President Trump signed an executive order this past June that directs the Health and Human Services Department to develop a rule requiring hospitals to disclose online the prices that insurers and patients pay for common items and services. The rule also requires hospitals to reveal the amounts they are willing to accept in cash for an item or service. However, hospitals not complying only face a civil penalty of $300 a day, giving them latitude to effectively ignore the executive order.
As many urban academic medical centers have become the world’s leaders in research and patient care, their bordering neighborhoods have suffered through decades of disinvestment and economic blight. Medical students often receive their first years of training in hospitals that serve these disadvantaged populations. While the current focus on social determinants of health represents a rising cornerstone of medical education, what else do medical students need to know about inner city poverty?
For a variety of reasons, the substance use population is particularly vulnerable to the impacts of the COVID-19 pandemic. Based on data from previous financial crises, the emotional toll will increase rates of new substance use, escalate current use, and trigger relapse even among those with long-term abstinence. There may be a significant lag before these changes are detected and treated because health care resources are being funneled toward the pandemic.
As I grew up, I felt these lines and had a vague idea of where they lay. I knew where in Louisville I felt “safe,” and I also knew where the “bad parts of town” were located. The lines and their forced labels serve to enhance the lives of some people, myself included, while limiting others. Two cities exist within one border separated by an undeniable feature — skin color.
In collaboration with the Australian-American Fulbright Program, I spent 2019-2020 examining the treatment of substance use disorders in Australia through the lens of animation. As part of this project, I created a pair of educational animations focusing on the Medically Supervised Injecting Centre (MSIC) in Sydney’s Kings Cross. This series, entitled Up the Cross: The Uniting Medically Supervised Injecting Centre, examines the founding, protocols and benefits of the MSIC, which was established in 2001.
Hahnemann’s doors stay closed and our patients are waiting. While Philadelphia has stopped negotiations, we, as students with futures in health care, cannot accept this. We demand that Freedman provide free use of Hahnemann for the duration of the pandemic.
The COVID-19 pandemic has raised many questions about how to constitutionally handle a public health crisis on both the state and national levels. Many wonder if a national lockdown can be put in place — a new dilemma that has little legal precedent to follow.
The United States is the most heavily incarcerated country in the developed world, and with that comes many secondary consequences, including children growing up with incarcerated parents. Although efforts have been made to mitigate the harm associated with having an incarcerated parent, few are focused on meeting the direct health needs of these children through preventative health care.
During our August delegation, we learned from Puerto Rican experts in their fields and acting first responders about implementing lasting social change since Hurricane María. Each expert’s lecture seemed to revolve around relief, recovery and resilience.
Homelessness is a prominent concern among LGBT+ people, particularly the transgender community. Nearly one-third of the respondents who completed the 2015 U.S. Transgender Survey reported homelessness at some point in their lives, with even higher rates (74%) among individuals whose families had rejected them.
The 2015 U.S. Transgender Survey conducted by the National Center for Transgender Equality demonstrates the U.S. transgender community’s need for mental health services and unique barriers to care.
Children raised in foster homes tend to have a high morbidity. They have developed a similar prevalence of serious physical and mental problems comparable to those of other disadvantaged children populations.