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Pandemics, Public Health, and the Regulation of Borders: Lessons from COVID-19
by Colleen M. Flood Sam Halabi Sophie Thériault Raywat Deonandan Y.Y. Brandon ChenThis book examines how the COVID-19 pandemic has engendered a new and challenging environment in which borders drawn around people, places, and social structures have hardened and new ones have emerged.Over the course of the COVID-19 pandemic, borders closed or became unwelcoming at the international, national, sub-national, and local levels. Debate persists as to whether those countries and territories that tightly managed their borders, like New Zealand, Australia, or Hong Kong, got it ‘right’ compared to those that did not. Without doubt, a majority of those who suffered and died throughout the pandemic have been those from vulnerable populations. Yet on the other hand, efforts taken to manage the spread of the disease, such as through border management, have also disproportionately affected those who are most vulnerable. How then is the right balance to be struck, acknowledging, too, the economic and other imperatives that may dissuade governments from taking public health steps? This book considers how international organizations, countries, and institutions within those countries should conceive of, and manage, borders as the world continues to struggle with COVID-19 and prepares for the next pandemic. Engaging a range of international, and sub-national, examples, the book thematizes the main issues at stake in the control and management of borders in the interests of public health.This book will be of considerable interest to academics in the fields of health law, anthropology, economics, history, medicine, public health, and political science, as well as policymakers and public health planners at national and sub-national levels.
Pandemics, Publics, and Politics: Staging Responses To Public Health Crises
by Kristian Bjørkdahl Benedicte CarlsenPandemics are potentially very destructive phenomena, and for that reason, they both fascinate and frighten us. And because they are shot through with uncertainty, they often become sites of contestation and conflict. This book presents research on the 2009 pandemic and other public health crises in an attempt to describe and analyze the distinctive challenges that such diseases pose today. Thanks to vaccines, more reliable provision of medical services, more effective means of communication, and a more educated public, some argue we will not see a new Black Plague – or even Spanish Flu – in our time. Today we face new challenges, however, which can both enable diseases to reach pandemic scales and affect our ability to enact an appropriate response. Those include fragmentation of media, tribalization of “knowledge regimes,” the increasingly troubled status of scientific and political expertise, growing cross-continental mobility, as well as the globalization and commercialization of pandemic response systems. These distinctive complexities make the need to stage public action in response to pandemics and other public health crises a crucial problem, on which thousands of human lives hinge. This volume consists of a handful of social science and humanities studies of precisely such complexities, and thus offers a much-needed supplement to existing research on pandemics and pandemic response.
Pandemics, Science and Policy
by Sudeepa AbeysinghePandemics, Science and Policy examines the case study of the World Health Organisation's (WHO) representation and management of the 2009 H1N1 Pandemic. It analyses key criticisms made about the WHO's actions through an examination of the social context in which pandemic management decisions were made, and ultimately illustrations the various ways in which the WHO's account was vulnerable to contestation. Abeysinghe provides a persuasive account of the interplay between uncertain science and the creation of global policy. The book demonstrates that the fragility of the WHO's account and decisions largely lay in both the (lack of) scientific evidence the WHO received, and its use and representation of this evidence. Importantly, it shows how uncertain risks can affect policy and action on the global level.
Pandemien und Ethik: Entwicklung – Probleme – Lösungen
by Andreas Reis Andreas Frewer Martina SchmidhuberPandemien wie Covid-19, Ebola, SARS und Influenza sowie die notwendigen Maßnahmen zu ihrer Erforschung, Prävention und Behandlung werfen eine Reihe von ethischen Fragestellungen auf, mit denen Wissenschaft, Ärzteschaft und Gesundheitspolitik konfrontiert werden.Dieser Übersichtsband, verfasst von namhaften Expert*innen aus Medizin, Geistes- und Sozialwissenschaften, behandelt die zentralen ethischen Themenkomplexe in Pandemien. Mit Schwerpunkt der Disziplinen Philosophie, Public Health, Bioethik und Recht werden Fragen der Ressourcen-Verteilung, Triage und Forschung ebenso diskutiert wie Einschränkungen der Freiheit, Rechte und Pflichten von Gesundheitsberufen oder ethische Aspekte digitaler Medizin in der Krise. Das Buch soll als Handreichung dienen und Ärzteschaft wie auch Pflege, Politik und interessierten Laien wertvolle Hinweise liefern für den Umgang mit den schwierigen moralischen Problemen bei Epidemien und Pandemien.Mit Fachbeiträgen von Steffen Augsberg (Gießen), Klaus Bergdolt (Köln), Nikola Biller-Andorno (Zürich), Walter Bruchhausen (Bonn), Christiane Druml (Wien), Hans-Jörg Ehni (Tübingen), Alice Faust (Berlin), Sophia Forster (Erlangen-Nürnberg), Andreas Frewer (Erlangen-Nürnberg), Sara Gerke (Boston/Cambridge), Patrik Hummel (Erlangen-Nürnberg), Elena Jirovsky-Platter (Wien), Katharina Kieslich (Wien), Otmar Kloiber (Ferney-Voltaire), Ulrich H. J. Körtner (Wien), Eva Kuhn (Bonn/München), Georg Marckmann (München), Timo Minssen (Kopenhagen), Tim Nguyen (Genf), Barbara Prainsack (Wien), Andreas Reis (Genf), Anita Rieder (Wien), Stephan Rixen (Bayreuth), Lana Saksone (Berlin), Martina Schmidhuber (Graz), Harald Schmidt (Philadelphia), Annabel Seebohm (Brüssel), Daniel Strech (Berlin), Sebastian Wäscher (Zürich), Hans-Werner Wahl (Heidelberg), Stefanie Weigold (Berlin) und Lena Woydack (Berlin).
Pandemonium Logs: Sioux Falls, South Dakota, 2020–2022 (Raritan Skiff Books)
by Ben MillerIn 2015, Ben Miller and the poet Anne Pierson Wiese moved from New York City to Sioux Falls, South Dakota, to explore their midwestern roots and to focus on their writing careers. Working a day job in a hospital, Miller had a front-row seat to the COVID-19 pandemic as it moved from the coasts to the urban Midwest. Pandemonium Logs casts an unflinching eye on the state of the worker in the US health-care system during a global pandemic, giving voice to the doctors, nurses, support staff, patients, and families caught in the complex swirl of daily dilemmas and crucial choices. In unsparing yet sympathetic prose, Ben Miller creates an intimate portrait of the impact of COVID on the diverse people of South Dakota. Through a wide range of characters—from understandably confused patients to quietly competent nurses—he explores the human complexities of the crisis: a doctor based in Mumbai who treats critically ill patients in the Dakotas via a tenuous hodgepodge of telehealth apparatus, a Hydra of six workplace trainers who together cannot train one employee to do one job, a vice president of corporate hospitality who lives to rip down safety signs as fast as nurses post them, a ninety-year-old hospital volunteer who pushes wheelchairs containing patients half his age. In Pandemonium Logs, Miller provides precise and moving observations of ordinary people doing extraordinary things.
Pandora's DNA: Tracing the Breast Cancer Genes Through History, Science, and One Family Tree
by Lizzie StarkWould you cut out your healthy breasts and ovaries if you thought it might save your life? That's not a theoretical question for journalist Lizzie Stark's relatives, who grapple with the horrific legacy of cancer built into the family DNA. It is a BRCA mutation that has robbed most of her female relatives of breasts, ovaries, peace of mind, or life itself. In Pandora's DNA, Stark uses her family's experience to frame a larger story about the so-called breast cancer genes, exploring the morass of legal quandaries, scientific developments, medical breakthroughs, and ethical concerns that surround the BRCA mutations. She tells of the troubling history of prophylactic surgery and the storied origins of the boob job and relates the landmark lawsuit against Myriad Genetics, which held patents on the BRCA genes every human carries in their body until the Supreme Court overturned them in 2013. Although a genetic test for cancer risk may sound like the height of scientific development, the treatment remains crude and barbaric. Through her own experience, Stark shows what it's like to live in a brave new world where gazing into a crystal ball of genetics has many unintended consequences.
Pandora's Gamble: Lab Leaks, Pandemics, and a World at Risk
by Alison YoungNamed to Kirkus Reviews&’ Best Books of 2023 A &‘remarkable book.&’ – The New York TimesThis fearless, deeply reported book about laboratory accidents asks the haunting question some elite scientists don&’t want the public to entertain: Did the COVID-19 pandemic start with a lab leak in Wuhan, China? This is an obvious question. Yet there&’s been an extraordinary effort by government officials in China, as well as leading scientific experts in the United States and around the world, to shut down any investigation or discussion of the lab leak theory. In private, however, some of the world&’s elite scientists have seen a lab accident as a very real and horrifying possibility. They know what the public doesn&’t. Lab accidents happen with shocking frequency. Even at the world&’s best-run labs. That&’s among the revelations from Alison Young, the award-winning investigative reporter who has spent nearly 15 years uncovering shocking safety breaches at prestigious U.S. laboratories for USA Today and other respected news outlets. In Pandora&’s Gamble, Young goes deep into the troubling history -- and enormous risks -- of leaks and accidents at scientific labs. She takes readers on a riveting journey around the world to some of the worst lab mishaps in history, including the largely unknown stories of the lab workers at the U.S. Army&’s Camp Detrick who suffered devastating infections at alarming rates during World War II. And her groundbreaking reporting exposes for the first time disturbing new details about recent accidents at prestigious laboratories – and the alarming gaps in government oversight that put all of us at risk. Sourced through meticulous reporting and exclusive interviews with key players including Dr. Anthony Fauci, former CDC Director Tom Frieden and others, Young&’s examination reveals that the only thing rare about lab accidents is the public rarely finds out about them. Because when accidents happen, powerful people and institutions often work hard to keep the information secret.
Pandora's Lab: Seven Stories of Science Gone Wrong
by Paul A. OffitWhat happens when ideas presented as science lead us in the wrong direction? History is filled with brilliant ideas that gave rise to disaster, and this book explores the most fascinating—and significant—missteps: from opium's heyday as the pain reliever of choice to recognition of opioids as a major cause of death in the U.S.; from the rise of trans fats as the golden ingredient for tastier, cheaper food to the heart disease epidemic that followed; and from the cries to ban DDT for the sake of the environment to an epidemic-level rise in world malaria. These are today's sins of science—as deplorable as mistaken past ideas about advocating racial purity or using lobotomies as a cure for mental illness. These unwitting errors add up to seven lessons both cautionary and profound, narrated by renowned author and speaker Paul A. Offit. Offit uses these lessons to investigate how we can separate good science from bad, using some of today's most controversial creations—e-cigarettes, GMOs, drug treatments for ADHD—as case studies. For every "Aha!" moment that should have been an "Oh no," this book is an engrossing account of how science has been misused disastrously—and how we can learn to use its power for good.
Panic Attack: Playing Politics with Science in the Fight Against COVID-19
by Nicole Saphier“Follow the science” is what they said. “Follow our politics” is what they meant. In Panic Attack, nationally bestselling author and physician Nicole Saphier uncovers the hypocrisy and hysteria which has characterized so much of the American pandemic response. While journalists trumpeted the importance of following science to “flatten the curve,” they praised Governors Andrew Cuomo and Phil Murphy, who sanctioned ill-equipped nursing homes to take COVID-positive patients, leading to an enormous death spike for New York and New Jersey. Plus, the old guard medical establishment captured by Dr. Fauci proved to be far too rigid during a health care emergency. While some state legislators are still concealing accurate records of nursing home deaths, many others have made anti-science decisions regarding re-opening plans; all of which fuel distrust and civil unrest. Democrat mayors like Bill de Blasio openly admitted that their decisions to keep schools closed were fueled by a “social contract” with teachers (that is: teachers’ unions), despite hard science saying this would be harmful.When anti-science measures are continuously implemented, the long-term consequences of such actions will likely stay with us for years to come. The pandemic has resulted in a failure of government, much of which is unavoidable in a unique disaster scenario. However, the rampant politicization of science, from the origin of the virus to the simple concept of wearing facemasks, has hopelessly muddied the water, divided the country, and knee-jerk anti-Trumpism made it all worse.
Panic Disorder
by Antonio Egidio Nardi Rafael Christophe R FreireThe book focuses on the neurobiological and treatment aspects of panic disorder. It describes the most recent research data and pharmacological therapeutic aspects of panic disorder. The biochemical, respiratory, imaging, and translational aspects will be together with diagnostic and pharmacological discussion. We have the collaboration of important and recognized researchers from various countries - Brazil, USA, Italy, Spain, United Kingdom, and Switzerland - all of them with a continuous and relevant work on anxiety disorders. "Panic Disorder: Neurobiological and Treatment Aspects" is intended to be a reference book for those who research or treat panic disorder and anxiety disorder patients.
Panorama of the Pandemic: A Phenomenological Inquiry (Academics, Politics and Society in the Post-Covid World)
by Simi Malhotra Ruchi Nagpal Steven S. George Sananda RoyThis volume provides a multi-nuanced analysis of the impact of the Covid-19 pandemic on various aspects of human existence, encompassing societal, economic, and inter-relational dimensions. It highlights a broad range of artistic and literary experiences that unfolded as a consequence of the pandemic or speak to that time.The book revisits pandemic-induced shifts, phenomenologically, including the digitization of art and representations of creativity, “performance” anxiety, socio-political climate determined by “racial algorithms,” gaming surges, employment insecurities, mental health issues from a pedagogical materiality, and the nature of apocalypse through literary reimaginations. It also delves into the global food crisis, reframing of family structures, and local subjectivities as lived experiences.A unique contribution, the book will be useful for students and researchers of cultural studies, digital humanities, mass media, sociology, mental health, psychology, medical anthropology, public health, literature, history of pandemics and epidemics, and South Asian studies.
Panoramic Ophthalmoscopy: Optomap Images and Interpretation
by William Jones Jerry Sherman Gulshan Karamchandani Sanjeev NathPanoramic Ophthalmoscopy: Optomap® Images and Interpretation comprehensively covers the state-of-the-art technology and the high-resolution digital images taken with the Panoramic200 Scanning Laser Ophthalmoscope. The optomap® Retinal Exam images provide ophthalmologists and optometrists with an extended view and photo-documentation of almost the entire retina. Inside Panoramic Ophthalmoscopy, Jerome Sherman, Gulshan Karamchandani, William Jones, Sanjeev Nath, and Lawrence A. Yannuzzi document and expertly explain all there is to know about this remarkable new technology. Over 500 images highlight the text, many of which have never been seen before, and provide detailed visual references for numerous eye disorders. This colorful atlas is the ideal resource for interpreting these images and diagnosing serious eye conditions that may have otherwise gone undetected.Panoramic Ophthalmoscopy contains an introductory chapter that highlights and contrasts panoramic ophthalmoscopy and optomap® images to all the traditional methods of fundus viewing. Inside you will find over 100 exemplary case presentations covering common and uncommon topics such as normal fundus, retinal tears, Coat’s disease, and diabetic retinopathy. Also included are cases of retinal and choroidal diseases and how they were diagnosed and managed using this technology. In the last chapter, the authors peer into the next frontier of imaging by introducing Optos fluorescein angiography and its myriad potential contributions to patient care, research, and clinical teaching.Each case presentation includes: History and chief compliant Clinical findings optomap® images Differential diagnosis Disposition and follow-up Cases are arranged into 11 chapters covering: Optic Disc Macula Vascular Inflammatory Mass Lesions Retinal Degenerations Peripheral Lesions With expert descriptions and hundreds of never before seen images, the all encompassing Panoramic Ophthalmoscopy: Optomap® Images and Interpretation is the perfect resource for optometrists, ophthalmologists, ophthalmic technicians, residents, and students who would like to learn more about and would like to benefit from this revolutionary technology.
Paozhi: Methoden Und Klinische Anwendung
by Changjiang Hu Rainer Nögel Josef Hummelsberger Ute EngelhardtDas Buch beschreibt - erstmalig im deutschsprachigen Raum - umfassend die fachgerechte Aufbereitung chinesischer Arzneimittel und geht auf die Möglichkeiten ein, wie z.B. die Wirkung des Mittels modifiziert und verstärkt werden kann oder unerwünschte Nebenwirkungen reduziert werden. Strukturiert, übersichtlich und systematisch dargestellt findet der Leser umfangreiche Beschreibungen des fertigen Produktes hinsichtlich Qualität, Aussehen und Geschmack sowie Angaben zur Verwendung der Arzneimittel und ihrer wichtigsten Zubereitungsformen in den gängigsten Rezepturen.Plus: Klinische Bewertungen, aktuelle Forschungsergebnisse und moderne analytische Untersuchungen. Zusätzlich sind definierte Prozessierungsmethoden aufgeführt und ermöglichen eine standardisierte Durchführung. Ein Nachschlagewerk und idealer Begleiter für alle Pharmazeuten, Mediziner und Studenten, die sich für die Traditionelle Chinesische Medizin interessieren und ihr Wissen vertiefen möchten.
Paper Microfluidics: Theory and Applications (Advanced Functional Materials and Sensors)
by Sanjay Kumar Shantanu Bhattacharya Avinash K. AgarwalThis volume provides an overview of the recent advances in the field of paper microfluidics, whose innumerable research domains have stimulated considerable efforts to the development of rapid, cost-effective and simplified point-of-care diagnostic systems. The book is divided into three parts viz. theoretical background of paper microfluidics, fabrication techniques for paper-based devices, and broad applications. Each chapter of the book is self-explanatory and focuses on a specific topic and its relation to paper microfluidics and starts with a brief description of the topic’s physical background, essential definitions, and a short story of the recent progress in the relevant field. The book also covers the future outlook, remaining challenges, and emerging opportunities. This book shall be a tremendous up-to-date resource for researchers working in the area globally.
Paper-Based Medical Diagnostic Devices: As a Part of Bioanalysis-Advanced Materials, Methods, and Devices (Bioanalysis #10)
by Jeong Hoon LeeThis book disseminates information on paper-based diagnostics devices and describes novel paper materials, fabrication techniques, and Basic Paper-based microfluidics/electronics theory. The section on sample preparation, paper-based electronics/sensors for developing paper-based point-of-care (POC) systems also contains detailed descriptions. In the application sections this book covers sensing technique for DNA/RNA, bacteria/virus and integration of lateral flow assay. The book provides deep understanding and knowledge of paper-based diagnostic device development in terms of concept, materials, fabrication and applications.
Papillary Thyroid Carcinoma: Methods and Protocols (Methods in Molecular Biology #2534)
by Alfred K. LamThis detailed volume presents status and management protocols with the objective of identifying proper guidelines and materials for research related to the most common malignant neoplasm in the thyroid gland, papillary thyroid carcinoma. After an introduction, the book explores diagnostic approaches and initial surgical managements for patients with papillary thyroid carcinoma, guidelines for macroscopic examination, microscopic examination, and pathological staging, molecular approaches to this cancer, pathology laboratory approaches, as well as radiology oncology treatment protocols. Written for the highly successful Methods in Molecular Biology series, chapters include introductions to their respective topics, lists of the necessary materials and reagents, step-by-step laboratory protocols that are readily reproducible, and tips on troubleshooting and avoiding known pitfalls. Authoritative and practical, Papillary Thyroid Carcinoma: Methods and Protocols serves as a vital resource for information on different aspects of the processes, cost, and resources available for the research and management of patients with papillary thyroid carcinoma.
Papillomaviruses and Human Cancer
by Herbert PfisterThis volume gives special reference to papillomaviruses in benign precursor lesions related to genital tumors, plus it provides a basis for a more reproducible evaluation of the pathology of papillomavirus-induced lesions. It deals with the molecular biology of papillomaviruses as it relates to our understanding of viral cell transformation and malignant conversion. Written in a comprehensive, easy-to-read format, this book covers points of medical interest such as diagnosis, therapy, and prospects for vaccination. This fascinating text provides current, state-of-the-art practices for immediate and future medical research. Virologists, microbiologists, and cancer researchers will find this work interesting and resourceful.
Para-States and Medical Science: Making African Global Health
by Paul Wenzel GeisslerIn Para-States and Medical Science, P. Wenzel Geissler and the contributors examine how medicine and public health in Africa have been transformed as a result of economic and political liberalization and globalization, intertwined with epidemiological and technological changes. The resulting fragmented medical science landscape is shaped and sustained by transnational flows of expertise and resources. NGOs, universities, pharmaceutical companies and other nonstate actors now play a significant role in medical research and treatment. But as the contributors to this volume argue, these groups have not supplanted the primacy of the nation-state in Africa. Although not necessarily stable or responsive, national governments remain crucial in medical care, both as employers of health care professionals and as sources of regulation, access, and - albeit sometimes counterintuitively - trust for their people. "The state" has morphed into the "para-state" -- not a monolithic and predictable source of sovereignty and governance, but a shifting, and at times ephemeral, figure. Tracing the emergence of the "global health" paradigm in Africa in the treatment of HIV, malaria, and leprosy, this book challenges familiar notions of African statehood as weak or illegitimate by elaborating complex new frameworks of governmentality that can be simultaneously functioning and dysfunctional.Contributors. Uli Beisel, Didier Fassin, P. Wenzel Geissler, Rene Gerrets, Ann Kelly, Guillaume Lachenal, John Manton, Lotte Meinert, Vinh-Kim Nguyen, Branwyn Poleykett, Susan Reynolds Whyte
Parables for the Virtual: Movement, Affect, Sensation
by Brian MassumiAlthough the body has been the focus of much contemporary cultural theory, the models that are typically applied neglect the most salient characteristics of embodied existence--movement, affect, and sensation--in favor of concepts derived from linguistic theory. In Parables for the Virtual Brian Massumi views the body and media such as television, film, and the Internet, as cultural formations that operate on multiple registers of sensation beyond the reach of the reading techniques founded on the standard rhetorical and semiotic models. Renewing and assessing William James's radical empiricism and Henri Bergson's philosophy of perception through the filter of the post-war French philosophy of Deleuze, Guattari, and Foucault, Massumi links a cultural logic of variation to questions of movement, affect, and sensation. If such concepts are as fundamental as signs and significations, he argues, then a new set of theoretical issues appear, and with them potential new paths for the wedding of scientific and cultural theory. Replacing the traditional opposition of literal and figural with new distinctions between stasis and motion and between actual and virtual, Parables for the Virtual tackles related theoretical issues by applying them to cultural mediums as diverse as architecture, body art, the digital art of Stelarc, and Ronald Reagan's acting career. The result is an intriguing combination of cultural theory, science, and philosophy that asserts itself in a crystalline and multi-faceted argument. Parables for the Virtual will interest students and scholars of continental and Anglo-American philosophy, cultural studies, cognitive science, electronic art, digital culture, and chaos theory, as well as those concerned with the "science wars" and the relation between the humanities and the sciences in general.
Paracelsus's Theory of Embodiment: Conception and Gestation in Early Modern Europe ("The Body, Gender and Culture" #2)
by Amy Eisen CisloParacelsus has been called the father of modern chemistry and is legendary for his treatment of syphilis. This work argues that Paracelsus developed an understanding of the body as composed of two distinct sexes, revolutionizing early modern conceptions of the female body as an inversion of or flawed approximation of the male body.
Paradigm Freeze: Why It Is So Hard to Reform Health Care in Canada
by John N Lavis John Church Harvey Lazar Pierre-Gerlier ForestWhy has health care reform proved a stumbling block for provincial governments across Canada? What efforts have been made to improve a struggling system, and how have they succeeded or failed? In Paradigm Freeze, experts in the field answer these fundamental questions by examining and comparing six essential policy issues - regionalization, needs-based funding, alternative payment plans, privatization, waiting lists, and prescription drug coverage - in five provinces. Noting hundreds of recommendations from dozens of reports commissioned by provincial governments over the last quarter century - the great majority to little or no avail - the book focuses on careful diagnosis, rather than unplanned treatment, of the problem. Paradigm Freeze is based on thirty case studies of policy reform in Alberta, Saskatchewan, Ontario, Quebec, and Newfoundland and Labrador. The contributors assess the nature and extent of healthcare reform in Canada since the beginning of the 1990s. They account for the generally limited extent of reform that has occurred, and identify the factors associated with the relatively few cases of large reform. An insightful new perspective on a problem that has plagued Canadian governments for decades, Paradigm Freeze is an important addition to the field of health policy. Contributors include John Church (University of Alberta), Michael Ducie (Alberta Health and Wellness), Pierre-Gerlier Forest (Pierre Elliott Trudeau Foundation), Stephen Tomblin (Memorial University), Jeff Braun Jackson (Ontario Professional Firefighters Association, Burlington, ON), Marie-Pascale Pomey (Université de Montréal), John N. Lavis (McMaster University), Harvey Lazar (Queen's University), Elisabeth Martin (Université Laval),Tom McIntosh (University of Regina), Dianna Pasic (McMaster University), Neale Smith (University of British Columbia), and Michael G. Wilson (McMaster University).
Paradigm Freeze: Why It Is So Hard to Reform Health Care in Canada (Queen's Policy Studies Series #179)
by John Church Harvey Lazar Pierre-Gerlier Forest John N. LavisWhy has health care reform proved a stumbling block for provincial governments across Canada? What efforts have been made to improve a struggling system, and how have they succeeded or failed? In Paradigm Freeze, experts in the field answer these fundamental questions by examining and comparing six essential policy issues - regionalization, needs-based funding, alternative payment plans, privatization, waiting lists, and prescription drug coverage - in five provinces. Noting hundreds of recommendations from dozens of reports commissioned by provincial governments over the last quarter century - the great majority to little or no avail - the book focuses on careful diagnosis, rather than unplanned treatment, of the problem. Paradigm Freeze is based on thirty case studies of policy reform in Alberta, Saskatchewan, Ontario, Quebec, and Newfoundland and Labrador. The contributors assess the nature and extent of healthcare reform in Canada since the beginning of the 1990s. They account for the generally limited extent of reform that has occurred, and identify the factors associated with the relatively few cases of large reform. An insightful new perspective on a problem that has plagued Canadian governments for decades, Paradigm Freeze is an important addition to the field of health policy. Contributors include John Church (University of Alberta), Michael Ducie (Alberta Health and Wellness), Pierre-Gerlier Forest (Pierre Elliott Trudeau Foundation), Stephen Tomblin (Memorial University), Jeff Braun Jackson (Ontario Professional Firefighters Association, Burlington, ON), Marie-Pascale Pomey (Université de Montréal), John N. Lavis (McMaster University), Harvey Lazar (Queen's University), Elisabeth Martin (Université Laval),Tom McIntosh (University of Regina), Dianna Pasic (McMaster University), Neale Smith (University of British Columbia), and Michael G. Wilson (McMaster University).
Paradise General: Riding the Surge at a Combat Hospital in Iraq
by Dave HnidaIN 2004, AT THE AGE OF FORTY-EIGHT, DR. DAVE HNIDA, a family physician from Littleton, Colorado, volunteered to be deployed to Iraq and spent a tour of duty as a battalion surgeon with a combat unit. In 2007, he went back--this time as a trauma chief at one of the busiest Combat Support Hospitals (CSH) during the Surge. In an environment that was nothing less than a modern-day M*A*S*H, the doctors' main objective was simple: Get 'em in, get 'em out. The only CSH staffed by reservists-- who tended to be older, more-experienced doctors disdainful of authority--the 399th soon became a medevac destination of choice because of its high survival rate, an astounding 98 percent. This was fast-food medicine at its best: working in a series of tents connected to the occasional run-down building, Dr. Hnida and his fellow doctors raced to keep the wounded alive until they could be airlifted out of Iraq for more extensive repairs. Here the Hippocratic Oath superseded that of the pledge to Uncle Sam; if you got the red-carpet helicopter ride, his team took care of you, no questions asked. On one stretcher there might be a critically injured American soldier while three feet away lay the insurgent, shot in the head, who planted the IED that inflicted those wounds. But there was levity amid the chaos. On call round-the-clock with an unrelenting caseload, the doctors' prescription for sanity included jokes, pranks, and misbehavior. Dr. Hnida's deployment was filled with colorful characters and gifted surgeons, a diverse group who became trusted friends as together they dealt with the psychological toll of seeing the casualties of war firsthand. In a conflict with no easy answers and even less good news, Paradise General gives us something that we can all believe in--the story of an ordinary citizen turned volunteer soldier trying to make a difference. With honesty and candor, and an off-the-wall, self-deprecating humor that sustained him and his battle buddies through their darkest hours, Dr. Hnida delivers a devastating and inspiring account of his CSH tour and an unparalleled look at medical care during an unscripted war.
Paradox and Imperatives in Health Care: Redirecting Reform for Efficiency and Effectiveness, Revised Edition
by Drummer Steven B. Olaf Jeffrey C. BauerThe Paradox: Americans are not as healthy as people in dozens of comparable countries that spend 30 percent less on health care, and our medical marketplace overall is plagued by persistent problems of cost, quality, and access. Yet, the worlds best individual health systems are located in the U.S.each a unique result of visionary leadership and
Paradoxes in Nurses’ Identity, Culture and Image: The Shadow Side of Nursing (Routledge Research in Nursing and Midwifery)
by Margaret McAllister Donna Lee BrienThis book examines some of the more disturbing representations of nurses in popular culture, to understand nursing’s complex identities, challenges and future directions. It critically analyses disquieting representations of nurses who don’t care, who kill, who inspire fear or who do not comply with laws and policies. Also addressed are stories about how power is used, as well as supernatural experiences in nursing. Using a series of examples taken from popular culture ranging from film, television and novels to memoirs and true crime podcasts, it interrogates the meaning of the shadow side of nursing and the underlying paradoxes that influence professional identity. Iconic nursing figures are still powerful today. Decades after they were first created, Ratched and Annie Wilkes continue to make readers and viewers shudder at the prospect of ever being ill. Modern storytelling modes are bringing to audiences the grim reality that some nurses are members of the working poor, like Cath Hardacre in Trust Me, and others can be dangerous con artists, like the nurse in Dirty John. This book is important reading for all those interested in understanding the links between nursing’s image and the profession’s potential as an agent for change.