How society and medicine discussed and responded to child abuse changed dramatically in 1962. Since that time, the problem’s fuller scope has been revealed.
AMA J Ethics. 2023;25(2):E148-152. doi:
10.1001/amajethics.2023.148.
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.