Week 7
What is Medicaid?
Healthcare coverage for lower income individuals (Federal poverty level)
What disease broke out at a Eugene SouthTowne Memory Care?
Scabies
What does the gross domestic product measure?
Measures market value of total production (goods
and services) in a country
-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
What is a "premium"
Total amount of money paid to your insurance company for coverage.
What were the main ethical issues with the scabies outbreak?
-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 the approach to healthcare in Cuba
-Primary care physician visits once a year
-Offers prevention education (sharing impacts on smoking)
-Examines social factors
-Assess how risky someone is to scheduling a follow-up appt.
What are 3 examples of social determinants of health?
Socioeconomic status, food access, access to healthcare, education (In Sickness and in Wealth video, lecture 2)
Who qualifies for Medicare?
People older than 65 and people with disabilities.
What is the utilitarian approach to triage?
utilitarian approach (maximize benefit for the most
people) (age, state of health)
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 is vision zero?
Eugene City Council
Goal: No loss of life or serious injury on Eugene’s
transportation system
What was the impact of COVID-19 on premiums?
-2020: Healthcare spending dropped (cancelled
elective procedures, people avoiding doctors’
offices)
-2021: Still lower than projected
What were some key takeaways from Fighting to Honor a Father’s Last Wish- To Die at Home - The New York Times
- Father wanted to die at home but was not allowed to
- His last year of medical expenses cost around $1million despite having severe ulcers
-Medicare reduced coverage cost to $307.50
*Brings up issues of end of life care and medical ethics
What kind of medicine did Paul Framer practice and what was his philosophy around it?
'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. Illness, he said, has social roots and must be addressed through social structures.”
What are two examples of tobacco control policies?
-Restrictions on youth sales
-Product labeling (e.g. Surgeon
General’s Warning)
-Tobacco taxes
-Smoke Free Air
What is the consequence chain of adverse selection?
Costs increase --> healthy people leave --> costs increase --> only unhealthy people stay --> death spiral
Provide two examples of ethical medical issues as discussed in class. (Lecture 15)
- 1961: The “God Committee” convened in Seattle about distributing
dialysis
• 100,000 Americans dying only 10 people in program
• Who gets it?
• 2020: COVID-19 who gets a ventilator?
What was the result of the TB study?
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 Food for Lane County's mission?
dedicated to reducing hunger by engaging our community to create access to food.