Challenges and opportunities for effective delivery of clinical genetic services in the U.S. healthcare system

2018 ◽  
Vol 30 (6) ◽  
pp. 740-745 ◽  
Author(s):  
David B. Flannery
Author(s):  
Rachele Hendricks-Sturrup

Public health policy/law is a discipline that seeks to identify opportunities and implement mechanisms to achieve justice in the public health sector. Several public health policies and programs have been implemented by virtue of the Affordable Care Act (ACA), and these policies and programs seek to decrease America’s “paradox of excess and deprivation” and address socioeconomic barriers that exist in the U.S. healthcare system. Private healthcare market interests have accused the ACA of intruding heavily into the professional autonomy of the medical profession, eroding healthcare market competition, and driving up national healthcare spending. Counter-arguments defending the ACA state that the law exposes the limitations to such professional autonomy of the medical profession, primarily because the U.S. healthcare system is currently ridden with excess, waste, and social injustice. This review article outlines the types of policies and laws governing healthcare, unique healthcare issues faced by particularly vulnerable populations, and future challenges and opportunities under the ACA. Lastly, the article provides recommendations to address future challenges and opportunities under the ACA, so as to balance the scales between private market interests and public health equity.


Author(s):  
Gordon Moore ◽  
John A. Quelch ◽  
Emily Boudreau

Choice Matters: How Healthcare Consumers Make Decisions (and Why Clinicians and Managers Should Care) is a timely and thoughtful exploration of the controversial role of consumers in the U.S. healthcare system. In most markets today, consumers have more options and autonomy than ever before. Empowered consumers easily shop around for products and services that better meet their needs, and they widely share their reviews on social media to inform and influence other consumers. Businesses have responded with better experiences and prices to compete for consumers’ business. Though healthcare has lagged behind other industries in this respect, there is a rising tide of interest in consumer choice and empowerment in healthcare markets. However, most healthcare provider organizations, individual doctors, and health insurers are unprepared to consider patients as consumers. The authors draw upon the fields of medicine, marketing, management, psychology, and public policy as they take a substantive, in-depth look at consumer choice and point out its appropriate use, as well as its limitations. This book addresses perplexing issues, such as how healthcare differs from other consumer-driven markets, how consumers make healthcare decisions, and how increased consumer choice in healthcare can not only aid and empower American consumers but also improve the overall healthcare system.


2019 ◽  
Vol 8 (4) ◽  
pp. 493 ◽  
Author(s):  
Wylezinski ◽  
Gray ◽  
Polk ◽  
Harmata ◽  
Spurlock

Healthcare expenditures in the United States are growing at an alarming level with the Centers for Medicare and Medicaid Services (CMS) projecting that they will reach $5.7 trillion per year by 2026. Inflammatory diseases and related syndromes are growing in prevalence among Western societies. This growing population that affects close to 60 million people in the U.S. places a significant burden on the healthcare system. Characterized by relatively slow development, these diseases and syndromes prove challenging to diagnose, leading to delayed treatment against the backdrop of inevitable disability progression. Patients require healthcare attention but are initially hidden from clinician’s view by the seemingly generalized, non-specific symptoms. It is imperative to identify and manage these underlying conditions to slow disease progression and reduce the likelihood that costly comorbidities will develop. Enhanced diagnostic criteria coupled with additional technological innovation to identify inflammatory conditions earlier is necessary and in the best interest of all healthcare stakeholders. The current total cost to the U.S. healthcare system is at least $90B dollars annually. Through unique analysis of financial cost drivers, this review identifies opportunities to improve clinical outcomes and help control these disease-related costs by 20% or more.


2020 ◽  
Vol 23 ◽  
pp. S32
Author(s):  
A. Shelbaya ◽  
J. Yang ◽  
J. Brown ◽  
J. Adler ◽  
A. Mahmood
Keyword(s):  

2012 ◽  
Vol 177 (7) ◽  
pp. 829-835 ◽  
Author(s):  
Shad Deering ◽  
Taylor Sawyer ◽  
Jeffrey Mikita ◽  
Douglas Maurer ◽  
Bernard J. Roth

Author(s):  
MaryBe McMillan

This chapter reflects on the challenges and opportunities of building workers' power in North Carolina. To change the political balance of the nation, this chapter argues, we must change the South, which is gaining in jobs, population, and political influence. Home to more than a third of the U.S. population, the region is larger than the Northeast and Midwest combined. Political representatives from the South disproportionately contribute to right-wing agendas, including right-to-work, low wages, and voter suppression. The chapter outlines essential strategies for organizing in the South, or in any right-to-work states with hostile political climates. First, start small and dream big; second, issues of race and gender equality must be addressed; third, unions must build strong locals and unite with community allies. Finally, the labor movement, including central labor councils and state federations, must build political power.


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