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Author: John C. Goodman Publisher: Rowman & Littlefield ISBN: 9780742541528 Category : Health & Fitness Languages : en Pages : 278
Book Description
Virtually everyone agrees that our health care system needs reform. But what kind of reform? Some want a return to the system that prevailed in the 1950s. Others would like to see the adaptation of the government-run systems prevalent in other countries. The latter, national health insurance or single-payer health insurance, appears to be gaining ground in the United States. Before Americans find themselves participating in a health care system that has failed in every country it was adopted, we should be asking ourselves whether such a system is effective and efficient. In Lives at Risk, the authors examine the critical failures of national health insurance systems without focusing on minor blemishes or easily correctable problems. In doing so, the purpose is to identify the problems common to all countries with national health insurance and to explain why these problems emerge. Most national health care systems are in a state of sustained internal crisis as costs rise and the stated goals of universal access and quality care are not met. In almost all cases, the reason is the same: the politics of medicine. The problems of government-run health care systems flow inexorably from the fact that they are government-run rather than market driven.
Author: Ganapathy Ramachandran Publisher: Routledge ISBN: 1135818398 Category : Architecture Languages : en Pages : 385
Book Description
Fire safety regulations in many countries require Fire Risk Assessment to be carried out for buildings such as workplaces and houses in multiple occupation. This duty is imposed on a "Responsible Person" and also on any other persons having control of buildings in compliance with the requirements specified in the regulations. Although regulations only require a qualitative assessment of fire risk, a quantitative assessment is an essential first step for performing cost-benefit analysis of alternative fire strategies to comply with the regulations and selecting the most cost-effective strategy. To facilitate this assessment, various qualitative, semi-quantitative and quantitative techniques of fire risk assessment, already developed, are critically reviewed in this book and some improvements are suggested. This book is intended to be an expanded version of Part 7: Probabilistic risk assessment, 2003, a Published Document (PD) to British Standard BS 7974: 2001 on the Application of Fire Safety Engineering Principles to the Design of Buildings. Ganapathy Ramachandran and David Charters were co-authors of PD 7974 Part 7. Quantitative Risk Assessment in Fire Safety is essential reading for consultants, academics, fire safety engineers, fire officers, building control officers and students in fire safety engineering. It also provides useful tools for fire protection economists and risk management professionals, including those involved in fire insurance underwriting.
Author: Sidney Shapiro Publisher: Stanford University Press ISBN: 080477918X Category : Law Languages : en Pages : 288
Book Description
In the 1960s and 1970s, Congress enacted a vast body of legislation to protect the environment and individual health and safety. Collectively, this legislation is known as “risk regulation” because it addresses the risk of harm that technology creates for individuals and the environment. In the last two decades, this legislation has come under increasing attack by critics who employ utilitarian philosophy and cost-benefit analysis. The defenders of this body of risk regulation, by contrast, have lacked a similar unifying theory. In this book, the authors propose that the American tradition of philosophical pragmatism fills this vacuum. They argue that pragmatism offers a better method for conceiving of and implementing risk regulation than the economic paradigm favored by its critics. While pragmatism offers a methodology in support of risk regulation as it was originally conceived, it also offers a perspective from which this legislation can be held up to critical appraisal. The authors employ pragmatism to support risk regulation, but pragmatism also leads them to agree with some of the criticisms against it, and even to level new criticisms of their own. In the end, the authors reject the picture—painted by risk regulation’s critics—of widely excessive and irrational regulation, but the pragmatic perspective also leads them to propose a number of recommendations for useful reforms to risk regulation.
Author: Piet Geusens Publisher: Springer Science & Business Media ISBN: 0857294024 Category : Medical Languages : en Pages : 262
Book Description
When I was a young intern in internal medicine,osteoporosis was defined mainly as a fracture occurring in elderly people. However,although plain X-ray examination was recognized as an insensitive way to detect osteoporosis, hypodense bone was already considered as the reflection of the disease. Over the past 20 years, con siderable progress has been accomplished. In terms of prevalence, incidence, risk factors, and the burden of osteoporosis and low-energy fracture, we can appreciate the magnitude of the problem and its impact on quality oflife. Weare wellaware that vertebral fracture, which can be acutely associated with a low clinical expression, leads to significant long-term impairments. The costs for the individual and for the health budget, Le. society,are estimated better. Wenow have a clear definition of the disease, such as low bone mass and architectural defects, resulting in increased fragility. For the former part of the definition, the clinician can use accurate and pre cise tools allowing them to distinguish how their patient's bone mineral content differs from that of a young healthy population in which fracture occurs very rarely. For the second series of fragility determinants, i. e. structure, methods are in rapid progress and will provide information to clinicians on these variables in the near future. Basicand clinical research have allowed major improvements in the understand ing of the pathophysiology of the disease. Newgenes implicated in lowand/or high bone mass have been characterized.
Author: United States. Congress. Senate. Committee on Governmental Affairs Publisher: ISBN: Category : Administrative agencies Languages : en Pages : 736
Author: Robert William Hahn
Author: Robert William Hahn
Author: John C. Goodman
Author: United States. Office of Management and Budget
Author: Ganapathy Ramachandran
Author: Sidney Shapiro
Author: United States. Congress. Senate. Committee on Governmental Affairs
Author: Piet Geusens
Author: 
Author: United States. Congress. Senate. Committee on Governmental Affairs
Author: National Research Council