Who Pays? Who Benefits? Unfairness in American Health Care

American-style health insurance greatly amplifies price-gouging opportunities for health care providers, who inflate prices both to enrich themselves and to subsidize and expand the nation’s health care enterprise. To the extent that lower- and middle-income Americans with private health coverage pay premiums that go to support and expand the system, they are subject to an unfair (regressive) “head tax” levied by unaccountable entities for ostensibly public but also private purposes. Lower-income premium payers also often pay for costly health coverage designed to suit the economic interests and values of professional and other elites rather than their own. They also appear to get less as a group out of their employers’ health plans than their higher-income coworkers. How the cost burdens and benefits of Americans’ health care are distributed has not been sufficiently recognized as the fundamental issue of social justice that it is - even after the major reform legislation of 2010

Distributive Injustice(s) in American Health Care

Havighurst and Richman seek to show the nature--and to suggest the cumulative attitude--of the many regressive tendencies of the financing, regulatory and legal regime governing the private side of US health care

Equity of access to adult hospice inpatient care within north-west England.

There is a growing debate about the question of equity of access to hospice and palliative care services. Even countries with relatively well developed palliative care systems are considered to have problems of access and inequity of provision. Despite these concerns, we still lack a relevant evidence base to serve as a guide to action. We present an analysis of access to adult hospice inpatient provision in the north-west region of England that employs Geographical Information Systems (GIS). Measures of the possible demand for, and supply of, hospice inpatient services are used to determine the potential accessibility of cancer patients, assessed at the level of small areas (electoral wards). Further, the use of deprivation scores permits an analysis of the equity of access to adult inpatient hospice care, leading to the identification of areas where additional service provision may be warranted. Our research is subject to a number of caveats�it is limited to inpatient hospice provision and does not include other kinds of inpatient and community-based palliative care services. Likewise, we recognise that not everyone with cancer will require palliative care and also that palliative care needs exist among those with nonmalignant conditions. Nevertheless, our methodology is one that can also be applied more generally

General purpose airborne simulator - Conceptual design report

General purpose airborne simulator with capabilities for model controlled and response feedback types of variable stability operatio

A possible radiation-resistant solar cell geometry using superlattices

A solar cell structure is proposed which uses a GaAs nipi doping superlattice. An important feature of this structure is that photogenerated minority carriers are very quickly collected in a time shorter than bulk lifetime in the fairly heavily doped n and p layers and these carriers are then transported parallel to the superlattice layers to selective ohmic contacts. Assuming that these already-separated carriers have very long recombination lifetimes, due to their across an indirect bandgap in real space, it is argued that the proposed structure may exhibit superior radiation tolerance along with reasonably high beginning-of-life efficiency

Efficient generation of graph states for quantum computation

We present an entanglement generation scheme which allows arbitrary graph states to be efficiently created in a linear quantum register via an auxiliary entangling bus. The dynamics of the entangling bus is described by an effective non-interacting fermionic system undergoing mirror-inversion in which qubits, encoded as local fermionic modes, become entangled purely by Fermi statistics. We discuss a possible implementation using two species of neutral atoms stored in an optical lattice and find that the scheme is realistic in its requirements even in the presence of noise.Comment: 4 pages, 3 figures, RevTex 4; v2 - Major changes and new result

Subglacial floods beneath ice sheets.

Subglacial floods (jökulhlaups) are well documented as occurring beneath present day glaciers and ice caps. In addition, it is known that massive floods have occurred from ice-dammed lakes proximal to the Laurentide ice sheet during the last ice age, and it has been suggested that at least one such flood below the waning ice sheet was responsible for a dramatic cooling event some 8000 years ago. We propose that drainage of lakes from beneath ice sheets will generally occur in a time-periodic fashion, and that such floods can be of severe magnitude. Such hydraulic eruptions are likely to have caused severe climatic disturbances in the past, and may well do so in the future

Comparison of boiler feed pumps for cesium and potassium Rankine cycle systems

Comparison of electromagnetic and centrifugal pumps for cesium and potassium Rankine cycle system