What role should medical professionals have in military anti-terrorism practices?your integration of conceptual material from weekly readings and class discussions through midterm, including:

What role should medical professionals have in military anti-terrorism practices?your integration of conceptual material from weekly readings and class discussions through midterm, including: “Five Questions”:

 You will write responses to five (5) questions provided by the instructor, each response approximately 350-500 words long.  These questions will help you identify and evaluate:  theroleofthegoverningbodythatyouaretargetingwithyourproposal;  thetwoopposingpolicypositionsandtheirclaimsmakers(i.e.thosewhoaresupporting each position and their investment in that stance); and,  your integration of conceptual material from weekly readings and class discussions through midterm, including:  types of moral perspectives;  political alliances and relative political power of policy proposals;  impact of social factors/social conditions on issue and proposed solutions;  current and projected disparities in healthcare use and outcomes. It is expected that you will be building on these writings as you proceed through the term. list of the topic Sources must include course readings as well as research from peer-reviewed academic journals. Final write-up of the paper is due at 7 p.m. on Wednesday of Finals Week and emailed to the instructor. Choose one of the following for your policy analysis paper. Public Health and Rights to Privacy: Should medical providers be bound by Public Health policies? Recently, a nurse who was exposed to the Ebola virus refused quarantine rules imposed by the legislature and health department of New Jersey. What were the arguments on both sides? What roles did science, cultural values and norms, and political posturing play in policymaking? What other factors were involved? What are implications for other issues in which private and public health sectors must collaborate? Is unregulated economic growth good for our health? Scientists argue that diminishing biodiversity in our ecosystems world-wide, much of it due to unrestricted development and other human activity, will affect our health in the future. Are there ways we can grow an economy and maintain diversity in the environment? Health care digitization and other new technologies in your doctor’s office: Physicians and their staffs are facing increased pressures to digitize medical records, and recruit and maintain a remote client base through telemedicine practices, i.e., incorporate new technologies into their practices. Are these new practices changing the doctor-patient relationship? What do both doctors and patients think about the changes? And, what roles are medical industries, healthcare corporations, and governments playing in effecting certain changes? Making the rules regarding women’s contraceptive choices: One of most controversial (and litigated) provision of the PPACA is the obligation of employer plans to cover contraceptive services under prevention. Businesses that oppose coverage have challenged the law and won concessions. What are the origins of this debate, both in the construction of the law and in the history of women’s contraceptive choices in America? What implications does this have for women’s health care and for future policymaking? Should private businesses be able to block access to health care for women? What should government do in response to the problem of access to health care?: The Obama administration developed a health care policy that addressed the tens of millions of Americans who in 2010 were uninsured (and millions more who were underinsured). What provisions of the PPACA attempt to create a more inclusive system? What are the values and politics behind them? What are the arguments opposed? Did the PPACA go far enough, as others contend the U.S. should transition to a federally-funded “Medicare for Everybody” universal health insurance system? What role should medical professionals have in military anti-terrorism practices?: Since the exposure of abuse of detainees at Abu Gharib in Iraq in 2003, critics have questioned the role of psychiatrists in the justification of torture practices by military interrogators. Should physicians and psychiatrists provide information that helps determine how much and what kind of mistreatment could be delivered to detainees of the military during interrogations? Is there a point where a doctor’s obligation to “do no harm” is suspended during times of war? MPPA 582-01, Healthcare Policy, Winter 2017_rev 30Dec2016 mg Page 12 Immigrants and health care laws: In 1994 Californians passed an initiative, subsequently ruled unconstitutional, that included a provision requiring medical personnel to refuse care to undocumented immigrants. More recently, the Obama administration has ruled that while young undocumented immigrants may be allowed to be “lawfully present” in the U.S. (for schooling or work), they would not be eligible for health benefits under the new health care law. What are the obligations of a society to those within its borders? Is health care different from other kinds of “benefits”? How have other countries addressed this issue? Are there limits to the uses of medical technology?: Should genetic screening be used in hiring and contracting by employers, insurers, and governments? Is genetic enhancement an acceptable use of technology? These and other questions can be explored in determining at what point the costs of technologies (in terms of harm to persons or communities) outweigh the benefits. Technology and doctor/patient interaction: How are new medical technologies changing the doctor- patient encounter, as well as doctors’ approaches to clinical care? Is the use (or overuse of testing) improving diagnostic accuracy, or is this more myth than fact? What evidence speaks to what the balance should be between subjective observation and laboratory data in a doctor’s deliberations? Does the new health care law have something to say about the use of technologies in patient care? Off-label marketing of drugs: A common practice by physicians, and heavily promoted by drug companies, off-label use of drugs was given a boost by an appeals court decision in New York supporting marketing of drugs for uses not approved by the FDA. What are the pros and cons of this decision for doctors and patients? What should be the responsibilities of drug manufacturers, and what would be an appropriate governmental policy on this issue?

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