Blog Posts (188)
July 21, 2017
Recently I heard a Christian TV personality refer to Obamacare as “iniquitous.” This started me thinking, What would make a health care funding reform scheme “iniquitous”? Or, although the words aren’t synonymous, what would make such a scheme unethical? What should go into ethical health care reform? The answers to these questions are legion and conflicting. There are some who see government intervention as inherently... // Read More »
November 6, 2016
Now that we Chicagolanders don’t have the World Series to distract us anymore, we have to go back to thinking about the upcoming election. Health care financing is of course one important issue in the presidential race. One side wants to repeal and replace the Affordable Care Act (aka Obamacare), the other wants to keep it and work to fix it. Whoever wins, it’s evident... // Read More »
August 18, 2015
The Hamline Law Review has just published its Symposium Issue: Health Care Reform in Minnesota: Mission Advanced But Not Accomplished, Volume 38, Issue 2 (2015). This is the printed product from the Hamline Health Law Institute's October 2014 conference.
HEALTH CARE REFORM IMPLEMENTATION IN MINNESOTA: MISSION ADVANCED BUT NOT ACCOMPLISHED: AN INTRODUCTION TO THE SYMPOSIUMThaddeus M. Pope
KEEPING OUR EYES ON THE PRIZE: EXAMINING MINNESOTA AS A MEANS FOR ASSURING ACHIEVEMENT OF THE “TRIPLE AIM” UNDER THE ACA Deborah Farringer
“WHERE DO I START?” ACA COMPLIANCE IN RAPID GROWTH ENVIRONMENTS Autumn AmadouBlegen
BEYOND THE AFFORDABLE CARE ACT’S PREMIUM TAX CREDIT: ENSURING ACCESS TO SAFETY NET PROGRAMSMary Pareja
GOOD MEDICINE, BAD MEDICINE, AND THE WISDOM TO KNOW THE DIFFERENCE: EFFORTS TO MEASURE AND REPORT HEALTHCARE COST AND QUALITY UNDER MINNESOTA HEALTH REFORM LEGISLATION Daryll Dykes
DETANGLING GRADUATE MEDICAL EDUCATION FINANCING FROM HOSPITAL PAYMENT METHODOLOGIESLawrence Massa and Matthew Anderson
LEGAL AID INEQUITIES PREDICT HEALTH DISPARITIES James Teufel and Shannon Mace
March 12, 2015
<p class="MsoNormal" style="font-size: 11.1999998092651px; line-height: 19.0400009155273px;"><span style="font-size: 11.1999998092651px; line-height: 19.0400009155273px;">Those of us who aspire to eventually having an affordable, quality, accessible healthcare system for all citizens, or even for most citizens, must first face an obvious but under-discussed challenge that uniquely American: The major players in the US healthcare system—including private insurance companies, pharmaceutical companies, medical device and equipment makers, medical specialties and sub-specialties, healthcare organizations and their executives and shareholders, and all of their lobbyists—are motivated by their own economic self-interests first and foremost. Which means our aspirations must be viewed as a long-term struggle.</span></p>
<p class="MsoNormal" style="font-size: 11.1999998092651px; line-height: 19.0400009155273px;"><span style="font-size: 11.1999998092651px; line-height: 19.0400009155273px;">Healthcare in American is simply unfettered capitalism at work. Let me hasten to add, this is not to say that all of these entities don’t do some remarkable work—I owe my life to the U.S. healthcare system as do millions more. But the fact remains that much of the extravagantly high costs of medical care in the U.S. healthcare system has nothing to do with improving or adding quality care for patients and producing good outcomes. Rather it’s a reflection of how these key players pursue their own entrenched financial interests, while creating narratives to the public that the services they provide is essential for quality healthcare. Interestingly, over time, this bloated, inefficient system has been generally accepted by the public and therefore gained a façade of legitimacy that makes it virtually intractable to reform.</span></p>
<p><strong style="color: #34405b; font-family: Arial, Helvetica, sans-serif; line-height: 19.0400009155273px; font-size: 12px;">The Alden March Bioethics Institute offers a Master of Science in Bioethics, a Doctorate of Professional Studies in Bioethics, and Graduate Certificates in Clinical Ethics and Clinical Ethics Consultation. For more information on AMBI's online graduate programs, please visit our <a style="color: #000099; text-decoration: underline;" href="/Academic/bioethics/index.cfm">website</a>.</strong><span style="color: #34405b; font-family: Arial, Helvetica, sans-serif; line-height: 19.0400009155273px; font-size: 12px;"> </span></p>
August 5, 2014
A valuable conference on October 24, 2014 in Saint Paul: "Health Care Reform Implementation in Minnesota: Mission Advanced But Not Accomplished."
March 21, 2014
The Hamline University Health Law Institute and Hamline Law Review, with the major support of Medica Health Plans, are working together to produce a day-long CLE/CEU Symposium on Friday, October 24, 2014 titled "Health Care Reform: Implementation in M...
February 12, 2014
<p>During a long cold drive home a couple weeks ago, there was a broadcast on NPR about efforts to help promote the survival of the rare northern spotted owl. The controversy has not centered on the importance of saving the spotted owl, but on whether or not it is ethically acceptable to hunt the barred owl which has moved into territory thereby dangerously threatening the spotted owl population. The barred owl is also an “at risk” species, but has been thriving in the northwestern forests where the spotted owls had fed, bred, and nested. The government faced a “Sophie’s choice” (Shogran 2014, <a href="http://www.npr.org/2014/01/15/262735123/to-save-threatened-owl-another-species-is-shot">NPR</a>), and reluctantly accepted the morally disturbing decision to kill 3600 barred owls in order to try to help the spotted owl maintain a sustainable population. This distressing environmental dilemma serves as a unique analogy for responsible business decisions related to healthcare. We can turn to business ethics here, which offers the “precautionary principle” (Weber 2001, 134) whereby avoiding harm and meeting the needs of a community requires that if any deleterious action is going to be taken, the proponents of the activity must establish that safety is the intent and there is no other way to accomplish the task than to inflict some degree of harm. Though the cause of reduced numbers of <a name="_GoBack"></a>spotted owls and the migration of barred owls is related to man’s stripping timber from the natural habitats of each, the solution needs to balance the competing interests in the existing ecosystem. Similarly, people seeking healthcare in the US are not to blame for the economic woes of our system but it seems compromises from everyone will be needed in order to assure a basic level of service for all.</p>
<p><strong style="color: #34405b; font-family: Arial, Helvetica, sans-serif; font-size: 12px; line-height: 20px;">The Alden March Bioethics Institute offers a Master of Science in Bioethics, a Doctorate of Professional Studies in Bioethics, and Graduate Certificates in Clinical Ethics and Clinical Ethics Consultation. For more information on AMBI's online graduate programs, please visit our <a style="text-decoration: underline; color: #000099;" href="http://www.amc.edu/Academic/bioethics/index.cfm">website</a>.</strong></p>
July 14, 2012
If you want to know how easy and intuitive it is to understand the individual mandate, watch this video with Peter Ubel and his son, Taylor Greeno, who discuss why healthcare reform is good for everyone.…
March 24, 2010
The Bioethics Channel at the Center for Practical Bioethics presents an ethical analysis of the historical passage of health care reform.…
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September 11, 2014 2:54 pm
In this edition of Health Reform Watch: Harvard Asst. Professor Ben Sommers explains his widely-quoted study showing a measurable drop in adult deaths in Massachusetts in the wake of the state’s health reform program, the model for the Affordable Care Act.
April 25, 2013 12:55 pm
President Barack Obama’s new strategy for fighting the nation’s drug problem will include a greater emphasis on using public health tools to battle addiction and diverting non-violent drug offenders into treatment instead of prisons.
April 10, 2013 12:58 pm
President Barack Obama’s proposed 2014 budget includes an increase of $3.9 billion to support the administration’s healthcare overhaul, and cuts programs such as immunizations and cancer screenings that would in the future be financed through individual state insurance exchanges.
August 10, 2012 11:55 am
As she was ushered into surgery eight years ago, Paula was confident that doctors at Washington’s Howard University Hospital would find the cancer that had been growing in her right breast for months. She was less certain about where she would wake up the next day. “I felt scared because of the stories in other states … It was always in the back of my mind that a doctor, or an immigration officer dressed as a doctor, could take me,” said Paula, 60, of the fear that she would be exposed as an undocumented immigrant and deported.
June 28, 2012 9:50 am
Panelists at Marquette University to speak about healthcare reform: Dr. Arthur Derse, MD, J.D., Institute for Health and Society Medical College of Wisconsin, Director, Center for Bioethics and Medical Humanities Director, Medical Humanities Program, Julia and David Uihlein Professor of Medical Humanities and Professor of Bioethics and Emergency Medicine.
June 21, 2012 10:34 am
The ethical principles that have for centuries shaped the relationship between patient and physician should also guide legislators, regulators — and justices of the highest court — charged with crafting U.S. health care policies that demarcate the boundaries of a physician’s business practice, an Indiana University professor argues.
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