Which Immigrants Promote Trade with Third Party Countries? On the Role of Geographic and Linguistic Proximity

Author(s):  
Oleg Firsin
Keyword(s):  
Author(s):  
Pierre Pestieau ◽  
Mathieu Lefebvre

This chapter reviews the public health care systems as well as their challenges. It first shows how expenditure on health care has evolved in previous decades and deals with the reasons for the growth observed in almost every European country. It emphasizes the role of technological progress as a main explanatory factor of the increase in medical expenditure but also points to the challenges facing cost-containment policies. Especially, the main common features of health care systems in Europe, such as third-party payment, single provider approach and cost-based reimbursement are discussed. Finally the chapter shows that although inequalities in health exist in the population, health care systems are redistributive. Reforms are thus needed but the trade-off between budgetary efficiency and equity is difficult.


2021 ◽  
pp. 147775092110114
Author(s):  
George Slade Mellgard ◽  
Jacob M Appel

Economic motivations are key drivers of human behavior. Unfortunately, they are largely overlooked in literature related to medical decisionmaking, particularly with regard to end-of-life care. It is widely understood that the directions of a proxy acting in bad faith can be overridden. But what of cases in which the proxy or surrogate appears to be acting in good faith to effectuate the patient’s values, yet doing so directly serves the decision-maker’s financial interests? Such situations are not uncommon. Many patients care as deeply about economic wellbeing of their families as they do for their own lives and health. This brief work examines three scenarios that raise ethical issues regarding the role of pecuniary motives in making critical medical decisions. Each scenario presents a potential financial conflict of interest between an incapacitated patient and a third-party decision-maker and offers a framework for integrating ethical and legal concerns into clinical care. It is our hope that this work prepares physicians for unexpected ethical conflicts of interest and enables them to further the interests of his or her patients.


2017 ◽  
Vol 46 (5) ◽  
pp. 1092-1105 ◽  
Author(s):  
Jurgen Willems ◽  
Carolin J. Waldner ◽  
Yasemin I. Dere ◽  
Yuka Matsuo ◽  
Kevin Högy

2012 ◽  
Vol 33 (3) ◽  
pp. 224-229 ◽  
Author(s):  
Sara E. Cosgrove ◽  
Polly Ristaino ◽  
Anne Caston-Gaa ◽  
Donna P. Fellerman ◽  
Elaine F. Nowakowski ◽  
...  

Objective.To describe a pseudo-outbreak associated with loose bronchoscope biopsy ports caused by inadequate bronchoscope repair practices by third-party vendors and to alert healthcare personnel to assess bronchoscope repair practices.Design.Outbreak investigation.Setting.A 925-bed tertiary care hospital in Baltimore, Maryland.Patients.Patients who underwent bronchoscopy with certain bronchoscopes after they had been repaired by a third-party vendor.Methods.An epidemiologic investigation was conducted to determine the cause ofPseudomonas putidagrowth in 4 bronchoalveolar lavage (BAL) specimens within a 3-day period in May 2008. All bronchoscopes were inspected, and cultures were obtained from bronchoscopes and the environment. Bronchoscope cleaning and maintenance practices were reviewed. Microbiologic results from BAL specimens and medical records were reviewed to find additional cases.Results.All 4 case patients had undergone bronchoscopy with one of 2 bronchoscopes, both of which had loose biopsy ports. Bronchoscope cultures grewP. putida, Pseudomonas aeruginosa,andStenotrophomonas.TheP. putidastrains from the bronchoscopes matched those from the patients. Specimens from 12 additional patients who underwent bronchoscopy with these bronchoscopes grewP. putida, P. aeruginosa,orStenotrophomonas.No patients developed clinical signs or symptoms of infection, but 7 were treated with antibiotics. Investigation revealed that the implicated bronchoscopes had been sent to an external vendor for repair; examination by the manufacturer revealed irregularities in repairs and nonstandard part replacements.Conclusions.Third-party vendors without access to proprietary information may contribute to mechanical malfunction of medical devices, which can lead to contamination and incomplete disinfection.Infect Control Hosp Epidemiol2012;33(3):224-229


NeuroImage ◽  
2019 ◽  
Vol 200 ◽  
pp. 501-510 ◽  
Author(s):  
Emanuele Lo Gerfo ◽  
Alessia Gallucci ◽  
Rosalba Morese ◽  
Alessandra Vergallito ◽  
Stefania Ottone ◽  
...  

2021 ◽  
Author(s):  
Rhea Luana Arini ◽  
Juliana Bocarejo Aljure ◽  
Nereida Bueno ◽  
Clara Bayón González ◽  
Estrella Fernández Alba ◽  
...  

Most developmental studies of the role of outcomes and intentions in third-party moral evaluations sampled children from English-speaking countries and focused on harm and property transgressions. We tested instead 5- to 11-year-old children from Colombia and Spain (N = 123) employing moral scenarios involving disloyalty and unfairness. We found that the outcome-to-intent shift in judgements of transgression severity was moral domain-dependent in Colombian but not Spanish children. More specifically, by age 5 Spanish children judged failed intentional transgressions more severely than accidental transgressions regarding both disloyalty and unfairness. In comparison, Colombian children judged failed intentional transgressions more severely than accidental transgressions in the case of disloyalty but not unfairness. This suggests that it may be adaptive for children to develop sensitivity to intentionality earlier within the moral domain their own culture is more concerned about (e.g., loyalty in collectivistic cultures). Regarding punishment severity, we observed an outcome-to-intent shift in Spanish but not Colombian children. In other words, while Colombian children punished failed intentional transgressions and accidental transgressions equally for the whole age range, Spanish children began to punish failed intentional transgressions of both moral domains more severely than accidental transgressions around 8 years of age. Finally, neither Colombian nor Spanish children enjoyed engaging in punishment. Colombian children even anticipated administering punishment to feel worse than it actually felt during and after punishment allocation. These enjoyment findings suggest that retribution is unlikely to be the primary motive for children’s third-party punishment in this context.


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