Let the consumer beware: maintenance of licensure and certification in the United States

2018 ◽  
pp. 161-180
Author(s):  
Ruth Horowitz
Keyword(s):  
United States ◽  
State Legislatures ◽  
The United States ◽  
Insurance Companies ◽  
Physician Practices ◽  
The Public ◽  
Regulatory Changes ◽  
Specialty Certification ◽  
State Of Affairs ◽  
Local Traditions

This chapter explores the medical licensure and specialty certification environment in United States and examines the persistent difficulties with ensuring that all physicians keep up with the changing demands and advances in medicine. Government agencies (state and federal legislatures, departments and courts), multiple medical organisations, and market bodies (consumers and insurance companies) are intertwined in complex and conflict-prone interactions. This chapter critically explores if the United States can continue to leave it to medical professionals or local state legislatures to oversee maintaining competency and licensure. States currently vary as to the strategy they adopt, the preferred method reflecting local traditions and physician practices, leaving gaps in standards. Anti-regulation sentiments have been on the rise, with the result that efforts by some medical organisations to nudge others toward greater oversight have been stymied by others which launch legal and political challenges against regulatory changes. The diversity of institutions with a stake in the regulatory process complicates the matter. The chapter concludes that what tends to get lost in this state of affairs is the ‘public interest’.

scholarly journals Public Employment, Collective Bargaining and the Conventional Wisdom : Canada and U.S.A.

2005 ◽  
Vol 21 (3) ◽  
pp. 406-435
Author(s):  
W. B. Cunningham
Keyword(s):  
United States ◽  
Collective Bargaining ◽  
Private Sector ◽  
Public Service ◽  
Industrial Relations ◽  
The United States ◽  
Conventional Wisdom ◽  
Public Employment ◽  
The Public ◽  
State Of Affairs

The author states that the conventional wisdom has viewed collective bargaining in the public service as unnecessary, impractical and illegal. And he adds that, in general, and until recently, the prevailing practices in the United States and Canada have been in close harmony with the conventional wisdom. But the restless change of events threatens the existing state of affairs, described by the conventional wisdom, with progressive obsolescence. And the author answers the two following questions: Can the industrial relations system of the private sector be applied to public employment? To what extent does the nature of government employment raise unique problems? The enemy of the conventional wisdom is not ideas but the march of events. J.K. GALBRAITH, « The Affluent Society »

Speech-Language Pathology Assistants Current State of Affairs

2009 ◽  
Vol 10 (1) ◽  
pp. 12-18 ◽  
Author(s):  
Lemmietta McNeilly
Keyword(s):  
United States ◽  
Public Schools ◽  
The United States ◽  
Speech Language Pathology ◽  
The Public ◽  
School Based ◽  
Current State ◽  
Language Pathology ◽  
Educational Requirements ◽  
State Of Affairs

Abstract The utilization of speech-language pathology assistants (SLPAs) is increasing in the United States particularly in the public schools. The American Speech-Language-Hearing Association provides specific guidelines regarding the training, use, and supervision of (SLPAs; ASHA, 2004). The current state of affairs of SLPAs involves variable requirements across the states to qualify for SLPA credentials. The programs that educate SLPAs have variable technical and curricular requirements, and the educational requirements for regulating SLPAs also vary across the states. School-based SLPs continue to raise questions about the supervision requirements, funding, and reimbursement issues for working with SLPA in schools across the country.

scholarly journals The Antibiotics Class Actions

1976 ◽  
Vol 1 (1) ◽  
pp. 251-363 ◽  
Author(s):  
Charles W. Wolfram
Keyword(s):  
United States ◽  
The United States ◽  
The Other ◽  
Insurance Companies ◽  
Manufacturing Companies ◽  
Remarkable Feature ◽  
The Public ◽  
Class Actions ◽  
Drug Companies ◽  
Drug Manufacturing

Anyone interested in the current doings of the antibiotics antitrust litigation in the spring of 1975l could easily have found seating in the public section of the courtroom of Judge Miles A. Lord in Minneapolis. An instantly striking aspect of the courtroom was that, in contrast to the scattering of young attorneys and an occasional curious onlooker in the public section, there were dozens of people crowded into the area around the central raised bench on which Judge Lord sits. Several attorneys represenr: the defendants-five of the major drug manufacturing companies in the United States. Numerous counsel for the plaintiffs were grouped around a large table to Judge Lord's right. Clerks, court reporters, and marshals sat beneath the bench. The most remarkable feature of the crowd, however, was the presence of two jury boxes containing two separate juries. In fact, two different trials in six different cases were proceeding at once. “Jury One” was hearing evidence in actions brought by the United States, two national classes (one of insurance companies and the other of union health and welfare funds), and a California medical group. “Jury TWQ” was hearing evidence in suits brought in behalf of competitors of the defendant drug companies. For the most part, the juries were hearing evidence common to both sets of cases. When evidence was introduced that was relevant to only one set of cases, the other jvry would be excused.

Is the Push for More Prescriptive Regulation Making Us Less Safe?

2018 ◽  
Author(s):  
Charlene B. Wright ◽  
Mark S. Jean
Keyword(s):  
United States ◽  
The United States ◽  
Unintended Consequences ◽  
Federal State ◽  
The Public ◽  
High Profile ◽  
Regulatory Changes ◽  
Safety Regulations ◽  
Industry Standards ◽  
Oil And Natural Gas

Current pipeline regulations in North America have changed significantly over the past several decades and will continue to change as public and regulatory scrutiny intensifies and new industry standards are developed (i.e. API RP 1173). As regulators assess the approach to take, they are increasingly looking at what other regulators are doing in their respective jurisdictions, including those at federal, state and provincial levels. Despite historical commitments to conceptual models fostering cooperation between regulators and regulated entities, recent trends in the United States signify a departure from performance or outcome-based regulation toward a more prescriptive approach. Pipelines remain the safest method of transporting oil and natural gas.1 However, when pipeline incidents do occur, the consequences can be catastrophic and are often well publicized. Federal and state regulators are under increased pressure in the aftermath of high-profile incidents to assuage the concerns of legislators and the public at large. This paper generally compares various regulatory models and the relative benefits and drawbacks of each. A more in-depth review of regulatory changes in the United States is examined, to analyze the potential intended and unintended consequences of the move towards more prescriptive pipeline safety regulations.

A Census of Actively Licensed Physicians in the United States, 2010

2010 ◽  
Vol 96 (4) ◽  
pp. 10-20 ◽  
Author(s):  
Aaron Young ◽  
Humayun J. Chaudhry ◽  
Janelle Rhyne ◽  
Michael Dugan
Keyword(s):  
United States ◽  
Data Center ◽  
District Of Columbia ◽  
The United States ◽  
Physician Supply ◽  
Multiple Stakeholders ◽  
The Public ◽  
Ongoing Effort ◽  
Specialty Certification ◽  
Future Physician

ABSTRACT As part of their ongoing effort to protect the public, the nation's 70 state and territorial medical and osteopathic boards regularly collect and disseminate information about actively licensed physicians in their jurisdictions to the FSMB's Federation Physician Data Center. This article summarizes results from the first-ever comprehensive analysis by FSMB of this information, from state boards and additional sources, to present a census of actively licensed physicians in the United States and the District of Columbia in 2010. While noting the value to state boards and multiple stakeholders of an accurate count of physicians — including information about their gender, age, specialty certification and location by region — the article acknowledges opportunities for future collaboration among organizations and agencies to better define current physician supply in order to better predict future physician needs for a growing and aging national population.

Verán ustedes las chozas más humildes. El discurso de pobreza en la diplomacia pública cardenista dirigida a Estados Unidos

2019 ◽  
Vol 35 (2) ◽  
pp. 255-281
Author(s):  
Sylvia Dümmer Scheel
Keyword(s):  
United States ◽  
New Deal ◽  
Public Diplomacy ◽  
The United States ◽  
The Public ◽  
The Poor ◽  
The Face ◽  
The Government ◽  
Lazaro Cardenas ◽  
The New Deal

El artículo analiza la diplomacia pública del gobierno de Lázaro Cárdenas centrándose en su opción por publicitar la pobreza nacional en el extranjero, especialmente en Estados Unidos. Se plantea que se trató de una estrategia inédita, que accedió a poner en riesgo el “prestigio nacional” con el fin de justificar ante la opinión pública estadounidense la necesidad de implementar las reformas contenidas en el Plan Sexenal. Aprovechando la inusual empatía hacia los pobres en tiempos del New Deal, se construyó una imagen específica de pobreza que fuera higiénica y redimible. Ésta, sin embargo, no generó consenso entre los mexicanos. This article analyzes the public diplomacy of the government of Lázaro Cárdenas, focusing on the administration’s decision to publicize the nation’s poverty internationally, especially in the United States. This study suggests that this was an unprecedented strategy, putting “national prestige” at risk in order to explain the importance of implementing the reforms contained in the Six Year Plan, in the face of public opinion in the United States. Taking advantage of the increased empathy felt towards the poor during the New Deal, a specific image of hygienic and redeemable poverty was constructed. However, this strategy did not generate agreement among Mexicans.

Interaction of Ukrainian Diaspora and the USA Government Regarding Celebration of Ukrainian Independence Day on January 22

2018 ◽  
Vol 1 (47) ◽  
pp. 136-145
Author(s):  
Halyna Shchyhelska
Keyword(s):  
United States ◽  
House Of Representatives ◽  
The United States ◽  
100Th Anniversary ◽  
Totalitarian Regime ◽  
The Public ◽  
Us Congress ◽  
The Us ◽  
Public Consciousness ◽  
The Usa

2018 marks the 100th anniversary of the proclamation of Ukrainian independence. OnJanuary 22, 1918, the Ukrainian People’s Republic proclaimed its independence by adopting the IV Universal of the Ukrainian Central Rada, although this significant event was «wiped out» from the public consciousness on the territory of Ukraine during the years of the Soviet totalitarian regime. At the same time, January 22 was a crucial event for the Ukrainian diaspora in the USA. This article examines how American Ukrainians interacted with the USA Government institutions regarding the celebration and recognition of the Ukrainian Independence day on January 22. The attention is focused on the activities of ethnic Ukrainians in the United States, directed at the organization of the special celebration of the Ukrainian Independence anniversaries in the US Congress and cities. Drawing from the diaspora press and Congressional Records, this article argues that many members of Congress participated in the observed celebration and expressed kind feelings to the Ukrainian people, recognised their fight for freedom, during the House of Representatives and Senate sessions. Several Congressmen submitted the resolutions in the US Congress urging the President of United States to designate January 22 as «Ukrainian lndependence Day». January 22 was proclaimed Ukrainian Day by the governors of fifteen States and mayors of many cities. Keywords: January 22, Ukrainian independence day, Ukrainian diaspora, USA, interaction, Congress

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