BACKGROUND Despite the proven efficacy of prescription regimens in reducing disease symptoms and preventing or minimizing complications, poor medication adherence remains a significant public health problem. Medicare beneficiaries have high rates of chronic illness and prescription medication use, making this population particularly vulnerable to nonadherence. Failure to fill prescribed medicat...

In this paper I attempt a critical examination of the multi-system or dual-process view of moral judgment. This view aims to provide a psychological explanation of moral sensitivity, and in particular an explanation of conflicting moral sensitivities in dilemma cases such as the crying baby scenario. I argue that proponents of the multi-system view owe us a satisfactory account of the mechanism...

In this paper I attempt a critical examination of the multi-system or dual-process view of moral judgment. This view aims to provide a psychological explanation of moral sensitivity, and in particular an explanation of conflicting moral sensitivities in dilemma cases such as the crying baby scenario. I argue that proponents of the multi-system view owe us a satisfactory account of the mechanism...

We propose an ethical analysis as a method to reflect on how companies’ decisions promote sustainable development. The method proceeds by first identifying the choice according to financial business interests, and by then scrutinizing this choice according to consequentialist and deontological ethics. The paper applies the method to the choice of an Environmental Impact Assessment (EIA) that a ...

CONTEXT Treatment for depression can be expensive and depression can affect the use of other medical services, yet there is little information on how depression affects the prevalence of cost-related medication nonadherence (CRN) in elderly patients and patients with disabilities. OBJECTIVE To quantify the presence of CRN in depressed and nondepressed elderly Medicare beneficiaries and noneld...

From the foregoing analyses, the following picture emerges about persons who work after award of DI benefits: Almost one-quarter of the sample population attempted to reenter the labor force in the 10-year NBS-NBF period. The higher the level of education, the greater the proportion of persons who worked. Younger beneficiaries were more likely to work than older beneficiaries. About half of the...

The objective is to examine hospice utilization among Medicare beneficiaries in Hawai‘i compared to other states. Data were from the 2014 Medicare Hospice Utilization and Payment Public Use File, which included information on 4,025 hospice providers, more than 1.3 million hospice beneficiaries, and over $15 billion in Medicare payments. Multivariable linear regression models were estimated to c...

Hip fracture incidence has declined among whites in the United States since 1995, but data on recent trends in racial and ethnic minorities are limited. The goal of this analysis was to investigate hip fracture incidence trends in racial/ethnic subgroups of older Medicare beneficiaries. We conducted a cohort study to determine annual hip fracture incidence rates from 2000 through 2009 using the...

Abstract Ex-ante deontology is an attempt to combine deontological constraints on doing or intending harm with the idea that one should act in everyone’s interest if possible. I argue ex-ante has serious problems cases where multiple decisions are be made over time. then these force us choose between commonsense morality and a more consequentialist morality. suggest we latter.