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Inevitable Incompetence
We have two choices. We can follow the delusion of "universal health care" or we can accept a market approach to health care. Putting patients in charge of their medical care is a market approach. It guarantees competence, at least. Universal health care is sickness care administered by politicians, bureaucrats, CEOs and other proven incompetents. None of these "medicrats" knows how medicine is practiced. All these administrators are driven by politics and economics. Excellence is destroyed in the initial stages of what is called "single payer" health care. The destruction of competence follows the destruction of excellence. Medicine was practiced. Medicine was a lifelong learning experience...
Mentoring In Health Professions Education
This IAMSE Manual, Mentoring Across the Continuum, is a product of its co-editors' and authors’ lifetime work in mentoring faculty and studying the impact of this mentoring. The book defines the field of academic medicine as highly dependent on finding and relating to mentors at virtually every stage of a doctor's career. It describes and analyzes successful mentor/mentee relationships, examining the authors' personal experiences, as well as a data-driven approach, to explore the many different roles and perspectives on mentoring relationships and ultimately the mentoring culture. The editors look at the data with respect to the success of different strategies in mentoring, as well as diff...
Assessing the Capitalist Peace
Researchers have recently reinvigorated the idea that key features associated with a capitalist organization of the economy render nation states internally and externally more peaceful. According to this adage, the contract intensity of capitalist societies and the openness of the economy are among the main attributes that drive these empirical relationships. Studies on the Capitalist Peace supplement the broadly received examinations on the role that economic integration in the form of trade and foreign direct investment play in the pacification of states. Some proponents of the peace-through-capitalism thesis controversially contend that this relationship supersedes prominent explanations like Democratic Peace according to which democratic pairs of states face a reduced risk of conflict. This volume takes stock of this debate. Authors also evaluate the theoretical underpinnings of the relationship and offer an up-to-date idea history and classification of current research. Leading scholars comment on these theoretical propositions and empirical findings. This book is an extended and revised version of a special issue of International Interactions.
Free Clinics
Free clinics and student-run clinics are an essential part of America's health care safety net. In community after community, pro bono and student-run health clinics have sprung up over the past 30 years, providing critically needed care to medically underserved populations. Free Clinics is a mosaic formed by accounts of such clinics around the United States. These wide-ranging narratives—from urban to rural, from primary care to behavioral health care—provide examples that will assist other communities seeking to find the model that best fits their needs. The Patient Protection and Affordable Care Act has improved access to health care for many Americans, but millions remain and will re...
Are Your Prescriptions Killing You?
A veteran board-certified pharmacist cites the high number of annual deaths associated with prescription drug side effects, calling for changes in prescription practices that account for the needs of aging bodies.
Policy and Choice
Traditional public finance provides a powerful framework for policy analysis, but it relies on a model of human behavior that the new science of behavioral economics increasingly calls into question. In Policy and Choice economists William Congdon, Jeffrey Kling, and Sendhil Mullainathan argue that public finance not only can incorporate many lessons of behavioral economics but also can serve as a solid foundation from which to apply insights from psychology to questions of economic policy. The authors revisit the core questions of public finance, armed with a richer perspective on human behavior. They do not merely apply findings from psychology to specific economic problems; instead, they ...
Advancing the Frontiers of Cardiopulmonary Rehabilitation
Thirty chapters written by renowned scholars, researchers and clinicians from the field of cardiopulmonary rehabilitation, offering readers both a broad overview of the field and an in-depth analysis of contemporary issues facing practitioners.
The PKU Paradox
Named one of the "Ten must-read science histories" by Science Magazine In a lifetime of practice, most physicians will never encounter a single case of PKU. Yet every physician in the industrialized world learns about the disease in medical school and, since the early 1960s, the newborn heel stick test for PKU has been mandatory in many countries. Diane B. Paul and Jeffrey P. Brosco’s beautifully written book explains this paradox. PKU (phenylketonuria) is a genetic disorder that causes severe cognitive impairment if it is not detected and treated with a strict and difficult diet. Programs to detect PKU and start treatment early are deservedly considered a public health success story. Some...
Exercise Testing
Since it was introduced less than 100 years ago, analysis of the circulatory response to exercise as a measure of cardiac function has undergone remarkable development. Most recently this approach has incorporated the burgeoning technology of the last half of the 20th century to meet the physiological and diagnostic needs of scientist and clinicians. The ease of administration, economy and abundant data that characterize exercise testing for its relative staying power as the most frequently utilized noninvasive method of cardiovascular evaluation. The basic modalities of exercise electrocardiography of treadmill and bicycle have been extended by noninvasive cardiac imaging techniques, includ...
Purchasing Medical Innovation
"Innovation in medical technology drives improvement in the quality of health care but also the unsustainable increase in costs. This book analyzes methods of technology regulation, insurance, payment, pricing, and use, and highlights ways in which they should be reformed. The goal is to improve the value of drugs, devices, and other innovative technologies to achieve better performance at lower cost."--Provided by publisher.
