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Confronting Challenges In The US Health Care System

Health Jamanetwork.com

Health care is a right, not a privilege: a new series on us health care and health policy.  JAMA . 2021;325(3):227-228. doi: 10.1001/jama.2020.23915 PubMed Google Scholar Crossref 2.

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Health Care Policy After The COVID 19 Pandemic Health

System Jamanetwork.com

Changes in the health care system have always been opposed by many. As Machiavelli observed, 4 proposals for a new order face strong opposition from those who benefit from the old order. This group includes high-income patients who prefer a health care system that caters to their interests and values. 5 The prepandemic system allowed direct visits to specialists and subspecialists.

Covid 19 Health
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Reforming Health Care Reform Health Care Reform JAMA

Health Jamanetwork.com

Much of US health care spending is related to the expensive neglect of public health, primary care, and behavioral health, particularly among marginalized populations with complex needs.We need new proposals and models to address these defects, especially given the enormous strains these components of the health care system face amid the COVID-19 pandemic.

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The Language Of Health Care Reform Health Care Reform

Health Jamanetwork.com

The nation’s health care problems are far from solved, yet there is no clear political consensus on how to do so. Looking ahead, there will inevitably be another major health reform debate, because health care is too important an issue and consumes too big a share of family income, employer balance sheets, and state and federal budgets.

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The Federal Health Authority, A Federal Reserve System For

Pandemic Jamanetwork.com

The toll of the pandemic exposed the need for access to healthcare for all to meet the needs of patients, physicians, health care providers, the public’s health, and to serve society as a public good. Other short-comings exposed by the pandemic include education, childcare, housing, nutrition, transportation, unemployment, food assistance

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Addressing Inequities In Older Adults’ Health: A Role For

Communities Jamanetwork.com

The COVID-19 pandemic has highlighted inequities in health care for many groups of people in the US, including adults aged 65 years or older, uninsured and underinsured individuals, and persons residing in rural communities. 1,2 Technology-enabled solutions have been used to bridge the access gap for underserved communities. While telehealth services have dramatically risen to …

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Health Care In The Biden Administration’s First 100 Days

Health Jamanetwork.com

These executive acts could begin rebuilding a more universal and more accessible health care system. We suggest actions to be taken in the first 100 days of the Biden administration that could improve coverage for those experiencing hardship during the current public health crisis and beyond.

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Radiology And Value Based Health Care Health Care

Health Jamanetwork.com

“[I]n a well-functioning health care system, the creation of value for patients should determine the rewards for all other actors in the system.” 1. The specialty of radiology is a good example of a health care resource shared across all levels of health care delivery, virtually all …

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Health Care In The United States: A Right Or A Privilege

Coverage Jamanetwork.com

The United States is about to embark on a great challenge: how to modify the current system of providing health care coverage for its citizens. However, the fundamental underlying question remains unanswered and was rarely mentioned during the past 8 years—Is health care coverage a basic right or a

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What Is Health Care Cost Containment

Global Jamanetwork.com

FDA Approval and Regulation of Pharmaceuticals, 1983-2018 Global Burden of Cancer, 1990-2017 Global Burden of Skin Diseases, 1990-2017 Global Firearm Mortality, 1990-2016 Health Care Spending in the US and Other High-Income Countries Life Expectancy and Mortality Rates in the United States, 1959-2017 Medical Marketing in the United States, 1997

Mens Health
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Trends In Health Care Worker Intentions To Receive A COVID

Surveys Jamanetwork.com

Although health care workers (HCWs) can serve as ambassadors of COVID-19 vaccine acceptance, surveys have found low acceptance rates among HCWs (eg, 33.5%). 1 However, those surveys were conducted before the issuance of vaccine emergency use authorizations (EUAs) by the US Food and Drug Administration (FDA). We surveyed all employees of a

Covid 19 Health
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Four COVID 19 Lessons For Achieving Health Equity Health

Health Jamanetwork.com

The coronavirus disease 2019 (COVID-19) pandemic has underscored the deep inequities in our health care system. The disproportionately high levels of COVID-19 cases, hospitalizations, and deaths among non-White racial groups reflect poorer underlying health, housing, and job conditions among these minority groups, as well as an inequitable distribution of health

Covid 19 Health
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Mental Health Needs Of Health Care Workers Providing

Health Jamanetwork.com

Mental health professionals will play a vital role in addressing the moderate and severe symptoms in frontline health care workers who experience depression, anxiety, and psychological distress as they provide acute care for patients with COVID-19 and seek to recover from these occupational hazards.

Mens Health
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How Healthy Is Health Care

Health Jamanetwork.com

The health care industry is uniquely charged with tending to human health and wellness and has been called on to help lead the transition to a sustainable world. 1,2 Yet, modern health care itself is a leading emitter of environmental pollutants, responsible for 10% of national greenhouse gas emissions and 9% of criteria air pollutants in the United States alone. 3 In the United States, health

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Making Hospital Price Transparency Work For Health Care

Prices Jamanetwork.com

A controversial federal regulation, the Hospital Price Transparency Rule, which requires hospitals to inform consumers about the prices they charge, went into effect at the beginning of this year. 1 For the first time, hospitals must post negotiated rates as well as list prices for their services. This information is intended to promote competition and smarter shopping in the health care

Beauty Spa
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After COVID 19—Thinking Differently About Running The

Healthcare Jamanetwork.com

Any strategy to achieve a paradigm shift for our nation's population health and its healthcare will likely encounter deeply entrenched traditions which will require as yet undiscovered levels of knowledge, resources, and human dignity to change (the ACA 2010 attempt to improve financial accessibility to healthcare for all citizens, eg).

Covid 19 Health
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US Health Policy—2020 And Beyond: Introducing A New JAMA

Health Jamanetwork.com

In 2017, US health care spending reached $3.5 trillion, and such costs now consume approximately 18% of the gross domestic product (GDP). 1 Even though there has been a slight slowing in the annual growth of health care expenditures, 2 a recent projection suggested that by 2027, health care will consume 22% of the GDP, 3 outpacing the annual

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Navigating Attacks Against Health Care Workers In The

Health Jamanetwork.com

1 day ago · Violence against US health care workers has been on the rise for at least a decade. According to US Bureau of Labor Statistics data, the incidence of violence–related health care worker injuries has increased by 67%, from 6.4 per 10 000 full-time workers in 2011 to 10.7 per 10 000 in 2018.Also in 2018, health care and social service workers were 5 times more likely to experience …

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Elective Care And Health Services Research In The COVID 19

Health Jamanetwork.com

The coronavirus disease 2019 (COVID-19) pandemic has upended health care delivery systems around the globe and generated a massive amount of research, most of which has focused on public health measures to contain the pandemic and the …

Covid 19 Health
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Trade Offs In Public Health Insurance Design Health Care

Never Jamanetwork.com

The importance of access to health care and the financial protections that insurance should provide have never been more salient, and the potential consequences of the costs and gaps within the patchwork system in the US have never been …

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Addressing Bias In Artificial Intelligence In Health Care

Counteract Jamanetwork.com

This Viewpoint discusses how use of artificial intelligence (AI) technologies in health care can unintentionally propagate statistical and social biases and how conscientious application of AI may instead help counteract the risk of such biases.

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Resilience In Health Care Financing Health Care

Particular Jamanetwork.com

The current system of health care financing is rife with market failures which result in widespread corruption and waste. Health care in general, and hospitals in particular, need to be thought of as having the same set of responsibilities as electric utilities.

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5 days ago / 87 People Used See more...

Health Inequities JAMA Network

Global Jamanetwork.com

21 hours ago · FDA Approval and Regulation of Pharmaceuticals, 1983-2018 Global Burden of Cancer, 1990-2017 Global Burden of Skin Diseases, 1990-2017 Global Firearm Mortality, 1990-2016 Health Care Spending in the US and Other High-Income Countries Life Expectancy and Mortality Rates in the United States, 1959-2017 Medical Marketing in the United States, 1997

Health Insurance
9 days ago / 82 People Used See more...

Federal And State Policies Affecting Immigrant Access To

Health Jamanetwork.com

Following the lead of federal policies, few states provide any health care coverage or assistance to immigrants who are unauthorized. 4 California and Massachusetts are exceptions to this and have instituted policies to help immigrants obtain access to health care. California’s Health for All Kids Act expanded state-funded Medi-Cal coverage to all children, regardless of immigration status


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Building Health Care Better Means Reining In Costs

Health Jamanetwork.com

There are 3 areas that the Biden administration could focus on for health care savings that could improve health even as they save money. These are administrative expenses, excessively high prices, and overuse of health care services. Administrative expenses command about one-quarter of total health care spending in the US; in other countries, even those with multipayer systems, …

Health Insurance
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Health Care Cost Growth Benchmarks In 5 States Health

Growth Jamanetwork.com

In 2018, national health care spending increased by 4.6%, reaching $11 000 per person. Amid this growth, states are seeking novel ways to protect their budgets. One approach is to set a cost growth benchmark—a percentage growth rate under which states aim to maintain annual health care costs.

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The Real Cost Of The US Health Care System Health Care

Health Jamanetwork.com

The late Uwe Reinhardt is famous for answering the question about what drives high US health care costs with the assertion “It’s the prices, stupid.” 1 In their Special Communication in this issue of JAMA, Papanicolas and colleagues essentially agree. 2 In a detailed analysis of health care spending in the United States and 10 other high-income, mainly European, countries, the authors

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Health Workers’ Antibody Levels Wane After SARS CoV 2

Within Jamanetwork.com

Antibodies to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) decline during the weeks after infection, in some cases falling below the threshold for seropositivity within 2 months, according to a national study of health care workers. Most people who are infected with SARS-CoV-2 develop antibodies to the virus within 2 to 3 weeks.

Healthy Body
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Addressing Consolidation In Health Care Markets Law And

Health Jamanetwork.com

The health care landscape has changed considerably since 1996, and the Statements could be updated and expanded to include discussions of recent transactions that have been shown to harm consumers, such as “cross-market” mergers of health care entities in adjacent geographic markets. These mergers can strengthen the bargaining leverage of

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Health Apps And Health Policy: What Is Needed

Health Jamanetwork.com

Health care in the United States is the most expensive in the world, yet health care quality is highly variable. 1 Health apps have the potential to improve efficiency and value while lowering costs. More than 325 000 health apps have been developed, …

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Social Isolation And Loneliness: Imperatives For Health

Health Jamanetwork.com

The importance of social determinants of health has been gaining traction in the health care sector during the last decade. Social determinants of health have been found to be responsible for 80% to 90% of health outcomes, and an abundance of research has demonstrated that no matter the advancements in medicine and health care, the health of the individuals and communities will not …

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Coronavirus And Health Policy: A JAMA Network Interview

Health Jamanetwork.com

When JAMA Health Forum launched 3 months ago, our inaugural Editor’s Comment welcomed readers around the world to this new web-based JAMA Network channel for health policy content. We shared our goal for the new channel “to serve as a timely, engaging, and influential venue for authors and readers to connect on the most important issues facing health care systems in the United …

Coronavirus Health
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COVID 19 In Clinicians—More Cases In Women, More Deaths In

Health Jamanetwork.com

2 days ago · Although a greater proportion of COVID-19 cases occurred in women health care workers and nurses early in the pandemic, more male health care workers and physicians died of the disease, a global analysis reported.. The investigators examined reports of 152 888 infections and 1413 deaths among health care workers in 195 countries that occurred through May 8, 2020.

Covid 19 Health
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Promoting Competition In The Health Care Marketplace

Increases Jamanetwork.com

Health care consolidation reduces competition and increases prices, with limited benefits to quality of care. 1 From 1998 to 2017, nearly 1600 hospital mergers occurred, many resulting in price increases of more than 20%. 2 These price increases are partly because health care systems with dominant market share can negotiate higher prices and anticompetitive contracts.

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Health Disparities Among Black Persons In The US And

Health Jamanetwork.com

Part of public health is making sure the public is healthy. The US health care system has failed to do that with too many in this country. The US society in general and the health care community in particular need to acknowledge that so much of what is wrong with the health of black persons is the fault of the health care system and not of

Beauty Spa
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The 6 Functions Of Health Insurance Health Care

Insurance Jamanetwork.com

In 2017, the average insurance premium for US families with employer-sponsored health insurance cost $18 764, an increase of 3% over the previous year. What this mean value hides, however, is the enormous variance in the amount of health care received by different people in the United States.

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5 days ago / 101 People Used See more...

Responding To Health Improving But Cost Ineffective Care

Health Jamanetwork.com

Wasteful health care spending can take different forms, including spending on services that increase costs while providing no health benefits or harming health (no-value care), or spending on services that improve health but are deemed cost-ineffective according to willingness-to-pay for health (low-value care).The policy objective for no-value care is simple: reduce the quantity of such

Health Insurance
5 days ago / 102 People Used See more...

Changes In Health Services Use Among Commercially Insured

Health Jamanetwork.com

The coronavirus disease 2019 (COVID-19) pandemic has placed tremendous pressure on patients and health care professionals and institutions, both in the United States and worldwide. 1-5 US health care practitioners have reported significant decreases in non-COVID–related health care use since the beginning of the pandemic. 6,7 Recent estimates

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8 days ago / 106 People Used See more...

The US Health Data Ecosystem In 2020—Brave New World Or

Health Jamanetwork.com

The acclaim surrounding the new rules governing patient access to their health care data via application programming interface (API) technology highlights both the strides made in the US health care data ecosystem during the last 10 years and the challenges remaining. In 2010, health records existed largely in paper form in hospitals and physicians’ offices, there was no way for patients to

Health Insurance
5 days ago / 104 People Used See more...

Income, Poverty, And Health Inequality Health

Health Jamanetwork.com

The health of people with low incomes historically has been a driver of public health advances in the United States. For example, in New York City, cholera deaths during outbreaks in 1832 and 1854 concentrated among the poor helped push forward the Metropolitan Health Law, which allowed for regulation of sanitary conditions in the city.

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Preparing The Health Insurance Marketplaces For The COVID

Health Jamanetwork.com

Corresponding Author: David Anderson, MSPPM, Duke Margolis Center for Health Policy, Duke University, 100 Fuqua Dr, Box 90120, Durham, NC 27708 ([email protected]). Conflict of Interest Disclosures: Dr Drake reported grants from National Institute of Health Care Management during the conduct of the study. No other disclosures were reported.

Covid 19 Health
5 days ago / 106 People Used See more...

Places And The Pandemic—Barriers And Opportunities To

Health Jamanetwork.com

Decades of research have identified the harms of residential segregation, a form of institutional racism that one researcher called a “fundamental cause of racial disparities in health.”Racial segregation shapes health by determining access to education and economic opportunity, quality housing, and health care.


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Widening Social And Health Inequalities During The COVID

COVID-19 Jamanetwork.com

The COVID-19 pandemic and efforts to flatten the curve have shaken the nation’s health, social, and economic systems and widened health and social disparities. For example, age-adjusted COVID-19 mortality rates are far higher for African American and …

Covid 19 Health
5 days ago / 108 People Used See more...

Hospital Capacity And Operations In The Coronavirus

COVID-19 Jamanetwork.com

Mental Health Needs of Health Care Workers Providing Frontline COVID-19 Care. Hospital Operations During a Flattened COVID-19 Curve: Results of Planning for the Nth Patient in Los Angeles County. A Framework for Rationing Scarce Ventilators and Critical Care Beds During the COVID-19 Pandemic.

Coronavirus Health
5 days ago / 109 People Used See more...

Reconsidering Reimbursement For Medical Interpreters In

Medicaid Jamanetwork.com

Outside of some Medicaid plans, health care providers are expected to pay these costs, ranging from $30 to $400 per patient visit. In 1 study, providers spent an average of $234 per patient with LEP per year on interpreter services. 2 Meanwhile, most Medicaid programs pay physicians roughly $30 to $50 per office visit, meaning that some

Mens Health
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The Triple Aim Applied To Correctional Health Systems

Health Jamanetwork.com

More than 2 million adults are incarcerated in the United States and therefore receive their health care from correctional health systems. Coronavirus disease 2019 (COVID-19) is the latest signal of massive deficiencies in correctional health infrastructure; as of June 2020, the COVID-19 case rate for people in prisons was more than 5 times higher than that for the general US population (3251

Health Insurance
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The Benefits Of Medicaid Expansion Health Care Reform

Health Jamanetwork.com

In Michigan, for example, the state budget realized substantial savings in correctional health care and community mental health when some of the expenses of these programs were shifted to Medicaid. 8 Taking into account other economic effects of expansion, such as increased tax revenues from increased economic activity, Medicaid expansion was a

Health Insurance
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Data And Policy Solutions To Address Racial And Ethnic

Health Jamanetwork.com

Similarly, within the health care system, whereas only 5% of physicians are Black and 5.8% are Hispanic, substantially higher proportions of environmental service staff, home health aides, 5 and medical assistants are from these racial and ethnic groups. Thus, as states and local municipalities shut down services and nonessential businesses as


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FAQ jamanetwork.com health

What is healthy really means?

Healthy eating means eating a variety of foods that give you the nutrients you need to maintain your health, feel good, and have energy. These nutrients include protein, carbohydrates, fat, water, vitamins, and minerals. Nutrition is important for everyone. When combined with being physically active...

How do you stay healthy?

In order to stay healthy, you need to live an active and aware lifestyle. This means getting at least 30 minutes of exercise daily, eating a well balanced diet, and try and reduce stress in your lifestyle. Becoming more active will help with stress levels and eating a well balanced diet will help keep you healthy.

Is your healthy food really healthy?

Is Your Healthy Food Really Healthy? Give your salad a second look. While salads are a great way to get in your daily vegetables, it's surprisingly simple to... Avoid artificial sweeteners. While reducing the amount of sugar in your diet is always a positive move, artificial... Be picky about popcorn. Popcorn can be a great low-calorie snack when you make it at home. More ...

Is being too healthy unhealthy?

Yep, being too healthy can actually be unhealthy . Orthorexia is an obsession with eating a "pure" diet, which can mean avoiding foods with unhealthy fats, added sugar or salt, genetic modifications, artificial colors, or flavors and preservatives.

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