%{search_type} search results

• Medicare reform : the stakes
• A Medicare primer
• Goals, performance, and options for Medicare
• Strengthening Medicare as a social insurance program
• Premium support
• Consumer-directed Medicare
• Assessing Medicare reform options and prospects.

Everyone agrees on the need to reform Medicare but not on how to do it. Some argue the program is too comprehensive, others that it is not comprehensive enough. Some suggest it pays too much for health care, others, too little. Meanwhile, the financial stakes continue to mount. Medicare spending exceeded $400 billion in 2007, making it more expensive than the entire health systems of most other nations, as well as the largest national public program other than Social Security and national defense. In "Reforming Medicare, " Henry J. Aaron and Jeanne M. Lambrew deftly guide readers through this complex debate. They identify and analyze the three leading approaches to reform. Updated social insurance would retain the current system while rationalizing coverage and reducing bureaucracy.Premium support would replace the current system with a capped, per-person payment that beneficiaries could use to buy health insurance. Consumer-directed Medicare would have beneficiaries pay for care up to a high deductible from government- supported savings accounts and offer premium-support coverage above the deductible. In addition to rating each option on its ability to promote access to health care, improve the quality of care, and control costs, the authors evaluate each reform's political strengths and weaknesses. Given the heat generated by the Medicare debate, it is unlikely that any single approach will be implemented in full. Consequently, Aaron and Lambrew describe incremental strategies that blend elements of each plan. Their analysis provides essential insight into the types of hybrid policies that Congress will consider in coming years. This is a Century Foundation Book.
(source: Nielsen Book Data)

• Cover; Title Page; Copyright Page; Contents; Contributors; Preface; List of Abbreviations; Chapter 1
• General Chemistry of Metal Toxicity and Basis for Metal Complexation; 1.1
• General chemistry of metals; 1.2
• Essential and nonessential elements; 1.3
• Effects of toxic exposure of an essential or nonessential metal; 1.3.1
• Basic Concepts in Chemical Toxicity Testing; 1.3.2
• Exposure Patterns and Mechanisms of Metal Toxicity; 1.3.3
• Gastrointestinal Effects of Metal Exposure; 1.3.4
• Respiratory Effects of Metal Exposure; 1.3.5
• Hepatic and Renal Effects.

• 1.3.6
• Effects on the Nervous System1.3.7
• Hematological Effects; 1.3.8
• Cardiovascular Effects; 1.3.9
• Metal Allergies; 1.3.10
• Carcinogenic Effects; 1.4
• Basis for metal complex formation with endogenous and exogenous ligands; 1.5
• Endogenous complexing and detoxification compounds; 1.5.1
• Albumin; 1.5.2
• Transferrin and Ferritin; 1.5.3
• Glutathione; 1.5.4
• Metallothionein; 1.5.5
• Selenoproteins; 1.6
• Conclusions; References; Chapter 2
• Chelating Agents as Therapeutic Compounds-Basic Principles; 2.1
• Chemical and biological principles for in vivo chelation; 2.1.1
• Stability.

• 2.1.2
• Selectivity2.1.3
• Kinetic Aspects of Chelation; 2.1.4
• Absorption and Bioavailability of Chelating Agents; 2.2
• Chelating agents: chemistry, kinetics, and toxicology; 2.2.1
• BAL, DMPS, DMSA; 2.2.2
• D-penicillamine; 2.2.3
• Triethylenetetramine; 2.2.4
• Deferoxamine, Deferiprone, and Deferasirox; 2.2.5
• EDTA and DTPA; 2.2.6
• Prussian Blue; References; Chapter 3
• Diagnosis and Evaluation of Metal Poisonings and Chelation Therapy; 3.1
• Introduction; 3.2
• History of symptoms and exposure; 3.3
• Clinical findings; 3.4
• Genetic disorders with systemic metal accumulation.

• 3.5
• Toxicological analyses3.6
• Biochemical measurements; 3.7
• Physiological, radiological, and ultrasonographic investigations; References; Chapter 4
• Chelation Treatment During Acute and Chronic Metal Overexposures-Experimental and Clinical Studies; 4.1
• Introduction; 4.2
• Aluminum; 4.2.1
• Selected Representative Animal Studies; 4.2.2
• Selected Representative Clinical Studies; 4.2.3
• Conclusions; 4.3
• Antimony; 4.3.1
• Animal Experiments; 4.3.2
• Clinical Cases; 4.3.3
• Conclusion; 4.4
• Arsenic; 4.4.1
• Selected Animal Experiments; 4.4.2
• Clinical Studies.

• 4.4.3
• Discussion and Conclusion4.5
• Beryllium; 4.5.1
• Experimental Chelation Studies; 4.5.2
• Clinical Experience; 4.5.3
• Conclusion; 4.6
• Bismuth; 4.6.1
• Animal Chelation Studies; 4.6.2
• Clinical Chelation Studies; 4.6.3
• Conclusion; 4.7
• Cadmium; 4.7.1
• Animal Chelation Experiments; 4.7.2
• Clinical Chelation Studies; 4.7.3
• Conclusion; 4.8
• Chromium; 4.8.1
• Animal Experimental Studies; 4.8.2
• Clinical Cases; 4.8.3
• Conclusion; 4.9
• Cobalt; 4.9.1
• Chelation, Animal Experiments; 4.9.2
• Chelation, Clinical Studies; 4.9.3
• Conclusion; 4.10
• Copper.

• 4.10.1
• Animal Chelation Studies.

• Acknowledgments ix Prologue xv Timeline: People, Infrastructures, and Events xix Introduction 1
• 1. The National University Escuela 21
• 2. Clinical Social Medicine 45
• 3. Religion and Caring in a Medical Setting 79
• 4. Hospital Budgets before and after Neoliberalism 103
• 5. Violence and Resistance 137
• 6. Remaining amid Destruction 179
• 7. Learning and Practicing Medicine in a For-Profit System 199 Final Remarks. Medicine as Political Imagination 221 Notes 229 References 261 Index 283.
• (source: Nielsen Book Data)

In Health in Ruins Cesar Ernesto Abadia-Barrero chronicles the story of El Materno-Colombia's oldest maternity and neonatal health center and teaching hospital-over several decades as it faced constant threats of government shutdown. Using team-based and collaborative ethnography to analyze the social life of neoliberal health policy, Abadia-Barrero details the everyday dynamics around teaching, learning, and working in health care before, during, and after privatization. He argues that health care privatization is not only about defunding public hospitals; it also ruins rich traditions of medical care by denying or destroying ways of practicing medicine that challenge Western medicine. Despite radical cuts in funding and a corrupt and malfunctioning privatized system, El Materno's professors, staff, and students continued to find ways to provide innovative, high-quality, and noncommodified health care. By tracking the violences, conflicts, hopes, and uncertainties that characterized the struggles to keep El Materno open, Abadia-Barrero demonstrates that any study of medical care needs to be embedded in larger political histories.
(source: Nielsen Book Data)