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Showing posts with the label healthcare costs

The Politics of Elder Care, Social Care, and the “Dementia Tax”: A View from the United Kingdom

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By Richard Ashcroft Professor Richard Ashcroft, an AJOB Neuroscience Editorial Board member, teaches medical law and ethics at both the undergraduate and postgraduate level in the Department of Law at Queen Mary University of London. The United Kingdom has recently gone through a General Election. The main reason the election was called by Prime Minister Theresa May was to secure a stronger mandate for the ruling Conservative Party, which was governing with a small overall majority of 19 seats over the Opposition parties. PM May’s argument was that in the negotiations with the other member states of the European Union over the UK’s exit from that Union (Brexit), an increased majority would give her a stronger bargaining position. As the election turned out, the electorate returned the Conservatives with fewer seats, and PM May had to form a minority administration, with a partial agreement to support the Conservative Party made with one of the smaller parties, the Democratic Unionist P...

Diagnostic dilemmas: When potentially transient preexisting diagnoses confer chronic harm

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By Elaine Walker Elaine Walker is the Charles Howard Candler Professor of Psychology and Neuroscience at Emory University.   She leads a research laboratory that is funded by the National Institute of Mental Health (NIMH) to study risk factors for psychosis and other serious mental illnesses.  Her research is focused on the behavioral and neuromaturational changes that precede psychotic disorders.   She has published over 300 scientific articles and 6 books.  The diagnostic process can be complicated by many factors. Most of these factors reflect limitations in our scientific understanding of the nature and course of disorders. But in the current US healthcare climate, legislative proposals concerning insurance coverage for preexisting conditions add another layer of complexity to the diagnostic process. It is a layer of complexity that is riddled with ethical dilemmas which are especially salient in the field of mental health care. The following d...

Our Lazy Brain Democracy: Are We Doomed?

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By John Banja, PhD Lately, I’ve been thinking about the Martin Shkreli embarrassment in connection with System 1 and 2 reasoning [1].  Popularized by thinkers like Nobel Laureate Daniel Kahneman , System 1 thinking refers to the fast, intuitive, reflexive, usually highly reliable cognition that humans deploy perhaps 95 percent of the time in navigating and making sense of their environments. System 2 thinking, on the other hand, is slow, effortful, plodding, analytical, and data dependent—in short, an activity that most humans don’t particularly gravitate towards perhaps because our brains, at least according to Kahneman, are inherently lazy [1].  Shkreli , you’ll recall, is a former pharmaceutical CEO who found himself at the top of everyone’s hate list when he announced that his company was going to increase the cost of its drug Daraprim by 5000 percent.  (Daraprim is used in the treatment of malaria and HIV.) The public’s System 1, gut-level outrage predictably kick...

Predicting Alzheimer's Disease: Potential Ethical, Legal, and Social Consequences

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By Henry T. Greely, J.D. Henry T. (Hank) Greely is the Deane F. and Kate Edelman Johnson Professor of Law and Professor, by courtesy, of Genetics at Stanford University. He directs the Stanford Center for Law and the Biosciences and the new Stanford Program in Neuroscience and Society   SPINS).  He is also a member of the  AJOB Neuroscience  Editorial Board. Would you want to know the date and time of your death? Life-Line , the first published fiction by Robert A. Heinlein, one of the giants of 20 th century science fiction, explored that question. The story’s protagonist, Hugo Pinero, had invented a machine that could tell precisely when individuals would die, but, as Pinero found to his distress, he could not intervene to change their fates. Would you want to know whether you would be diagnosed with Alzheimer disease (AD)? This question is rapidly leaving the realm of science fiction; indeed, it already has for some unlucky people. Our ability to pred...