Measuring and Explaining Computed Tomography Use in the United States and Canada: A Consideration of Health Economics, Use Versus Appropriateness, and Interpreting Potential Conflict of Interest

2013 ◽  
Vol 62 (5) ◽  
pp. 545-546 ◽  
Author(s):  
David L. Schriger ◽  
Michael L. Callaham ◽  
Tyler W. Barrett
Author(s):  
Marc C. Vielledent

The United States has long enjoyed an essentially unopposed ability to project power and sustain its security forces dispersed throughout the world. However, the uncertainty facing the global security environment, including tenuous alliances, fiscal constraints, and a decline in overseas basing, has increased tensions in emerging areas of potential conflict. These factors are driving change regarding the United States’ defense posture and access agreements abroad. While the preponderance of overseas capability outweighs the preponderance of U.S. forces, deterrence continues to underpin the overarching national security strategy. However, deterrence options impacted by the lack of resilience and investment in distributed logistics and sustainment are generating an additional range of variables and conditions for operators on the ground to consider in shared and contested domains.


2011 ◽  
Vol 6 (11) ◽  
pp. 1841-1848 ◽  
Author(s):  
Pamela M. McMahon ◽  
Chung Yin Kong ◽  
Colleen Bouzan ◽  
Milton C. Weinstein ◽  
Lauren E. Cipriano ◽  
...  

2019 ◽  
Vol 34 (3) ◽  
pp. 429-434 ◽  
Author(s):  
Deepa V. Cherla ◽  
Cristina P. Viso ◽  
Julie L. Holihan ◽  
Karla Bernardi ◽  
Maya L. Moses ◽  
...  

2008 ◽  
Vol 36 (1) ◽  
pp. 89-94 ◽  
Author(s):  
Govind C. Persad ◽  
Linden Elder ◽  
Laura Sedig ◽  
Leonardo Flores ◽  
Ezekiel J. Emanuel

The standards for medical education in the United States now go above and beyond traditional basic science and clinical subjects. Bioethics, health law, and health economics are recognized as important parts of translating physicians’ technical competence in medicine into effective research, administration, and medical care for patients. The Liaison Committee on Medical Education (LCME), which establishes certification requirements for medical schools, requires all medical schools to include bioethics in their curricula. Furthermore, issues such as the growth of genetic testing, end-of-life decision making for a burgeoning elderly population, confidentiality in the era of electronic medical records, and allocation of scarce medical resources make bioethics training clearly necessary for physicians. Although 16 percent of the United States GDP is devoted to health care, the LCME does not currently mandate training in health law or health economics. Furthermore, as the Schiavo case and HIPAA remind us, legal directives influence medical practice in areas such as billing, confidentiality, and end-of-life care.


Health Policy ◽  
2018 ◽  
Vol 122 (5) ◽  
pp. 509-518 ◽  
Author(s):  
Quinn Grundy ◽  
Roojin Habibi ◽  
Adrienne Shnier ◽  
Christopher Mayes ◽  
Wendy Lipworth

2009 ◽  
Vol 44 (1) ◽  
pp. 67-81 ◽  
Author(s):  
SARAH B. SNYDER

Though now seen as a key turning point in the Cold War, the 1975 Helsinki Final Act provoked considerable opposition in the United States. The principal line of criticism was that the United States had given away too much in the negotiations and had required little of the Soviets. The Helsinki Final Act initially was unpopular domestically with Eastern European ethnic groups as well as members of Congress due to concerns about its implications for Estonia, Latvia, and Lithuania and the Soviet presence in Eastern Europe. At the root of many of these complaints was a larger critique of United States President Gerald Ford's policy of détente with the Soviet Union. Understanding the sources of opposition to the Helsinki Final Act in the United States illuminates the potential conflict between foreign policy formulation and domestic politics, and it reflects the Ford administration's inability to explain his support for the agreement to the American public. Furthermore, the controversy engendered by the Helsinki Final Act illustrates how contentious Cold War politics remained even in an era of supposed détente with the Soviet Union and demonstrates the extent to which the pact's long-term benefits were unforeseen by participants at the time. The Ford administration was never able to counter condemnation of the Helsinki Final Act sufficiently, enhancing existing skepticism about his leadership and policy toward the Soviet Union.


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