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Affordable Excellence

The Singapore Healthcare Story

William A. Haseltine

This is the story of the Singapore healthcare system: how it works, how it is financed, its history, where it is going, and what lessons it may hold for national health systems around the world. Singapore ranks sixth in the world in healthcare outcomes, yet spends proportionally less on healthcare than any other high-income country. This is the first book to set out a comprehensive system-level description of healthcare in Singapore, with a view to understanding what can be learned from its unique system design and development path.

The lessons from Singapore will be of interest to those currently planning the future of healthcare in emerging economies, as well as those engaged in the urgent debates on healthcare in the wealthier countries faced with serious long-term challenges in healthcare financing. Policymakers, legislators, public health officials responsible for healthcare systems planning, finance and operations, as well as those working on healthcare issues in universities and think tanks should understand how the Singapore system works to achieve affordable excellence.

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Africa: A Practical Guide for Global Health Workers

A Practical Guide for Global Health Workers

Laurel A. Spielberg

Written by authors who speak directly from their years of personal and professional experience with health projects in Africa, this book provides an integrated historical, social, political, economic, and health introduction to a series of African countries. It also offers a comprehensive view of major health issues for those aiming to undertake humanitarian and global health work in Africa.

In the introductory chapter, the editors discuss the concepts of globalism and humanitarianism, and provide a framework for thinking about global health. They introduce readers to significant aspects of African history and agencies that play major roles in global health work in Africa. The "Tips for Travelers to Africa" chapter provides a wealth of information on preparing for travel to Africa and working successfully and effectively in African cultures.

Individual chapters on Botswana, Ghana, The Maghreb, Rwanda, South Africa, Tanzania, and Uganda focus on key health or environmental issues, projects, and solutions unique to each country. Written jointly by U.S. and African medical personnel participating in major health initiatives, the chapters offer vibrant accounts of work on leading causes of disease and death or environmental problems.

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Africa Focus Debates on Contemporary Contentious Biomedical Issues

This is a vivid, thought-provoking and fascinating text on some contentious issues in contemporary medical ethics. The book acknowledges the contribution of ìAfrican traditionî and Western scholarship to the development of medical ethics as a university discipline. It questions the lack of consensus around such biomedical issues as euthanasia and traditional medicine. In many countries, the failure has resulted in public outcries. Its thrust centres on the nexus of practice and theory, and the importance of pragmatism and critical questioning in dealing with different cases on and around biomedicine. Its virtue is its significant shift from the traditional positions on selected biomedical issues to a more rigorous, pragmatic and critical questioning and understanding of the reasoning and positions of all involved and/or affected parties.

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African American Bioethics

Culture, Race, and Identity

Lawrence J. Prograis Jr., MD, and Edmund D. Pellegrino, MD, Editors

Do people of differing ethnicities, cultures, and races view medicine and bioethics differently? And, if they do, should they? Are doctors and researchers taking environmental perspectives into account when dealing with patients? If so, is it done effectively and properly? In African American Bioethics, Lawrence J. Prograis Jr. and Edmund D. Pellegrino bring together medical practitioners, researchers, and theorists to assess one fundamental question: Is there a distinctive African American bioethics? The book's contributors resoundingly answer yesùyet their responses vary. They discuss the continuing African American experience with bioethics in the context of religion and tradition, work, health, and U.S. society at largeùfinding enough commonality to craft a deep and compelling case for locating a black bioethical framework within the broader practice, yet recognizing profound nuances within that framework. As a more recent addition to the study of bioethics, cultural considerations have been playing catch-up for nearly two decades. African American Bioethics does much to advance the field by exploring how medicine and ethics accommodate differing cultural and racial norms, suggesting profound implications for growing minority groups in the United States.

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The African Food System and Its Interactions with Human Health and Nutrition

Hunger, malnutrition, poor health, and deficient food systems are widespread in Sub-Saharan Africa. While much is known about African food systems and about African health and nutrition, our understanding of the interaction between food systems and health and nutrition is deficient. Moreover, the potential health gains from changes in the food system are frequently overlooked in policy design and implementation.

The authors of The African Food System and its Interactions with Human Health and Nutrition examine how public policy and research aimed at the food system and its interaction with human health and nutrition can improve the well-being of Africans and help achieve the United Nations Millennium Development Goals (MDGs). Several of the MDGs focus on health-related challenges: hunger alleviation; maternal, infant, and child mortality; the control of HIV/AIDS, tuberculosis, and malaria; and the provision of safe water and improved sanitation. These challenges are intensified by problems of low agricultural and food system productivity, gender inequity, lack of basic infrastructure, and environmental degradation, all of which have direct and indirect detrimental effects on health, nutrition, and the food system.

Reflecting the complexity and multidisciplinary nature of these problems and their solutions, this book features contributions by world-renowned experts in economics, agriculture, health, nutrition, food science, and demography.

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After Harm

Medical Error and the Ethics of Forgiveness

Nancy Berlinger

Medical error is a leading problem of health care in the United States. Each year, more patients die as a result of medical mistakes than are killed by motor vehicle accidents, breast cancer, or AIDS. While most government and regulatory efforts are directed toward reducing and preventing errors, the actions that should follow the injury or death of a patient are still hotly debated. According to Nancy Berlinger, conversations on patient safety are missing several important components: religious voices, traditions, and models. In After Harm, Berlinger draws on sources in theology, ethics, religion, and culture to create a practical and comprehensive approach to addressing the needs of patients, families, and clinicians affected by medical error. She emphasizes the importance of acknowledging fallibility, telling the truth, confronting feelings of guilt and shame, and providing just compensation. After Harm adds important human dimensions to an issue that has profound consequences for patients and health care providers.

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After High School - What?

Ralph F. Berdie

After High School - What? was first published in 1954. Minnesota Archive Editions uses digital technology to make long-unavailable books once again accessible, and are published unaltered from the original University of Minnesota Press editions.

Whether a high school graduate enters college, goes to work, takes vocational training, or follows any other path open to him is of concern not only to the youth himself but to the nation and its manpower needs. This study throws light on the question of what influences determine the decision for a college education. It is based on information obtained from 25,000 graduating high school seniors in Minnesota, interviews with a sampling of their parents, and a follow-up study to check on how closely the young people followed the plans they indicated in the original survey. The book, a volume in the Minnesota Library on Student Personnel Work, will be helpful to high school and college administrators and counselors.

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After Lacan

Clinical Practice and the Subject of the Unconscious

After Lacan combines abundant case material with graceful yet sophisticated theoretical exposition in order to explore the clinical practice of Lacanian psychoanalysis. Focusing on the groundbreaking clinical treatment of psychosis that Gifric (Groupe Interdisciplinaire Freudien de Recherches et d’Interventions Cliniques et Culturelles) has pioneered in Quebec, the authors discuss how Lacanians theorize psychosis and how Gifric has come to treat it analytically. Chapters are devoted to the general concepts and key terms that constitute the touchstones of the early phase of analytic treatment, elaborating their interrelations and their clinical relevance. The second phase of analytic treatment is also discussed, introducing a new set of terms to understand transference and the ethical act of analysis in the subject’s assumption of the Other’s lack. The concluding chapters broaden discussion to include the key psychic structures that describe the organization of subjectivity and thereby dictate the terms of analysis: not just psychosis, but also perversion and obsessional and hysterical neurosis.

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After We Die

The Life and Times of the Human Cadaver

Norman L. Cantor

What will become of our earthly remains? What happens to our bodies during and after the various forms of cadaver disposal available? Who controls the fate of human remains? What legal and moral constraints apply? Legal scholar Norman Cantor provides a graphic, informative, and entertaining exploration of these questions. After We Die chronicles not only a corpse's physical state but also its legal and moral status, including what rights, if any, the corpse possesses.

In a claim sure to be controversial, Cantor argues that a corpse maintains a "quasi-human status" granting it certain protected rights -- both legal and moral. One of a corpse's purported rights is to have its predecessor's disposal choices upheld. After We Die reviews unconventional ways in which a person can extend a personal legacy via their corpse's role in medical education, scientific research, or tissue transplantation. This underlines the importance of leaving instructions directing post-mortem disposal. Another cadaveric right is to be treated with respect and dignity. After We Die outlines the limits that "post-mortem human dignity" poses upon disposal options, particularly the use of a cadaver or its parts in educational or artistic displays.

Contemporary illustrations of these complex issues abound. In 2007, the well-publicized death of Anna Nicole Smith highlighted the passions and disputes surrounding the handling of human remains. Similarly, following the 2003 death of baseball great Ted Williams, the family in-fighting and legal proceedings surrounding the corpse's proposed cryogenic disposal also raised contentious questions about the physical, legal, and ethical issues that emerge after we die. In the tradition of Sherwin Nuland's How We Die, Cantor carefully and sensitively addresses the post-mortem handling of human remains.

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Against Health

How Health Became the New Morality

Jonathan Metzl, Anna Kirkland, 0

“[A]n important new book.” –Psychology Today

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