Tag: health care

Blog Posts (6)

February 22, 2013

Importing Docs

Craig Klugman, Ph.D.

In a National Public Radio story on February 15, economist Dean Baker shared his idea that physicians should be looked at like any other commodity if we want to bring the cost of health care delivery down.

February 21, 2013

Evaluating Ethics Quality: The Time Has Come

Ellen Fox, M.D.

The idea of evaluating ethics quality in health care is not new—but until now, it has proven to be easier said than done.…

February 4, 2013

Physician, Which Patients Will Sue You?

An article in today's American Medical News reviews what types of patients are more lawsuit prone.  And it offers some strategies for addressing legally risky patients.   One risk factor identified is:  "If people beg for a procedure or...
February 3, 2013

Following Orders: Obedience to Authority Figures in Medicine

When your doctor urges you to do something said to benefit your health, do you obey? If not, why not? This blog thread is about how my visitors feel about following orders from those who might be considered as "authority figures in medicine". What foll...
January 18, 2013

Nasty, Brutish & Short

Craig Klugman, Ph.D.

In the Leviathan, Thomas Hobbes said that in the state of nature, life is “solitary, poor, nasty, brutish and short.” While Hobbes was describing a world without a government, he might as well have been describing the state of health in the United States in 2013.…

December 21, 2012

Health Care Along the Fiscal Cliff

Craig M. Klugman, Ph.D.

One of the biggest stories in the news as this year ends is that of the U.S.…

Published Articles (23)

American Journal of Bioethics: Volume 16 Issue 10 - Oct 2016

War Metaphors in Health Care: What Are They Good For? Kayhan Parsi

American Journal of Bioethics: Volume 16 Issue 9 - Sep 2016

The Importance of Fostering Ownership During Medical Training Alex Dubov, Liana Fraenkel & Elizabeth Seng

American Journal of Bioethics: Volume 16 Issue 9 - Sep 2016

Owning Medical Professionalism Jon C. Tilburt & Richard R. Sharp

American Journal of Bioethics: Volume 16 Issue 1 - Jan 2016

Balancing Legitimate Critical-Care Interests: Setting Defensible Care Limits Through Policy Development Jeffrey Kirby

American Journal of Bioethics: Volume 16 Issue 1 - Jan 2016

Legal and Ethical Considerations in Allowing Parental Exemptions From Newborn Critical Congenital Heart Disease (CCHD) Screening Lisa A. Hom, Tomas J. Silber, Kathleen Ennis-Durstine, Mary Anne Hilliard & Gerard R. Martin

American Journal of Bioethics: Volume 16 Issue 1 - Jan 2016

Professional Judgment and Justice: Equal Respect for the Professional Judgment of Critical-Care Physicians David Magnus & Norm Rizk

American Journal of Bioethics: Volume 15 Issue 2 - Feb 2015

Collectivizing Rescue Obligations in Bioethics Jeremy R. Garrett

American Journal of Bioethics: Volume 15 Issue 2 - Feb 2015

Rethinking the Rescue Paradigm Kayhan Parsi

American Journal of Bioethics: Volume 14 Issue 9 - Sep 2014

Addressing Dual Agency: Getting Specific About the Expectations of Professionalism Jon C. Tilburt

American Journal of Bioethics: Volume 14 Issue 6 - Jun 2014

Patient and Citizen Participation in Health: The Need for Improved Ethical Support Laura Williamson

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News (75)

September 29, 2016 8:00 am

Depression, daily stressors and inflammatory responses to high-fat meals: when stress overrides healthier food choices (Nature)

Depression, stress and diet can all alter inflammation. This double-blind, randomized crossover study addressed the impact of daily stressors and a history of major depressive disorder (MDD) on inflammatory responses to high-fat meals. During two separate 9.5 h admissions, 58 healthy women (38 breast cancer survivors and 20 demographically similar controls), mean age 53.1 years, received either a high saturated fat meal or a high oleic sunflower oil meal. The Daily Inventory of Stressful Events assessed prior day stressors and the Structured Clinical Interview for DSM-IV evaluated MDD. As expected, for a woman with no prior day stressors, C-reactive protein (CRP), serum amyloid A (SAA), intercellular adhesion molecule-1 (sICAM-1) and vascular cell adhesion molecule-1 (sVCAM-1) were higher following the saturated fat meal than the high oleic sunflower oil meal after controlling for pre-meal measures, age, trunk fat and physical activity. But if a woman had prior day stressors, these meal-related differences disappeared—because the stressors heightened CRP, SAA, sICAM-1 and sVCAM-1 responses to the sunflower oil meal, making it look more like the responses to the saturated fat meal. In addition, women with an MDD history had higher post-meal blood pressure responses than those without a similar history. These data show how recent stressors and an MDD history can reverberate through metabolic alterations, promoting inflammatory and atherogenic responses.

September 28, 2016 10:50 am

World's first baby born from new procedure using DNA of three people (The Guardian)

The world’s first baby to be born from a new procedure that combines the DNA of three people appears to be healthy, according to doctors in the US who oversaw the treatment.

September 23, 2016 8:00 am

Researchers Confront an Epidemic of Loneliness (NY Times)

The woman on the other end of the phone spoke lightheartedly of spring and of her 81st birthday the previous week. “Who did you celebrate with, Beryl?” asked Alison, whose job was to offer a kind ear. “No one, I…” And with that, Beryl’s cheer turned to despair.

September 22, 2016 8:00 am

Belgium minor first to be granted euthanasia (BBC News)

A terminally ill 17-year-old has become the first minor to be helped to die in Belgium since age restrictions on euthanasia requests were removed two years ago, officials say.

September 20, 2016 8:00 am

Voters barely worry about their own health. Do they really care about the president’s? (Washington Post)

The first of three planned presidential debates will take place at Hofstra University in Hempstead, N.Y., on Sept. 26. Maybe it’s good the debate is slated for a gym. If Hillary Clinton and Donald Trump are really serious about proving their physical vigor and stamina, they can do laps in the arena while they answer questions.

September 16, 2016 8:00 am

Employees Are Paying A Bigger Chunk Of Health Insurance Costs (NPR)

High deductible health plans are the new normal.  Just over half of employees this year have a health insurance policy with a deductible of at least $1,000, according to a survey of employers from the Kaiser Family Foundation.

September 13, 2016 8:00 am

Hillary Clinton's Reluctance To Address Health Issues Follows A Long Tradition (NPR)

Hillary Clinton’s begrudging release of information related to her health on Sunday follows a pattern set by candidates and many who have won the Oval Office. It is a pattern of secrecy and, in some cases, cover-ups that would be scandalous if they occurred on other issues of policy.

September 1, 2016 8:00 am

The World May Soon Run out of Drugs to Treat Gonorrhea (Science)

It’s another sign that an era of untreatable bacterial infections is inching closer. Today, the World Health Organization (WHO) released new guidelines for treating gonorrhea that reflect the sobering reality that this sexually transmitted disease is becoming ever more difficult to treat. WHO recommends no longer using quinolones, a class of antibiotics that has become less and less effective. And for the first time, the agency makes suggestions on what to do when none of the standard drugs work.

September 1, 2016 8:00 am

Study: Ohio’s Abortion Pill Law Led to Worse Health Outcomes (Washington Post)

Ohio’s restrictions on the so-called abortion pill led to a higher rate of side effects, more doctor visits and additional medical treatment for patients, according to a new study.

August 25, 2016 8:00 am

Doctors Get Disciplined For Misconduct; Drug Firms Keep Paying Them (NPR)

Hundreds of pharmaceutical and medical device companies continue to pay doctors as promotional speakers and advisers after they’ve been disciplined for serious misconduct, according to an analysis by ProPublica.

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