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Health Policy Class Notes

Health Policy Class Notes

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Published by: Vanessa on Jul 31, 2008
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06/29/2012

 
 
HEALTH POLICY CLASS NOTESPROFESSORS ROBIN SWIFT AND FRANK LOMBARDDUKE UNIVERSITY – SPRING 2007
Vanessa Villamia Sochat
CONTENTS
Medicaid ................................................................................................................................................. 3
 
Medicare ................................................................................................................................................. 4
 
Effects on Health of Location and the Environment ..................................................................................................... 6
 
Health Disparities Between Young and Old Veterans ................................................................................................... 7
 
Lack of diversity within HC professionals ...................................................................................................................... 7
 
The Ghost Map
 
................................................................................................................................................... 8
 
Solid Waste Sites and the Black Houston Community ................................................................................................ 11
 
Ethnicity and Differential Access to Care for Eating Disorder Systems ....................................................................... 12
 
Viral Hemorrhagic Fevers ............................................................................................................................................ 12
 
Health Disparities Persist for Men, and Doctors Ask Why .......................................................................................... 13
 
Child malnutrition in Bangladesh ................................................................................................................................ 14
 
HIV ............................................................................................................................................................................... 14
 
Health Care Disparities and Cervical Cancer ............................................................................................................... 16
 
Medicare Part II ........................................................................................................................................................... 17
 
Executive Summary Review ........................................................................................................................................ 18
 
What to do about the Uninsured? .............................................................................................................................. 21
 
Kant Readings.............................................................................................................................................................. 22
 
The vision of Change: From today to tomorrow .................................................................................................... 22
 
The Multiple Determinants of Health .................................................................................................................... 23
 
Health and Working Conditions: Hotel Room Attendants in Los Vegas ..................................................................... 23
 
Immunization coverage among children born to HIV infected women in Rakai District, Uganda: Effect of voluntarytesting and counseling (VCT) ....................................................................................................................................... 27
 
 
 Federal Safety Net for Workers .................................................................................................................................. 27
 
Market Failure and the Creation of a National Health Information Technology System ........................................... 29
 
The Value of Health Care Information Exchange and Interoperability ....................................................................... 30
 
Hamlet, Out of the Ashes (video) ................................................................................................................................ 31
 
Health Information Technology .................................................................................................................................. 31
 
Family Planning: A Cure to Overpopulation ................................................................................................................ 32
 
Barriers to HC for Hispanic Community ...................................................................................................................... 32
 
Kindig Reading............................................................................................................................................................. 33
 
Factors Contributing to Disparities in Preventative Health Care Among Lesbian Women ......................................... 34
 
Kindig Continued… ...................................................................................................................................................... 34
 
Cancer Screening Among Immigrant Women” ........................................................................................................... 36
 
Is Tobacco Control a Social Justice Issue? ................................................................................................................... 36
 
The Three Core Public Health Functions ..................................................................................................................... 38
 
Trends of Gonorrhea and Chlamydial Infection Among Active Duty Soldiers ............................................................ 40
 
Female Control of Sexuality: Use of vaginal products in south west Uganda ............................................................. 41
 
Avian Flu ...................................................................................................................................................................... 42
 
Obesity and Jobs ......................................................................................................................................................... 43
 
Health and Access to Care for Children of US Migrants and Immigrants ................................................................... 43
 
Costly heart Treatment in Doubt ................................................................................................................................ 45
 
Aspirin and Women .................................................................................................................................................... 45
 
Patterns of Cancer Incidence, Mortality, and Prevalence Across Five Continents ..................................................... 46
 
Mental Health Care in North Carolina ........................................................................................................................ 48
 
PSYCHIATRIST BRIEF: Supply and distribution Psychiatrists in NC .............................................................................. 50
 
Discriminatory factors with HIV, Thailand ............................................................................................................. 52
 
Cancer Health Disparities among Asian Americans .................................................................................................... 52
 
Health Determinants ................................................................................................................................................... 53
 
Mental Health Care NC ............................................................................................................................................... 53
 
 
 A Difference in Disparities: Comparison of Type I and Type II Diabetes ..................................................................... 54
 
Safety and Health of Working Women: Poultry Processing in the Rural South .......................................................... 54
 
How (and how not to) Battle the Flu – A Tale of 23 Cities .......................................................................................... 58
 
Teens and Substance Abuse Treatment in Tennessee ................................................................................................ 59
 
JANUARY 25, 2007 MEDICAID
 
health care is a finite resource, a scarcity model rules decision making.
 
Health care is a limitless resource, scarcity arguments are artificially created by the powerful elite tocontrol resources and limit access to the unworthy.We assume that health is a scarce resource – said by KantEven though health care may be a limited resource, we treat it as though it is limitless because we are faced withthe moral dilemma that it is a human right to receive health care!
 
almost everyone went to medical care, and talked about limits around money
 
the only way to get medicine is to have money… are these assumptions correct?
 
How do we invest in HC, and what do we get back? Can we make a cycle of investments so the outcomewe get back is growing faster than what we put in.
o
 
If we can do this, we have a limitless system… it isn’t market based or commodity based.
Medically Needy – Spend Down
 
idea of Medicaid: provides certain number of services to certain number of categories, old and poor,mothers and poor, sick and poor.
 
States have leeway with implementing Medicaid program. They can provide care to more people(expand)
o
 
They do this by covering Medically Needy people. They don’t fit in the box, but they can be cutout at any point.
o
 
If they take in these people, they don’t do it for free.
 
Spend down is patient co-pay related with getting Medicaid. The main differencebetween these patients is income.
Disability
 
 
what is the definition of disability? By SS, it is a physical or mental impairment which prevents anindividual from engaging in any substantial gainful activity, and which has lasted or is expected to last for12 months or result in death
 
Disability is determined by the disability determinant act.
 
Income limit Medicaid is 798 dollars. They look at income, assets, and health status.NC HAS…

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