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The recent enactment of the Patient Protection and Affordable Care Act (ACA) of 2010, and the ongoing debate over reform of the U.S. health care system, raise numerous important ethical issues. This article reviews basic provisions of the ACA; examines underlying moral and policy issues in the U.S. health care reform debate; and addresses health care reform's likely effects on access to care, e...

The subject of health care reform is much in our minds these days. On the one hand, it is difficult to find anyone who admits to being opposed to health care reform. On the other hand, I think we may all easily foresee it is going to be extremely difficult to come up with a health care reform program that will satisfy everyone. So, if almost everyone agrees it needs fixing, why is it so difficu...

Background Posttraumatic psychiatric disorders (PTPDs) are common in disaster workers; however, their incidence and resilience in healthcare providers (HCPs) following a disastrous earthquake are still unclear. Therefore, we conducted an interventional study to clarify this issue. Methods After a medical response to the scene of a collapsed huge building, we conducted an assessment of the HCP...

mcdonough’s perspective on healthcare reform in the us provides a clear, coherent analysis of the mix of access and delivery reforms in the affordable care act (aca) aka obamacare. as noted by mcdonough, this major reform bill is designed to expand access for health coverage that includes both prevention and treatment benefits among uninsured americans. additionally, this legislation includes s...