As the twentieth century closes, marked by triumphal strides in medical advances, the American society has yet to ensure that each person has access to affordable health care. To correct this injustice, this article calls on the nation's political and corporate leaders, providers, and faith-based groups to join all Americans in a new national conversation on systemic health care reform.
Government and market forces have fundamentally transformed the religious healthcare sector. Religious healthcare organizations are struggling to define their identities and determine what it is that makes them different and what implications the differences have for the delivery of social services and for public life.
The Roman Catholic Church is the single largest denomination in the United States and the one with the most extensive provider stake in health (and related social service) care. As a follow-up to an earlier analysis of the Catholic role in the thwarted health care reform effort of 1993-94, this article looks at the revival of interest in reform and at the rationale behind and strategy of the Catholic Church's current agenda-setting initiative.
We often speak of health care as a social good. What kind of good it is--and what justice requires of us in making it available to the members of society--depends on how society understands it. Yet the value of health care may be understood in many different ways within society.
The hunger for reform and transparency in healthcare is palpable in this year's listing of the 100 Most Powerful People in Healthcare. The first six are all people who have helped lead efforts to increase access or protect patient privacy, including No. 3, California. Gov. Arnold Schwarzenegger, left. Find out who leads the pack.
Communicating openly and honestly with patients and families about unexpected medical events-a policy known as full disclosure-improves outcomes for patients and providers. Although many certification and licensing organizations have declared full disclosure to be imperative, the adoption of and adherence to a full disclosure protocol is not common practice in most clinical settings. We conducted a case study of Ascension Health's implementation of a full disclosure protocol at five labor and delivery demonstration sites.
The classical Chinese philosophy of Confucius is here reconsidered in light of the current challenge of sustaining loving relationships not only in words but in actions, and providing a life worth living for frail older adults. The Ox Mountain Parable of Meng Tzu (Mencius) is described and linked to the nursing home reform movement known as "The Eden Alternative." Implications for nursing are considered.
Physicians hoped the health system reform law would eliminate the Sustainable Growth Rate (SGR) formula that drives down Medicare fees. The SGR, however, remains in place, and the law created a new board with the authority to cut fees even further, possibly on top of cuts under the SGR.
Informal payments are known to be widespread in the post-communist health care systems of Central and Eastern Europe. However, their role and nature remains contentious with the debate characterized by much polemic. This paper aims to make sense of this debate by reviewing and summarizing the main arguments of the theoretical debate in Hungary. The review examines the possible causes of informal payment, the motivation of the actors involved and the impact of informal payment on system performance, focusing on efficiency and equity.