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60Palliative care for the terminally ill in America: the consideration of QALYs, costs, and ethical issuesMedicine, Health Care and Philosophy 15 (4): 411-416. 2012.The drive for cost-effective use of medical interventions has advantages, but can also be challenging in the context of end-of-life palliative treatments. A quality-adjusted life-year (QALY) provides a common currency to assess the extent of the benefits gained from a variety of interventions in terms of health-related quality of life and survival for the patient. However, since it is in the nature of end-of-life palliative care that the benefits it brings to its patients are of short duration, …Read more
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57Obesity and Health System Reform: Private vs. Public ResponsibilityJournal of Law, Medicine and Ethics 39 (3): 380-386. 2011.Obesity is a particularly vexing public health challenge, since it not only underlies much disease and health spending but also largely stems from repeated personal behavioral choices. The newly enacted comprehensive health reform law contains a number of provisions to address obesity. For example, insurance companies are required to provide coverage for preventive-health services, which include obesity screening and nutritional counseling. In addition, employers will soon be able to offer premi…Read more
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32From Beginning to End: The Importance of Evidence-Based Policymaking in Vaccination MandatesJournal of Law, Medicine and Ethics 43 (S1): 99-102. 2015.Used appropriately, reliance on science distinguishes public health from policymaking driven more by theory and opinion and enhances trust in public health interventions. Evidence-based vaccine policymaking aims to control communicable disease by urging decision makers to base policies on the best available evidence rather than politics or personal views. The results of this approach, such as smallpox eradication, have been dramatic. Historically, mandatory childhood vaccination has been perhaps…Read more
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32Care Coordination and the Expansion of Nursing Scopes of PracticeJournal of Law, Medicine and Ethics 42 (1): 93-103. 2014.Nurse practitioners can ease increased pressure on primary care shortage while providing a cost-effective and high-quality alternative to certain physician services. However, scope-of-practice laws are restrictive and their modification remains a source of controversy. Clearly, there is a need for new thinking around the scope of practice debate. This article conducted a review of literature and laws concerning the nursing scope of practice, as well as the outcomes of nurse-led care coordination…Read more
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31Caring for Elder Parents: A Comparative Evaluation of Family Leave LawsJournal of Law, Medicine and Ethics 41 (2): 501-513. 2013.As the baby boomer generation ages, the need for laws to enhance quality of life for the elderly and meet the increasing demand for family caregivers will continue to grow. This paper reviews the national family leave laws of nine major OECD countries (Canada, Denmark, France, Germany, Italy, Japan, Netherlands, Spain, and the United Kingdom) and provides a state-by-state analysis within the U.S. We find that the U.S. has the least generous family leave laws among the nine OECD countries. With t…Read more
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30Caring for Elder Parents: A Comparative Evaluation of Family Leave LawsJournal of Law, Medicine and Ethics 41 (2): 501-513. 2013.The call for family and medical leave reform in the United States was largely the result of sweeping demographic shifts that occurred in the workforce after the 1950s, coupled with an ever-increasing life expectancy and changing social norms concerning the role of women as caretakers. By the early 1990s, the number of women in the workforce had nearly tripled from 1950. During that same period, life expectancy increased by six years for males and seven for females. Meanwhile, the first wave of t…Read more
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25A nonlow2 R. E. Degree with the Extension of Embeddings Properties of a low2 DegreeMathematical Logic Quarterly 48 (1): 131-146. 2002.We construct a nonlow2 r.e. degree d such that every positive extension of embeddings property that holds below every low2 degree holds below d. Indeed, we can also guarantee the converse so that there is a low r.e. degree c such that that the extension of embeddings properties true below c are exactly the ones true belowd.Moreover, we can also guarantee that no b ≤ d is the base of a nonsplitting pair
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24Studies on the spin-Hamiltonian parameters of two Cu2+centers and their defect structures due to Jahn–Teller effect for Cu2+-doped ZnGa2O4spinel (review)Philosophical Magazine 92 (6): 760-767. 2012.
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23Obesity and Health System Reform: Private vs. Public ResponsibilityJournal of Law, Medicine and Ethics 39 (3): 380-386. 2011.The obesity epidemic is not only impairing the health of millions of Americans but also giving rise to billions of added dollars in health care spending. Climbing rates of obesity over the past decades are one of the predominant determinants behind the surging progression of health care expenses in the United States. Moreover, the less fit and less productive U.S. workforce has gradually eroded the nation’s industrial competitiveness. Since the early 1970s, adult obesity rates have doubled and c…Read more
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10Ct ChongIn Edward R. Griffor (ed.), Handbook of Computability Theory, Elsevier. pp. 140--298. 1999.
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9When Adolescents Disagree with Their Vaccine-Hesitant Parents about COVID-19 VaccinationJournal of Clinical Ethics 34 (2): 158-168. 2023.As we journey into the fourth year of the COVID-19 pandemic, a majority of Americans express relief at a “return to normal,” experience pandemic fatigue, or embrace the idea of living with COVID-19 in much the same way we live with the seasonal flu. But transition to a new phase of life with SARS-CoV-2 does not diminish the importance of vaccination. The US Centers for Disease Control and the Food and Drug Administration recently recommended another round of booster dose for persons age 5 and up…Read more
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7Care Coordination and the Expansion of Nursing Scopes of PracticeJournal of Law, Medicine and Ethics 42 (1): 93-103. 2014.Recent developments in the health care industry have precipitated a new wave of interest in expanding the scope of practice for nursing. This is because the Patient Protection and Affordable Care Act, broadly designed to increase access to health insurance, will inevitably result in increased demand for primary care providers. And with compensation for primary care physicians already lagging far behind that of specialists, the role of nurse practitioners is once again receiving increased attenti…Read more
Areas of Interest
General Philosophy of Science |
European Philosophy |