The causes of many health behaviors are deeply rooted in our culture, and using a counseling model that assumes individual control and responsibility for these behaviors can cause patients to feel hectored instead of helped.
Those charged by the ACA health reform act to identify best clinical practices that are evidence-based and applicable across diverse populations can learn much from the experience of the Medicare-funded End Stage Renal Disease Program.
Because of their preferential option for the poor, Catholic hospitals have become known as a "provider of last resort" for uninsured and underinsured citizens. The Catholic Health Association envisions a health care system in which unequal access to care is no longer a burden the poor must bear.