Erwin C. Wang, MHA, Megan Prior, Jenny M. Van Kirk, Stephen A. Sarmiento, Margaret M. Burke, MS, Christine Oh, MS, Eileen S. Moore, MD, and Stephen Ray Mitchell, MD
Policies and systems are slow to resolve structural disparities in access to insurance coverage and health care, but physicians can act now.
Shannon U. Waterman, MD, Amanda Kost, MD, Rachel Lazzar, MSW, and Sharon Dobie, MD, MCP
The Underserved Pathway at the University of Washington School of Medicine helps prepare future physicians to work with underserved populations by providing a foundation of practical knowledge and real-world experiences.
Specific advocate guidelines are needed for the protection of children in state custody who are potential research subjects in trials that would expose them to greater-than-minimal risk but also hold the prospect of direct benefit.
Chris Feudtner, MD, PhD, MPH, David Munson, MD, and Wynne Morrison, MD
The way that we choose how to frame the conversation with parents about halting or continuing such therapy for their children who will not recover has special importance in medicine and in society.
The Columbia University Community Pediatrics Program incorporates cultural competency training into its curricula by requiring residents to participate in community service programs.
Increased use of emergency departments for primary care puts undue burden on EDs; however, EMTALA obligates EDs to provide care to patients regardless of their ability to pay.
Physicians should recognize that patients’ beliefs may cause them to have non-medical explanations for their illnesses and that shared explanations should be negotiated if treatment plans are to be successful.
Physicians who are interested providing care to uninsured patients can consider a number of options to balance his altruistic desires with his personal needs.
Utah's preventive care plan for the uninsured offers limited benefit for young healthy individuals but does not provide the necessary care for it's more chronically ill participants.