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Two interdependent themes that dominate current thinking about health care are periodic physician recredentialing and standard setting. The goals are said to be assurance of quality of care, competence of the practitioner, and cost containment. The New York State proposal described by Gellhorn1...
To test the value of intensive management of diabetes before and during early pregnancy, 84 women recruited prior to conception were compared with 110 women who were already pregnant referred at 6 to 30 weeks' gestation. All underwent daily measurement of fasting and postprandial capillary blood...
HOME health care promises to play an increasingly central role in the future provision of health care as hospital care becomes restricted to acute "intensive care." Paradoxically, physicians have dramatically decreased their involvement in home health care in recent decades. This has resulted in...
IRAQ'S brutalization of the first allied prisoners captured and its announcement that they are being used as "human shields" to protect Iraqi targets from attack have been condemned as violations of the Geneva Conventions by many world leaders and human rights groups, including the secretary...
THE CONCEPT is very appealing. It postulates that there is a minimum set of services to which everyone should have access, regardless of ability to pay. This set of services would form a floor for insurance policies, health plans, and government programs. People who want to receive more services...
THE VETERANS AFFAIRS (VA) Department—preparing for whatever happens in Desert Storm—has 80 hospitals available as receiving centers for wounded personnel and another 79 hospitals as secondary support centers. More than 8000 beds can be available at 24 hours' notice and an additional 7000 beds...
To the Editor.—
We have discussed elsewhere the compelling evidence for a diagnosis of manic-depressive illness, including the nature of van Gogh's psychiatric symptoms (extreme mood changes, including long periods of despair and extended episodes of highly active, volatile and exalted states,...
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