Slide 1Slide 2Slide 3Unnatural CausesSlide 5Slide 6Slide 7Slide 8Science of Understanding DiseaseEmerging Health TechnologiesPreclinical TestingClinical TrialsAdoption & DiffusionAbandoned due to:• poor performance• safety concerns• ethical concerns• legal issues• social issues• economic issuesBioengineeringEthics of researchCost-EffectivenessCenters for Medicare & Medicaid ServicesTable 1.4Sources of Health Insurance Coverage for the Under 65 Population, 1980-2000Notes: ESI - Employer Sponsored Insurance. Any Private includes ESI and individually purchased insurance. Any government includes Medicare for the disabled population.Source: Tabulations of the March Current Population Survey files by Actuarial Research Corporation, incorporating their historical adjustments.Over the last two decades, private coverage has declined, public coverage has stayed about the same, and the uninsured have grown.ESIAny PrivateMedicaidAny GovernmentUninsured74%69%16%14%9%Unnatural Causes•Health in America –http://www.unnaturalcauses.org/video_clips_detail.php?res_id=213•“Economic policy is health policy.” –How has U.S. influenced health inequities and health outcomes? What kinds of economic policies might reduce health inequities and improve the overall health of most Americans?Unnatural Causes•Kim Anderson's Story–http://www.unnaturalcauses.org/video_clips_detail.php?res_id=210 •Kim Anderson says: “People would think I’m living the American Dream: two cars, two and a half kids, the dog, the porch, a good husband, great family.” –Kim did everything right, yet still her daughter was born too early. What conditions in her life might have impacted her birth outcome? What are the implications for other women of color, and what possible solutions can you suggest?Unnatural Causes•Living in Disadvantaged Neighborhoods is Bad for Your Health –http://www.unnaturalcauses.org/video_clips_detail.php?res_id=217 •What health threats does Guai face that are beyond his individual control? How do neighborhood conditions, his job and income situation and being an immigrant affect his ability to keep his children out of harm’s way? How might all of this affect Guai’s stress level? What options would make things better for Guai’s family and others?Unnatural Causes•Marshallese Displaced from Home Islands after U.S. Nuclear Testing –http://www.unnaturalcauses.org/video_clips_detail.php?res_id=218 •Dr. Neal Palafox says that for Marshall Islanders, displacement and cultural loss have been more damaging to their health than the actual effects of nuclear testing. –What does he mean by this? How does being relocated 50 years ago affect livelihood, living conditions, diet and people’s sense of hope and opportunity, even today?Unnatural Causes•How the Growing Wealth Divide Is Bad for Health –http://www.unnaturalcauses.org/video_clips_detail.php?res_id=219 •Electrolux moved its Greenville facility to Juarez, Mexico so that it could cut labor costs and increase its profit. U.S. workers paid the price. –How do we protect communities from health threats posed by the chaos and uncertainty of free markets? Should corporations be “free” to shift capital anywhere in the world in search of the highest profit? We’ve imposed many restrictions on corporate freedom over the years ranging from minimum wage laws to environmental standards. Should the movement of capital also be regulated?
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