Public Health, Health Care Reform, and Emergency Medicine

The ethics of health care reform: impact on emergency medicine.

The recent enactment of the Patient Protection and Affordable Care Act (ACA) of 2010, and the ongoing debate over reform of the U.S. health care system, raise numerous important ethical issues. This article reviews basic provisions of the ACA; examines underlying moral and policy issues in the U.S. health care reform debate; and addresses health care reform's likely effects on access to care, e...

Emergency Medicine and Health Care

Background: Actinomycosis is a rare, insidious, infectious disease. Cervicofacial, thoracic and abdominopelvic districts are most commonly involved. Its tendency to involve surrounding structures may mimic a tumor on imaging studies. Early diagnosis, obtained with mini-invasive methods or surgical biopsy, is fundamental to optimize therapeutic approach and to reduce morbidity due to aggressive ...

Public health medicine and purchasing health care.

Public Opinion on Health Care Reform

We use multilevel modeling to estimate support for health-care reform by age, income, and state. Opposition to reform is concentrated among higher-income voters and those over 65. Attitudes do not vary much by state. Unfortunately, our poll data only go to 2004, but we suspect that much can be learned from the relative positions of different demographic groups and different states, despite swin...

Public Health in the Age of Health Care Reform

Preventive medicine has vast unused possibilities for improving the health of the population, partly in ways that require compulsory controls, like quarantine and compulsory immunization, partly through systematic arrangements for personal check-ups and early diagnosis and treatment. Without going into the controversial question of socialized medicine, it is clear that health is a national asse...