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Author: Daniel Callahan
Publisher: Princeton University Press
ISBN: 0691177996
Category : Political Science
Languages : en
Pages : 280
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Book Description
Why health care reform must tackle the escalating cost of medical technology Technological innovation is deeply woven into the fabric of American culture, and is no less a basic feature of American health care. Medical technology saves lives and relieves suffering, and is enormously popular with the public, profitable for doctors, and a source of great wealth for industry. Yet its costs are rising at a dangerously unsustainable rate. The control of technology costs poses a terrible ethical and policy dilemma. How can we deny people what they may need to live and flourish? Yet is it not also harmful to let rising costs strangle our health care system, eventually harming everyone? In Taming the Beloved Beast, esteemed medical ethicist Daniel Callahan confronts this dilemma head-on. He argues that we can't escape it by organizational changes alone. Nothing less than a fundamental transformation of our thinking about health care is needed to achieve lasting and economically sustainable reform. The technology bubble, he contends, is beginning to burst. Callahan weighs the ethical arguments for and against limiting the use of medical technologies, and he argues that reining in health care costs requires us to change entrenched values about progress and technological innovation. Taming the Beloved Beast shows that the cost crisis is as great as that of the uninsured. Only a government-regulated universal health care system can offer the hope of managing technology and making it affordable for all.
Author: Daniel Callahan
Publisher: Princeton University Press
ISBN: 0691177996
Category : Political Science
Languages : en
Pages : 280
Get Book Here
Book Description
Why health care reform must tackle the escalating cost of medical technology Technological innovation is deeply woven into the fabric of American culture, and is no less a basic feature of American health care. Medical technology saves lives and relieves suffering, and is enormously popular with the public, profitable for doctors, and a source of great wealth for industry. Yet its costs are rising at a dangerously unsustainable rate. The control of technology costs poses a terrible ethical and policy dilemma. How can we deny people what they may need to live and flourish? Yet is it not also harmful to let rising costs strangle our health care system, eventually harming everyone? In Taming the Beloved Beast, esteemed medical ethicist Daniel Callahan confronts this dilemma head-on. He argues that we can't escape it by organizational changes alone. Nothing less than a fundamental transformation of our thinking about health care is needed to achieve lasting and economically sustainable reform. The technology bubble, he contends, is beginning to burst. Callahan weighs the ethical arguments for and against limiting the use of medical technologies, and he argues that reining in health care costs requires us to change entrenched values about progress and technological innovation. Taming the Beloved Beast shows that the cost crisis is as great as that of the uninsured. Only a government-regulated universal health care system can offer the hope of managing technology and making it affordable for all.
Author: Daniel Callahan
Publisher: MIT Press
ISBN: 0262305054
Category : Medical
Languages : en
Pages : 233
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Book Description
One of the founding fathers of bioethics describes the development of the field and his thinking on some of the crucial issues of our time. Daniel Callahan helped invent the field of bioethics more than forty years ago when he decided to use his training in philosophy to grapple with ethical problems in biology and medicine. Disenchanted with academic philosophy because of its analytical bent and distance from the concerns of real life, Callahan found the ethical issues raised by the rapid medical advances of the 1960s—which included the birth control pill, heart transplants, and new capacities to keep very sick people alive—to be philosophical questions with immediate real-world relevance. In this memoir, Callahan describes his part in the founding of bioethics and traces his thinking on critical issues including embryonic stem cell research, market-driven health care, and medical rationing. He identifies the major challenges facing bioethics today and ruminates on its future. Callahan writes about founding the Hastings Center—the first bioethics research institution—with the author and psychiatrist Willard Gaylin in 1969, and recounts the challenges of running a think tank while keeping up a prolific flow of influential books and articles. Editor of the famous liberal Catholic magazine Commonweal in the 1960s, Callahan describes his now-secular approach to issues of illness and mortality. He questions the idea of endless medical “progress” and interventionist end-of-life care that seems to blur the boundary between living and dying. It is the role of bioethics, he argues, to be a loyal dissenter in the onward march of medical progress. The most important challenge for bioethics now is to help rethink the very goals of medicine.
Author: Lloyd Steffen
Publisher: BRILL
ISBN: 9004399208
Category : Family & Relationships
Languages : en
Pages : 252
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Book Description
This volume was first published by Inter-Disciplinary Press in 2012. This inter-disciplinary volume gathers scholars from around the world to explore clinical, cultural and ethical perspectives on end-of-life care, not only for the dying but also for those who attend the dying as caregivers.
Author: Stan Cox
Publisher: New Press, The
ISBN: 1595588094
Category : Social Science
Languages : en
Pages : 338
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Book Description
Rationing: it’s a word—and idea—that people often loathe and fear. Health care expert Henry Aaron has compared mentioning the possibility of rationing to “shouting an obscenity in church.” Yet societies in fact ration food, water, medical care, and fuel all the time, with those who can pay the most getting the most. As Nobel Prize–winning economist Amartya Sen has said, the results can be “thoroughly unequal and nasty.” In Any Way You Slice It, Stan Cox shows that rationing is not just a quaint practice restricted to World War II memoirs and 1970s gas station lines. Instead, he persuasively argues that rationing is a vital concept for our fragile present, an era of dwindling resources and environmental crises. Any Way You Slice It takes us on a fascinating search for alternative ways of apportioning life’s necessities, from the goal of “fair shares for all” during wartime in the 1940s to present-day water rationing in a Mumbai slum, from the bread shops of Cairo to the struggle for fairness in American medicine and carbon rationing on Norfolk Island in the Pacific. Cox’s question: can we limit consumption while assuring everyone a fair share? The author of Losing Our Cool, the much debated and widely acclaimed examination of air-conditioning’s many impacts, here turns his attention to the politically explosive topic of how we share our planet’s resources.
Author: Maarten J Verkerk
Publisher: Routledge
ISBN: 1317445708
Category : Technology & Engineering
Languages : en
Pages : 397
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Book Description
Philosophy of Technology: An introduction for technology and business students is an accessible guide to technology’s changes , their ubiquitousness, and the many questions these raise. Designed for those with no philosophical background in mind, it is ideal for technology and engineering students or specialists who want to learn to think critically about how their work influences society and our daily lives. The technological, business environment and daily experiences are the starting point of the book and the authors’ reflect upon these practices from a philosophical point of view. The text goes on to present a critical analysis of the subject including development, manufacturing, sales and marketing and the use of technological products and services. The abstract ideas are made easier to grasp with a story-telling approach: a vivid history of the discipline and colourful portraits of the core thinkers in this domain, as well as four case studies drawing from various engineering disciplines to demonstrate how philosophy can and should influence technology in practice. The first comprehensive introduction to this vibrant young sub-discipline in over 20 years, this is an ideal textbook for students of technology and engineering beginning a course or project in the philosophy of their subject.
Author: Klaus Hoeyer
Publisher: MIT Press
ISBN: 0262545411
Category : Social Science
Languages : en
Pages : 327
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Book Description
Why healthcare cannot—and should not—become data-driven, despite the many promises of intensified data sourcing. In contemporary healthcare, everybody seems to want more data, of higher quality, on more people, and to use this data for a wider range of purposes. In theory, such pervasive data collection should lead to a healthcare system in which data can quickly, efficiently, and unambiguously be interpreted and provide better care for patients, more efficient administration, enhanced options for research, and accelerated economic growth. In practice, however, data are difficult to interpret and the many purposes often undermine one another. In this book, anthropologist and STS scholar Klaus Hoeyer offers an in-depth look at the paradoxes surrounding healthcare data. Focusing on Denmark, a world leader in healthcare data infrastructures, Hoeyer shares the perspectives of different stakeholders, from epidemiologists to hospital managers, from patients to physicians, analyzing the social dynamics set in motion by data intensification and calling special attention to that which cannot be easily coded in a database. HHe illustrates how data can be at once helpful, overwhelming, and sometimes disastrous through concrete examples. The COVID-19 pandemic serves as a special closing case study that shows how these data paradoxes carry weighty political implications. By revealing the diverse and sometimes contradictory practices spawned by intensified data sourcing, Data Paradoxes raises vital questions about how we might better use healthcare data.
Author: Naresh Khatri
Publisher: Routledge
ISBN: 1000433684
Category : Business & Economics
Languages : en
Pages : 169
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Book Description
The US political system has come to depend upon money too much. The US health care industry spends the most on political lobbying among all the 13 industrial sectors in the US economy. The government regulatory agencies at both federal and state levels have been "captured" by the health industry interest groups meaning that the regulatory agencies respond to the interests of the industry but not those of citizens. This book employs a broad theoretical framework of crony capitalism to understand US health care system dysfunction. This framework has not been applied before in any serious manner to understand the shortcomings in the US health care system. Specifically, the book examines the role of seven key players using this framework - politicians/interest groups, pharmaceutical companies, private health insurers, hospitals/hospital networks, physicians, medical device manufacturers, and the American public. Crony capitalism is a destructive force and is rampant in US health care system, causing much waste, inefficiencies, and malaise in the system. Current efforts and initiatives, such as patient-centered medical homes and precision medicine, for improving/reforming the system are of mere academic interest and tantamount to taking aspirin to treat cancer. They do not even pretend to address the root cause of the problem, namely, crony capitalism. Offering prescriptions to fix the U.S. health care system based on a comprehensive diagnosis of the dysfunction, this book will be of interest to researchers, academics, policymakers, and students in the fields of health care management, public and non-profit management, health policy, administration, and economics, and political science.
Author: Jennie Jacobs Kronenfeld
Publisher: SAGE
ISBN: 1412996023
Category : Medical
Languages : en
Pages : 593
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Book Description
This issues-based reference work (available in both print and electronic formats) shines a spotlight on health care policy and practice in the United States. Impassioned debates about the best solutions to health care in America have perennially erupted among politicians, scholars of public policy, medical professionals, and the general public. The fight over the Health Care Reform Act of 2010 brought to light a multitude of fears, challenges, obstacles, and passions that often had the effect of complicating rather than clarifying the debate. The discourse has never been more heated. The complex issues that animate the health care debate have forced the American public to grapple with the exigencies of the present system with regard to economic, fiscal, and monetary policy, especially as they relate to philosophical, often ideologically driven approaches to the problem. Americans have also had to examine their ideas about the relationship of the individual to and interaction with the state and the varied social and cultural beliefs about what an American solution to the problem of health care looks like. In light of the need to keep students, researchers, and other interested readers informed and up-to-date on the issues surrounding health care in the U.S., this volume uses introductory essays followed by point/counterpoint articles to explore prominent and perennially important debates, providing readers with views on multiple sides of this complex issue. Features & Benefits: The volume is divided into three sections, each with its own Section Editor: Quality of Care Debates (Dr. Jennie Kronenfeld), Economic & Fiscal Debates (Dr. Mark Zezza), and Political, Philosophical, & Legal Debates (Prof. Wendy Parmet). Sections open with a Preface by the Section Editor to introduce the broad theme at hand and provide historical underpinnings. Each Section holds 12 chapters addressing varied aspects of the broad theme of the section. Chapters open with an objective, lead-in piece (or "headnote") followed by a point article and a counterpoint article. All pieces (headnote, point article, counterpoint article) are signed. For each chapter, students are referred to further readings, data sources, and other resources as a jumping-off spot for further research and more in-depth exploration. Finally, the volume concludes with a comprehensive index, and the electronic version of the book includes search-and-browse features, as well as the ability to link to further readings cited within chapters should they be available to the library in electronic format.
Author: Kenneth L. Brigham
Publisher: Basic Books
ISBN: 0465032990
Category : Science
Languages : en
Pages : 258
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Book Description
Our health care system is crippled by desperate efforts to prevent the inevitable. A third of the national Medicare budget -- nearly 175 billion -- is spent on the final year of life, and a third of that amount on the final month, often on expensive (and futile) treatments. Such efforts betray a fundamental flaw in how we think about healthcare: we squander resources on hopeless situations, instead of using them to actually improve health. In Predictive Health, distinguished doctors Kenneth Brigham and Michael M.E. Johns propose a solution: invest earlier -- and use science and technology to make healthcare more available and affordable. Every child would begin life with a post-natal genetic screen, when potential risk -- say for type II diabetes or heart disease -- would be found. More data on biology, behavior, and environment would be captured throughout her life. Using this information, health-care workers and the people they care for could forge personal strategies for healthier living long before a small glitch blows up into major disease. This real health care wouldn't just replace much of modern disease care -- it would make it obsolete. The result, according to Brigham and Johns, will be a life defined by a long stay at top physical and mental form, rather than an early peak and long decline. Accomplishing this goal will require new tools, new clinics, fewer doctors and more mentors, smarter companies, and engaged patients. In short, it will require a revolution. Thanks to a decade-long collaboration between Brigham, Johns and others, it is already underway. An optimistic plan for reducing or eliminating many chronic diseases as well as reforming our faltering medical system, Predictive Health is a deeply knowledgeable, deeply humane proposal for how we can reallocate expenses and resources to prolong the best years of life, rather than extending the worst.
Author: Lloyd Steffen
Publisher: BRILL
ISBN: 1848881738
Category : Family & Relationships
Languages : en
Pages : 233
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Book Description
This volume was first published by Inter-Disciplinary Press in 2013. This inter- and multi-disciplinary volume examines how culture impacts care for the dying, the overall experience of dying, and ways the dead are remembered. Over the past three decades, scholarship in thanatology has increased dramatically. This text localizes a broad array of perspectives that research, analyze, and interpret the many interrelations and interactions that exist between death and culture. Culture not only presents and portrays ideas about ‘a good death’ and norms that seek to achieve it, but culture also operates as both a vehicle and medium through which meaning about death is communicated and understood. Sadly, too, culture sometimes facilitates death through violence.
