Health Care System & Reform

*newly posted* 3Apr13  NYTimes: A Prescription for Frustration
 http://nyti.ms/10pfUTi
In two new books, doctors write about the problems, and details, of American medicine today.

13Mar13  Why Doctors Can't Say 'No'
http://www.salon.com/2011/11/28/why_doctors_cant_say_no/singleton/?mobile.html

 Supreme Court on Affordable Health Care Act
http://www.nytimes.com/interactive/2012/03/27/us/27scotus.html?nl=todaysheadlines&emc=edit_th_20120327

Editorial on HC reform ideashttp://www.nytimes.com/2011/12/14/opinion/advice-from-dr-berwick-a-health-care-visionary.html?nl=todaysheadlines&emc=tha211

 Op-Ed on Women's Health Care at Risk
http://www.nytimes.com/2012/02/29/opinion/womens-health-care-at-risk.html?nl=todaysheadlines&emc=tha211

 Gains in Health System Seen as Lasting by Some
http://www.nytimes.com/2012/05/23/us/gains-in-health-system-seen-as-lasting-by-some.html?_r=1&nl=todaysheadlines&emc=edit_th_20120523

Treating You Better for Less
http://www.nytimes.com/2012/06/03/opinion/sunday/treating-you-better-for-less.html?nl=todaysheadlines&emc=edit_th_20120603

Approaching Illness as a Team at the Cleveland Clinic
http://www.nytimes.com/2012/12/25/opinion/approaching-illness-as-a-team-at-the-cleveland-clinic.html?nl=todaysheadlines&emc=edit_th_20121225


Researchers say Oregon’s lottery system for granting health insurance has made it the best place to study the costs and benefits of the federal health care law.
http://www.nytimes.com/2012/06/23/health/oregon-study-reveals-benefits-and-costs-of-insuring-the-uninsured.html 

posted 27Feb13
* Do smokers and the obese deserve insurance?

January 28, 2013 03:39 PM | MARY ELIZABETH WILLIAMS
View full article at Salon.com

* Health care professionals beyond so much reliance on doctors
http://www.nytimes.com/2012/12/16/opinion/sunday/when-the-doctor-is-not-needed.html?nl=todaysheadlines&emc=edit_th_20121216&_r=0

25Feb13 An article on how to get the incentives right in health care:
http://www.nytimes.com/2013/02/24/business/overcoming-obstacles-to-better-health-care.html?ref=business&_r=0

Case 9 Informed Consent

As a class, analyze this case.  Whoever starts should pick a theoretical perspective (Kant, utilitarianism, Principles of Bioethics, etc.) and analyze, and then everyone else follows suit to either refine the analysis or add in a different theoretical perspective.  At least one person should argue that the nurse should give the information, and at least one other person should argue the opposite.

Research Ethics

 *Newly posted* 13Mar13 NYTimes: In Girl’s Last Hope, Altered Immune Cells Beat Leukemia
Emma Whitehead, 7, has been in full remission for months after scientists used a disabled form of H.I.V. to reprogram her immune system to kill cancer cells.  http://nyti.ms/UvUGQy

*13Mar13*
Signing yourself up for a research study
http://www.the-scientist.com//?articles.view/articleNo/34433/title/Do-It-Yourself-Medicine/

Ethics of self-studies
http://www.the-scientist.com//?articles.view/articleNo/34690/title/Opinion---Unconventional-Standards/

25Feb13   Here's an example from today's NYTimes about stopping a clinical trial early.  The research was on diet and heart disease:  http://www.nytimes.com/2013/02/26/health/mediterranean-diet-can-cut-heart-disease-study-finds.html?ref=global-home

Also this story on a lung transplant for a Jehovah's Witness patient  http://www.nytimes.com/2013/02/25/us/bloodless-lung-transplants-for-jehovahs-witnesses.html?nl=todaysheadlines&emc=edit_th_20130225

This current event perfectly coincides with next week's readings on global research:
http://www.the-scientist.com//?articles.view/articleNo/34325/title/Bad-Blood/

One Billion Rising extra credit

Did you participate in the OBR event on Thursday 14 Feb?  What's your response?

Virtuous Practice & Professional Roles

Class,
What responses do you have to the readings for today (virtuous physicians, role of nurses, cosmetic surgery, talking to patients) taken together?  Are there things that health professionals shouldn't do?  Are roles static or dynamic?  Do they change depending on what kind of doctor and to the needs/wants of the patients.