediatrics and integrated management of childhood illness, reproductive health, psychiatric consultation, emergency medical services and referrals, basic laboratory services, tuberculosis (TB) management (Directly Observed Therapy with first-line agents), voluntary testing and counseling for human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) with referral services for antiretroviral treatment, and nutrition promotion. (
  • Therefore, the cost of medical care will be greatly reduced since the amount of medical care will be greatly reduced. (
  • how medical technology will transform human life and health care. (
  • Arthur L. Caplan is Director of the Division of Medical Ethics in the Department of Population Health at New York University's Langone Medical Center. (
  • The United States Veterans Health Administration and the medical departments of the U.S. Army , Navy , and Air Force , would also fall under this narrow definition. (
  • It was performed via retrospective, chart review study at ICUs at the University of Chicago-an inner city, tertiary care, academic medical center. (
  • Fact is, no medical rationing is more extreme than kicking someone out of your health plan. (
  • But the clearest, most even-handed explanation I've seen for the logic behind rationing medical tests appeared in this past Sunday's New York Times Magazine . (
  • No doctor ever wants to be in this position - it runs contrary to our Hippocratic oath, contrary to the Guidelines from the Medical Council, contrary to the reason many of us decided to get into medicine and healthcare. (
  • In January 2009, United Health agreed to pay $400 million to the State of New York after being charged with defrauding customers-manipulating data in order to shift medical expenses onto consumers. (
  • citation needed] More recently, Tia Powell led a New York State Workgroup that set up guidelines for rationing ventilators during a flu pandemic. (
  • In 2008, Tia Powell led a New York State work group to set up guidelines for rationing ventilators during a potential flu pandemic. (
  • Her death would raise another question, one that people with disabilities and the elderly have worried about since the start of the coronavirus pandemic: Are they denied care when it gets scarce - like drugs or treatment, including ventilators - that might save their lives? (
  • During the 1940s, a limited supply of iron lungs for polio victims forced physicians to ration these machines. (
  • I'd quite like to see those folks re-routed to clinics or primary care physicians. (
  • His physicians advise him that he could be on the list for up to 3 years and that his health during that time would not be jeopardized, aside from the risks and inconveniences associated with long-term dialysis. (
  • Individuals with significant health problems are likely both to want comprehensive benefits and to stay with their current physicians. (
  • Ms. Pope herself is contributing to the healthcare waste she despises by requesting excessive testing in an environment where physicians are afraid to say no due to legal pressures (or a NYT writer's bully pulpit). (
  • Are physicians willing to ration health care? (
  • Background: Several quantitative surveys have been conducted internationally to gather empirical information about physicians' general attitudes towards health care rationing. (
  • Are physicians ready to accept and implement rationing, or are they rather reluctant? (
  • Conclusions: The conflicting findings among studies illustrate important ambivalence in physicians that has several implications for health policy. (
  • Fingerprint Dive into the research topics of 'Are physicians willing to ration health care? (
  • This award supports the creation of a team focused on working with practicing neuroscientists, physicians and clinical researchers, ethicists, and health policy-makers in BC to ensure that advances in neuroscience are aligned with societal and individual human values. (
  • Britain faces a severe backlog in mental health support and public health provision on account of the pandemic, Sajid Javid has warned. (
  • In Kentucky, just under 48% of the population is fully vaccinated, and public health officials have blamed the lag in part for the state's surge. (
  • Even before a formal rationing of health care, one Utah mother who suffered a heart attack was delayed in getting adequate treatment due to the Covid-19 surge. (
  • Canada proves that single-payer health care inevitably results in rationing and lost lives. (
  • She writes that the plan making its way through Congress will "inevitably" lead to health care rationing. (
  • While Fauci said such factors should not factor into a person's care, he acknowledged that faced with such difficult choices, inevitably, "there's talk of that. (
  • Databases searched included Medline, Cumulative Index of Nursing and Allied Health Literature, Academic Search Premier, Cochrane Database of Systematic Reviews and PsycINFO. (
  • indirect costs were estimated using an approach developed by the World Health Organization Commission on Macroeconomics and Health and factoring in 2015 values for gross domestic product and disability-adjusted life years from the Global Burden of Disease Study. (
  • How Are Disabled People Affected When COVID-19 Health Care Rationing Happens? (
  • Equally distressing was the shortage of critical care capacity at health systems overwhelmed by COVID-19 cases. (
  • COVID-19 Is Forcing Us to Talk About Rationing Health Care in the U.S. Again. (
  • Children now make up 36% of Tennessee's reported COVID-19 cases, marking yet another sobering milestone in the state's battle against the virus, Health Commissioner Lisa Piercey said Wednesday. (
  • MINNEAPOLIS (AP) - COVID-19 booster shots are being made available to Minnesotans who are eligible to receive them under the latest guidance from the U.S. Centers for Disease Control and Prevention, state health officials announced Friday. (
  • Individuals who are able to do so may also pay for private treatments beyond what the NHS offers, but low-income people largely have equal access to health care. (
  • Nevertheless, a paucity of effective interventions and universal pressure on health-care budgets means that access to obesity treatments is often limited. (
  • People make different choices about how to live their life and these choices have a significant effect on their health, the risks they face and their need for treatment in the future. (
  • With drugs, when people stop, they gain the weight back," said David Grossman, a senior investigator at Group Health Research Institute in Seattle and chairman of the 16-member panel that issued the updated guidelines on obesity prevention on Tuesday. (
  • This use of the term 'ration' allows Feldstein to effectively mislead people by use of the fallacy of equivocation. (
  • If it were a child receiving the same care, there's no way that people would accept it. (
  • Globerman's goal for Running To Daylight is not only to continue questioning standards for the care and treatment of elderly people, but also to provide independent patient advocates for them. (
  • The chart tells the story of another kind of health care cost inflation: that is the out-of-pocket cost increase for health consumers, in this case members of the Simplee database of people tracking their health spending. (
  • While this is not a random sample of U.S. adults, lifting the hood on Simplee's database provides insights into how health-engaged people are responding to growing health care costs as a component of their household budgets. (
  • Oftentimes health bloggers rage about the 'fruitless end-of-life' attempts where people in terminal disease or the extreme elderly have full code status. (
  • Should people who followed mask and social distancing recommendations be prioritized over people who flouted these public health guidelines? (
  • Some people like to think of health care and education of basic human rights. (
  • The result: more than 8,300 people - a record number - are on waiting lists in 13 states to get antiretrovirals and other drugs used to treat HIV and AIDS or the side effects, mental health conditions or opportunistic infections. (
  • PROVIDENCE, R.I. (AP) - Several people employed in Rhode Island's health care industry have filed a federal challenge to the state's coronavirus vaccine mandate for health care workers, alleging it is unconstitutional because it does not allow religious exemptions. (
  • As a result, old people are being asked if we would be willing to give up some expensive, life-sustaining treatment so that our grandchildren can have health care. (
  • In a country that already spends more than 16 percent of each GDP dollar on health care ( PDF ), it's easy to see why so many people believe there's simply not enough of it to go around. (
  • At the end of the day, there is a growing recognition that we need people to take better care of themselves. (
  • Other speakers talked of substandard care in nursing homes, with elderly relatives left to lie in their own waste or vomit and going for days or even weeks without baths or showers. (
  • To me, the health of our elderly is much more important that spending billions on war. (
  • Care for the elderly in MICUs involves a far greater proportional expenditure of money toward those who will not survive than does care for newborns in NICUs. (
  • Why is health treatment for the elderly less expensive than for the rest of the population? (
  • Your Administration's attempt to ration and limit access to potentially life-saving mammograms is profoundly dangerous. (
  • It is useful and necessary to "ration" services that are not efficacious or cost effective based on scientific evidence, as is done successfully by such countries as the United Kingdom, with their National Institute for Health and Care Excellence (NICE). (
  • The past decade has seen the virtual collapse of the Soviet-style socialist economies, with serious disruption of their poor but at least superficially relatively egalitarian health services. (
  • There is a common misconception that rationing of healthcare services is the result of the economic and societal changes that are sweeping many countries and that it is a uniquely modern phenom- enon. (
  • Before American policymakers, providers, plans and suppliers pat themselves on their collective back on a job well-done, the heavy-lifting behind this story was largely undertaken by health consumers themselves in the form of facing greater co-pays, premiums and prices for health services - and as a result, self-rationing off health care services and utilization, which negatively impacts providers and suppliers alike. (
  • Instead of the $8,841 spent by families ($3,633 out-of-pocket + $5,208 premium), the total amount billed for health care services would have been $15,512. (
  • So Simplee users had a 43% effective discount on their health services in terms of amount billed versus amount spent. (
  • That environmental context laid the table for consumer self-rationing in health services over the past few years, a trend tracked by the Kaiser Family Foundation Health Tracking Polls since 2009. (
  • We're going to have to choose who gets care and who doesn't get care,' state Health and Human Services Secretary Dr. David Scrase warned. (
  • Proponents argue that because all plans are required to provide access to the same basic comprehensive services, these plans will provide more amenities, not more services, i.e., better carpet on the floor, quicker service (206) However, proponents fail to realize that these 'amenities' can make a difference in quality of care. (
  • His many awards have included the Association ofUniversity Programs in Health Administration'sJohn D. Thompson Prize in Health Services Research andnumerous "research article of the year" prizes. (
  • Nearly half a million UNISON members work in health care in the NHS and for organisations providing NHS services across the UK. (
  • AUSTIN, Texas, Nov. 3 -- The Texas Democratic Party issued the following news release: According to data released by the Health and Human Services Department in October, retired teachers and retired state employees in Texas have been among the biggest beneficiaries of the early retirement provision of the health care law. (
  • This series publishes recent economic research and its applications to public policy problems of health and health services. (
  • The chronic conditions associated with lifelong obesity - heart disease, diabetes, increased rates of cancer - are one of the major reasons why health care costs are rising as fast as they are. (
  • As health care costs exponentially rise - 5.2 percent of the U.S. gross domestic product was spent on health care in 1960, compared with 16.5 percent presently - Fleck adds this is an issue that needs immediate attention. (
  • Following up on my last two blog posts, dealing with the greed of the pharmaceutical industry (2) and the soaring costs and prices of health care despite all efforts toward cost containment (3), we now need to consider where we stand on rationing itself. (
  • The reaction so far in both the private and public sectors is to continue business as usual without recognizing trade-offs that would be necessary to avoid another huge escalation of health care costs. (
  • Using a case-based exercise, readers are asked to weigh the potential costs and benefits of six health and social programs. (
  • The rationing of health care is the only way to significantly reduce health-care costs in the United States. (
  • The best way to cause a dramatic reduction in costs through covert rationing is simply to put the health providers on lower salaries. (
  • The new long-term budget projections from the Congressional Budget Office (CBO) show once again that the major problem facing the both the budget and the larger economy is out-of-control health care costs, not any inherent fiscal crisis. (
  • While no one can know what future Congresses will do, the CBO baseline does show clearly that if health care costs are constrained, as they would be if Congress does not change the law, then there is no real long-term deficit problem. (
  • It is also worth noting that the CBO has clearly indicated that the public sector offers the more promising route for containing health care costs. (
  • At the same time, the use of broad-spectrum antibiotics is associated with the development of antibiotic-resistant organisms (AROs), which due to their resistance properties are associated with higher healthcare costs as well as increased morbidity and mortality compared with non-AROs. (
  • Ms. Pope's victim mentality demonstrates her lack of insight into the true causes of rising healthcare costs - one of which is patient demand. (
  • The idea of rationing really strikes at the core of all that we are talking about with regard to health care - this idea of lowering costs, trying to increase access. (
  • Now the president says they'll add prevention programs and wellness programs, creating a healthier population and that will be a cheaper population with regard to health care costs. (
  • Here's what I mean: Nearly every other industrialized country recognizes health care as a human right, whose costs and benefits are shared among all citizens. (
  • One of the most serious effects of occupational stress is mental illness - a prominent health issue in terms of both financial and human costs. (
  • Shortages of donated organs for transplantation has resulted in the rationing of hearts, livers, lungs and kidneys in the United States, mediated by the United Network for Organ Sharing. (
  • Health systems throughout the country were facing severe shortages of PPEs and testing capacity. (
  • At the same time, political debates over the Secretary of State's duty to provide 'a comprehensive health service' have thrown a spotlight on how the NHS interprets national guidance at a local level. (
  • This small-scale study develops a new methodology for investigating which ethical principles of health care rationing the public support after discussion and deliberation. (
  • Justice in healthcare is a substantial part of ethics in medicine, here we will cover some of the distinctive aspects of justice-based concerns and some basic ethics language to help wade through these interesting ethical issues. (
  • This book discusses some of the most critical ethical issues in mental health care today, including the moral dimensions of addiction, patient autonomy and compulsory treatment, privacy and confidentiality, and the definition of mental illness itself. (
  • In the case of free markets, rationing is done according to willingness (and ability) to pay. (
  • Survey items were extracted that match with: (i) willingness to ration health care or (ii) preferences for different rationing strategies. (
  • But watch what happens when rational allocating becomes rationing. (
  • We must come together as a nation and solve our health care issues with a rational mind, not rationing. (
  • Important as this controversy is, it has still not been resolved, leaving the very word "rationing" as a lightning rod issue that tends to prevent rational discourse. (
  • I'm not talking about withholding a lifesaving treatment from your 75-year-old mother here, but rather about approaching health-and mortality-with rational medicine rather than emotional politics. (
  • Fears of health care rationing are emotional reactions. (
  • He wrote that there are three primary ways the US rations healthcare: The increases in healthcare premiums reduce worker pay. (
  • I'm not comfortable with punishing him at all for free speech, but I'm really appalled that the hospital thinks political viewpoint discrimination regarding health care treatment is ok. (
  • To our knowledge, this pluralistic viewpoint on rationing has never been developed into a coherent theoretical position, nor into a quantifiable model that health care managers can use for guidance. (
  • In New Mexico, top health officials warned Wednesday that the state is about a week away from rationing health care. (
  • With the mosquito-borne Zika virus linked to a dramatic rise in severe birth defects in Brazil, health officials in nearby countries are advising women to delay plans to become pregnant. (
  • According to World Bank figures, the world s total health expenditure for 1990 was $1.7 trillion, or eight percent of the world s product. (
  • In the United States, despite spending much more, per person, on health care, the figure was only 56 percent. (
  • But keep in mind that the rest of the industrialized world manages to spend between 20 and 90 percent less per capita and still rank higher than the US in overall health care performance. (
  • Under the Democrats' bills, rationing reimbursements still would be indirect. (
  • [21] However, by the 1930s, the term socialized medicine was routinely used negatively by conservative opponents of publicly funded health care who wished to imply it represented socialism, and by extension, communism. (
  • The liberal egalitarian argument captures a concern that is not captured by traditional criteria for priorities in health care. (
  • Addressing the prevalence of severe obesity and its concomitant morbidities is widely acknowledged as one of the most pressing global health priorities. (
  • Setting priorities in health care / edited by M. Malek. (
  • Consider preventive care. (
  • But preventive care is not free, and will thus become a target for budget cutters. (
  • Men also are threatened by the attack on preventive care. (
  • For the record, the HCA did collaborate with the health community in that they met with physician and hospital groups, listened politely, and produced the diagnosis list unilaterally. (
  • In an Oregon hospital, a disabled woman fought for her life as her friends and advocates pleaded for proper care. (
  • The decision to take West to the hospital was made for his own health and safety, sources told NBC . (
  • Eventually, Terry was taken to a hospital that had the specialized care she needed, but her condition has gotten worse. (
  • Health Policy. (
  • Garson, former dean of academic operations at Baylor College of Medicine , is director of the Center for Health Policy at the University of Virginia . (
  • Engelhard is director of the Health Policy Program, Department of Public Health Sciences, University of Virginia. (
  • Health Policy, 49 (1-2). (
  • Discussions are chaired by an academic specialising in health policy, whose role is to encourage debate but not actively to participate. (
  • Find news, analysis on healthcare marketing, policy and law as well as full resource to public health. (
  • Read more from Goldwater director of healthcare policy Naomi Lopez Bauman. (
  • Health policy , 90 (2-3), 113-124. (
  • He served as editor of the Cambridge University Press series Studies in Philosophy and Health Policy, and is co-editor of the Oxford University Press series Population-Level Bioethics. (
  • the political economy of health policy. (
  • A nurse practitioner, she made a name for herself as a health policy expert during her six terms in the Legislature and was known for reaching across the aisle on health care and budget issues. (