scholarly journals Coerced Contracting is Not a Reasonable Solution to Balance Billing

2017 ◽  
Vol 18 (2) ◽  
pp. 327-328
Author(s):  
Myles Riner ◽  
Ali Raja ◽  
Stephen Dorner
Daedalus ◽  
2017 ◽  
Vol 146 (4) ◽  
pp. 112-125
Author(s):  
Hendrik Spruyt

The current international system is based on Westphalian principles in which authority is defined territorially. Within this territory, the state has sole jurisdiction. Adherence to these principles has contributed to the decline of interstate war. Conversely, applying these principles and correlated norms to states that gained their independence after 1945 has contributed to civil conflicts. These norms are opaque, as is the case with the principle of self-determination; or they lock in an unstable status quo, as with uti possidetis, the principle that borders inherited at the moment of independence should always be maintained; or they are inconsistently applied and often violated, as with the principle of noninterference. Consequently, they provide poor guidelines as to when, and on which grounds, external intervention in civil wars might be warranted. I argue that the degree to which the combatants challenge Westphalian principles should guide policy responses. Furthermore, the international legal regime should reconsider uti possidetis. In some instances, partition might be a reasonable solution to civil wars.


1992 ◽  
Vol 25 (2) ◽  
pp. 109-126 ◽  
Author(s):  
Ernest Shulman

The famous Norwegian playwright Henrik Ibsen died of natural causes in old age. Ibsen's life and his creative work strongly suggest suicidal tendencies never manifested in his behavior. Various factors in his personality are examined and contrasted with aspects of Ernest Hemingway, who did commit suicide. Although both men tended to move around through most of their lives, and to reject close emotional ties, Ibsen can be seen to be less compulsively self-sufficient. Although Ibsen's plays indicate an acceptance of suicide as a reasonable solution to difficult problems, the author maintained his stability; partly through keeping to a high level of creative quality, and partly through continuous dependence on his only wife. Since a suicide outcome is generally unpredictable, the study of lives such as Ibsen's may reveal factors of resiliency in suicidally-inclined people, and thereby reduce the unpredictability.


2005 ◽  
Vol 50 (165) ◽  
pp. 121-144
Author(s):  
Bozo Stojanovic

Market processes can be analyzed by means of dynamic games. In a number of dynamic games multiple Nash equilibria appear. These equilibria often involve no credible threats the implementation of which is not in the interests of the players making them. The concept of sub game perfect equilibrium rules out these situations by stating that a reasonable solution to a game cannot involve players believing and acting upon noncredible threats or promises. A simple way of finding the sub game perfect Nash equilibrium of a dynamic game is by using the principle of backward induction. To explain how this equilibrium concept is applied, we analyze the dynamic entry games.


Author(s):  
Gordon I. Herz

This chapter describes “managed care” insurance systems and practices that were created to manage healthcare costs. Effects on private mental health practice are identified, such as decreases in reimbursement, documentation requirements, treatment reviews, and other intrusions into clinician–client privacy and decision making. Potential advantages of participation are also identified. Key factors that private practitioners should take into account when deciding whether to participate with managed care organizations include careful contract reviews, likely credentialing requirements, and the impact of reimbursement on a practice. Potential solutions to common challenges are provided, such as limits on balance billing and waiver of co-payments. Ethical concerns specific to providing mental health treatment in the managed care context are discussed, such as limits on privacy and confidentiality. Potential implications of the ongoing seismic changes in the healthcare system for the future of managed care and private practitioners are explored.


2016 ◽  
Vol 15 (4) ◽  
pp. 344-353 ◽  
Author(s):  
Young Joon Jun ◽  
Donghyeok Shin ◽  
Whan Jun Choi ◽  
Ji Hyeon Hwang ◽  
Hoon Kim ◽  
...  

The D+Wound Solution is a mobile phone application (app) that assists users in the assessment and treatment of the wound. The app has 6 components for assessment: need for debridement, infection control, revascularization, and exudate control; whether it is chronic; and finally, the top surface of the skin. These components are named D.I.R.E.C.T. The app makes you review these components as an algorithm to provide a reasonable solution for dressing. It is designed to understand the status of the wound and provide a practical treatment idea for wound care providers. A total of 118 nurses were divided into 2 groups, designated as experienced and less-experienced groups, and surveyed. Both groups found the app to be helpful in making a treatment plan. However, the less-experienced group found it to be significantly more useful in assessing the wound ( P = .026) but difficult to understand the logic. The experienced group found the logic to be significantly easier to understand ( P = .018) and had significantly higher similarities ( P = .015) in treatment protocols compared with the less-experienced group. We may conclude that this app has a logical algorithm resembling experienced wound caregivers and is more useful in the less-experienced group.


2014 ◽  
Vol 27 (1) ◽  
pp. 167-192 ◽  
Author(s):  
Francisco J. Urbina

The proportionality test is the subject of much debate, both in academia and in the legal community. In a recent article, Kai Möller presents a powerful defence of proportionality in reply to objections made against it. The reply is premised on a distinct account of proportionality, which has become prominent in recent writings of proponents of this test, and which is different from other more traditional accounts. Here I aim to clarify this change in the understanding of proportionality, its importance for the proportionality debate, and to offer a critique of it. This version of proportionality would sacrifice many important features of the rule of law, and, crucially, it would offer no guidance to judges, thus diminishing the likelihood of judges arriving at a reasonable solution to the case and fulfilling important values at stake in legal adjudication.


2019 ◽  
Vol 36 (7-8) ◽  
pp. 293-311
Author(s):  
Sang-Jin Han

This dialogue addresses the global risk that broke out of the North Korean development of nuclear weapons and missiles. It starts from the brutal consequences of the national division for Korea and asks why North Korea has been so preoccupied with nuclear projects as has been found to be the case since the 1990s, and how much and why Kim Jung-un today differs from his father in terms of his future, and where the fundamental limit lies in Moon Jae-In’s as well as Trump’s approaches to Korean denuclearization and peace. The highlight of this dialogue is to explain the intrinsic difficulties for Donald Trump and Kim Jung-un in finding a reasonable solution to their respective demands for denuclearization and regime security, and explore the likely future of the Korean Peninsula from the vantage point of Kim Dae-jung’s Sunshine Policy and metamorphosis.


Sign in / Sign up

Export Citation Format

Share Document