Penn study looks at the emotional impact of a dementia diagnosis
New research from Penn has found that patients who understood they had mild cognitive impairment or mild Alzheimer’s disease, often a precursor to dementia, were less satisfied with their quality of life than people who were unaware of their diagnoses.
Shopping for Health Insurance? Buyer Beware, Especially If You Have Cancer
Laura Yasaitis, PhD, Dan Polsky, PhD and Justin E. Bekelman, MD argue for more transparency from insurance providers in light of their study, which shows that narrow-network plans commonly exclude NCI-designated cancer centers.
GOP health bill pits freedom of choice against freedom from fear
Ezekiel Emanuel: There is no way to sugarcoat it. Freedom not to have health insurance for some means the loss of freedom to have health insurance for others.
NEW BOOK by Ezekiel Emanuel: "Prescription for the Future: The Twelve Transformational Practices of Highly Effective Medical Organizations"
How can America's healthcare system be transformed to provide consistently higher-quality and lower-cost care? Nothing else in healthcare matters more. Prescription for the Future identifies some standout medical organizations that have achieved higher-quality, more patient-focused, and lower-cost care, and from their examples distills twelve transformational practices that could transform the entire healthcare sector.
Insured, But Still Barred From Top-Tier Cancer Centers
Choosing a cheaper health plan could cost you access to cream-of-the-crop cancer doctors and facilities, a new study reports.
The Department of Medical Ethics and Health Policy at the University of Pennsylvania is pleased to announce the publication of a special double-issue of the Kennedy Institute of Ethics Journal on the theme of “Choosing Disability.” This collection of essays, co-edited by Stephen M. Campbell and Lance Wahlert, addresses ethically, morally, and methodologically complex questions attached to the union of disability and choice.
Narrow Networks Penn Communications Summary
Researchers at Penn have found that so-called “narrow network” insurance plans – lower-premium plans with reduced access to certain providers
The Next Generation of Episode-Based Payments
Medicare bundled payments have become a cornerstone of the Centers for Medicare & Medicaid Services’ (CMS) reimbursement program, in efforts to reduce healthcare costs.
Wharton's Kevin Volpp Discusses How Behavioral Economics Principles Could be Used to Fix Health Care.
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How Behavioral Economics Can Produce Better Health Care
Consider the following. I’m a physician at the end of more than a decade of training. I’ve dissected cadavers in anatomy lab. I’ve pored over tomes on the physiology of disease. I’ve treated thousands of patients with ailments as varied as hemorrhoids and cancer. And yet the way I care for patients often has less to do with the medical science I’ve spent my career absorbing than with habits, environmental cues and other subtle nudges that I think little about.
McCoy & Emanuel: Why There Are No “Potential” Conflicts of Interest
During the Institute of Medicine’s 2013 workshop on conflict of interest (COI) and medical innovation, a presentation from PhRMA, the pharmaceutical industry association, delineated 5 types of potential conflict in medical research and the likelihood of each resulting in a true conflict.1 Even though these sorts of distinctions between potential or perceived COI on one hand and true or actual COI on the other have become commonplace they are misguided. Not only is the notion of a potential COI conceptually confused, labeling certain COI as merely “potential” or “perceived” diminishes their seriousness and obscures the ethical rationale for trying to limit COI in medical practice and research.
Beyond Genes and Molecules — A Precision Delivery Initiative for Precision Medicine
All physicians aspire to individualize medical care, yet patients often receive care that’s not aligned with their preferences and generally have inadequate access to their health information. The PMI’s scientific advances may add further complexity to delivering high-quality, cost-effective care in keeping with patients’ values. If we don’t grapple with that complexity, patients may wait years to reap the diagnostic and therapeutic benefits of the PMI. A complementary effort in the science of care delivery can promote patient-centered care today by investigating and implementing delivery-system interventions that are tailored to individual needs and wishes, in addition to biology.
Science Needs Your Cells
It’s often portrayed as a story of exploitation. In the early 1950s, Henrietta Lacks, a poor, young African-American woman, learned she had terminal cancer. Cells collected from a biopsy of her cancer were cultured without her knowledge or permission to develop a cell line, called HeLa. Over the ensuing decades, research using HeLa cells led to scores of medical advances, saving lives — and making a lot of money for a lot of people, though not for Ms. Lacks’s family.
The Bioethics Film Festival Wants Scientists to Heed the Warnings of Science-Fiction
The Penn Bioethics Film fest is trying to start a public dialog about the real scientific issues that appear in films such as 'Ex Machina,' and 'Her.'
Nearly all businesses that serve food will have to disclose calories on their menus starting in May
Adding calorie counts on menus might make Americans eat better — but not in the way you’d think
Wharton's Kevin Volpp discusses how behavioral economics principles could be used to fix health care.
Managing cell and human identity
How can the normative and historical discourse about human identity help us decide if, how, and when to use genetic, stem cell, and reproductive technologies that may change characteristics of our cells and thus, perhaps, our individual and human identities?
Physicians, Not Conscripts — Conscientious Objection in Health Care
Conscientious objection laws give health care professionals the legal right to refuse, on the basis of personal beliefs, to perform certain procedures or care for particular patients.
Replacing the Affordable Care Act Lessons From Behavioral Economics
Republican efforts to replace the Affordable Care Act (ACA) are not over, despite the failure of the American Health Care Act (AHCA) legislation. The major challenge facing the AHCA was the loss of insurance coverage for an estimated 24 million people.
The Division of Medical Ethics is pleased to announce the members of the Class of 2019 who will be joining us this summer as postdoctoral fellows
Maddy Kilbride will receive her PhD in Philosophy from Princeton this summer. Prior to beginning her PhD, she obtained her BA in Philosophy at Bates and an MA in Philosophy (of Science), also at...