The Right to Be Covered

2021 ◽  
pp. 257-282
Author(s):  
Lewis A. Grossman

This chapter explores the paradoxical assertion of freedom of therapeutic choice in the context of reimbursed health care. Cries of “rationing!” and “death panel!” are directed at every suggestion of a limitation on government insurance coverage. This chapter traces the history of the notion of a “right to be reimbursed” for one’s therapeutic choices since the 1930s. It explores the persistent public insistence on “a right to choose one’s doctor” in insurance plans. It describes the history of drug formularies and patients’ resistance to them. The chapter focuses most intensively on the controversy surrounding the FDA’s November 2011 withdrawal of provisional approval of Avastin for the treatment of breast cancer. Conservatives and patient groups used the language of rights to attack this decision even though it did not remove the drug from the market; the protesters’ real fear was that insurance plans would stop reimbursing patients for this use.

2021 ◽  
Vol 14 (3) ◽  
pp. e241601
Author(s):  
Victor Ken On Chang ◽  
Samuel Thambar

Cancer metastasis to the oral and maxillofacial region is uncommon, and metastasis to the mandibular condyle is considered rare. We present a case of a 56-year-old woman with a history of invasive ductal cell carcinoma of the right breast, 10 years in remission, presenting with a 6-month history of symptoms typical of temporomandibular joint (TMJ) dysfunction. Imaging revealed an osteolytic lesion of her right TMJ and subsequent open biopsy confirmed the diagnosis of metastatic breast cancer. Despite the rarity of metastatic cancer to the head and neck region, it is still important for clinicians from both medical and dental backgrounds to consider this differential diagnosis, particularly in patients with a history of hormonal positive subtype of breast cancer. Given that bony metastasis can manifest even 10 years after initial diagnosis, surveillance which includes examination of the head and neck region is important, and may include routine plain-film imaging surveillance with an orthopantomogram (OPG).


2019 ◽  
Vol 7 ◽  
pp. 232470961984723
Author(s):  
Leila Moosavi ◽  
Phyllis Kim ◽  
An Uche ◽  
Everardo Cobos

In this article, we present a patient diagnosed synchronously with metastatic male breast cancer and prostate cancer. This is a 63-year-old male and recent immigrant from Nigeria, who sought medical attention for progressively worsening of shortness of breath and acute progression of a chronic right breast mass. An invasive breast carcinoma was diagnosed by the core biopsy of the right breast mass. Within 2 months of his breast cancer diagnosis, the patient also was diagnosed with prostate adenocarcinoma after being worked up for urinary retention. By presenting this patient with a synchronous diagnosis with metastatic male breast cancer and prostate cancer, history of chronic right breast mass, and gynecomastia, we speculate on possible cancer etiologies and risk factors.


Radiology ◽  
2005 ◽  
Vol 234 (3) ◽  
pp. 971-972 ◽  
Author(s):  
Francesco Sardanelli ◽  
Franca Podo

Author(s):  
Patricia Zavella

This chapter reflects on how the movement for reproductive justice addresses the increased polarization of politics around immigration and reproductive rights in the wake of the election of President Trump. It argues that women of color in the movement for reproductive justice have a history of crafting a politics of inclusion that aims to empower those who are marginalized by intersecting systems of power, with a radical vision of citizenship. These activists insist that poor women of color have the human right to access to health care with dignity as well as the right to healthy lives and wellness.


2001 ◽  
Vol 8 (4) ◽  
pp. 299-316 ◽  
Author(s):  
Kaltiala-Heino ◽  
Välimäki

AbstractA number of international legal and ethical guidelines attempt to safeguard patients' rights in various health care areas. On the national level, health care legislation defines the rights of different patient groups more concretely in everyday practice. In general, the right to decide about one's own treatment — and to refuse treatment — is considered to be of the greatest importance. Several patient groups can, however, be treated involuntarily. In addition to minors, psychiatric patients in certain situations form a group of patients whose own will can be overridden in health care. In Finland also intoxicant abusers, the mentally retarded and patients suffering from certain communicable diseases can in special situations be taken into involuntary care. This article discusses the differences between the status and rights of involuntarily treated patients in different social and health care acts in Finland. Several paragraphs of the laws studied were identified that assign more rights to patients treated involuntarily under the Act on Social Work with Intoxicant Abusers and the Act on Special Care for the Retarded than to involuntary psychiatric patients. The practical implications of this article will be discussed.


2002 ◽  
Vol 95 (11) ◽  
pp. 1269-1275
Author(s):  
RENA VASSILOPOULOU-SELLIN ◽  
MARY JEAN KLEIN

2002 ◽  
Vol 95 (11) ◽  
pp. 1269-1275
Author(s):  
RENA VASSILOPOULOU-SELLIN ◽  
MARY JEAN KLEIN

2021 ◽  
Vol 5 (4) ◽  
pp. 01-03
Author(s):  
Refka Frioui ◽  
Azza Ghannem ◽  
Mariam Tabka ◽  
Badreddine Sriha ◽  
Colandane Belajouza ◽  
...  

We report an original case of carcinoma en cuirasse associated with zosteriform metastasis. A 40-year-old woman presented to our department with painful erythematous lesions. She had a history of invasive ductal carcinoma of the left breast. Numerous erythematous, papules and whitish vesicles were present over the right side of the chest in a dermatomal distribution with indurated coalescent plaques. Biopsy revealed metastatic carcinoma of breast origin. Breast mammography showed suspicious right nodule. Controlateral breast carcinoma with CM was diagnosed. CM show a wide range of clinical manifestations. Carcinoma en cuirasse, is a very rare form of metastatic cutaneous breast cancer. It is characterized by diffuse sclerodermatous induration of the skin. Zosteriform metastasis is also rarely seen. It may be distributed along dermatomeres in a variety of clinical patterns, including nodular, papulovesicular, or vesiculobullous. In our case, the zosteriform metastasis occurred in the contralateral site. It announced the developing of contralateral breast cancer.


2017 ◽  
Vol 5 (5) ◽  
pp. 232-239
Author(s):  
Julie George ◽  
Manita D. Shah

The Indian health care industry has a history of dealing with poor doctor-patient ratio, shortage of medical professionals, poor health infrastructure, and low expenditure on healthcare information technology; steep out of pocket spending (OOP), low health insurance coverage, inadequate government spending, poor access to health care facilities and social stigma related to diseases.  The unique mindset and ability for frugality has successfully been applied in offering low cost healthcare of uncompromised quality. While this has been achieved by few innovative entrepreneurs, it is imperative to help the new entrants with the collective experience in dealing with the rural market. A qualitative study was undertaken. Five Indian organizations, that have earned accolades and awards for successfully innovating for the poor were studied in-depth. The research looked into the challenges faced by the entrepreneurs. The methods and measures that evolved from their operation were analyzed. In order to help marketers learn from the pioneers, the paper has simplified the measures and steps in marketing to the familiar P’s of the marketing mix. In healthcare, the product is tied with service and the need is to work on all the 7P’s is useful. Keywords: frugal, innovation, entrepreneurship, marketing mix, healthcare.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Akiko Shimazaki ◽  
Takuma Hashimoto ◽  
Masaya Kai ◽  
Tetsuzo Nakayama ◽  
Mai Yamada ◽  
...  

Abstract Background Erythropoietic protoporphyria (EPP) is a rare disorder of heme synthesis. Patients with EPP mainly show symptoms of photosensitivity, but approximately 20% of EPPs are associated with the liver-related complications. We report a case of breast cancer in a 48-year-old female patient with EPP in whom meticulous perioperative management was required in order to avoid complications resulting from this disease. Case presentation The patient was diagnosed with EPP at the age of 33 and had a rich family history of the disease. For right breast cancer initially considered as TisN0M0 (Stage 0), the right mastectomy and sentinel lymph node biopsy were performed, while the final stage was pT1bN0M0, pStage I. In the perioperative period, we limited the drug use and monitored light wavelength measurements. Besides, we covered surgical lights, headlights, and laryngoscope’s light with a special polyimide film that filtered the wavelength of light causing dermal photosensitivity. After the surgery, any emerging complications were closely monitored. Conclusions The surgery, internal medicine, anesthesiology, and operation departments undertook all possible measures through close cooperation to ensure a safe surgery for the patient with a rare condition.


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