MIT 24 06J - Public Health and Individual Responsibility (3 pages)

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Public Health and Individual Responsibility



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Public Health and Individual Responsibility

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Lecture Notes


Pages:
3
School:
Massachusetts Institute of Technology
Course:
24 06j - Bioethics

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MIT OpenCourseWare http ocw mit edu 24 06J STS 006J Bioethics Spring 2009 For information about citing these materials or our Terms of Use visit http ocw mit edu terms Public Health and Individual Responsibility Session L24 John H Knowles The Responsibility of the Individual Daedalus 106 1977 57 80 Roger Parloff Is Fat the Next Tobacco For Big Food The Supersizing of America is Becoming a Big Headache Fortune 3 February 2003 52 54 Gene Bishop and Amy C Brodkey Personal Responsibility and Physician Responsibility West Virginia s Medicaid Plan New England Journal of Medicine 355 24 August 2006 756 758 Valerie Ulene Let Real Healthcare Reform Begin With Me Los Angeles Times 13 April 2009 on line edition The readings for this lecture pick up on a theme raised by transplants and health care rationing are people responsible for their diseases and implicitly what consequences should this have Knowles emphasizes individual behavior and responsibility Parloff looks specifically at tobacco and food Bishop and Brodkey describe a recent effort to build responsibility into health policy Ulene argues that individuals must take the lead in producing healthier lives As you go through each reading keep the basis questions in mind what causes disease How do answers to these questions affect our understanding of who or what is responsible for disease How do answers to this question then inform public policy Knowles Responsibility of the Individual In the 1970s politicians and doctors became increasingly concerned by the rising costs of health care which consumed 5 9 of the DNP in 1965 and 8 3 in 1975 it is now 16 Not only were costs rising but there was little evidence that all this health care improved health outcomes One person interested in this problem was John Knowles one of the most influential doctors in the US in the 1960s and 1970s Trained as a cardiologist he was the director of Massachusetts General Hospital from 1962 to 1971 where he created both intensive care units and



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