Adam D. Reich
- Published in print:
- 2014
- Published Online:
- October 2017
- ISBN:
- 9780691160405
- eISBN:
- 9781400850372
- Item type:
- chapter
- Publisher:
- Princeton University Press
- DOI:
- 10.23943/princeton/9780691160405.003.0010
- Subject:
- Sociology, Health, Illness, and Medicine
This book has examined the commodification of hospital care in the United States. It has looked at PubliCare Hospital, HolyCare Hospital, and GroupCare Hospital to highlight the contradictions ...
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This book has examined the commodification of hospital care in the United States. It has looked at PubliCare Hospital, HolyCare Hospital, and GroupCare Hospital to highlight the contradictions between the mission of hospital care and the market for it. If PubliCare is reminiscent of the hospital's past, and HolyCare is indicative of health care's present, then GroupCare seems to anticipate health care's future. This concluding chapter considers some of the changes in the U.S. health care market and cites the impact of the Patient Protection and Affordable Care Act (PPACA, 2010). For example, the law imposes important new regulations on the insurance industry and promotes and incentivizes “evidence-based” medicine. The chapter argues that while PPACA certainly changes the market for hospital care, it does not resolve the market's contradictions. It also reflects on future prospects for hospitals and hospital care.Less
This book has examined the commodification of hospital care in the United States. It has looked at PubliCare Hospital, HolyCare Hospital, and GroupCare Hospital to highlight the contradictions between the mission of hospital care and the market for it. If PubliCare is reminiscent of the hospital's past, and HolyCare is indicative of health care's present, then GroupCare seems to anticipate health care's future. This concluding chapter considers some of the changes in the U.S. health care market and cites the impact of the Patient Protection and Affordable Care Act (PPACA, 2010). For example, the law imposes important new regulations on the insurance industry and promotes and incentivizes “evidence-based” medicine. The chapter argues that while PPACA certainly changes the market for hospital care, it does not resolve the market's contradictions. It also reflects on future prospects for hospitals and hospital care.
Peter J. Pecora, Ronald C. Kessler, Jason Williams, A. Chris Downs, Diana J. English, James White, and Kirk O'Brien
- Published in print:
- 2009
- Published Online:
- September 2009
- ISBN:
- 9780195175912
- eISBN:
- 9780199865628
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195175912.001.0001
- Subject:
- Social Work, Children and Families
This book reports the findings from the Northwest Foster Care Alumni Study, which examined outcomes for adults who were placed in family foster care as children. The primary research questions were ...
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This book reports the findings from the Northwest Foster Care Alumni Study, which examined outcomes for adults who were placed in family foster care as children. The primary research questions were as follows: (1) How are maltreated youth who were placed in foster care faring as adults? To what extent are they different in their functioning from other adults? (2) Are there key factors or program components that are linked with better functioning in adulthood? The book also contains the agency comparisons and the predictive equations that link certain demographic foster care experiences and interventions with more positive alumni outcomes.Less
This book reports the findings from the Northwest Foster Care Alumni Study, which examined outcomes for adults who were placed in family foster care as children. The primary research questions were as follows: (1) How are maltreated youth who were placed in foster care faring as adults? To what extent are they different in their functioning from other adults? (2) Are there key factors or program components that are linked with better functioning in adulthood? The book also contains the agency comparisons and the predictive equations that link certain demographic foster care experiences and interventions with more positive alumni outcomes.
Lieve Van Hoof
- Published in print:
- 2010
- Published Online:
- September 2010
- ISBN:
- 9780199583263
- eISBN:
- 9780191723131
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199583263.001.0001
- Subject:
- Classical Studies, Ancient Greek, Roman, and Early Christian Philosophy
The Second Sophistic was a time of intense competition for honour and status. Like today, this often caused mental as well as physical stress for the elite of the Roman Empire. This book studies ...
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The Second Sophistic was a time of intense competition for honour and status. Like today, this often caused mental as well as physical stress for the elite of the Roman Empire. This book studies Plutarch's practical ethics, a group of twenty-odd texts within the Moralia designed to help powerful Greeks and Romans manage their ambitions and society's expectations successfully. According to Plutarch (c. AD 45–120), the key for a happy life lies with philosophy, yet instead of advancing philosophical values as an alternative for worldly ambitions, as did other philosophers, he presents philosophy as a way towards distinction and success in imperial society. By thus subtly redefining what elite culture should be like, Plutarch also firmly establishes himself as an intellectual and cultural authority. This book combines a systematic analysis of the general principles underlying Plutarch's practical ethics, including the author's target readership, therapeutical practices, and self-presentation, with innovative interpretations of five case studies (On Feeling Good, On Exile, On Talkativeress, On Cuiusity, Precepts of Health Care). A picture emerges of philosophy under the Roman Empire not as a set of abstract, theoretical doctrines, but as a kind of symbolic capital engendering power and prestige for author and reader alike. Transcending the boundaries between literature, social history, and philosophy, Van Hoof makes a strong case for the pertinence and vitality of this often neglected group of texts, and incisively shows Plutarch to be not just a philanthropic adviser, but also a sophisticated author strategically manipulating his own cultural capital in pursuit of influence and glory.Less
The Second Sophistic was a time of intense competition for honour and status. Like today, this often caused mental as well as physical stress for the elite of the Roman Empire. This book studies Plutarch's practical ethics, a group of twenty-odd texts within the Moralia designed to help powerful Greeks and Romans manage their ambitions and society's expectations successfully. According to Plutarch (c. AD 45–120), the key for a happy life lies with philosophy, yet instead of advancing philosophical values as an alternative for worldly ambitions, as did other philosophers, he presents philosophy as a way towards distinction and success in imperial society. By thus subtly redefining what elite culture should be like, Plutarch also firmly establishes himself as an intellectual and cultural authority. This book combines a systematic analysis of the general principles underlying Plutarch's practical ethics, including the author's target readership, therapeutical practices, and self-presentation, with innovative interpretations of five case studies (On Feeling Good, On Exile, On Talkativeress, On Cuiusity, Precepts of Health Care). A picture emerges of philosophy under the Roman Empire not as a set of abstract, theoretical doctrines, but as a kind of symbolic capital engendering power and prestige for author and reader alike. Transcending the boundaries between literature, social history, and philosophy, Van Hoof makes a strong case for the pertinence and vitality of this often neglected group of texts, and incisively shows Plutarch to be not just a philanthropic adviser, but also a sophisticated author strategically manipulating his own cultural capital in pursuit of influence and glory.
Williams Martin
- Published in print:
- 1993
- Published Online:
- October 2011
- ISBN:
- 9780195083491
- eISBN:
- 9780199853205
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195083491.003.0032
- Subject:
- Music, Popular
Columbia CS 9149 was the third solo piano album of Thelonius Monk. Monk started his recital with a version of “Dinah”. “I Should Care” and its pianistic technique and control are both striking and ...
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Columbia CS 9149 was the third solo piano album of Thelonius Monk. Monk started his recital with a version of “Dinah”. “I Should Care” and its pianistic technique and control are both striking and effective. He also included two of his own best melodies: “Ask Me Now” and “Ruby, My Dear”. He could take the simplest note and make it feel valuable in any way because Monk knew the worth of every sound he made and the pauses he allowed. Truly, he is a rare musician for any genre of music.Less
Columbia CS 9149 was the third solo piano album of Thelonius Monk. Monk started his recital with a version of “Dinah”. “I Should Care” and its pianistic technique and control are both striking and effective. He also included two of his own best melodies: “Ask Me Now” and “Ruby, My Dear”. He could take the simplest note and make it feel valuable in any way because Monk knew the worth of every sound he made and the pauses he allowed. Truly, he is a rare musician for any genre of music.
Eileen Boris and Jennifer Klein
- Published in print:
- 2012
- Published Online:
- May 2012
- ISBN:
- 9780195329117
- eISBN:
- 9780199949496
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195329117.003.0006
- Subject:
- Political Science, American Politics
This chapter looks at the ways that community organizing and political unionism together improved the lives of home care workers and won rights admit a renewed assault on the welfare state. President ...
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This chapter looks at the ways that community organizing and political unionism together improved the lives of home care workers and won rights admit a renewed assault on the welfare state. President Reagan shifted the fiscal, ideological, and political ground away from national programs and state funding, cutting benefits and assaulting public employees. Oregon took advantage of his Medicaid waivers to enhance home and community care because a mobilized senior movement had paved the way for a decade. Elsewhere, labor organizers engaged in trench warfare. Beginning as part of the United Labor Unions of the Association for Community Organizations for Reform Now (ACORN), SEIU Local 880 in Chicago developed successful models to win real gains from private agencies as well as government. What began as a militant community organizing movement generated adaptive strategies for union growth in an increasingly hostile anti-labor, neoliberal climate. The effectiveness of a metro-level alliance between unions and contractor agencies, however, was most realized in New York City where the National Union of Hospital and Health Care Employees Local 1199 spearheaded a pattern setting agreement in 1988. The rights of poor women as both clients of and workers for the welfare state defined these union struggles.Less
This chapter looks at the ways that community organizing and political unionism together improved the lives of home care workers and won rights admit a renewed assault on the welfare state. President Reagan shifted the fiscal, ideological, and political ground away from national programs and state funding, cutting benefits and assaulting public employees. Oregon took advantage of his Medicaid waivers to enhance home and community care because a mobilized senior movement had paved the way for a decade. Elsewhere, labor organizers engaged in trench warfare. Beginning as part of the United Labor Unions of the Association for Community Organizations for Reform Now (ACORN), SEIU Local 880 in Chicago developed successful models to win real gains from private agencies as well as government. What began as a militant community organizing movement generated adaptive strategies for union growth in an increasingly hostile anti-labor, neoliberal climate. The effectiveness of a metro-level alliance between unions and contractor agencies, however, was most realized in New York City where the National Union of Hospital and Health Care Employees Local 1199 spearheaded a pattern setting agreement in 1988. The rights of poor women as both clients of and workers for the welfare state defined these union struggles.
Eileen Boris and Jennifer Klein
- Published in print:
- 2012
- Published Online:
- May 2012
- ISBN:
- 9780195329117
- eISBN:
- 9780199949496
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195329117.003.0008
- Subject:
- Political Science, American Politics
The Epilogue contends that this history has no neat ending. To rethink home care, it takes a hard look at the promises of carework unionism, the dangers of its welfare location, and the pitfalls of ...
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The Epilogue contends that this history has no neat ending. To rethink home care, it takes a hard look at the promises of carework unionism, the dangers of its welfare location, and the pitfalls of relying on political unionism after the Great Recession of 2008 and Republican victories in 2010. It considers the failure to lift the exclusion of home care from the labor law. It then looks at the fate of the unions and workers whose history the book recounts, including the fierce battle over organizing strategy and union democracy that wracked SEIU in California and the impact of budget cutbacks on political deals at the top without sustained grassroots participation. In this global neoliberal moment, the U.S. became the vanguard for other welfare states when it comes to privatizing and individualizing home support for elderly and disabled people. It considers new forms of organizing as exemplified by a renewed domestic worker movement and ends by reaffirming not only the right to care but its value for the economy as well as society.Less
The Epilogue contends that this history has no neat ending. To rethink home care, it takes a hard look at the promises of carework unionism, the dangers of its welfare location, and the pitfalls of relying on political unionism after the Great Recession of 2008 and Republican victories in 2010. It considers the failure to lift the exclusion of home care from the labor law. It then looks at the fate of the unions and workers whose history the book recounts, including the fierce battle over organizing strategy and union democracy that wracked SEIU in California and the impact of budget cutbacks on political deals at the top without sustained grassroots participation. In this global neoliberal moment, the U.S. became the vanguard for other welfare states when it comes to privatizing and individualizing home support for elderly and disabled people. It considers new forms of organizing as exemplified by a renewed domestic worker movement and ends by reaffirming not only the right to care but its value for the economy as well as society.
Stephen Wilkinson
- Published in print:
- 2010
- Published Online:
- May 2010
- ISBN:
- 9780199273966
- eISBN:
- 9780191706585
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199273966.003.0004
- Subject:
- Philosophy, Moral Philosophy, Political Philosophy
This chapter starts by evaluating the Cost of Care Argument. This is a further argument against selecting for disability, one that (unlike those considered in Chapter 3) relies not on appeals to the ...
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This chapter starts by evaluating the Cost of Care Argument. This is a further argument against selecting for disability, one that (unlike those considered in Chapter 3) relies not on appeals to the welfare of the child created but on concerns about the costs that selecting for disability would allegedly impose on health and social services. Several reasons for being sceptical or cautious about using the Cost of Care Argument to justify reproductive decisions and policies are offered. The second part of the chapter discusses the deliberate creation of a saviour sibling (a new child whose tissue might be used to save the life of an existing sick child). The case against selection saviour siblings is reviewed and generally found wanting, although unsurprisingly there may be extreme versions of this practice that are objectionable (for instance, if parents planned to discard the saviour sibling once it had ‘served its purpose’).Less
This chapter starts by evaluating the Cost of Care Argument. This is a further argument against selecting for disability, one that (unlike those considered in Chapter 3) relies not on appeals to the welfare of the child created but on concerns about the costs that selecting for disability would allegedly impose on health and social services. Several reasons for being sceptical or cautious about using the Cost of Care Argument to justify reproductive decisions and policies are offered. The second part of the chapter discusses the deliberate creation of a saviour sibling (a new child whose tissue might be used to save the life of an existing sick child). The case against selection saviour siblings is reviewed and generally found wanting, although unsurprisingly there may be extreme versions of this practice that are objectionable (for instance, if parents planned to discard the saviour sibling once it had ‘served its purpose’).
MALCOLM GODDEN
- Published in print:
- 2009
- Published Online:
- January 2012
- ISBN:
- 9780197264584
- eISBN:
- 9780191734069
- Item type:
- chapter
- Publisher:
- British Academy
- DOI:
- 10.5871/bacad/9780197264584.003.0005
- Subject:
- History, Cultural History
This lecture presents the text of the speech about the Alfredian project and its aftermath delivered by the author at the 2008 Sir Israel Gollancz Memorial Lecture held at the British Academy. It ...
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This lecture presents the text of the speech about the Alfredian project and its aftermath delivered by the author at the 2008 Sir Israel Gollancz Memorial Lecture held at the British Academy. It explains the details of King Alfred's programme of mass education and to deliver near-universal literacy in English, and evaluates the impact of Pastoral Care on English literature.Less
This lecture presents the text of the speech about the Alfredian project and its aftermath delivered by the author at the 2008 Sir Israel Gollancz Memorial Lecture held at the British Academy. It explains the details of King Alfred's programme of mass education and to deliver near-universal literacy in English, and evaluates the impact of Pastoral Care on English literature.
Peter J. Pecora, Ronald C. Kessler, Jason Williams, A. Chris Downs, Diana J. English, James White, and Kirk O'Brien
- Published in print:
- 2009
- Published Online:
- September 2009
- ISBN:
- 9780195175912
- eISBN:
- 9780199865628
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195175912.003.0001
- Subject:
- Social Work, Children and Families
This chapter begins by presenting data on the number of youth in care in the United States and how long they receive services. Next come a description of family foster care and a summary of the ...
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This chapter begins by presenting data on the number of youth in care in the United States and how long they receive services. Next come a description of family foster care and a summary of the expectations of care. Then findings from foster care studies, research limitations, and the financial costs of providing care are presented. Conclusions about foster care are then drawn, followed by the rationale of the Northwest Alumni Study. The chapter concludes with a brief description of each chapter of this book. Quotes from alumni are included in this chapter and throughout the other book chapters to provide a first-person context; these were taken from interviewers' notes.Less
This chapter begins by presenting data on the number of youth in care in the United States and how long they receive services. Next come a description of family foster care and a summary of the expectations of care. Then findings from foster care studies, research limitations, and the financial costs of providing care are presented. Conclusions about foster care are then drawn, followed by the rationale of the Northwest Alumni Study. The chapter concludes with a brief description of each chapter of this book. Quotes from alumni are included in this chapter and throughout the other book chapters to provide a first-person context; these were taken from interviewers' notes.
Joseph D. Witt
- Published in print:
- 2016
- Published Online:
- May 2017
- ISBN:
- 9780813168128
- eISBN:
- 9780813168753
- Item type:
- book
- Publisher:
- University Press of Kentucky
- DOI:
- 10.5810/kentucky/9780813168128.001.0001
- Subject:
- Religion, Religion and Society
This volume examines the complex roles of religious values and perceptions of place in the efforts of twenty-first-century anti-mountaintop removal activists in Appalachia. Applying theoretical ...
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This volume examines the complex roles of religious values and perceptions of place in the efforts of twenty-first-century anti-mountaintop removal activists in Appalachia. Applying theoretical insights from religious studies, Appalachian studies, and critical regionalism, the work charts how views of Appalachian place were transformed and revised through activism and how different religious threads were involved in that process, weaving together patterns of meaning and significance to help motivate activist efforts and reshape visions of Appalachia. The specific religious threads examined include Catholic and mainline Protestant visions of eco-justice (or religiously inspired arguments in support of social and environmental justice), evangelical Christian views of Creation Care (a term encompassing multiple visions of theocentric stewardship ethics), and forms of nature-venerating spirituality (including spiritual and religious proponents of biocentric ethics and “dark green religion”). These religious perspectives encountered friction with other perspectives, structures, and practices, generating new perspectives on the issue formed from physical interactions between diverse stakeholders as well as new visions for Appalachia in a post-mountaintop removal future. The work points to ways that scholars might continue to analyze the interconnections between local religious values and perceptions of place, influencing further studies in the interdisciplinary field of religion and nature, place studies, and social movements.Less
This volume examines the complex roles of religious values and perceptions of place in the efforts of twenty-first-century anti-mountaintop removal activists in Appalachia. Applying theoretical insights from religious studies, Appalachian studies, and critical regionalism, the work charts how views of Appalachian place were transformed and revised through activism and how different religious threads were involved in that process, weaving together patterns of meaning and significance to help motivate activist efforts and reshape visions of Appalachia. The specific religious threads examined include Catholic and mainline Protestant visions of eco-justice (or religiously inspired arguments in support of social and environmental justice), evangelical Christian views of Creation Care (a term encompassing multiple visions of theocentric stewardship ethics), and forms of nature-venerating spirituality (including spiritual and religious proponents of biocentric ethics and “dark green religion”). These religious perspectives encountered friction with other perspectives, structures, and practices, generating new perspectives on the issue formed from physical interactions between diverse stakeholders as well as new visions for Appalachia in a post-mountaintop removal future. The work points to ways that scholars might continue to analyze the interconnections between local religious values and perceptions of place, influencing further studies in the interdisciplinary field of religion and nature, place studies, and social movements.
Lieve Van Hoof
- Published in print:
- 2010
- Published Online:
- September 2010
- ISBN:
- 9780199583263
- eISBN:
- 9780191723131
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199583263.003.0009
- Subject:
- Classical Studies, Ancient Greek, Roman, and Early Christian Philosophy
This chapter discusses Precepts of Health Care, a text concerned with a topic that formed the object of a fierce debate between doctors, gymnastis teachers, and philosophers throughout antiquity, as ...
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This chapter discusses Precepts of Health Care, a text concerned with a topic that formed the object of a fierce debate between doctors, gymnastis teachers, and philosophers throughout antiquity, as is clear from Plato and Galen. In order to shore up his own authority in matters of regimen, Plutarch presents his text in the form of a Platonic dialogue, which not only opens up an explicit debate over different approaches to healthcare, but also subtly manipulates the reader's reactions in Plutarch's favour: by positioning the characters involved in the opening discussion differently in relation to medical professionalism on the one hand and social agreeability on the other, Plutarch strongly suggests that what his elite readers need is not the specialized advice of a doctor or athletic trainer, but the more general guidelines which he himself has to offer and which will help his reader to live both healthily and successfully.Less
This chapter discusses Precepts of Health Care, a text concerned with a topic that formed the object of a fierce debate between doctors, gymnastis teachers, and philosophers throughout antiquity, as is clear from Plato and Galen. In order to shore up his own authority in matters of regimen, Plutarch presents his text in the form of a Platonic dialogue, which not only opens up an explicit debate over different approaches to healthcare, but also subtly manipulates the reader's reactions in Plutarch's favour: by positioning the characters involved in the opening discussion differently in relation to medical professionalism on the one hand and social agreeability on the other, Plutarch strongly suggests that what his elite readers need is not the specialized advice of a doctor or athletic trainer, but the more general guidelines which he himself has to offer and which will help his reader to live both healthily and successfully.
Michael Wright, David Clark, and Jennifer Hunt
- Published in print:
- 2006
- Published Online:
- November 2011
- ISBN:
- 9780199206803
- eISBN:
- 9780191730474
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199206803.003.0008
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research
Uganda (population 25 million) is a landlocked country in Eastern Africa that covers an area of 236, 040 km2. There are eight palliative care organizations that deliver some 155 services. These ...
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Uganda (population 25 million) is a landlocked country in Eastern Africa that covers an area of 236, 040 km2. There are eight palliative care organizations that deliver some 155 services. These include Hospice Africa Uganda (HAU), Kitovu Mobile Home Care, The Mildmay Centre, Joy Hospice, The Palliative Care Unit; Lira Regional Referral Hospital, and Association François-Xavier Bagnoud (AFXB). The reimbursement and funding for services are shown. The chapter also addresses opioid availability and consumption. The Palliative Care Association of Uganda (PCAU) is a national association that aims to introduce and maintain standards, bring together key players and stake-holders, establish a journal, quarterly continuing medical education (CME) update, publications, advocacy, and co-ordination of education and CME throughout the fifty-six districts of Uganda. Education and training of health professionals and non-health professionals is discussed. Furthermore, the history and development of hospice-palliative care in Uganda is reported. The principles of health care ethics include beneficence, non-maleficence, respect for autonomy, and justice.Less
Uganda (population 25 million) is a landlocked country in Eastern Africa that covers an area of 236, 040 km2. There are eight palliative care organizations that deliver some 155 services. These include Hospice Africa Uganda (HAU), Kitovu Mobile Home Care, The Mildmay Centre, Joy Hospice, The Palliative Care Unit; Lira Regional Referral Hospital, and Association François-Xavier Bagnoud (AFXB). The reimbursement and funding for services are shown. The chapter also addresses opioid availability and consumption. The Palliative Care Association of Uganda (PCAU) is a national association that aims to introduce and maintain standards, bring together key players and stake-holders, establish a journal, quarterly continuing medical education (CME) update, publications, advocacy, and co-ordination of education and CME throughout the fifty-six districts of Uganda. Education and training of health professionals and non-health professionals is discussed. Furthermore, the history and development of hospice-palliative care in Uganda is reported. The principles of health care ethics include beneficence, non-maleficence, respect for autonomy, and justice.
Anup Malani and Michael H. Schill (eds)
- Published in print:
- 2015
- Published Online:
- May 2016
- ISBN:
- 9780226254951
- eISBN:
- 9780226255002
- Item type:
- book
- Publisher:
- University of Chicago Press
- DOI:
- 10.7208/chicago/9780226255002.001.0001
- Subject:
- Law, Medical Law
This volume is the product of a joint conference of the University of Chicago Law School and Medical School on health reform that was convened after NFIB v. Sebelius was decided. An interdisciplinary ...
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This volume is the product of a joint conference of the University of Chicago Law School and Medical School on health reform that was convened after NFIB v. Sebelius was decided. An interdisciplinary group of experts—economists, lawyers, health care professionals—discussed the meaning of the case, its impact on the implementation of the Affordable Care Act (ACA), and the question of health care reform. The authors of this volume shed some light on a set of key issues that inform current health care policy in the United States, the recent health care reform legislation, and future avenues of reform. The first section of the book deals with legal challenges to the ACA and the way the Supreme Court's decision shaped the contours of the law's implementation. The authors discuss the case overall and in a jurisprudential and administrative law context, as well implications for the future. The second section discusses the fiscal consequences of the ACA from both economic and accounting perspectives. The third section presents cases for and against the ACA and discusses inefficiencies in the market and payment reform. The fourth section deals with health care technology and examines the cost-effectiveness of various technologies and the complex relationship between health insurance expansions and new medical technologies. The final section focuses on the new health insurance exchanges and presents two opposing views on whether there are significant search frictions when individuals shop for health insurance contracts and whether the ACA will promote efficiency or forestall innovation.Less
This volume is the product of a joint conference of the University of Chicago Law School and Medical School on health reform that was convened after NFIB v. Sebelius was decided. An interdisciplinary group of experts—economists, lawyers, health care professionals—discussed the meaning of the case, its impact on the implementation of the Affordable Care Act (ACA), and the question of health care reform. The authors of this volume shed some light on a set of key issues that inform current health care policy in the United States, the recent health care reform legislation, and future avenues of reform. The first section of the book deals with legal challenges to the ACA and the way the Supreme Court's decision shaped the contours of the law's implementation. The authors discuss the case overall and in a jurisprudential and administrative law context, as well implications for the future. The second section discusses the fiscal consequences of the ACA from both economic and accounting perspectives. The third section presents cases for and against the ACA and discusses inefficiencies in the market and payment reform. The fourth section deals with health care technology and examines the cost-effectiveness of various technologies and the complex relationship between health insurance expansions and new medical technologies. The final section focuses on the new health insurance exchanges and presents two opposing views on whether there are significant search frictions when individuals shop for health insurance contracts and whether the ACA will promote efficiency or forestall innovation.
Julian Le Grand
- Published in print:
- 2003
- Published Online:
- April 2004
- ISBN:
- 9780199266999
- eISBN:
- 9780191600869
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/0199266999.003.0007
- Subject:
- Economics and Finance, Public and Welfare
Examines the development of robust incentive structures in health care, using two examples from British health care: the holding of budgets for hospital care by organisations of primary‐care ...
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Examines the development of robust incentive structures in health care, using two examples from British health care: the holding of budgets for hospital care by organisations of primary‐care physicians (General Practitioner practices and, more recently, Primary Care Trusts), and the payment of hospital specialists or consultants. It concludes that it is possible to design policies that offer robust incentives to medical professionals, that empower patients, but that avoid the problems of unfettered patient choice. Devices such as allowing budget‐holding professionals to keep surpluses on their budget, providing those surpluses are spent in a way that improves patient care, or paying professionals fee‐for‐service at a rate that incorporates some sacrifice compared with alternatives, help align knightly and knavish motivations.Less
Examines the development of robust incentive structures in health care, using two examples from British health care: the holding of budgets for hospital care by organisations of primary‐care physicians (General Practitioner practices and, more recently, Primary Care Trusts), and the payment of hospital specialists or consultants. It concludes that it is possible to design policies that offer robust incentives to medical professionals, that empower patients, but that avoid the problems of unfettered patient choice. Devices such as allowing budget‐holding professionals to keep surpluses on their budget, providing those surpluses are spent in a way that improves patient care, or paying professionals fee‐for‐service at a rate that incorporates some sacrifice compared with alternatives, help align knightly and knavish motivations.
M. Jan Holton
- Published in print:
- 2016
- Published Online:
- January 2017
- ISBN:
- 9780300207620
- eISBN:
- 9780300220797
- Item type:
- book
- Publisher:
- Yale University Press
- DOI:
- 10.12987/yale/9780300207620.001.0001
- Subject:
- Psychology, Social Psychology
Longing for Home explores the psychological, social, and theological impact of forcibly losing one’s home place and asks two questions: What is it about home that makes its loss so profound? And, How ...
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Longing for Home explores the psychological, social, and theological impact of forcibly losing one’s home place and asks two questions: What is it about home that makes its loss so profound? And, How should we think about this theologically?
This book explores the notion of home and its loss from the perspectives of four very diverse groups who have suffered forced displacement: an indigenous tribe of Batwa in Uganda, refugees and internally displaced persons (IDPs) in Congo and Sudan, American soldiers struggling with PTSD, and homeless persons in the United States. The author uses her own experiences in the Ugandan mountains, ethnographic research in refugee camps in Congo and Sudan and internally displaced persons, published stories of American soldiers returning from Iraq and Afghanistan, and life in a transitional facility for homeless persons as windows into these contexts and stories of forced displacement. Through these intense, sometimes tragic encounters, the psychological, social, and theological impact of living without home becomes clear as does the often exclusionary response of the communities in which they seek care. The author suggests that a moral obligation of care grounded in relational postures of hospitality—or predispositions toward the other that precede practices—are at the heart of breaking through social exclusion and helping each to lean into God in ways that invite home of a different kind. The book’s concrete experiences of communities of displacement add a unique element that both challenges and complements psychological and social theories. The end result is a constructive contribution to both practical and public theology.Less
Longing for Home explores the psychological, social, and theological impact of forcibly losing one’s home place and asks two questions: What is it about home that makes its loss so profound? And, How should we think about this theologically?
This book explores the notion of home and its loss from the perspectives of four very diverse groups who have suffered forced displacement: an indigenous tribe of Batwa in Uganda, refugees and internally displaced persons (IDPs) in Congo and Sudan, American soldiers struggling with PTSD, and homeless persons in the United States. The author uses her own experiences in the Ugandan mountains, ethnographic research in refugee camps in Congo and Sudan and internally displaced persons, published stories of American soldiers returning from Iraq and Afghanistan, and life in a transitional facility for homeless persons as windows into these contexts and stories of forced displacement. Through these intense, sometimes tragic encounters, the psychological, social, and theological impact of living without home becomes clear as does the often exclusionary response of the communities in which they seek care. The author suggests that a moral obligation of care grounded in relational postures of hospitality—or predispositions toward the other that precede practices—are at the heart of breaking through social exclusion and helping each to lean into God in ways that invite home of a different kind. The book’s concrete experiences of communities of displacement add a unique element that both challenges and complements psychological and social theories. The end result is a constructive contribution to both practical and public theology.
Jessica M. Mulligan and Heide Castañeda (eds)
- Published in print:
- 2017
- Published Online:
- September 2018
- ISBN:
- 9781479897001
- eISBN:
- 9781479834402
- Item type:
- book
- Publisher:
- NYU Press
- DOI:
- 10.18574/nyu/9781479897001.001.0001
- Subject:
- Anthropology, Medical Anthropology
Unequal Coverage documents the everyday experiences of individuals across the United States as they attempted to access coverage and care in the five years following the passage of the Affordable ...
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Unequal Coverage documents the everyday experiences of individuals across the United States as they attempted to access coverage and care in the five years following the passage of the Affordable Care Act (ACA). The contributors to this edited volume employ research methods rooted in ethnography and focused on how reform was actually experienced on the ground by frontline health care workers, the newly insured, and those who remained uninsured. The book argues that while the ACA did extend social protections to some groups previously excluded from health insurance, its design- and controversy-plagued implementation also created new forms of exclusion. Access to affordable coverage options were highly segmented by state of residence, income, and citizenship status. To explain and contextualize the stratified experiences of health reform that the book’s authors documented across nine states, Unequal Coverage explores interrelated themes from medical anthropology: stratified citizenship, risk, and responsibility. In the years since its enactment, some 20 million uninsured Americans gained access to insurance coverage. And yet, the law remained unpopular and politically vulnerable. This book illustrates lessons learned from the contentious implementation of the ACA and reveals how the law became a flashpoint for battles over inequality, fairness, and the role of government.Less
Unequal Coverage documents the everyday experiences of individuals across the United States as they attempted to access coverage and care in the five years following the passage of the Affordable Care Act (ACA). The contributors to this edited volume employ research methods rooted in ethnography and focused on how reform was actually experienced on the ground by frontline health care workers, the newly insured, and those who remained uninsured. The book argues that while the ACA did extend social protections to some groups previously excluded from health insurance, its design- and controversy-plagued implementation also created new forms of exclusion. Access to affordable coverage options were highly segmented by state of residence, income, and citizenship status. To explain and contextualize the stratified experiences of health reform that the book’s authors documented across nine states, Unequal Coverage explores interrelated themes from medical anthropology: stratified citizenship, risk, and responsibility. In the years since its enactment, some 20 million uninsured Americans gained access to insurance coverage. And yet, the law remained unpopular and politically vulnerable. This book illustrates lessons learned from the contentious implementation of the ACA and reveals how the law became a flashpoint for battles over inequality, fairness, and the role of government.
Henry Mayr‐Harting
- Published in print:
- 2007
- Published Online:
- January 2008
- ISBN:
- 9780199210718
- eISBN:
- 9780191705755
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199210718.003.0003
- Subject:
- History, European Medieval History
In assessing the reading which went into Ruotger's creation of his image of Bruno, the Bible (including St Paul), the classics, the Rule of St Benedict, and the early Christian poets and ...
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In assessing the reading which went into Ruotger's creation of his image of Bruno, the Bible (including St Paul), the classics, the Rule of St Benedict, and the early Christian poets and hagiographers have all been given full value by scholars; but the Christian Latin fathers, or more particularly Augustine and Pope Gregory the Great, have been underrated. This chapter explores the influence of Augustine and Gregory on Ruotger's work. Ruotger was significantly influenced at least by Augustine's Christian Doctrine and City of God, and even more by Gregory the Great's Letters and Pastoral Care.Less
In assessing the reading which went into Ruotger's creation of his image of Bruno, the Bible (including St Paul), the classics, the Rule of St Benedict, and the early Christian poets and hagiographers have all been given full value by scholars; but the Christian Latin fathers, or more particularly Augustine and Pope Gregory the Great, have been underrated. This chapter explores the influence of Augustine and Gregory on Ruotger's work. Ruotger was significantly influenced at least by Augustine's Christian Doctrine and City of God, and even more by Gregory the Great's Letters and Pastoral Care.
John H. Cochrane
- Published in print:
- 2015
- Published Online:
- May 2016
- ISBN:
- 9780226254951
- eISBN:
- 9780226255002
- Item type:
- chapter
- Publisher:
- University of Chicago Press
- DOI:
- 10.7208/chicago/9780226255002.003.0007
- Subject:
- Law, Medical Law
This chapter surveys the supply, demand, and market for health care and health insurance. It concludes that a much less regulated system is possible and necessary. Cost control and technology ...
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This chapter surveys the supply, demand, and market for health care and health insurance. It concludes that a much less regulated system is possible and necessary. Cost control and technology improvement must come from disruptive competition from new suppliers, as it has in airlines, retail, Internet, and other successful industries. People must direct their expenditures at the margin and feel the benefits and costs of their decisions. Individual, portable, guaranteed renewable insurance can then emerge, addressing the pathologies of today's insurance markets. Current law and regulations rather than fundamental market failures are the main reasons a healthy market does not emerge and why a regulatory approach must fail. The chapter concludes by addressing common objections to market-based health care and insurance.Less
This chapter surveys the supply, demand, and market for health care and health insurance. It concludes that a much less regulated system is possible and necessary. Cost control and technology improvement must come from disruptive competition from new suppliers, as it has in airlines, retail, Internet, and other successful industries. People must direct their expenditures at the margin and feel the benefits and costs of their decisions. Individual, portable, guaranteed renewable insurance can then emerge, addressing the pathologies of today's insurance markets. Current law and regulations rather than fundamental market failures are the main reasons a healthy market does not emerge and why a regulatory approach must fail. The chapter concludes by addressing common objections to market-based health care and insurance.
Mark Exworthy, Russell Mannion, and Martin Powell (eds)
- Published in print:
- 2016
- Published Online:
- May 2017
- ISBN:
- 9781447330226
- eISBN:
- 9781447330271
- Item type:
- book
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781447330226.001.0001
- Subject:
- Political Science, UK Politics
This book provides an in-depth analysis of the NHS reforms ushered in by UK Coalition Government under the 2012 Health and Social Care Act, arguably the most extensive reforms ever introduced in the ...
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This book provides an in-depth analysis of the NHS reforms ushered in by UK Coalition Government under the 2012 Health and Social Care Act, arguably the most extensive reforms ever introduced in the NHS. Contributions from leading researchers from the UK, the US and New Zealand examine the reforms in the contexts of national health policy, commissioning and service provision, governance and others. Collectively, the chapters presents a broader assessment of the trajectory of health reforms in the context of marketisation, the rise of health consumerism and the revelation of medical scandals. This is essential reading for those studying the NHS, those who work in it, and those who seek to gain a better understanding of this key public service.Less
This book provides an in-depth analysis of the NHS reforms ushered in by UK Coalition Government under the 2012 Health and Social Care Act, arguably the most extensive reforms ever introduced in the NHS. Contributions from leading researchers from the UK, the US and New Zealand examine the reforms in the contexts of national health policy, commissioning and service provision, governance and others. Collectively, the chapters presents a broader assessment of the trajectory of health reforms in the context of marketisation, the rise of health consumerism and the revelation of medical scandals. This is essential reading for those studying the NHS, those who work in it, and those who seek to gain a better understanding of this key public service.
Keri Thomas and Ben Lobo (eds)
- Published in print:
- 2010
- Published Online:
- November 2011
- ISBN:
- 9780199561636
- eISBN:
- 9780191730542
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199561636.001.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology
Advance Care Planning is an essential part of the new NHS National Programme on End-of-Life Care, aiming to improve the chances of ‘a good death’ by discussing and planning how this might be managed. ...
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Advance Care Planning is an essential part of the new NHS National Programme on End-of-Life Care, aiming to improve the chances of ‘a good death’ by discussing and planning how this might be managed. This book helps readers explore a wide range of issues and practicalities in providing Advance Care Planning (ACP) for their patients nearing the end of life. This book takes a comprehensive look at the subject of ACP; frames the purpose, process, and outcomes; and includes contributions from experts from around the world.Less
Advance Care Planning is an essential part of the new NHS National Programme on End-of-Life Care, aiming to improve the chances of ‘a good death’ by discussing and planning how this might be managed. This book helps readers explore a wide range of issues and practicalities in providing Advance Care Planning (ACP) for their patients nearing the end of life. This book takes a comprehensive look at the subject of ACP; frames the purpose, process, and outcomes; and includes contributions from experts from around the world.
