scholarly journals On the ethics of doctors in capitalist countries

1981 ◽  
Vol 62 (5) ◽  
pp. 80-83
Author(s):  
S. Ya. Chikin
Keyword(s):  
United States ◽  
Surgical Intervention ◽  
The United States ◽  
For Profit ◽  
Us Congress ◽  
The Us ◽  
The Cost

In 1977, the US Congress published statistics on the operation of surgical clinics in many cities in the country. These materials cannot be read without a shudder. They once again proved that American doctors are no different from businessmen in their passion for profit. The report's conclusion was very sad. He testified that up to three million unjustified surgeries are performed annually in the United States. Naturally, they are not undertaken for the sake of the patient's health, but in order to present a more weighty bill to the patient, because the cost of the simplest surgical intervention is now estimated at at least $ 1000.

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

scholarly journals The comparison of vaccine hesitancy of COVID-19 vaccination in China and the United States

2021 ◽  
Author(s):  
Taoran Liu ◽  
Zonglin He ◽  
Jian Huang ◽  
Ni Yan ◽  
Qian Chen ◽  
...  
Keyword(s):  
United States ◽  
Propensity Score ◽  
Propensity Score Matching ◽  
Discrete Choice ◽  
Choice Experiments ◽  
The United States ◽  
Discrete Choice Experiments ◽  
Vaccine Hesitancy ◽  
The Us ◽  
The Cost

AbstractObjectivesTo investigate the differences in vaccine hesitancy and preference of the currently available COVID-19 vaccines between two countries, viz. China and the United States (US).MethodA cross-national survey was conducted in both China and the US, and discrete choice experiments as well as Likert scales were utilized to assess vaccine preference and the underlying factors contributing to the vaccination acceptance. A propensity score matching (PSM) was performed to enable a direct comparison between the two countries.ResultsA total of 9,077 (5,375 and 3,702, respectively, from China and the US) respondents have completed the survey. After propensity score matching, over 82.0% respondents from China positively accept the COVID-19 vaccination, while 72.2% respondents form the US positively accept it. Specifically, only 31.9% of Chinese respondents were recommended by a doctor to have COVID-19 vaccination, while more than half of the US respondents were recommended by a doctor (50.2%), local health board (59.4%), or friends and families (64.8%). The discrete choice experiments revealed that respondents from the US attached the greatest importance to the efficacy of COVID-19 vaccines (44.41%), followed by the cost of vaccination (29.57%), whereas those from China held a different viewpoint that the cost of vaccination covers the largest proportion in their trade-off (30.66%), and efficacy ranked as the second most important attribute (26.34%). Also, respondents from China tend to concerned much more about the adverse effect of vaccination (19.68% vs 6.12%) and have lower perceived severity of being infected with COVID-19.ConclusionWhile the overall acceptance and hesitancy of COVID-19 vaccination in both countries are high, underpinned distinctions between countries are observed. Owing to the differences in COVID-19 incidence rates, cultural backgrounds, and the availability of specific COVID-19 vaccines in two countries, the vaccine rollout strategies should be nation-dependent.

The Adverse Consequences of the Politics of Agency Design for Presidential Management in the United States: The Relative Durability of Insulated Agencies

2004 ◽  
Vol 34 (3) ◽  
pp. 377-404 ◽  
Author(s):  
DAVID E. LEWIS
Keyword(s):  
United States ◽  
Public Policies ◽  
The United States ◽  
Executive Branch ◽  
Us Congress ◽  
The Us ◽  
Presidential Management ◽  
Agency Design ◽  
Over Time ◽  
Expected Duration

The US Congress has often sought to limit presidential influence over certain public policies by designing agencies that are insulated from presidential control. Whether or not insulated agencies persist over time has important consequences for presidential management. If those agencies that persist over time are also those that are the most immune from presidential direction, this has potentially fatal consequences for the president's ability to manage the executive branch. Modern presidents will preside over a less and less manageable bureaucracy over time. This article explains why agencies insulated from presidential control are more durable than other agencies and shows that they have a significantly higher expected duration than other agencies. The conclusion is that modern American presidents preside over a bureaucracy that is increasingly insulated from their control.

Innovate America: The Technology Innovation Program at NIST

1969 ◽  
Vol 15 (4) ◽  
Author(s):  
Andrew S Klein ◽  
Mrunal S Chapekar
Keyword(s):  
United States ◽  
Technology Innovation ◽  
Job Training ◽  
The United States ◽  
First Century ◽  
Comprehensive Strategy ◽  
Scientific Education ◽  
Us Congress ◽  
The Us ◽  
The World

9 August 2007, the US Congress established the Technology Innovation Program (TIP) through the America COMPETES Act, a comprehensive strategy to keep the United States, the most innovative nation in the world, competitive by strengthening scientific education and research, improving technological enterprise, attracting the world's best and brightest workers, and providing twenty-first century job training. The new program, TIP, is located at the National Institute of Standards and Technology (NIST) in Gaithersburg, MD (www.nist.gov\tip).

scholarly journals Planning and Responding to a Petrochemical Disaster in the North American Inland Seas

2021 ◽  
Vol 2021 (1) ◽  
Author(s):  
Nicholas N. Monacelli
Keyword(s):  
United States ◽  
Great Lakes ◽  
Oil Spill ◽  
The United States ◽  
Coast Guard ◽  
Current Response ◽  
Us Congress ◽  
The Us ◽  
Us Coast Guard ◽  
Response Policy

The Great Lakes represent the largest group of freshwater lakes in the world along a 1,500 mile international boundary between the United States and Canada. A source of drinking water for 35 million people and a hub of unique biodiversity, a major petrochemical spill would be devastating. With the increase in pipeline activity due to regional tar sands drilling and the navigationally challenging waterways hosting an increasing stream of petrochemical commerce, risk to the Lakes is higher than ever. Given the Lake's closed-system nature and their geographic remoteness relative to current US and Canadian government and private sector assets, the current response posture is inadequate. As the primary maritime spill response agency in the United States, the US Coast Guard retains the mantle of prevention and planning for a Great Lakes petrochemical disaster. This paper seeks to examine the historic, current, and future states of the Great Lakes' oil-spill risk, in light of increased maritime commerce and recent spill “near-misses” regarding submerged pipelines in the Straits of Mackinac. The US Congress and the US Coast Guard have identified that the Great Lakes are not prepared for a large scale spill. Current resourcing levels and technology are insufficient, especially given the challenge of responding while the Lakes are frozen for a substantial portion of the year. With resources focused on the prospect of disaster in salt water regions, the “inland seas” of the Great Lakes receive too little attention. After identifying the evolution of Great Lakes spill prevention and response policy, this paper will apply the Gulf of Mexico Deepwater Horizon spill as a case study into what spill response would look like on the Great Lakes. Given the authors' expansive experience as an operator during that historic spill and current commander of one of two US oil spill response assets in the Great Lakes, this paper will also identify remaining challenges to an effective spill response policy, and conclude with recommendations on how to tackle the response issues identified. The US Congress recently established the US Coast Guard's National Center of Expertise for the Great Lakes and one of their primary tasks is to analyze the effect of a spill in freshwater and develop an appropriate response plan. By attempting to identify critical gaps, this paper seeks to advance government and industry's ability to posture the region swiftly in the face of a growing threat and assist in the Center's work.

Vying for credibility in the US Congress

Focaal ◽  
2005 ◽  
Vol 2005 (46) ◽  
pp. 67-78 ◽  
Author(s):  
Maya Ponte
Keyword(s):  
United States ◽  
Cultural Values ◽  
Cultural History ◽  
Personal Experience ◽  
The United States ◽  
Us Congress ◽  
The Us ◽  
History Of ◽  
Images Of Science

Throughout the debate in the United States Congress over whether vaccines cause autism, legitimizing symbols that index cultural values have played a prominent role in the establishment of credibility. While both sides sanctify the role of science in producing credibility, they draw on different images of what science is and where its legitimacy stems from. Those who favor the vaccine hypothesis frame science as a populist endeavor, the results of which are open to critique by all. Those against the vaccine hypothesis frame science as an elitist endeavor, the results of which may only be critiqued by fellow scientists. While both of these images derive their significance from the cultural history of the United States, they have a markedly different impact on the interpretation of evidence. From within the populist frame, personal experience and direct observation are highly valued. From within the elitist frame, epidemiological evidence trumps personal experience. Due to the incorporation of dueling images of science, the US debate over autism may be viewed as a debate between rival cultural values.

Changing Industry Preferences in the United States

2017 ◽  
Author(s):  
Margaret E. Peters
Keyword(s):  
United States ◽  
Technology Adoption ◽  
Textile Industry ◽  
Trade Openness ◽  
The United States ◽  
International Competition ◽  
Trade Associations ◽  
Us Congress ◽  
The Us ◽  
Using Data

This chapter examines firms' willingness to support low-skill immigration by focusing on changing industry preferences in the United States. In particular, it considers preferences and lobbying on low-skill immigration by different sectors using data on which sectors testify before the US Congress on immigration and data on their lobbying behavior. The chapter first provides an overview of low-skill immigration policy in the United States before discussing the preferences of three different industries by looking at their trade associations: textile industry, steel industry, and agriculture. It analyzes how the willingness of these industries to lobby on low-skill immigration has changed with trade openness, international competition, firm mobility, productivity and technology adoption.

scholarly journals Indirect costs associated with out-of-country referral for proton therapy: a survey of adult and pediatric patients in Alberta, Canada

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jacqueline Middleton ◽  
Karina Black ◽  
Sunita Ghosh ◽  
David D. Eisenstat ◽  
Samir Patel
Keyword(s):  
United States ◽  
Proton Therapy ◽  
Financial Support ◽  
Family Members ◽  
Indirect Costs ◽  
The United States ◽  
For Profit ◽  
The Us ◽  
Proton Treatment ◽  
Time Away

Abstract Background Patients in Alberta, Canada are referred to the United States (US) for proton treatment. The Alberta Ministry of Health pays for the proton treatment and the cost of flights to and from the United States. This study aimed to determine the out-of-pocket expenses incurred by patients or patients’ families. Methods An electronic survey was sent to 59 patients treated with proton therapy between January 2008 and September 2019. Survey questions asked about expenses related to travel to the US and those incurred while staying in the US, reimbursement of expenses, and whether any time away from work was paid or unpaid leave. Results Seventeen respondents (response rate, 29%) reported expenses of flights for family members (mean, CAD 1886; range CAD 0–5627), passports/visas and other travel costs (mean, CAD 124; range CAD 0–546), accommodation during travel to the US (mean, CAD 50; range CAD 0–563), food during travel to the US (mean, CAD 89; range CAD 0–338), accommodation in the US (rented home/apartment mean, CAD 7394; range CAD 3075-13,305; hotel mean, CAD 4730; range CAD 3564-5895; other accommodation mean CAD 2660; range CAD 0–13,842), transportation in the US (car mean, CAD 2760; range CAD 0–7649; bus/subway mean, CAD 413; range CAD 246–580), and food in the US (mean, CAD 2443; range 0–6921). Expenses were partially reimbursed or covered by not-for-profit organizations or government agencies for some patients (35%). Patients missed a mean of 59 days of work; accompanying family members missed an average of 34 days. For 29% this time away from work was paid, but unpaid for 71% of respondents. Conclusions Multiple factors contributed to the expenses incurred including age of the patient, number of accompanying individuals, available accommodation, mode of transportation within the US, and whether the patient qualified for financial support. Added to this burden is the potential loss of wages for time away from work. The study showed a large variation in indirect costs for each family and supports actively seeking more opportunities for financial support for families with children with cancer.

scholarly journals Human papillomavirus vaccination for adults aged 30 to 45 years in the United States: A cost-effectiveness analysis

PLoS Medicine ◽  
2021 ◽  
Vol 18 (3) ◽  
pp. e1003534
Author(s):  
Jane J. Kim ◽  
Kate T. Simms ◽  
James Killen ◽  
Megan A. Smith ◽  
Emily A. Burger ◽  
...  
Keyword(s):  
United States ◽  
Cervical Cancer ◽  
Human Papillomavirus ◽  
Cost Effectiveness ◽  
Cancer Screening ◽  
Hpv Vaccination ◽  
The United States ◽  
The Us ◽  
Age Limit ◽  
The Cost

Background A nonavalent human papillomavirus (HPV) vaccine has been licensed for use in women and men up to age 45 years in the United States. The cost-effectiveness of HPV vaccination for women and men aged 30 to 45 years in the context of cervical cancer screening practice was evaluated to inform national guidelines. Methods and findings We utilized 2 independent HPV microsimulation models to evaluate the cost-effectiveness of extending the upper age limit of HPV vaccination in women (from age 26 years) and men (from age 21 years) up to age 30, 35, 40, or 45 years. The models were empirically calibrated to reflect the burden of HPV and related cancers in the US population and used standardized inputs regarding historical and future vaccination uptake, vaccine efficacy, cervical cancer screening, and costs. Disease outcomes included cervical, anal, oropharyngeal, vulvar, vaginal, and penile cancers, as well as genital warts. Both models projected higher costs and greater health benefits as the upper age limit of HPV vaccination increased. Strategies of vaccinating females and males up to ages 30, 35, and 40 years were found to be less cost-effective than vaccinating up to age 45 years, which had an incremental cost-effectiveness ratio (ICER) greater than a commonly accepted upper threshold of $200,000 per quality-adjusted life year (QALY) gained. When including all HPV-related outcomes, the ICER for vaccinating up to age 45 years ranged from $315,700 to $440,600 per QALY gained. Assumptions regarding cervical screening compliance, vaccine costs, and the natural history of noncervical HPV-related cancers had major impacts on the cost-effectiveness of the vaccination strategies. Key limitations of the study were related to uncertainties in the data used to inform the models, including the timing of vaccine impact on noncervical cancers and vaccine efficacy at older ages. Conclusions Our results from 2 independent models suggest that HPV vaccination for adult women and men aged 30 to 45 years is unlikely to represent good value for money in the US.

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