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Full-Text Articles in Medicine and Health Sciences

What’S Next For Obamacare?, Peter E. Hilsenrath, Liam O'Neill Jun 2017

What’S Next For Obamacare?, Peter E. Hilsenrath, Liam O'Neill

Peter E. Hilsenrath

No abstract provided.


The Chilean Pension System At 25 Years: The Evolution Of A Revolution, Gregory J. Buchholz, Alberto Coustasse, Patricio Silva, Peter E. Hilsenrath Jun 2017

The Chilean Pension System At 25 Years: The Evolution Of A Revolution, Gregory J. Buchholz, Alberto Coustasse, Patricio Silva, Peter E. Hilsenrath

Peter E. Hilsenrath

The 1981 reform of the Chilean pension system was revolutionary at its time. It was the first instance of a mature public Pay-As-You-Go social security system being converted into a mandatory defined contribution system managed by the private sector. This paper contends that a unique confluence of events were responsible for this change. The rise of a dictatorship in Chile, a struggling public retirement system, and a cadre of Chicago oriented economists determined to make Chile a model free market neoliberal economy. This was later followed by the Washington Consensus and the promotion of Chilean reform by the World Bank. …


Personal And Societal Health Quality Lost To Tuberculosis, Thaddeus L. Miller, Peter E. Hilsenrath, Scott J. N. Mcnabb, Jotam G. Pasipanodya, Stephen E. Weis Jun 2017

Personal And Societal Health Quality Lost To Tuberculosis, Thaddeus L. Miller, Peter E. Hilsenrath, Scott J. N. Mcnabb, Jotam G. Pasipanodya, Stephen E. Weis

Peter E. Hilsenrath

Background: In developed countries, tuberculosis is considered a disease with little loss of Quality-Adjusted Life Years (QALYs). Tuberculosis treatment is predominantly ambulatory and death from tuberculosis is rare. Research has shown that there are chronic pulmonary sequelae in a majority of patients who have completed treatment for pulmonary tuberculosis (PTB). This and other health effects of tuberculosis have not been considered in QALY calculations. Consequently both the burden of tuberculosis on the individual and the value of tuberculosis prevention to society are underestimated. We estimated QALYs lost to pulmonary TB patients from all known sources, and estimated health loss to …


Palestinian Health Institutions: Finding A Way Forward In The Wake Of The Second Intifada, Peter E. Hilsenrath, Karan P. Singh Jun 2017

Palestinian Health Institutions: Finding A Way Forward In The Wake Of The Second Intifada, Peter E. Hilsenrath, Karan P. Singh

Peter E. Hilsenrath

The strength of Hamas in Palestinian elections in early 2006 reshuffled the cards in the game of Middle East politics. Many astonished observers have sought an explanation for this political change. But the election result should not have been so surprising. Hamas has earned a reputation of clean governance and compassion for the poor, unlike the Fatah-led Palestinian Authority. Hamas has had a strong presence in the health sector which helped establish its legitimacy and popularity. This paper reviews bilateral and multilateral aid to Palestinians following the second intifada and argues that not enough was done by the international community …