Rearranging deck chairs

Chronic disease care: rearranging the deck chairs.

The care of patients with chronic disease is one of the most urgent medical challenges in the United States. Chronic illness accounts for most of the demand, expense, and investments in scientific discovery. The well-documented shortcomings in medical quality and safety fall heavily on the shoulders of patients with these conditions (1). Meanwhile, the Medicare program moves steadily toward ins...

Rearranging the deck chairs on the Titanic.

Academic medicine--rearranging deck chairs on the Titanic.

● Teaching hospital costs are 30% to 40% higher than those of nonteaching hospitals (Prospective Payment Commission [PROPAC]). ● We are asked to reduce the size of medical school classes by 20% to 25% and to reduce the number of graduate medical training positions to the number of graduating students plus 10% (1995 Pew Commission). ● Indirect education costs add $10 billion/year to health care ...

An essay on rearranging the deck chairs: what's wrong with the cancer trials system?

Phase II Clinical Trial Design: Methods in Translational Research from the Genitourinary Committee at the Eastern Cooperative Oncology Group. Robert Gray, Judith Manola, Scott Saxman, John Wright, Jan Dutcher, Michael Atkins, Michael Carducci, William See, Christopher Sweeney, Glenn Liu, Mark Stein, Robert Dreicer, George Wilding, and Robert S. DiPaola .............................................

Rearranging the Deck Chairs or Reallocating the Lifeboats?: Homelessness Assistance and Its Alternatives

Problem: At present, homelessness in the United States is primarily addressed by providing emergency and transitional shelter facilities. These programs do not directly address the causes of homelessness, and residents are exposed to victimization and trauma during stays. We need an alternative that is more humane, as well as more efficient and effective at achieving outcomes. Purpose: This art...