In "Moonlighting: public service and private practice," Biglaiser and Ma study job incentives in moonlighting, when public-service physicians may refer patients to their private practices. Specifically, in the public system, some doctors are dedicated and behave sincerely while others, the moonlighters, are utility maximizers. Allowing moonlighting always enhances aggregate consumer welfare, but equilibrium public-care quality may increase or decrease; if quality increases, moonlighting improves each consumer's expected utility. Unregulated moonlighting may reduce consumer welfare as a result of adverse behavioral reactions, such as moonlighters shirking more and dedicated doctors abandoning their sincere behavior. Price regulation in the private
...correctly with varied crowds of patients to reduce incentives to keep away from most patients is quite challenging. Finally, the effects pay-for-performance will have on the future of the health care depends on incentives with "teaching to the test" to guarantee that the affirmative objectives are not attained at an enormous price.
When one examines managed health care and the hospitals that provide the care, a degree of variation is found in the treatment and care of their patients. This variation can be between hospitals or even between physicians within a health care network. For managed care companies the variation may be beneficial. This may provide them with opportunities to save money when it comes to paying for their policy holder’s care, however this large variation may also be detrimental to the insurance company. This would fall into the category of management of utilization, if hospitals and managed care organizations can control treatment utilization, they can control premium costs for both themselves and their customers (Rodwin 1996). If health care organizations can implement prevention as a way to warrant good health with their consumers, insurance companies can also illuminate unnecessary health care. These are just a few examples of how the health care industry can help benefit their patients, but that does not mean every issue involving physician over utilization or quality of care is erased because there is a management mechanism set in place.
Just as the economy travels through its cycles, from bear to bull and back again, so does the number of doctors in the country. In the 1960s, the government began an attempt to create more physicians using various methods. One such method was to reward medical schools for training a certain number of doctors (Bernstein 1013). This would give the medical schools an incentive to accept more students and to allow the students to fully graduate and go on to attend residency programs. Another such method was to give a monetary reward to residency programs for providing graduate medical education. This totaled approximately $7 billion, a sum large enough to “pay the tuition and living expenses of every medical student in the United States” with a large portion left over as well (Bernstein 1013). Because of these actions taken by the government, many more physicians were created, causing a physician surplus throughout the 1980s to the late 1990s, although this claim was based on ...
Government more recently has thrown money at the problem. Believing that money can solve any problem. The ministry of health consulted with physicians and health care stakeholders to create initiates to help attract more physicians to Saskatchewan (“Physician Recruitment,”2010). The government signed new contracts with emergency rooms doctors in hope that higher salaries will help recruit more physicians (“Saskatchewan ER,” 2013). The expected salaries range from about 300,000 to 400,0000 yearly (“Saskatchewan ER,” 2013). The government has also committed a total of 3.5 million dollars to a new strategy (“Physician Recruitment”, 2010). Government grants also seemed to be a new and innovative way of combating the lack of doctors (Kaul, 2013). Medical students in Saskatchewan or licensed physicians can access special funds to start their own clinic with the expectation that they stay for 3 to 5 years (Kaul, 2013). This seemed like a great idea until 5 doctors decided that they would flee the country while owning 300,000 tax payer dollars (Kaul, 2013). The retention of doctors is still a problem with a turn over rate of 18 in rural areas and 12.5 in urban areas (“Annual Report,” 2012).
The use of a false dichotomy is seen when Rebarb claims, “…checklists…reduce expensively trained medical professionals to bureaucrats who spend time ticking off items…when they could be…seeing more patients.” (2010, p. 1A). Rebarb tries to prove both careers are opposites when in fact, they are related. Health professionals require checklists, like bureaucrats, to complete a proper checkup, for example. These health professionals possess every step needed, on the checklist, in order to prevent lawsuits and make sure the client is healthy. Nevertheless, Rebarb tries to argue not only the opposition between the two careers, but between the career of a health professional and the helpfulness of the checklist.
Professionalism in the social work field goes beyond licensure and expertise (Cournoyer, 2014). According to Cournoyer (2014), social work professionalism encompasses the concepts of integrity, self-efficacy and knowledge, self-understanding and self-control, and social support (Cournoyer, 2014). Embedded in social work professionalism is the person-environment perspective, which posits that our personal attributes, interactions and relationships with others, and environment influence a social worker’s practice. Cournoyer stresses that it is a social worker’s responsibility to acknowledge and regulate his or her personal biases, ideologies, and beliefs when working with clients in order to prevent them from negatively impacting the therapeutic
Professionalism is an adherence to a set of values comprising both a formally agreed-upon code of conduct and the informal expectations of colleagues, clients and society. The key values include acting in a patient's interest, responsiveness to the health needs of society, maintaining the highest standards of excellence in the practice of medicine and in the generation and dissemination of knowledge. In addition to medical knowledge and skills, medical professionals should present psychosocial and humanistic qualities such as caring, empathy, humility and compassion, as well as social responsibility and sensitivity to people's culture and beliefs. All these qualities are expected of members of highly trained professions.
Considering there is no finalized legislative bill for a public option, I am not able to provide a truly accurate assessment of this issue. Hence, in this paper I evaluate a few likely scenarios. I argue in favor of adding a public option as part of a comprehensive healthcare reform. The U.S. healthcare is very complex and requires significant improvements to address key issues, such as healthcare spending. The addition of a public option can be beneficial if it is carefully constructed and coupled with other policies to ensure a more sustainable healthcare system.
Becoming a Paralegal can be a difficult task if you do not spend time researching your career choice. Enjoying researching and preparing for trial is just a few of the responsibilities needed to become a criminal paralegal.
Because the litigation system does not accurately judge whether an error was committed in the course of medical care, physicians adjust their behavior to avoid being sued. A recent survey of physicians revealed that one-third shied away from going into a particular specialty because they feared it would subject them to greater liability exp...
The paralegal field is thought to be a high paced glorious career of working alongside an attorney and getting recognition for their work. In reality a paralegal job is nothing like Erin Brockovich (A movie where a paralegal was able to investigate and played an immense part in winning a large case) envisioned from the movie. Becoming a paralegal is appealing because it allows a quick entrance into a professional career field and offers a wide range of daily and career experiences. However, the work-life balance can be poor, the career path often stagnates without continuing education, and the pay is insufficient for the work load. Also, while there are a wide range of paralegal jobs there is also competition and an applicant must possess the ability to step right into the role with little or no training. While expecting much of the work to be comparable to administrative work and document reading.
From the previous discussion it is clear that mandated increases in health insurance participation which could have a significant labor market effects, causing changes in the market wage and in the number of workers employed. The recent substantial increase in malpractice payments and premiums for physician malpractice insurance has greatly increased the cost of employer provided health insurance. Due to these increases it is estimated that there will be a decline in employment, a cutback in the number of hours worked, and as well as reduction in wages of workers with employer provided health insurance. Providing health insurance threw mandates or payroll taxes entirely depends on if there will be a shift in the supply curve. The reason the supply curve shifts in mandates is because workers valued the benefits. There is no shift in the supply curve when it comes to payroll taxes for the reason that there is an implicit assumption that the benefit is not tied to employment. However, benefits provided through taxes could possibly be tied to employment and that would alter the supply curve. If the benefit is tied to employment, as it is in this case, it does not matter if it is funded through a mandated benefit or payroll tax. Workers will value the benefit provided by either one,
My major is Paralegal Studies and I expect to graduate with an Associates of Arts degree in December of this year. Many years ago, as an investigator for both a private company and a county agency, I was introduced to the legal field. Recently, I was awarded the opportunity to attend college, so I decided I wanted to reenter the legal profession as a paralegal. The paralegal profession appeals to me, because I enjoy the processes of developing a case, as well as its legal aspects. A paralegal is involved in a case from the beginning to the end; from the initial client interview to assisting the attorney during the client’s trial or the settlement process. My goal is to become a paralegal for a solo practitioner or a small firm in my local area who represent clients in different areas of the law.
The relationship between doctors and medical or corporate representatives is an old time practice in which the corporate representative primary goal is to directly inform the medical profession of the company’s products. There is nothing wrong with this practice, but it becomes situational when the medical representative is being offered financial incentives or on the company’s pay policy. Recently, GlaxoSmithKline publicized that they stop paying physicians to promote their products and try new marketing strategies (article 1). GlaxoSmithKline’s new policy is an improvement from the ethical standpoint because the relationship between the two parties are tainted and no longer a respectable relationship. This essay reviews the aspects conspicuous relationship between medical profession and drug companies, such as GlaxoSmithKline, and its future consequences.
I’m currently on a professional practice placement at RMIT University (RMIT Pharmacovigilance Research Group), Bundoora Campus. I learned a lot that could be included in the final reflection like how my current experience has compared to my prior experiences/learning, and which skills I developed during this placement and intend to further develop my plan and skills in future; particularly my ability to prioritise tasks and demonstrate efficiency in completing work and fulfilling academic goals.