Journal articles on the topic 'Medicine, Preventive – Government policy – United States'
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1
Carson, Byron. "Firm-Led Malaria Prevention in the United States, 1910-1920." American Journal of Law & Medicine 42, no. 2-3 (May 2016): 310–32. http://dx.doi.org/10.1177/0098858816658271.
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In the absence of capable government services, a railroad company in Texas and multiple cotton mills in North Carolina successfully prevented malaria in the early twentieth century. This Article looks through the lens of economics to understand how and why people had the incentive to privately coordinate malaria prevention during this time, but not after. These firms, motivated by increases in productivity and profit, implemented extensive anti-malaria programs and used their hierarchical organizational structures to monitor performance. The factors underlying the decline of private prevention include a fall in the overall rate of malaria, the increasing presence of the federal government, and technological innovations that lowered exposure to mosquitoes. Understanding how, why, and when firms can prevent diseases has important implications for current disease policy, especially where governments, international organizations, and technologies are not enough.
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Wilkinson, T. M. "OBESITY POLICY AND WELFARE." Public Affairs Quarterly 33, no. 2 (April 1, 2019): 115–36. http://dx.doi.org/10.2307/26910022.
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Abstract Governments can try to counter obesity through preventive regulations such as sugar taxes, which appear to raise costs or reduce options for consumers. Would the regulations improve the welfare of adult consumers? The regulations might improve choice sets through a mechanism such as reformulation, but the scope for such improvement is limited. Otherwise, a paternalistic argument must be made that preventive regulations would improve welfare despite reducing choice. This paper connects arguments about obesity, health, and choice to a philosophically plausible view of welfare. On the negative side, two errors to avoid are failing to see the limited value of health and thinking that findings of irrationality would alone settle arguments about welfare. On the positive side, preventive regulations could make people better-off if welfare is the satisfaction of preferences and if preventive regulations could better satisfy preferences by overcoming certain forms of irrationality. The leading evidence is from widespread attempts to lose weight. However, at least for the United States, most adults are not trying to lose weight, and that casts doubt on whether they would benefit from preventive regulations. If they would not, that seems a strong albeit not decisive reason against these regulations.
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Larijani, B., O. Ameli, K. Alizadeh, and S. R. Mirsharifi. "Prioritized list of health services in the Islamic Republic of Iran." Eastern Mediterranean Health Journal 6, no. 2-3 (June 15, 2000): 367–71. http://dx.doi.org/10.26719/2000.6.2-3.367.
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We aimed to provide a prioritized list of preventive, diagnostic and therapeutic procedures and their appropriate classification based on a cost-benefit analysis. Functional benchmarking was used to select a rationing model. Teams of qualified specialists working in community hospitals scored procedures from CPTTM according to their cost and benefit elements. The prioritized list of services model of Oregon, United States of America was selected as the functional benchmark. In contrast to its benchmark, our country’s prioritized list of services is primarily designed to help the government in policy-making with the rationing of health care resources, especially for hospitals
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Pollitz, Karen, Donna Imhoff, Charles Scott, and Sara Rosenbaum. "New Directions in Health Insurance Design: Implications for Public Policy and Practice." Journal of Law, Medicine & Ethics 31, S4 (2003): 60–62. http://dx.doi.org/10.1111/j.1748-720x.2003.tb00754.x.
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This is a volatile time for health insurance policy. Medicare and Medicaid are in turmoil, as is the private health insurance market. Public and private health insurance costs constitute eighty percent of healthcare spending in the United States. Public health professionals depend on the insurance system to behave in ways that are responsive to public health in prevention and crisis management.Seventy-five percent of the American population, excluding the elderly, has coverage through the private health insurance system. Ninety percent of this group receives their insurance through employer-sponsored programs, and the remaining ten percent buy their own coverage. Approximately ten percent of the non-elderly population has insurance through a government program, and fifteen percent of the non-elderly population, almost forty-one million Americans, is uninsured.
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Perdue, Wendy Collins, Alice Ammerman, and Sheila Fleischhacker. "Assessing Competencies for Obesity Prevention and Control." Journal of Law, Medicine & Ethics 37, S1 (2009): 37–44. http://dx.doi.org/10.1111/j.1748-720x.2009.00390.x.
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Obesity is the result of people consistently consuming more calories than they expend. A complex interaction of social and environmental conditions affects both energy consumption and physical activity levels. These conditions include, but are not limited to the following factors: the availability of affordable and healthy food; price disparities between healthy and less healthy foods; access to or perceived safety of recreation facilities; and the conduciveness of the physical environment to active modes of transportation, such as walking and biking. As outlined in the “Assessing Laws and Legal Authorities for Obesity Prevention and Control” paper in this supplement issue, laws and government policies in the United States influence nearly all of these social and environmental factors.
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Ullian, David M. "“Well Beyond” Permissible: How Severing the Leadership Act's Policy Requirement Affirms Our Commitment to First Amendment Values." American Journal of Law & Medicine 38, no. 4 (December 2012): 713–41. http://dx.doi.org/10.1177/009885881203800405.
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Imagine an American physician working with Pathfinder International's Mukta Project to combat the prevalence and spread of Sexually Transmitted Infections (STIs) and HIV in Maharashtra, India. The physician provides HIV/AIDS prevention and treatment services at a health clinic as well as coordinates educational programs about STIs for local residents. A young woman approaches the physician's clinic. The woman tentatively informs the physician that she has recently entered the local sex trade and may have contracted HIV. The physician wishes she could speak freely about the realities of prostitution in India. The physician wishes she could empower her new patient to adopt behaviors that would reduce her vulnerability to HIV/AIDS. In spite of any professional or personal opinions the physician might hold on the subject of prostitution, however, she must choose her words carefully. In order to receive program funding from the United States government, Pathfinder International has reluctantly endorsed a strict anti-prostitution policy, and the physician is prohibited from engaging in any activities that are inconsistent with that policy.
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Parmet, Wendy E. "After September 11: Rethinking Public Health Federalism." Journal of Law, Medicine & Ethics 30, no. 2 (2002): 201–11. http://dx.doi.org/10.1111/j.1748-720x.2002.tb00387.x.
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In the fall of 2001, the need for a vigorous and effective public health system became more apparent than it had been for many decades. With the advent of the first widescale bioterrorist attack on the United States, the government's obligation to respond and take steps to protect the public health became self-evident.Also obvious was the need for of an effective partnership between federal, state, and local officials. Local officials are almost always on the front lines of the struggle against bioterrorism. They are the first to recognize a suspicious case and to provide testing and treatment for the affected population. At the same time, state officials are needed to support and coordinate local efforts, providing an expertise that may be lacking in many communities, especially smaller ones.But few would doubt that the federal government has a key role to play. The Centers for Disease Control and Prevention (CDC) is expected to lead the epidemiological investigation and provide expertise on how to cope with diseases that remain unfamiliar to most physicians.
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Sukhanov, I. A. "The impact of COVID-19 on the economy and international economic relations of the Republic of Korea." POWER AND ADMINISTRATION IN THE EAST OF RUSSIA 97, no. 4 (2021): 173–79. http://dx.doi.org/10.22394/1818-4049-2021-97-4-173-179.
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The COVID-19 pandemic has negatively impacted global trade in goods and services and has exposed weaknesses in the existing structures for international interaction within the global value chains in the Asia-Pacific region, including the United States of America, Japan and the Republic of Korea. The dependence of these economies on the People's Republic of China negatively affected the production processes of the largest industrial companies. To minimize the existing risks, countries are actively participating in and developing free trade agreements, which helps to diversify the geography of participants in global value chains and sales markets. The Government of the Republic of Korea has demonstrated its ability to effectively combat the COVID-19 pandemic by implementing its own strategy of preventive measures and economic stimulus measures. In addition, two new foreign economic initiatives were launched: the New Southern Policy and the New Northern Policy, which could be based on existing and new free trade agreements. Active involvement in global value chains and participation in free trade agreements allowed the Republic of Korea to increase its competitive advantages in the world market and develop its economic potential. The diversification of trading partners under free trade agreements had a positive impact on the country's economic performance during the pandemic and helped to minimize the negative impact of disruptions in foreign trade. The Russian Federation has the opportunity to integrate into new foreign economic trends in South Korea, and there are opportunities to increase the volume of mutual trade between the countries. One of the ways to achieve this goal may be the signing of a bilateral agreement of a free trade zone between the Republic of Korea and the Eurasian Economic Union.
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Cannon, Geoffrey. "Why the Bush administration and the global sugar industry are determined to demolish the 2004 WHO global strategy on diet, physical activity and health." Public Health Nutrition 7, no. 3 (May 2004): 369–80. http://dx.doi.org/10.1079/phn2004625.
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AbstractObjective:To indicate why the world's most powerful nation state and one powerful sector of the food and drink production and manufacturing industry are determined to demolish the 2004 WHO (World Health Organization) global strategy on diet, physical activity and health, and to disassociate it from the 2003 WHO/FAO (Food and Agriculture Organization) expert report on diet, nutrition and the prevention of chronic diseases, which with its background papers is the immediate scientific basis for the strategy. To encourage representatives of nation states at the 2004 WHO World Health Assembly to support the strategy together with the report, so that the strategy is explicit and quantified, and responds to the need expressed by member states at the 2002 World Health Assembly. This is for an effective global strategy to prevent and control chronic diseases whose prevalence is increased by nutrient-poor food low in vegetables and fruits and high in energy-dense fatty, sugary and/or salty foods and drinks and also by physical inactivity. Of these diseases, obesity, diabetes, cardiovascular diseases and cancers of several sites are now the chief causes of morbidity and mortality in most countries in the world.Method:A summary of the global strategy and its roots in scientific knowledge accumulated over the last half-century. Reasons why the global strategy and the expert report are opposed by the current US government and the world sugar industry, with some reference to modern historical context. A summary of the trajectory of the global strategy since its first draft made in early 2003, and a further summary of its weaknesses, strengths and potential.Conclusion:The 2004 WHO global strategy and the 2003 WHO/FAO expert report are perceived by the current US administration as an impediment to US trade and international policy, within a general context of current US government hostility to the UN (United Nations) system as a brake on the exercise of its power as the world's dominant nation. Policy-makers throughout the world should be aware of the contexts of current pressures put on them by powerful nation states and sectors of industry whose ideologies and commercial interests are challenged by international initiatives designed to improve public health and to leave a better legacy for future generations.
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Rollins, Adam M., Monique Wheeler, MS, and Tim Frazier, PhD. "A Marshall Plan for the 21st century: Addressing climate change in the Asia-Pacific through diplomacy, development, and defense." Journal of Emergency Management 20, no. 8 (July 25, 2022): 103–22. http://dx.doi.org/10.5055/jem.0684.
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The inevitable climate challenges facing the Asia-Pacific territory require a massive whole-of-government approach comparable to the Marshall Plan of 1948. While many political leaders have called for such a plan, no policy currently exists for this region or purpose. With nearly eight trillion dollars in trade revenue passing through crucially strategic straits daily, seven of the 10 largest militaries in the world (five of which are nuclear capable) operating throughout this territory, and a forecast for nearly exponential population growth, the geopolitical provenance of the United States (US), ties inextricably to this portion of the globe. A document analysis assessing existing diplomatic, developmental, and defensive policies concludes that a modern-day Marshall Plan for the 21st century Asia-Pacific is achievable by realigning lines of effort within current frameworks. As long as the US continues to deny climate change, other nation-state actors within the area will rise to fill the void. The US must commit to the funding, development, and proliferation of clean and sustainable energy solutions, which evolve past current fossil-fuel reliant technologies and, most importantly, be opensource in description and shared with other large polluters throughout the world. Finally, the nations of the Asian-Pacific realm should contemplate a theater-specific treaty organization. As climate change threatens to destabilize the region, a unified force intent on providing stabilization efforts, preventing internal conflict and escalation, and enforcing international law deserves consideration and deliberation.
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KODANEVA, Svetlana I. "Legal consequences of Brexit for UK regions and theoretical foundations of legal mechanisms for preventing secession." Current Issues of the State and Law, no. 2 (2022): 140–50. http://dx.doi.org/10.20310/2587-9340-2022-6-2-140-150.
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Introduction. The article shows that as the number of ethno-national conflicts increases in almost all parts of the world, secession processes are becoming more and more popular. At the same time, the legal and political mechanisms for preventing secession may differ radically depending on national characteristics. But even those mechanisms that have shown their effectiveness for a long period under certain (crisis) conditions stop working, forcing states to look for new tools to prevent secession of their regions. The purpose and objectives of the study. The purpose of the study is to study the experience of preventing secession of the national regions of the UK in the process of leaving the EU. It is argued that the strict instruments of limiting the autonomy of the re-gions were not only ineffective, but increased the risk of the collapse of the country. The task of analyzing changes in the regional policy of the United Kingdom in the Brexit process is set. Methodology. The methodo-logical model of A. Liphart, the classical approach of A.V. Daisi to the definition of parliamentary sovereignty is used. General scientific methods of generalization and system analysis are also used. The results of the study. It is proved that tough tools to prevent secession in the crisis conditions of the UK’s withdrawal from the EU proved ineffective and, on the contrary, stimulated separatist sentiments in the national regions of the country. Conclusion. It is concluded that only the use of flexible forms of interaction and the formation of new partner-ship instruments allowed to avoid secession of regions. This required the development of new legal and political instruments of interaction and cooperation between the central government and local elites.
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Filin, N. A., V. O. Koklikov, and A. S. Khodunov. "Understanding Colonialism and Decolonization in Iran’s Contemporary Socio-Political Discourse." Journal of International Analytics 13, no. 3 (September 30, 2022): 30–47. http://dx.doi.org/10.46272/2587-8476-2022-13-3-30-47.
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The article analyzes the perception of colonialism and anti-colonial struggle in modern Iran. The Iranian authorities attach particular importance to the anti-colonial struggle and condemnation of the colonial practices of the West, taking into account not only formal colonization, but also the actual subordination of formally independent states to the will of Western powers. In this regard, particular importance is attached to liberate the oppressed of the whole world. The purpose of the study is to examine the history of colonialism in Iran, the views of the spiritual leaders, presidents and senior officials of Iran on issues of colonialism and anti-colonial struggle, to identify historical events and personalities who played a key role in the anti-colonial movement in Iran. For this purpose, the materials of the Iranian agency IRNA and the speeches of Iranian spiritual leaders were analyzed. A statistical analysis of the most common terms on the subject of colonialism was also carried out. As a result, it was found that the Iranian discourse focuses on condemning the crimes of the West, especially the United States and Israel, against Muslims, as well as praising the resistance of the Iranian people to colonialism in the past and present, with an emphasis on the special role of Ayatollah Khomeini in the Iranian anti-colonial movement. Western colonialism in Iran is divided into several aspects: war crimes committed in the countries conquered by the West, preventing the free development of weaker countries, the struggle to change independent and patriotic regimes and impose rulers ineffective and obedient to Western elites on the peoples, and the imposition of destructive manifestations of Western culture. In addition, the Iranian policy in the Middle East is praised as being driven by noble motives and aiming to provide all possible assistance to the peoples of the region to achieve liberation from the colonialists. The case of Syria is cited as an important example of Iran’s anti-colonial struggle in the Middle East, when Iran helped the government of Bashar al-Assad to regain control of the country and to defeat the armed opposition.
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Romero Somme, G. "Expropriation and consequence: Peru-United States relations (1963–1975)." Cuadernos Iberoamericanos 9, no. 4 (May 11, 2022): 34–52. http://dx.doi.org/10.46272/2409-3416-2021-9-4-34-52.
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This article studies the nature of Peru-United States relations during the period 1963–1975 through an analysis of the dispute over the potential expropriation of the US-owned International Petroleum Company. The United States government implemented a tough policy towards the first government of Fernando Belaúnde – who sough a “special” relation with the Unites States –characterized by the threat of economic sanctions if the Peruvian government did not solve the issue in favor of the company. The threat of the Hickenlooper Amendment, which sought to penalize countries that expropriated American owned businesses, was a clear sign of this. Once the company was expropriated by the Revolutionary Government of the Armed Forces in 1968 the American government was ironically forced to follow a more flexible approach, as the new military regime sought to diversify its bilateral relations in the bipolar context of the Cold War. The American policy of supporting the IPC had negative long-term effects fo American interests in the region, as it accelerated the overthrown of Belaúnde and ushered in the arrival of a military junta which sought a more independent foreign policy. A country that had been solid American ally camp since the end of World War II had become a nonaligned nation.
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Romadiyanti, Beta. "Government Procurement Policy: Comparative Study between Indonesia and The United States." Jurnal transformative 8, no. 2 (September 29, 2022): 181–200. http://dx.doi.org/10.21776/ub.transformative.2022.008.02.2.
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Hatef, Elham, Stephen Haering, Clarence Lam, and Miriam Alexander. "Preventive Medicine Physicians as Population Health Professionals: Career Paths of Preventive Medicine Physicians in the United States." Population Health Management 20, no. 3 (June 2017): 170–72. http://dx.doi.org/10.1089/pop.2016.0078.
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Aulia Marcella, Rina. "The Implementation Of U.S Foreign Policy Towards Gaza Strip." Aptisi Transactions on Technopreneurship (ATT) 4, no. 1 (January 19, 2022): 26–35. http://dx.doi.org/10.34306/att.v4i1.220.
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This paper examines how the United States' foreign policy towards the Gaza conflict is being implemented. Furthermore, this paper discusses the United States' performance, attempts, technology use and outcomes in striking an agreement between Israel and Palestine. The goal of this analysis is to look at the United States' attempts in the long and near term to reintegrate the Palestinian authority into the democratic system and stabilize Gaza. According to the findings of this research, the United States has a strong commitment to community development and protection for a secure, free, democratic, and stable Palestinian government using technology in era 4.0. In order to achieve peace, the United States remains committed to a solution in which both Israel and Palestine, specifically Israel and Palestine, are equally entitled to the same level of freedom, security, and prosperity. The United States contributes to the delivery of bilateral assistance both in the economic and military fields.
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Carson, Byron. "The Informal Norms of HIV Prevention: The Emergence and Erosion of the Condom Code." Journal of Law, Medicine & Ethics 45, no. 4 (2017): 518–30. http://dx.doi.org/10.1177/1073110517750586.
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The response many gay men took to the HIV epidemic in the United States was largely informal, especially given distant state and federal governments. The condom code, a set of informal norms that encouraged the use of condoms, is one instance of this informal response, which was wholly uncoordinated. Yet, it is not clear why these informal norms emerged or why they have since eroded. This paper explores how gay men in particular generated expectations and normative beliefs regarding condom usage, which helped to establish the condom code as an informal norm. Furthermore, the erosion of the condom code is viewed as a result of changing expectations, which change as bio-medical means of HIV treatment and prevention develop and as online and digital communities facilitate serosorting, all of which provide alternatives to condoms as a means of prevention and their associated informal norms. Future HIV prevention campaigns should recognize the extent to which informal norms coordinate and encourage preventative behavior, as well as how beliefs and expectations alter the informal norms people adopt.
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Dron (INVITED), E. M. "United Kingdom Radon Programme: Policy and Progress." Radiation Protection Dosimetry 56, no. 1-4 (December 1, 1994): 339–42. http://dx.doi.org/10.1093/oxfordjournals.rpd.a082483.
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Abstract The United Kingdom is pursuing a substantial and evolving programme towards minimising the problem of high radon levels in homes. Work focuses on those areas of the country which early surveys have shown to have a significant proportion of affected homes, and involves cooperation between central and local Government, research institutions and private companies. Elements of the programme include: radon measurements on demand from householders in areas of potentially high radon and systematic surveys to refine knowledge of these areas; research into geological, epidemiological, psychological and financial aspects of the problem; the development and dissemination of advice on remedial and preventive measures; and a comprehensive approach to communication with all parties involved in issues of domestic exposure to radon. This paper contains a general description of the programme, setting its objectives in the context of public policy on housing and health in the UK. An account of progress is given, and future options are outlined towards fulfilling the Government's intention that substantial progress towards dealing with the impact of radon should be made by the close of the century.
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Colbrook, Stephen. "Why Pandemics Matter to the History of U.S. State Development." Modern American History 4, no. 3 (November 2021): 315–33. http://dx.doi.org/10.1017/mah.2021.26.
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When a new strain of influenza circled the globe in the fall and winter of 1918, it swept through the United States at terrifying speed, infecting at least 25 million Americans—roughly one-quarter of the population—over the next two years. Based on any metric, the pandemic was the country's largest mass-mortality episode of the twentieth century, killing approximately 675,000 Americans and surpassing the death toll of World War I. Even as the virus struck the United States with unprecedented ferocity, however, the federal government left most public health decisions to the states, producing a disjointed and hyper-localized approach to a crisis that was national and global in scope. In the absence of a strong federal role, state governments carved out their own policy paths, adopting widely divergent strategies to stem the spread of the disease. This preventive playing field was wildly uneven. Some states were well-equipped with robust public health infrastructures; others lacked the tools to manage the disease's rampant spread.
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Epstein, Samuel S. "Losing the War against Cancer: Who's to Blame and what to do about it." International Journal of Health Services 20, no. 1 (January 1990): 53–71. http://dx.doi.org/10.2190/w318-frd5-kvx8-9qjj.
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In 1971, the U.S. Congress launched a War on Cancer. Eighteen years and billions of dollars later, the United States is still in the grips of a cancer epidemic–and the number of victims grows every year. Much of the money has been squandered on a fruitless search for cancer “cures.” Little has been done to prevent exposure to carcinogenic chemicals in the environment, despite ample evidence that chemical pollution of our air, water, food, and the workplace is the major cause of cancer. On the contrary, government, industry, and a small coterie of scientists have combined to stymie efforts to introduce preventive measures, such as strict pollution control standards. But cancer remains a preventable disease. It is up to citizens to push for action.
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Noor Amira Syazwani Abd Rahman, Jamal Rizal Razali, MOHD ROZAIMY RIDZUAN, and Soon Yew. "A COMPARATIVE STUDY ON CHILDHOOD VACCINATION POLICY IN THE UNITED STATES, AUSTRALIA, EUROPE AND MALAYSIA." International Journal of Humanities Technology and Civilization 7, no. 1 (June 23, 2022): 92–96. http://dx.doi.org/10.15282/ijhtc.v7i1.7613.
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Vaccination from an early in life is one of the most effective medical strategies for reducing infant mortality and morbidity while also ensuring the well-being of society. Following World Health Organization (WHO) recommendations, vaccination is provided free of charge to children worldwide as part of the country's maternal and child health programmes. Nevertheless, many people believe vaccines are harmful and unnecessary, even though they are widely accepted as an effective preventive measure in public health. Many previously eradicated infectious diseases have reappeared because of vaccine hesitancy. Due to vaccine rejection, vaccine avoidance is becoming increasingly common around the world. As a result, the WHO has identified vaccine hesitancy as one of the top ten global health threats for 2019. However, policies that encourage parents to vaccinate their children, on the other hand, may increase their willingness to do so. Government policy instruments such as mandatory regulation, incentives, promotion, and education can be used to influence parental intentions. Policy measures can encourage parents' intentions to vaccinate their children. Consequently, governments can use policy instruments like required regulation, incentives and promotion to control parents' intentions. This paper examines relevant literature on childhood vaccination policies in several countries, including Malaysia, using academic journals and observations from various articles. It is hoped that this study will add to existing knowledge about childhood vaccination policies around the world.
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Sitaresmi, Anisa Galuh, Hasna Wijayanti, and Halifa Haqqi. "Subsidi Pertanian Amerika Serika Dalam Kasus Perang Dagang Amerika Serikat dan China Tahun 2018-2019." Jurnal Social Economic of Agriculture 10, no. 2 (July 21, 2022): 90. http://dx.doi.org/10.26418/j.sea.v10i2.48712.
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The beginning of the trade war between the United States and China was caused by the imposition of United States tariffs on several Chinese products. The imposition of these tariffs led to retaliatory tariffs from China against the United States. China's retaliatory tariffs have an impact on one of the United States' sectors, namely the agricultural sector. The United States agricultural sector is an important sector in the agricultural trade sector in the United States. With the retaliation of tariffs, the agricultural sector experienced a significant decline. In response to this incident, the United States government made a policy to overcome this problem by making a new policy, namely subsidies. This study aims to describe and find out how the implementation of United States agricultural subsidies in the case of the 2018-2019 trade war using qualitative methods and data sources sought using primary and secondary data. To analyze this research, the writer uses neoclassical theory and national interest to find out how the implementation and perspective of the policy are. The results of this study indicate that there are 3 programs implemented by the United States to overcome the trade war, namely MFP, FPDP, ATP. However, these programs reap many pros and cons. The subsidy policy is a policy that endangers the United States economy because it disrupts the market mechanism.
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Tonelli, Marcello, Raymond Vanholder, and Jonathan Himmelfarb. "Health Policy for Dialysis Care in Canada and the United States." Clinical Journal of the American Society of Nephrology 15, no. 11 (June 25, 2020): 1669–77. http://dx.doi.org/10.2215/cjn.14961219.
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Contemporary dialysis treatment for chronic kidney failure is complex, is associated with poor clinical outcomes, and leads to high health costs, all of which pose substantial policy challenges. Despite similar policy goals and universal access for their kidney failure programs, the United States and Canada have taken very different approaches to dealing with these challenges. While US dialysis care is primarily government funded and delivered predominantly by private for-profit providers, Canadian dialysis care is also government funded but delivered almost exclusively in public facilities. Differences also exist for regulatory mechanisms and the policy incentives that may influence the behavior of providers and facilities. These differences in health policy are associated with significant variation in clinical outcomes: mortality among patients on dialysis is consistently lower in Canada than in the United States, although the gap has narrowed in recent years. The observed heterogeneity in policy and outcomes offers important potential opportunities for each health system to learn from the other. This article compares and contrasts transnational dialysis-related health policies, focusing on key levers including payment, finance, regulation, and organization. We also describe how policy levers can incentivize favorable practice patterns to support high-quality/high-value, person-centered care and to catalyze the emergence of transformative technologies for alternative kidney replacement strategies.
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Eisenberg, Leon. "Preventive Pediatrics: The Promise and the Peril." Pediatrics 80, no. 3 (September 1, 1987): 415–22. http://dx.doi.org/10.1542/peds.80.3.415.
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I was deeply honored to have been invited by the Canadian Paediatric Society to serve as its 18th Queen Elizabeth II Lecturer. Even as I relished the honor, I found it daunting, given the distinction of my predecessors. Having considered at length how best to respond, I chose to address prevention, a field with which pediatrics has been concerned since its inception as a specialty. Although the commitment of pediatrics to disease prevention has been unswerving, the diseases that have been the target of its efforts have necessarily changed as the distribution of disease in the population has changed and as scientific advances have created new opportunities for intervention. What pediatricians were once almost alone among medical specialists in emphasizing has now become the target of government policy in Canada,1 the United States,2 and the United Kingdom.3 This, however, is not quite the triumph it may seem. Physicians who advocate prevention do so in the hope of avoiding unnecessary suffering and premature death for their patients. Politicians who do so may not be unmindful of these goals, but their primary motivation is controlling the costs of medical care. The US Forward Plan for Health2 was unabashed about it: "the primary focus of our program is a major attack on cost escalation." The differences in motivation between physicians and politicians have important consequences for health policy, consequences that imperil the promise of prevention. Let me, then, begin with a few words of history, move on to the promise of preventive pediatrics in the years to come, and conclude by discussing the hazards associated with the use of prevention as a political rather than a medical slogan.
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Holechek, Jerry L., and Karl Hess. "Government policy influences on rangeland conditions in the United States: A case example." Environmental Monitoring and Assessment 37, no. 1-3 (January 1995): 179–87. http://dx.doi.org/10.1007/bf00546888.
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Zhang, Yahan, Shanshan Liu, and JongWoo Jun. "A Comparative Study on the Cultural Dimensions and Health Perception of the COVID-19 Pandemic between China and the United States." Healthcare 10, no. 6 (June 10, 2022): 1081. http://dx.doi.org/10.3390/healthcare10061081.
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When a public crisis such as COVID-19 occurs, factors that affect health-related behaviors, such as compliance with safety precautions, health professionals, and directives from government agencies will become more obvious. This research explores the differences between the people of the United States and China regarding preventive behavioral intentions, perceptions of personal and social risks, seriousness, and other cultural characteristics in the context of the COVID-19 health crisis. The purpose is to provide insights that can be used when global public health events occur in the future. A total of 536 people who lived in the US and China from 12 July to 7 September 2020 were recruited in the survey. Through a web-based survey, differences in the attitudes and perceptions of COVID-19 between the two countries were identified. Overall, the people of China scored higher than Americans on several measures regarding personal risk perception, social risk perception, and seriousness. Chinese citizens also had higher preventive behavioral intentions than their US counterparts. In addition, the relationships between cultural dimensions and health-related variables were also different.
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Pomeranz, Jennifer L. "United States: Protecting Commercial Speech under the First Amendment." Journal of Law, Medicine & Ethics 50, no. 2 (2022): 265–75. http://dx.doi.org/10.1017/jme.2022.51.
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AbstractThe First Amendment to the US Constitution protects commercial speech from government interference. Commercial speech has been defined by the US Supreme Court as speech that proposes a commercial transaction, such as marketing and labeling. Companies that produce products associated with public health harms, such as alcohol, tobacco, and food, thus have a constitutional right to market these products to consumers. This article will examine the evolution of US law related to the protection of commercial speech, often at the expense of public health. It will then identify outstanding questions related to the commercial speech doctrine and the few remaining avenues available in the United States to regulate commercial speech including the use of government speech and addressing deceptive and misleading commercial speech.
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SOCAL, Mariana P., Juliana A. ORTIZ, Fabricio GARCIA, and Daniella PINGRET-KIPMAN. "Pharmaceutical regulation, pricing, coverage and policy reform in the United States of America." Revista Brasileira de Farmácia Hospitalar e Serviços de Saúde 13, no. 3 (September 5, 2022): 847. http://dx.doi.org/10.30968/rbfhss.ano2022.133.0847.
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The United States (US) is the largest economy in the world and the largest pharmaceutical market, accounting for 40% of the global expenditure on pharmaceuticals and almost half of the global pharmaceutical pipeline. This review describes prescription drug regulation, pricing and coverage in the US and provides perspectives for policy reform. With an unregulated market-based pricing system for drugs, the US pays on average 3 to 4 times higher prices for branded prescription drugs than other industrialized countries. Challenges posed by rising drug prices create affordability problems that threaten the American population’s health as well as the sustainability of the US healthcare system. The US stands out as the country with the highest health expenditure per capita, at about 17% of its gross domestic product, and with pharmaceuticals representing over 12% of the total health expenditure. Health coverage is strongly dependent on employmentbased private insurance, with government programs like Medicare and Medicaid providing coverage to older and poorer populations, respectively. Coverage for outpatient prescription drugs is included in most, if not all, private health insurance plans and government programs. Although some drug pricing policy reforms have been proposed in recent years, no major nationwide initiatives have been successful in the US thus far. High drug prices might not only impact the US care system’s efficiency, but can also have a ripple effect to other countries like Brazil that use the US for external reference pricing, even if those countries may have other price regulation mechanisms in place. This is particularly important for new therapies for which no other international prices may be available in the global market besides the one from the US. The growing budgetary pressures from rising drug prices underscore the need for US drug pricing reform and highlight the need for global pricing mechanisms that can help ensure early access to new technologies at fairer prices.
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Hoadley, John F. "Health Care in the United States: Access, Costs, and Quality." PS 20, no. 2 (1987): 197–201. http://dx.doi.org/10.1017/s0030826900627868.
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Fact: As a nation, medical care expenditures represent 10.6% of the gross national product. The portion of the nation's medical care dollar coming from federal sources declined slightly (42.6% to 41.4%) between 1981 and 1984, but this share is more than 15 percentage points above the comparable figure from the years prior to 1965 (Anderson, 1985).As these numbers illustrate, paying for health care is a very expensive proposition in the United States, consuming a higher proportion of our nation's resources than is true for most developed nations. While we have strongly resisted any move to a government-run system of health care delivery, the above numbers also show clearly that the federal government pays for a substantial share of all health care in this country.Three major themes have dominated the health policy agenda during recent years: access to health care, cost containment, and quality of care. The fates of these issues have waxed and waned over the years as changes in health care delivery, federal budgetary politics, and shifting public opinion have altered the environment over time. In the 1960s, access was the key issue, as Democratic administrations used government programs to make health care more readily available to all Americans. As inflation levels soared in the 1970s, cost containment was forced onto the agenda, resulting in a series of attempts to reduce federal expenditures on hospital care. Finally, by the mid-1980s, cost containment pressures were modifying slightly; we have recently witnessed a return to access issues and the emergence of quality as a new political issue.
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Ihsan, Rizky. "Joe Biden’s Foreign Policy: What to Expect from the New United States President." Jurnal Ilmiah Hubungan Internasional 18, no. 1 (June 27, 2022): 89–98. http://dx.doi.org/10.26593/jihi.v18i1.4514.89-98.
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Joseph Biden came to the oval office with his wealth of experience in government affairs, including as the chair in the United States Senate Foreign Relations Committee. According to his campaign promises, the upcoming Biden administration’s foreign policy is aimed at improving the US’ international credibility based on liberal values. This article will further examine his political aspirations, based on the speech, campaign promises, and official statements. The argument is that although the US would be likely to embrace liberal values under his administration, international constraints may limit his ability in foreign policy agenda-setting. In managing its relations with China, for example, the US would be more likely to be driven by its interest rather than its values, particularly by continuing the anti-China coalition with its allies in the Indo-Pacific.
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Ihsan, Rizky. "Joe Biden’s Foreign Policy: What to Expect from the New United States President." Jurnal Ilmiah Hubungan Internasional 18, no. 1 (June 27, 2022): 88–98. http://dx.doi.org/10.26593/jihi.v18i1.4514.88-98.
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Joseph Biden came to the oval office with his wealth of experience in government affairs, including as the chair in the United States Senate Foreign Relations Committee. According to his campaign promises, the upcoming Biden administration’s foreign policy is aimed at improving the US’ international credibility based on liberal values. This article will further examine his political aspirations, based on the speech, campaign promises, and official statements. The argument is that although the US would be likely to embrace liberal values under his administration, international constraints may limit his ability in foreign policy agenda-setting. In managing its relations with China, for example, the US would be more likely to be driven by its interest rather than its values, particularly by continuing the anti-China coalition with its allies in the Indo-Pacific.
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Sedliar, Yulia. "US policy of economic sanctions against Cuba in 1990s years." Scientific Visnyk V. O. Sukhomlynskyi Mykolaiv National University. Historical Sciences 48, no. 2 (2019): 114–18. http://dx.doi.org/10.33310/2519-2809-2019-48-2-114-118.
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The US economic embargo against Cuba has been in place for fifty years. During that period, its rationale and goals have not changed. As it is stressed in the article, principal purpose of the US sanctions strategy is either to modify the international behavior of Cuba, which Washington regarded as a threat to US strategic interests in the Latin America region, or to eliminate the Cuban political regime entirely. Measured against these goals, the sanctions clearly have failed. Author examines key factors having restricted sanctions’ ability to achieve American proclaimed goals regarding to Cuba. In this context, it is underscored that controversial maintenance of the US embargo against Cuba among US allies directly affected the results of sanctions strategy against Cuba. It is stressed that since the early 1960s, when the United States imposed a trade embargo on Cuba, the centerpiece of U.S. policy toward Cuba has consisted of economic sanctions aimed at isolating the government. The United States embargo against Cuba is a commercial, economic, and financial embargo imposed by the United States on Cuba. An embargo was first imposed by the United States on sale of arms to Cuba on the 14th of March 1958, during the Fulgencio Batista regime. On October 19, 1960 the U.S. placed an embargo on exports to Cuba except for food and medicine after Cuba nationalized American-owned Cuban oil refineries without compensation. On February 7, 1962 the embargo was extended to include almost all imports. Currently, the Cuban embargo is enforced mainly through six statutes: the Trading with the Enemy Act of 1917, the Foreign Assistance Act of 1961, the Cuban Assets Control Regulations of 1963, the Cuban Democracy Act of 1992, the Helms–Burton Act 1996, and the Trade Sanctions Reform and Export Enhancement Act of 2000. The stated purpose of the Cuban Democracy Act of 1992 is to maintain sanctions on Cuba so long as the Cuban government refuses to move toward democratization and greater respect for human rights. The article emphasizes that The Helms–Burton Act further restricted United States citizens from doing business in or with Cuba, and mandated restrictions on giving public or private assistance to any successor government in Havana unless and until certain claims against the Cuban government were met.
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Behm, Allyson. "Fraud and Abuse: United States ex rel Merena v. SmithKline Beecham Corp.; United States ex rel Spear v. SmithKline Beecham Clinical Lab.; United States ex rel Grossenbacher v. SmithKline Beecham Clinical Lab." Journal of Law, Medicine & Ethics 28, no. 2 (2000): 191–93. http://dx.doi.org/10.1111/j.1748-720x.2000.tb00013.x.
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The United States Court of Appeals for the Third Circuit held that when quitam relators file a multi-claim complaint under the Fraudulent Claims Act (FCA), their share of the proceeds must be based on an individual analysis of each claim. More importantly, the court held that relators are not entitled to any portion of the settlement of a specific claim if that claim was subject to dismissal under section 3730(e)(4) Relator Merena filed a quitam suit against his employer, SmithKline Beecham (SKB), claiming, among other things, that SKB defrauded the government by billing for laboratory tests that were not performed, paying illegal kickbacks to health care providers, and participating in an “automated chemistry” scheme. Soon thereafter, additional relators filed suit.
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Madison, Kristin M., Kevin G. Volpp, and Scott D. Halpern. "The Law, Policy, and Ethics of Employers' Use of Financial Incentives to Improve Health." Journal of Law, Medicine & Ethics 39, no. 3 (2011): 450–68. http://dx.doi.org/10.1111/j.1748-720x.2011.00614.x.
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Individuals can often take steps to preserve or improve their own health. They can eat appropriate quantities of healthy foods, exercise, and refrain from smoking. They can obtain preventive care and adhere to their physicians’ advice about how best to manage their health. But they often fail to take these steps.A widespread failure to adopt healthy behaviors can significantly erode public health while increasing health care costs. Obesity, for example, increases the risk of heart disease, stroke, liver disease, and certain cancers. By one estimate, it is responsible for almost 10 percent of medical spending in the United States, or about $147 billion per year. Smoking increases the risk of heart disease, stroke, lung disease, and cancer; it accounts for nearly 20 percent of deaths each year in the United States and about $96 billion in health care expenditures.
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Koper, Christopher S., Cynthia Lum, Xiaoyun Wu, and Noah Fritz. "Proactive policing in the United States: a national survey." Policing: An International Journal 43, no. 5 (September 14, 2020): 861–76. http://dx.doi.org/10.1108/pijpsm-06-2020-0086.
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PurposeTo measure the practice and management of proactive policing in local American police agencies and assess them in comparison to recommendations of the National Academies of Sciences (NAS) Committee on Proactive Policing.Design/methodology/approachA survey was conducted with a national sample of American police agencies having 100 or more sworn officers to obtain detailed information about the types of proactive work that officers engage in, to quantify their proactive work and to understand how the agencies measure and manage those activities. Responding agencies (n = 180) were geographically diverse and served populations of approximately half a million persons on average.FindingsProactivity as practiced is much more limited in scope than what the NAS envisions. Most agencies track only a few forms of proactivity and cannot readily estimate how much uncommitted time officers have available for proactive work. Measured proactivity is mostly limited to traffic stops, business and property checks and some form of directed or general preventive patrol. Many agencies have no formal policy in place to define or guide proactive activities, nor do they evaluate officer performance on proactivity with a detailed and deliberate rubric.Originality/valueThis is the first national survey that attempts to quantify proactive policing as practiced broadly in the United States. It provides context to the NAS recommendations and provides knowledge about the gap between practice and those recommendations.
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DeSario, Jack. "Health Issues and Policy Options." PS 20, no. 2 (1987): 226–31. http://dx.doi.org/10.1017/s003082690062790x.
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The high cost and inefficiency of the United States' health care system has been widely documented. These problems, augmented by increased government financing of the health cost spiral, have led policymakers to search frantically for programs and strategies which can interject a modicum of rationality back into the health care field. There has been general agreement among health care analysts about the need to control costs and even the principal causes of these rapid increases. However, there has been less agreement on appropriate and effective solutions. The following analysis will provide an overview of current problems and proposed solutions.
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Dakić, Milojica. "Global Financial Crisis – Policy Response." Journal of Central Banking Theory and Practice 3, no. 1 (January 1, 2014): 9–26. http://dx.doi.org/10.2478/jcbtp-2014-0002.
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Abstract Six years after the outbreak of the financial crisis that had shaken the global financial system, experts and analysts all over the world continue discussing the effectiveness, scope and adequacy of mechanisms and measures implemented in the meantime, as well as the adequacy of the underlying theoretical concept. A global consent has been reached on ensuring financial stability through the interaction of monetary, fiscal and prudential policy to ensure the necessary macroprudential dimension of regulatory and supervisory frameworks. The USA crisis spilled over to Europe. Strong support of governments to bail out banks quickly resulted in sovereign debt crises in some peripheral EU Member States. Fiscal insolvency of these countries strongly shook the EU and increased doubts in the monetary union survival. The European Union stood united to defend the euro and responded strongly with a new complex and comprehensive financial stability framework. This supranational framework is a counterpart to the global financial stability framework created by the G20 member countries. Starting from the specific features of the monetary policy whose capacities are determined by euroisation, available instruments and resources for preventive supervisory activities, as well as the role of the government in crisis management, Montenegro created a framework for maintaining financial stability and prescribed fostering and maintaining financial stability as the main objective of the Central Bank of Montenegro.
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Shanmugam, Ramalingam, Lawrence Fulton, Zo Ramamonjiarivelo, José Betancourt, Brad Beauvais, Clemens Scott Kruse, and Matthew S. Brooks. "A Report Card on Prevention Efforts of COVID-19 Deaths in US." Healthcare 9, no. 9 (September 7, 2021): 1175. http://dx.doi.org/10.3390/healthcare9091175.
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COVID-19 (otherwise known as coronavirus disease 2019) is a life-threatening pandemic that has been combatted in various ways by the government, public health officials, and health care providers. These interventions have been met with varying levels of success. Ultimately, we question if the preventive efforts have reduced COVID-19 deaths in the United States. To address this question, we analyze data pertaining to COVID-19 deaths drawn from the Centers for Disease Control and Prevention (CDC). For this purpose, we employ incidence rate restricted Poisson (IRRP) as an underlying analysis methodology and evaluate all preventive efforts utilized to attempt to reduce COVID-19 deaths. Interpretations of analytic results and graphical visualizations are used to emphasize our various findings. Much needed modifications of the public health policies with respect to dealing with any future pandemics are compiled, critically assessed, and discussed.
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Padamsee, Tasleem J. "Fighting an Epidemic in Political Context: Thirty-Five Years of HIV/AIDS Policy Making in the United States." Social History of Medicine 33, no. 3 (December 28, 2018): 1001–28. http://dx.doi.org/10.1093/shm/hky108.
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Abstract The history of US government action on HIV/AIDS offers important lessons concerning the limits and possibilities of US public health policy. Yet only the first decade of this history has previously been well-documented. This article updates the history by constructing a macro-level account of policies that have been considered and implemented, along with the discourses and debates that have shaped them. This account is generated through systematic study of many dozens of policy making moments, drawing on >70 original interviews, >20,000 daily news reports and hundreds of contemporaneous policy documents. The paper chronicles HIV/AIDS policy from the initial years when the federal government resisted addressing the crisis; through subsequent periods shaped by alternating Republican and Democratic administrations; to contemporary policy making in an era when broader health policy transitions offer hope of normalized treatment and coverage for people with HIV, and scientific innovations offer the possibility of ending HIV/AIDS itself. It also illuminates how national HIV/AIDS policy is not only a series of responses to the concrete challenges of a health crisis, but also a malleable political product and a resource used to wage broader social and ideological battles.
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Jhosep, Akaber. "THE UNITED STATES FOREIGN POLICY AGAINST AFGHANISTAN MILITARY: A COVERT MILITARY METHOD." Jurnal Pembaharuan Hukum 9, no. 2 (August 21, 2022): 213. http://dx.doi.org/10.26532/jph.v9i2.23731.
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This study aims to analyze and explain the foreign policy of the United States towards the Afghan militia, especially the Taliban. The United States government with the help of the CIA (Central Intelligence Agency) investigates and seeks to destroy the Al Qaeda terrorist group led by Osama bin Laden who was later found to be in Afghanistan and obtained protection under the Taliban. The Taliban, the Islamic extremist regime that controls Afghanistan and offers space for Al Qaeda militants to exercise its military in Afghanistan. President Bush signed a resolution on September 18, 2001 regarding the attacks on Al Qaeda under the protection of the Taliban in Afghanistan which continues to this day. The United States is actively involved in supporting military operations in Afghanistan, including logistical assistance, Afghan military training, and sending American military troops to conflict areas. The main goal of the United States in doing so is to prevent potential future attacks by a growing terrorist group in Afghanistan. Based on data from the United States Department of Defense, the total expenditure in the military sector in Afghanistan from 2001 to 2019 was 778 billion USD. Meanwhile, the number of troops sent to conflict locations was 596,303 troops. There are 2,441 US military troops confirmed dead in the Afghan war from 2001 to 2019. It is estimated that about 12,000 US military troops are still in Afghanistan. This research is a qualitative research and the data collection technique used by the author in this study is Library Research in the form of books, journals, documents, reports, articles, or newspapers obtained through electronic and non-electronic media. The conclusion is that this foreign policy is relevant and elaborates that in international relations there will be actions, reactions, and interactions between political entities called states. The state, in this case the head of state as the decision maker, tries to formulate every goal to be achieved by minimizing sacrifices to the national interest. In line with the policies pursued by President Trump to end the war in Afghanistan and withdraw all military forces of the United States and its allies.
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McKercher, B. J. C. "From Enmity to Cooperation: The Second Baldwin Government and the Improvement of Anglo-American Relations, November 1928–June 1929." Albion 24, no. 1 (1992): 65–88. http://dx.doi.org/10.2307/4051243.
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One of the pervading interpretations of Anglo-American relations in the interwar period is that the advent of James Ramsay MacDonald's Labour government in June 1929 set in train the series of events that ended bitter relations between Britain and the United States, bitterness which had been caused by the naval question. There are several strands to this: first, that the American policy pursued by the Conservative second Baldwin government from November 1924 to June 1929, and especially after the failure of the Coolidge naval conference in the summer of 1927, was bankrupt; second, that MacDonald was more amenable to settling British differences with the Americans than were his Conservative predecessors and, that being so, softened the hardline towards the United States that had marked Conservative foreign and naval policy for more than two years; and, finally, that MacDonald's decision to travel to the United States on what proved to be a very successful visit in the autumn of 1929 to meet Herbert Hoover, the new president, to discuss outstanding issues personally, was a major diplomatic coup. Some of this received version is true. No one can doubt that MacDonald and his Labour ministry played a crucial role in helping to ameliorate the crisis that had been dogging good Anglo-American relations for more than two years before June 1929. The Labour Party constituted the government when the London naval conference of 1930 ended the period of Anglo-American naval rivalry. Moreover, for six months before that conference convened, Labour had conducted effective diplomacy in preparing for its deliberations.
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Derzhaliuk, M. "Results of Parliamentary Elections in Hungary on April 3, 2022 and Prospects of Ukrainian-Hungarian Relations (Part 1)." Problems of World History, no. 18 (November 8, 2022): 144–86. http://dx.doi.org/10.46869/2707-6776-2022-18-7.
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The article is dedicated to the elections to the State Assembly of Hungary on April 3, 2022, which ended with the victory and acquisition of a constitutional majority by the now ruling coalition of Fidesz-Hungarian Civil Union and the Christian Democratic People’s Party (KDNP) - (Fidesz–KDNP).
It analyzes its electoral platform “War or Peace”, the center of which was the attitude to the Russian-Ukrainian war. It is indicated that this war divided the political forces of Hungary into two camps – supporters of neutrality (peace) or supporters of Ukraine (war). The ruling coalition advocated neutrality, non-intervention in the war, which guaranteed the preservation of peace and tranquility for the citizens of Hungary. All the opposition forces showed support for Ukraine against Russia. The authorities accused the latter of the fact that their pro-Ukrainian and anti-Putin activities posed a danger and threatened the spread of the war to the territory of Hungary. It is emphasized that thanks to this position, Fidesz–KDNP won a convincing victory in Hungary as a whole and especially among the Hungarian communities abroad, while the six-party opposition bloc, although it won convincingly in 17 of Budapest’s 18 districts, suffered a significant defeat in the country as a whole.
The main reasons for the unexpected victory of the ruling coalition Fidesz - HDNP in these elections are highlighted. Among them: the coalition flexibly combined centrist and center-right values, synthesized them and rose above narrow party interests, turning into a broad popular front of the Hungarian nation. It is also noted that during the 12-year remaining stay in power in the country, transformations were completed, namely, a new Basic Law (constitution) was adopted, relevant legislation was formed, and a national democratic model of political and economic power was introduced according both to the state and EU standards that complies with state and EU standards. The internal policy was aimed at the development of traditional branches of the economy and the formation of modern forms of management. Relatively high economic development of the country was ensured thanks to by the effective use of foreign investments, international markets, which are far from being limited to EU countries. Hungary develops close cooperation with countries of all regions, if its national interests are ensured. Great attention is paid to the support and protection of Hungarian communities living in countries neighboring Hungary (Romania, Slovakia, Serbia, Ukraine). At the legislative level, the status of Hungarians abroad is almost equal to that of Hungarians in the country itself. The policy of national unity, the recognition of Hungarians, regardless of their residency country of residence, as members of a united single Hungarian nation, gained general approval. The concentration of domestic and foreign policy on the priority of Hungarian interests helped Fidesz to turn into an authoritative and reliable political force of the country, which, using civilized methods, fights for the future of Hungary, the comprehensive development of its people, the preservation of the identity of Hungarian communities abroad, the prevention of assimilation, mass emigration and the restriction of their rights along national lines. In addition, the ruling coalition managed to form a reliable financial, personnel, and media potential, to significantly expand the electoral field of its activities, which no opposition political force is able to compete with, especially during the elections to the State Assembly.
The qualitative composition of the new parliament was analyzed. The progress of the election of the new President of Hungary on March 9, the speaker of the newly elected parliament, his deputies and heads of parliamentary factions on May 2, and finally the Prime Minister of Hungary on May 16 and the approval of the country’s new government headed by Viktor Orbán on May 24, is highlighted.
Great attention is paid to the formation of Hungarian-Ukrainian relations. The analysis of political processes during the election campaign and in the first months after the end of the elections, in particular the attitude of Budapest to the aggression of the Russian Federation against Ukraine, to the formation of Hungarian-Ukrainian relations, allowed us to draw conclusions that the priorities of the international activities of the ruling coalition of Hungary will remain unchanged: serving the interests of the Hungarian nation on in all territories of its residence, in particular support, protection and assistance to Hungarian national communities in Romania, Slovakia, Serbia and Ukraine. The results of the parliamentary elections in Hungary on April 3, 2022 confirmed that these principles are unchanged and continue to be binding in the activities of the Hungarian government institutions.
It is emphasized that the level of development of Hungary's bilateral relations with neighboring states will depend on ensuring the Hungarian foreign communities interests how the interests of the Hungarian foreign communities will be ensured (granting dual citizenship, autonomy status for the community, creating conditions for cultural and educational development based on in the national language and traditions). Hungarian-Ukrainian relations will be in the same condition state. Hungary supports the territorial integrity of Ukraine, its European choice, condemns Russian aggression, supports the EU’s sanctions policy against the Russian Federation, and provided shelter for 800,000 refugees from Ukraine. More than 100,000 people from Ukraine stay are in Hungary illegally. Since July 19, Hungary has allowed the transit of weapons from other countries through its territory to Ukraine. Yet But it continues to maintain neutrality in the Russian-Ukrainian war, supports EU energy sanctions against the Russian Federation in such a way that it does not harm its economic interests. At the same time, it does not agree to the application of certain legal provisions on education the procedure for using the Ukrainian language as the official language on the territory of Ukraine, that came into force in 2017 and 2019 to the Hungarian community of Transcarpathia of a number of provisions of the laws on education and the procedure for using the Ukrainian language as the official language on the territory of Ukraine, which came into force in 2017 and 2019.
It is emphasized that the settlement of cultural and educational issues of the Hungarian community of Transcarpathia should become a priority task for both countries.
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Collins, Mary McNaughton, Floyd J. Fowler, Richard G. Roberts, Joseph E. Oesterling, George J. Annas, and Michael J. Barry. "Medical Malpractice Implications of PSA Testing for Early Detection of Prostate Cancer." Journal of Law, Medicine & Ethics 25, no. 4 (1997): 234–42. http://dx.doi.org/10.1111/j.1748-720x.1997.tb01405.x.
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Prostate cancer has become a major health concern of male Americans. It is now the most common nondermatologic cancer and the second leading cause of cancer death among men. The incidence of detected prostate cancer rose rapidly in recent years, partly because of prostate-specific antigen (PSA) testing; it is only now tapering off. Screening for prostate cancer with PSA is widespread in the United States, yet controversial: the American Urological Association recommends PSA screening and the American Cancer Society recommends offering screening; however, the United States Preventive Services Task Force (USPSTF) and the American College of Physicians (ACP) recommend against routine screening; and the American Academy of Family Physicians believes that the decision to screen should be left to the patient.
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Brundage, John F. "Military Preventive Medicine and Medical Surveillance in the Post-Cold War Era." Military Medicine 163, no. 5 (May 1, 1998): 272–77. http://dx.doi.org/10.1093/milmed/163.5.272.
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Abstract In response to the end of the cold war, the United States developed new foreign policy and national security strategies. As a result, many medical support concepts that were operative during the cold war were invalidated. Recently, the Chairman of the Joint Chiefs of Staff provided direction and guidance for long-range strategic planning (Joint Vision 2010). Medical support doctrine that is being developed within the framework of Joint Vision 2010 relies on currently unavailable preventive medicine and medical surveillance capabilities. This report analyzes the relevance and roles of military preventive medicine and medical surveillance in the context of post-cold war resource constraints and military medical support needs, presents the rationale for and objectives of a demand-reduction medical support strategy, and outlines the roles, responsibilities, and characteristics of a defense medical surveillance system.
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Reinhardt, Uwe E. "Managed Competition in Health Care Reform: Just Another American Dream, or the Perfect Solution?" Journal of Law, Medicine & Ethics 22, no. 2 (1994): 106–20. http://dx.doi.org/10.1111/j.1748-720x.1994.tb01283.x.
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Throughout the post-World War II decades, the United States has wrestled in its own unique style with a problem that is shared by all modern societies: how to achieve a reasonably equitable distribution of health care, without losing control of total spending on health care, and without suffocating the delivery system with controls and regulations that inhibit technical progress.Because an equitable distribution of health care inevitably requires at least some government regulation, and because government regulations tend to impose rigidity on any system, it is widely believed in the United States (and elsewhere) that a trade-off actually exists between fairness in the distribution of care and the health system’s ability to innovate. This troublesome trade-off bedevils American policy makers to this day.
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Grigal, Meg, Lyman L. Dukes, and Zachary Walker. "Advancing Access to Higher Education for Students with Intellectual Disability in the United States." Disabilities 1, no. 4 (November 16, 2021): 438–49. http://dx.doi.org/10.3390/disabilities1040030.
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Due to changes in legislation and policy in the United States, higher education has become more available to people with intellectual disability (ID). Currently, over 6000 students with ID are enrolled in 310 colleges and universities. In the past decade, the federal government has invested over 100 million dollars in a model demonstration program aimed at institutions of higher education to create, expand, or enhance high-quality, inclusive higher education experiences to support positive outcomes for individuals with ID. This article will describe the impetus and impact of this funding as well as related changes in policy and practice. With the emergence of these opportunities, a field of research has emerged, offering new knowledge about what higher education can offer to students with ID as well as the positive impact these students have on their peers, professors, and campus communities. We have also begun to see documentation of more long-term impacts of higher education on students’ employment, independent living outcomes, and life satisfaction. By describing these policy, practice, and research developments, this article will provide readers with a better understanding of the background, current status, and future needs of the field of inclusive higher education for people with ID in the United States and potential takeaways for similar stakeholders in other countries.
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Vogelzang, Nicholas J., Steven I. Benowitz, Sylvia Adams, Carol Aghajanian, Susan Marina Chang, ZoAnn Eckert Dreyer, Pasi A. Janne, et al. "Clinical Cancer Advances 2011: Annual Report on Progress Against Cancer From the American Society of Clinical Oncology." Journal of Clinical Oncology 30, no. 1 (January 1, 2012): 88–109. http://dx.doi.org/10.1200/jco.2011.40.1919.
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A MESSAGE FROM ASCO'S PRESIDENT It has been forty years since President Richard Nixon signed the National Cancer Act of 1971, which many view as the nation's declaration of the “War on Cancer.” The bill has led to major investments in cancer research and significant increases in cancer survival. Today, two-thirds of patients survive at least five years after being diagnosed with cancer compared with just half of all diagnosed patients surviving five years after diagnosis in 1975. The research advances detailed in this year's Clinical Cancer Advances demonstrate that improvements in cancer screening, treatment, and prevention save and improve lives. But although much progress has been made, cancer remains one of the world's most serious health problems. In the United States, the disease is expected to become the nation's leading cause of death in the years ahead as our population ages. I believe we can accelerate the pace of progress, provided that everyone involved in cancer care works together to achieve this goal. It is this viewpoint that has shaped the theme for my presidential term: Collaborating to Conquer Cancer. In practice, this means that physicians and researchers must learn from every patient's experience, ensure greater collaboration between members of a patient's medical team, and involve more patients in the search for cures through clinical trials. Cancer advocates, insurers, and government agencies also have important roles to play. Today, we have an incredible opportunity to improve the quality of cancer care by drawing lessons from the real-world experiences of patients. The American Society of Clinical Oncology (ASCO) is taking the lead in this area, in part through innovative use of health information technology. In addition to our existing quality initiatives, ASCO is working with partners to develop a comprehensive rapid-learning system for cancer care. When complete, this system will provide physicians with personalized, real-time information that can inform the care of every patient with cancer as well as connect patients with their entire medical teams. The rapid learning system will form a continuous cycle of learning: securely capturing data from every patient at the point of care, drawing on evidence-based guidelines, and evaluating quality of care against those standards and the outcomes of other patients. Clinical trials are another area in which collaboration is critical. Increasing clinical trial participation will require commitment across the cancer community from physicians, patients, insurers, hospitals, and industry. A 2010 report by the Institute of Medicine described challenges to participation in trials by both physicians and patients and provided recommendations for revitalizing clinical trials conducted through the National Cancer Institute's Cooperative Group Program. ASCO has pledged its support for the full implementation of these recommendations. More broadly, ASCO recently outlined a bold vision for translational and clinical cancer research for the next decade and made recommendations to achieve that vision. Accelerating Progress Against Cancer: ASCO's Blueprint for Transforming Clinical and Translational Research, released in November, calls for a research system that takes full advantage of today's scientific and technologic opportunities and sets a high-level agenda for policy makers, regulators, and advocates. Cancer research has transformed cancer care in the past forty years, and this year's Clinical Cancer Advances illustrates how far we have come in the past year alone. We now have a tremendous opportunity to use today's knowledge and collaborate across all facets of cancer care to conquer this deadly disease. Michael P. Link, MD President American Society of Clinical Oncology
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Eichler, Rose Richerson. "Cybersecurity, Encryption, and Defense Industry Compliance with United States Export Regulations." Texas A&M Journal of Property Law 5, no. 1 (October 2018): 5–36. http://dx.doi.org/10.37419/jpl.v5.i1.2.
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Exports of technology and items containing technical information are regulated by the United States government. United States export control regulations exist to help protect national security, economic, and political interests. United States defense industry companies manufacture products and develop technologies and information that the United States has a particular interest in protecting. Therefore, defense industry companies must comply with United States export control regulations when exporting items and information to their international partners and customers. An “export” not only includes shipments of hardware or other tangible assets to foreign end-users but also includes the sharing of certain types of information with foreign recipients in the form of phone conversations, emails, meetings, conferences, presentations, and so on. Many employees of defense industry companies travel internationally with company issued laptops and cellphones containing company information that could be viewed by foreign persons. All of these activities are considered exports and may require prior authorization from the United States government under export control regulations. Failure to follow export regulations could result in a violation requiring a report to the United States government that may result in civil penalties or criminal charges. Additionally, intentional as well as unintentional releases of information to certain foreign persons could be detrimental to a defense industry company’s business and reputation and may even result in security concerns for the United States. Although the government has an interest in regulating defense industry companies’ technology and information, critics argue that strong export control regulations may result in invasions of privacy, violations of free speech, and a displacement of the United States as a leader in a world of technological advancement. However, despite current regulations, defense industry information is still at risk of cyberattacks and inadvertent data releases, creating potential threats to national security and the security of company technology and information. In an effort to secure company and sensitive information while exporting, defense industry companies utilize encryption and other cybersecurity measures. Advancing technologies in cybersecurity can help the government and defense industry companies by bolstering the security of their information. These same advancements can also aid attackers in breaking through cybersecurity defenses. Some advances in technology are even preventing law enforcement from gathering necessary information to conduct investigations when cyber-attacks occur, making it difficult to identify criminal actors and seek justice.The United States government faces challenges in creating and up- dating regulations to keep up with consistently advancing technology. Likewise, defense industry companies must adhere to government regulations by creating robust compliance programs, but they should also implement security and compliance measures above and beyond what the government requires to ensure more effective security for their technology and information. This Article discusses the effect of advancing cyber technology; United States export regulations; reporting requirements related to the export of encrypted items; and encryption technology in the defense industry. First, the Article defines encryption and encrypted items. Second, the Article explains United States regulations of ex- ports and specifically, regulations related to encryption and encrypted items. Third, the Article explains the need for defense industry companies to export and to use encrypted items. Fourth, the Article analyzes criticisms of export regulations and the differing views on United States controls. Fifth, the Article will discuss the complexities of com- plying with export regulations and defense industry compliance pro- grams. Sixth, the Article examines the outlook for encryption technology, the future of regulations related to cybersecurity, and the outlook for defense industry security measures and compliance with regulations. The United States government is beginning to recognize the need for more advanced security measures to protect domestically produced technology and information, especially information that puts national security at risk. Specifically, the technology and information produced by United States defense industry companies should be protected from getting into the hands of our foreign adversaries at all costs. In response to the growing need for security measures, the United States government has implemented new programs, commissions, agencies, and projects to create more robust security systems and regulations. The United States should employ the most talented and experienced cybersecurity professionals to innovate and produce security systems that protect our nation’s most sensitive information. The government should then provide these systems to its defense industry companies at minimal cost and should require companies to use the best technology in its security measures. With or without the government’s assistance, defense industry companies within the United States must also implement their own measures of protection. Current policies offer little protection of sensitive and export controlled information including encrypted items and in- formation. In addition, the government should also provide the defense industry companies better guidance and access to resources in order to assist them in protecting the important information and encrypted items.207 For example, any new systems or software purchased by the United States should be made available to defense industry companies as the standard. If the government truly wishes to protect its most important technology and information, it should provide the new systems at minimal cost to the defense industry. Advancements in security programs should be shared with defense industry companies as soon as they are available and ready for use. Nevertheless, the government may not want to provide defense industry companies with the best security technology because in the event that the government needs to conduct an investigation, a company utilizing strong cyber- security and encryption software is much more difficult to investigate. Alternatively, the United States could update current regulations to require that defense industry companies must utilize specific security measures or face a penalty for failing to do so. Such regulation could require defense companies to implement more robust security pro- grams with updated security software. This is a less effective solution as the advancement in cyberattack technology increases so rapidly, and reformed regulations will likely be outdated as soon as they are implemented. It makes more sense to require that defense companies must implement the most updated software and programs determined by government security experts and cyber-security experts. Also, by allowing defense companies to decide which security companies it will work with, the defense companies obtain the option to shop for the best and most expensive program, or the company could choose the cheapest option, resulting in less efficient security. Cybersecurity regulations that are too specific run the risk of being outdated quickly, whereas broad requirements leave the option for companies to implement the lowest of security measures. Even if the government declines these suggested measures, defense industry companies should make the protection of their sensitive in- formation and encrypted items top priority. This method would re- quire complete buy-in from the senior management within the company and a thorough flow-down of cultural beliefs among its employees. A change in norms must be implemented, and defense industry personnel should be inundated with reminders on the importance of information security. Companies should provide employees with easy access to guidance, training, and assistance in handling, sharing, protecting, and exporting sensitive and export controlled information. Changing company culture takes time, and failure to change personnel beliefs will result in a lack of understanding and potential violations of export control regulations. In the worst cases, data spills and cyberattacks could result in the loss of sensitive or even classified in- formation that could jeopardize national security. Huge unauthorized data releases of sensitive information will negatively affect a company’s reputation thus affecting its ability to generate revenue. The risks in using and exporting encryption technology and sensitive information should be a major concern for defense industry companies. This concern should motivate the government to invest significant resources into compliance programs. Resources such as dedicated and qualified personnel can create policy and procedure to ensure compliance with United States government regulations, and the procedures will provide guidance and training to all employees. In addition, companies should employ IT security, data security, and counterintelligence personnel to work with the compliance team in innovating preventive measures and in addressing any potential data releases and export violations. Immediate actions and counter measures should be prioritized not just among the compliance and security teams but should be a known, expected response from all employees. In other words, cybersecurity norms should be instilled company-wide and thoroughly policed from within the company. How a company chooses to implement such measures remains discretionary, but a better resourced compliance department dedicated to implementing effective policies and responding quickly to potential issues will prevent export control violations and data releases of important information. Defense industry companies transfer export controlled information that may subject the United States to security risks. The United States responds to this risk by implementing regulations to control the high- risk exports. Defense industry companies must comply with these regulations. Therefore, defense industry companies should approach exports and cybersecurity from the standpoint that technology is always advancing—failure to simultaneously advance security and compliance measures will leave the country and the company vulnerable to attack.
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Brodrick, Michael. "Bioethics and the Rule of Law: A Classical Liberal Theory." Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine 45, no. 3 (May 21, 2020): 277–96. http://dx.doi.org/10.1093/jmp/jhaa002.
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Abstract Heated debates over healthcare policy in the United States point to the need for a legal framework that can sustain both moral diversity and peaceful cooperation. It is argued that the classical liberal Rule of Law, with its foundation in the ethical principle of permission, is such a framework. The paper shows to what extent the current healthcare policy landscape in the United States diverges from the rule of law and suggests how the current framework could be modified in order to better approximate that ideal. Two objections are then answered. The first is that the rule of law cannot be realized due to the structure of legislatures. The second objection is that government should guarantee both liberty and all of the necessary conditions of autonomy.
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English, Abigail, Carol A. Ford, and John S. Santelli. "Clinical Preventive Services for Adolescents: Position Paper of the Society for Adolescent Medicine." American Journal of Law & Medicine 35, no. 2-3 (June 2009): 351–64. http://dx.doi.org/10.1177/009885880903500206.
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Over the past several years, new vaccines have become available to prevent serious illnesses and conditions in the adolescent population. Several have already been approved by the FDA for use in this age group; others are still in development. Recently, significant public attention has been focused on the availability of vaccines for several strains of HPV, to prevent both cervical cancer and genital warts. Prior to that, the vaccine for Hepatitis B was approved and recommended for the adolescent age group. Others currently available and recommended include vaccines for pertussis, meningitis, and influenza. In the future, additional vaccines are expected to become available for sexually transmitted and communicable diseases such as herpes simplex virus and HIV. Unfortunately, financial limitations and consent requirements can impede adolescents’ access to the vaccines that are recommended for their age group. However, a variety of policy options exist for overcoming the barriers and expanding access. These policy options are grounded both in international principles of human rights and in the existing framework of laws in the United States, and can be enhanced by attending to variations in age and developmental status among adolescents.