Health Insurance for All Long-Term Care Workers: Estimated Costs and Coverage Impacts in Minnesota and Recommendations for States

A major barrier to building a strong workforce to meet the growing need for long-care is lack of affordable health benefits. This study projects impacts of funding health coverage for all long-term care workers in Minnesota. Under the most cost effective model plan design, enrollment in employer-sponsored coverage would increase 73% to 100% for individual coverage and 26% to 42% for family coverage. Total monthly costs would be $698/worker in the commercial market or $634/worker through a new dedicated risk pool. Based on our findings and past research, the authors present recommendations for structuring and implementing a long-term care worker health insurance initiative.     

Towards Customized Deliberations

ABSTRACT

The profession of social work has important contributions to make in the rapidly developing dialog about medical care decision making and to the evolution of hospitals as systems that engage with people as patients, for whom illnesses create increased vulnerability (Gruber, 1998). Professional ethics clearly states that the individual professional social worker has a responsibility to influence processes involving vulnerable populations. Articulating social work's responsibility and potential contributions in the area of medical care decision making begins with an application of social work's mission and values, and then continues with consideration of the profession's evolving role in hospitals. Pertinent aspects of the health care industry, including current models for continuum of care and for provider-patient relationships, are discussed in terms of opportunities to modify the models used to guide interactions with patients. Finally, the impact of a growing number of distinct treatment options is also considered. The objective of the article is to offer social workers in health care settings a conceptual framework for considering professional ethical obligations and for participating in the contemporary dialog regarding medical care decision-making.     

Mental Illness,Social Construction,and Managed Care

Abstract

Managed care is creating a social reality that affects the lives of millions. Mental health coverage under health care plans is a function of how mental illness and its proper treatment are defined. These definitions are shaped by social actors competitively seeking to satisfy their particular interests. This paper examines the influence of privatized managed behavioral health care on these evolving social definitions, as evidenced in published works, written reports, and legal actions. It is written from the perspective of social workers as providers of services and advocates for social justice. Options for social work responses to managed behavioral health care are explored.     

“国家帮助”与我国的农业互助合作运动

通过"国家帮助"使农民逐步走上互助合作化道路是马列主义农业合作理论的一个基本原则。"国家帮助"包括政治、经济、技术援助等多种具体形式,我国的农业互助合作运动是马列主义"国家帮助"理论在我国的具体运用,在这一过程中积累了丰富的经验,但是由于社会主义改造步伐的迅速加快,国家无法给所有的合作社都提供足够的帮助,甚至在某些时候某些地方提供"国家帮助"时违背了自愿原则而成为变相惩罚,这也是我国农业合作化运动所留下的深刻教训。     

燕京大学:近代中国医学预科教育的典范

自1925年至1952年,协和医学院委托燕京大学办理医学预科教育?燕京大学充分发挥综合大学的各项优势,为协和医学生在其职业教育前打下坚实的通识教育基础,显示出不同于其他院校医学生培养的特点,为中国医学界培养了大量精英人才,创造了近代中国医学预科教育的奇迹?     

社会保险对农村留守老年人的子女养老替代效应研究——基于CHARLS的微观数据

基于中国健康与养老追踪调查(CHARLS)2011年与2015年两期平衡面板数据,运用倍差法(DID)分析了以新农保、新农合为主的农村社会保险对农村留守老年人的子女经济供养、医疗供给的替代性效果,实证研究发现:新农保、新农合对其子女提供的经济供养、医疗供给具有替代性,但替代程度均较低;新农合能够在一定程度上提高其医疗参与率,降低其医疗担忧;同时,基于异质性讨论进一步发现,个人(家庭)保障能力越低,新农保、新农合对其子女养老的替代效应越明显。因此,要加大新农保、新农合等社会保险政策为农村留守老年人带来的经济与医疗福利效应,在有效提高政策补贴标准与范围的基础上,着重关注农村留守老年人群体的养老与医疗困境,并实施具有针对性的倾斜政策。     

南京医科大学1978～2004年研究生生源情况分析与思考

文章从生源的总量、性别构成、年龄、考生来源、毕业学校、学科分布等方面分析了南京医科大学1978～2004年硕、博士研究生生源情况。结果表明,27年来生源稳定增长,早期以培养基础医学研究生为主,近10年以培养临床医学研究生为主;硕士生中女性生源增长较快,生源逐渐年轻化,应届生报考人数迅速增加,本校生源有增高趋势;博士生的性别构成、生源年龄均比较稳定,考生来源单一。据此提出加强校际交流,扩大外校生源,加强临床医学专业学位及预防医学研究生的培养,加强学生的就业教育,并建议改革研究生入学考试方式,鼓励跨专业学生攻读医学科学学位。