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NATIONAL BESTSELLER!If Americans want to know why their health care is so costly and getting costlier, they need only look in the mirror.Americans are notoriously unhealthy?we eat too much, drink too much, and sit too much. When roughly 80 percent of cardiovascular disease and 40 percent of all cancer cases could be prevented by simple lifestyle changes, it is time to take a deeper look at the problem and ask who is truly responsible. Consider that: · After seventy years of innovation, heart disease and cancer remain the top two causes of death in the United States.· In 1960, health care spending was 5 percent of America's GDP; today, it is 17.5 percent.· The government spends over $1 trillion annually on health care.· Nearly one in five American deaths is associated with poor diets.· Simply reducing sodium intake by 1,200 mg per day could save up to $20 billion a year in medical costs. In Make America Healthy Again, Nicole Saphier, a Memorial Sloan Kettering physician, nationally recognized patient advocate, and media personality, reveals how individual negligence and big government incompetence have destroyed America's health care system. Combining historical events, economic trends, and essential lifestyle advice, with her unique perspective, she offers concrete solutions to address this epic problem.We don't need socialized medicine?we need to take better care of ourselves. By getting healthier and adopting preventative measures, Saphier believes, we can reduce the astronomical costs of treatment and improve overall care. The only way to lower medical costs for everyone is to stop incentivizing bad health decisions. Policies such as the Affordable Care Act and single-payer plans ignore something crucial to lowering the overall financial burden: personal responsibility. We can no longer expect doctors and the government to fix illnesses we have the power to prevent. Regardless of which health policy is adopted, our nation will flounder unless we take action. It is up to the American people to make America healthy again.
Recent increases in health rights litigation in low- and middle-income countries triggered debates regarding the effects of such litigation on the equity and effectiveness of health systems. This study examines Indonesia's experience with health rights litigation and efforts promoting health rights in developing countries in general.
5. UDGAVE AF LÆREBOGSKLASSIKERENDet er vigtigt at sætte sig ind de kemiske, fysiske, biologiske og psykiske eksponeringer, der er i vores omgivelser, hvis man vil forstå, hvordan vores miljø og arbejdsmiljøpåvirker vores sundhedstilstand og arbejdsevne. Denne 5. udgave er gennemgribende fagligt og visuelt opdateret med den nyeste viden om miljø- og arbejdsmedicin. To helt nye kapitler berører henholdsvis klimaforandringer og et internationalt perspektiv, ligesom aktuel viden om COVID-19 er tilføjet i kapitlet om smitsomme sygdomme. Flere aktuelle cases, test din viden-spørgsmål og opdaterede grafer er samtidig prioriteret for at hjælpe forståelsen. Bogen henvender sig primært til medicinstuderende ved landets fire fakulteter, hvor den er særligt relevant for specialerne almen medicin, lungemedicin, dermatologi, ortopædkirurgi og reumatologi. Bogen kan med fordel også bruges som opslagsværk og ved andre sundhedsfaglige uddannelser.
The inside story of how Big Pharma's relentless pursuit of ever-higher profits corrupts medical knowledge?misleading doctors, misdirecting American health care, and harming our health.The United States spends an excess $1.5 trillion annually on health care compared to other wealthy countries?yet the amount of time that Americans live in good health ranks a lowly 68th in the world. At the heart of the problem is Big Pharma, which funds most clinical trials and therefore controls the research agenda, withholds the real data from those trials as corporate secrets, and shapes most of the information relied upon by health care professionals.In this no-holds-barred exposé, Dr. John Abramson?one of the foremost experts on the drug industry's deceptive tactics?combines patient stories with what he learned during many years of serving as an expert in national drug litigation to reveal the tangled web of financial interests at the heart of the dysfunction in our health-care system. For example, one of pharma's best-kept secrets is that the peer reviewers charged with ensuring the accuracy and completeness of the clinical trial reports published in medical journals do not even have access to complete data and must rely on manufacturer-influenced summaries. Likewise for the experts who write the clinical practice guidelines that define our standards of care.The result of years of research and privileged access to the inner workings of the U.S. medical-industrial complex, Sickening shines a light on the dark underbelly of American health care?and presents a path toward genuine reform.
"The first book to tell the full story of race and health in America today, showing the toll racism takes on individuals and the health of our nation, by a groundbreaking journalist at the New York Times Magazine"--
To ensure its service members have the requisite physical fitness to serve, the Department of the Air Force (DAF) has established a variety of medical and physical standards. The DAF also recognizes that building a more comprehensive understanding of how different factors influence exercise habits, test preparation, and the perceived importance of fitness is critical to promoting a ready and deployable force. The authors evaluate Air Force (AF) data relevant to the Tier 1 fitness assessment (FA) from all AF-FAs completed by active duty officers and enlisted personnel from fiscal year (FY) 2005 to FY 2018 to examine the fitness of the AF's active component. The Tier 1 FA consists of four components: a 1.5-mile run or 2.0-kilometer walk, designed to measure cardiorespiratory fitness; an abdominal circumference (AC) measurement for body composition; and push-ups and sit-ups, which assess muscular fitness. In this report, the authors explore the relationships between component fitness scores with career and health outcomes and examine airmen's perceptions of current fitness policies and the culture of fitness across the DAF. They conclude by recommending several strategies to improve the rationale for and the validity and acceptance of the AF-FA.
This report presents results from a systematic review and meta-analyses of research examining how mindfulness meditation affects 13 performance-related outcomes of interest to the U.S. Army and broader military.
This report presents findings from a study designed to identify the long-term outcomes of traumatic brain injury for veterans, the future needs of this population, effective treatments, and the availability of community-based resources.
"In 1983 Congress changed the way Medicare pays for hospital care. Under the new prospective payment system, hospitals are paid a fixed rate, set in advance, to cover a patient's stay. If costs are less than the fixed rates, the hospital keeps the profit; if the costs are more, it absorbs the loss. From the beginning, prospective payment was recognized as a revolutionary change in Medicare. Congress wanted a system that would make federal expenditures more predictable and controllable, and expected hospitals to respond by becoming more efficient. Some observers have hailed it as a successful way to control the spiraling costs of the Medicare program. Others have criticized it as arbitrary and a threat to the health of the elderly.In the six years since prospective payment was introduced, a substantial amount of evidence has accumulated about its effects. Russell looks at the major characteristics of the rate payment system, how it has changed the pattern of medical service, how these changes have affected the health of the beneficiaries, and the system's effects on Medicare outlays. She reviews what is known and what needs to be learned to arrive at a valid assessment of the system. Moreover, she contributes to the larger debate on Medicare by making what are frequently quite technical evaluations accessible to the general public."
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