Blog Posts (36)
April 13, 2014
<p>A coach <a href="http://www.merriam-webster.com/dictionary/coach">is defined</a> as a person who is tasked with teaching or training others, usually in conjunction with athletic endeavors. When this term is applied to health, we often presume the coach is a personal trainer of sorts, focusing on optimizing fitness and nutrition for those who can afford the fee for this level of personal attention. Over the last few years, however, there has been a growing movement to provide a different kind of health coaching within the medical arena for patients who have difficulty adhering to health related regimens for medication, office visits, and management of chronic medical problems. This endeavor has been found to work for many reasons, but remains in the wings of the contemporary healthcare industry.</p>
<p class="MsoNormal">The first time I read about the concept of community based health coaching was via Atul Gwande’s article “The Hot Spotters” published in 2011 in <em><a href="http://www.camdenhealth.org/wp-content/uploads/2011/03/Gawande-Camden-Annals_17.pdf">The New Yorker</a></em> magazine included here in its entirety for interested readers. What resonated for me was the <a href="http://www.newyorker.com/reporting/2011/01/24/110124fa_fact_gawande">comment from one recipient</a> who stated that the coach was effective because of the way the advice and encouragement and nudging was delivered, “Because she talks like my mother” implying that there is understanding, concern, and discipline delivered as the underlying message between coach and patient. I think most good athletic coaching is the same. While success is not measured in trophies, medals, or college scholarships when it comes to medical coaching, the potential for life changing outcomes are very real. And the opportunities for cost savings are very real as well.</p>
<p class="MsoNormal"><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="/Academic/bioethics/index.cfm">website</a>.</strong></p>
February 18, 2014
This story from The Onion, which is a parodic source of "news," is really funny.What makes it especially funny is that it's so far-removed from the truth. Really. Far-removed. Really. I swear. Hardly true at all.
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>
March 27, 2013
Gioia Zucchero, M.A.
Recently, the drugstore CVS Caremark implemented a health policy that if an employee would like to be covered through the company’s medical plan, he or she is required to submit information about how much they weigh, their body fat percentage and glucose levels…or else face a monetary penalty each month.…
March 7, 2013
Craig Klugman, Ph.D.
Do you smoke? Do you exercise? Do you have a yearly physical with your physician? Your answers to these questions could have an affect on the cost and coverage of your health insurance.…
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.…
June 7, 2011
This could hardly have been the intent when healthcare reform was passed last year, but a recent study by top-notch consulting firm McKinsey suggests that as many as 30% of employers plan to drop health insurance as a benefit when the new healthcare law goes into effect.…
March 24, 2010
The Bioethics Channel at the Center for Practical Bioethics presents an ethical analysis of the historical passage of health care reform.…
March 4, 2010
Check out this statistic from the Chicago Tribune today: “Illinois consumers to pay up to 60% more [for health insurance premiums], data show.” When do they pay more?…
October 5, 2009
Published last week in the Journal of Clinical Investigation, Art Caplan discusses the “right to reform”. What does this quite simple sounding phrase mean?…
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February 21, 2014 2:40 pm
University of Iowa Hospitals and Clinics decided not to bill the state for the 15 abortions it had performed as of mid-February.
February 20, 2014 5:45 pm
Patients with insurance may not be transferred to specialized trauma centers as quickly as those without, a Stanford study has found.
November 13, 2013 4:32 pm
There is nothing “inherently wrong” with offering people financial incentives aimed at improving their health and reining in health care costs, Blumenthal-Barby said. But divulging your risk of potentially developing a disease at some point in the future is another matter.
October 29, 2013 7:18 pm
States can combat rising prison health care costs by expanding Medicaid under the federal Affordable Care Act, outsourcing and taking other measures, a report released Tuesday states.
October 2, 2013 2:06 pm
After Scramble to Fix Technical Wrinkles, Online Marketplaces to Offer First Clear Look at Pricing.
September 14, 2013 12:04 pm
Eliminating the three-day hospital stay requirement for Medicare coverage in a skilled-nursing facility is among the list of recommendations that the Commission on Long-Term Care will include in its final report to Congress.
June 25, 2013 1:19 pm
Hoping to cut medical costs, employers are experimenting with a new way to pay for health care, telling workers that their company health plan will pay only a fixed amount for a given test or procedure.
May 30, 2013 1:43 pm
Employees will be eligible for significantly lower premiums on the health insurance they buy through their employers if they participate in “workplace wellness programs,” even if they don’t improve their health.
May 17, 2013 2:16 pm
Women who discover they carry a hereditary gene mutation that dramatically increases their risk of breast and ovarian cancers face big decisions and the possibility of tens of thousands of dollars in medical costs.
May 9, 2013 2:35 pm
Data being released for the first time shows that hospitals charge Medicare wildly differing amounts — sometimes 10 to 20 times what Medicare typically reimburses — for the same procedure.
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