Week 6+7
Provide one example of the individual rights approach and one example of the social justice philosophy as seen in the movie And the Band Played On
-Individual rights: They did not care about the risks bath houses potentially had, every man for themselves approach
-Social Justice: The CDC wanted to close the bath houses completely to stop/slow the transmission of AIDS
(other answers too..)
What disease broke out at a Eugene SouthTowne Memory Care?
Scabies
What does gross domestic product measure
Measures market value of total production (goods
and services) in a country
What are 3 examples of social determinants of health?
Socioeconomic status, food access, access to healthcare, education, etc.
Healthcare coverage for lower income individuals (Federal poverty level)
What were the main ethical issues with the disease outbreak at SouthTowne Memory Care?
-Dept. of Human Services: Southtowne hid scabies outbreaks for years from state inspectors
- Kept treatment anti-scabies cream for themselves and did not treat patients
Describe 2 elements of the approach to healthcare in Cuba
At least once a year, a PCP will go to your house for a check-up
◦ Ask not just about health, but social life, the
environmental, employment, etc.
◦ Educate you about smoking, eating, exercise, etc.
◦ Then assess how “risky” someone is to decide follow-up appointments
◦ Twice as many PCPs per capita as in the U.S – large investments in medical education
◦ Vaccinations mandatory
According to folklore, what is a leprechaun's occupation?
Shoe maker/mender
In And the Band Played On, why did research start off slow?
-social stigma against the affected group
-money
-aside from gay men, nobody felt affected
Why is it hard for patients/family members to evaluate the quality of nursing homes
Star-rating system is based on self-evaluations
What are two components of Measure 110
Reduces penalties for drug possession.
Fund a new drug addiction treatment and recovery grant program
Name 2 factors that make gun control challenging in the US
-Dickey Amendment
-Lobbying
-Suicide/Homicide need to be addressed with different methods
How do insurance companies stabilize their risk pools (pre-ACA)?
-ask about pre-existing conditions
-enrollment period
-larger risk pool
Explain why end of life care is so expensive in the US?
-Nursing homes ordering unnecessary treatment
-Billing errors
Describe Paul Farmer's approach to medicine
-"Social Medicine"
There was no point in treating patients for diseases only to send them back into the desperate circumstances that contributed to them in the first place.
Describe what Dr. Ngo means by a "hey dude" insurance plan & who this would be best for.
Lower premium, higher deductible, minimal coverage.
Best for young & healthy people with lower incomes
What causes a death spiral in health insurance?
Costs increase --> healthy people leave --> costs increase --> only unhealthy people stay --> death spiral
What are the 5 principles of ethics? Provide definitions for the full points.
Autonomy: patients can make their own decisions
about their healthcare
Nonmalefiecence: Physicians should “do no harm”
Beneficience: Health providers should affirmatively help
patients
Justice: The goal of treating patients fairly and equitably
Utility: Best outcome for the most people
What was the result of the TB study in Mountains Beyond Mountains?
Of the patients who received free medicine, 48% of
theme were cured
BUT, 100% those who received the medicine AND cash stipends and other services were cured
What is Vision Zero?
a data-driven approach to reducing transportation related injuries and saving lives