Tag: health care policy

Meghal Shah Meghal Shah (1 Posts)

Contributing Writer

Warren Alpert Medical School


Meghal Shah is a third year medical student at the Warren Alpert Medical School in Providence, RI. She is interested in global health and human rights, and enjoys reading when she has the time.




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Patient Advocacy in Trump’s America

It’s been a hard week. Hard, of course, because this election has caused an unprecedented wave of fear across our nation. Hard because those whose lives have been invalidated by our newest president elect are already exhausted by the daily struggle of living in a hostile country. And — not to be discounted — hard because bad days in medical school seem to hunt in packs and pounce all at once.

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Clinton v. Trump: Health Care Proposals

With the 2016 presidential election just days away, debates on the personalities and as well as the policy agendas of the respective candidates have become increasingly fierce. Donald Trump and Hillary Clinton may both be moderates at heart, but their official policy platforms represent near-extremes of the political spectrum. This holds especially true in their proposals regarding healthcare: Trump’s proposal, entitled “Health Care Reform to Make America Great Again,” and Clinton’s, “Universal, Quality, Affordable Health Care for Everyone in America” together paint a picture of the spectrum of opinions and debates surrounding healthcare.

Brexit: The Implications for UK Health Care and Beyond

2016 has been a turbulent year for health care in the United Kingdom. Aside from repeated strikes held by junior doctors in light of the government’s decision to enforce a new employment contract, the more recent widespread political discord resulting from Britain’s decision to leave the European Union (EU) — now notoriously known as “Brexit.” These changes have left the National Health Service (NHS) in a questionable position.

Human Sex Trafficking and the Role of the Clinician

Major sporting events like the Olympics and the Super Bowl are often surrounded with excitement and drama. This year’s Olympics in Brazil is buzzing with talk of the Zika virus. The Super Bowl was fraught with drama surrounding Beyoncé’s half-time performance. It seems like everyone has something to say about these topics. But, one thing spectators don’t talk about is an unseen drama that often surrounds major sporting events: sex trafficking.

Perspective Gained: A Call for End-of-Life Care Training in Medical School

In today’s America, it is well documented that each year, more of our GDP is being devoted to healthcare spending, and a disproportionate amount of that healthcare spending is towards end-of-life care. According to a 2013 report from The Medicare NewsGroup, Medicare spending reached about $554 billion in 2011. This was 21 percent of the total spent on health care in the US that year. About 28 percent of that $554 billion — $170 billion — was spent on patients’ last six months of life.

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Training for Activism, Action and the Future of Medicine

During our many years of medical training, we study complex physiological processes running the gamut from acute sepsis to the equally devastating progression of chronic diseases. We spend countless hours in lectures and on the wards, attempting to gain exposure to proper medical management of bread-and-butter medical problems as well as more obscure diseases which may only affect a handful of patients annually. However, most medical schools neglect to teach one crucial area of expertise — training in advocacy skills to address social determinants of health.

Managing Chronic Illness: Three Lessons Learned in Training

While I could list close to 100 lessons, I believe focusing on three of the most important ones would aid other future health professionals in managing and ultimately treating the chronic illnesses that will become even more prevalent in many of our future patients. As a disclaimer, I do not claim to be an expert on this topic, but these ideas spring from my own personal reflections.

Photo taken by Roger Blackwell (https://creativecommons.org/licenses/by/2.0/). No changes were made to the photograph

Not Safe, Not Fair: The UK Junior Doctor Contract Dispute

In the UK, there is currently a dispute over the new junior doctor contract. “Junior doctors” are defined as anyone in training and who is not a consultant. Many have deemed the new contract neither safe nor fair, and despite doctors striking, the Department of Health are intending to impose this contract in August 2016. On April 26, there will be a 48-hour full strike including emergency care — the first of its kind in the history of the National Health Services (NHS) — in the hope that the government will change their mind.

Photo taken by Roger Blackwell (https://creativecommons.org/licenses/by/2.0/). No changes were made to the photograph

The UK Junior Doctors’ Contract: An Insight into Industrial Action

Recent announcements by the British government that a revised contract on junior physicians’ salary and working hours across England will be imposed has come under intense scrutiny. Criticisms from the national workforce to media figures and opposing party politicians have ranged from accusations of compromising patient safety to ensuing longer working hours with reduced pay as compared to the current scheme for around 55,000 affected doctors. But the retaliating strikes on part of the National Health Service (NHS) workforce in protest have certainly proved controversial.

A Comprehensive Strategy to Increase Organ Donation

Over 120,000 adults and children are waiting for an organ in the United States, and another patient needing an organ is added to the transplant list every ten minutes. On average, about 20 Americans die every day from the lack of available organs for transplant. Specific to kidney transplant, it has been estimated that by 2015, over 700,000 Americans will have end stage renal disease and over 26 million will have some form of chronic kidney disease.

Ryan Denu Ryan Denu (7 Posts)

Contributing Writer

University of Wisconsin School of Medicine and Public Health


Ryan is a Class of 2019 MD/PhD student at the University of Wisconsin School of Medicine and Public Health. He graduated in May 2012 from the University of Wisconsin-Madison with a BS in molecular biology. He enjoys thinking and writing about health care policy and bioethics, and is also an avid tennis player, instructor, coach, umpire, and fan.