New Conundrums: Public Policy and the Emerging Health Care Marketplace. 8th annual Herbert Lourie Memorial Lecture on Health Policy

There is a fundamentally new dynamic in American health care, one that has yet to be fully experienced but that threatens to leave a large portion of the American population without access to the quality health care they have received in the past. While the federal government has not completely abandoned the goal of assuring universal health care, a goal that dates back to the creation of Medicare and Medicaid in the 1960s and even earlier, the mechanisms to pursue that goal have changed. The implicit contract between government and health care providers--mostly doctors and not-for-profit hospitals--under which subsidized care was provided to those unable to pay has been broken in favor of more market-driven forces that promise a more cost-effective system, but a system that fails to protect a growing uninsured population. This new purchaser-driven system--in which costs increasingly determine the services that are provided--is likely to fall short of providing quality care to all who need it. Health care is different from other services, and unless this difference is recognized we are in danger of permanently denying quality health care to a significant minority of our population. Regulation of the emerging "free market" in health care is needed and government must assure that role.

Thermodynamic properties of Bi2Sr2CaCu2O8 calculated from the electronic dispersion

The electronic dispersion for Bi2Sr2CaCu2O(8+d) has been determined from angle-resolved photoelectron spectroscopy (ARPES). From this dispersion we calculate the entropy and superfluid density. Even with no adjustable parameters we obtain an exceptional match with experimental data across the entire phase diagram, thus indirectly confirming both the ARPES and thermodynamic data. The van Hove singularity is crossed in the overdoped region giving a distinctive linear-in-T temperature dependence in the superfluid density there.Comment: 5 pages, 4 figures, submitted to Physical Review Letter

Laser Guide Star for 3.6m and 8m telescopes: Performances and astrophysical implications

We have constructed an analytical model to simulate the behavior of an adaptive optics system coupled with a sodium laser guide star. The code is applied to a 3.6-m and 8m class telescopes. The results are given in terms of Strehl ratio and full width at half maximum of the point spread function. Two atmospheric models are used, one representing good atmospheric conditions (20 per cent of the time), the other median conditions. Sky coverage is computed for natural guide star and laser guide star systems, with two different methods. The first one is a statistical approach, using stellar densities, to compute the probability to find a nearby reference. The second is a cross-correlation of a science object catalogue and the USNO catalogue. Results are given in terms of percentage of the sky that can be accessed with given performances, and in terms of number of science object that can be observed, with Strehls greater than 0.2 and 0.1 in K and J bands.Comment: 14 pages, 17 figures, accepted for publication in MNRAS. Also available at: http://www-obs.univ-lyon1.fr/~lelouarn

Pressure dependence of the oxygen isotope effect in YBa2_2Cu4_4O8_8

We have carried out measurements of the pressure dependence to 1.2 GPa of the oxygen isotope effect on $T_c$ in the high-$T_c$ superconductor YBa$_2$Cu$_4$O$_8$ using a clamp cell in a SQUID magnetometer. This compound lies close to, but just above, the 1/8$^{th}$ doping point where in La$_{2-x}$Sr$_x$CuO$_4$ marked anomalies in isotope effects occur. Both isotopes show the same very large pressure dependence of $T_c$ with the result that the isotope exponent remains low ($\sim$0.08) but increases slightly with increasing pressure. This is discussed in terms of stripe suppression, a competing pseudogap and the effect of superconducting fluctuations.Comment: 4 pages, 1 figures, submitted to Phys. Rev.

Locating the pseudogap closing point in cuprate superconductors: absence of entrant or reentrant behavior

Current descriptions of the pseudogap in underdoped cuprates envision a doping-dependent transition line $T^*(p)$ which descends monotonically towards zero just beyond optimal doping. There is much debate as to the location of the terminal point $p^*$ where $T^*(p)$ vanishes, whether or not there is a phase transition at $T^*$ and exactly how $T^*(p)$ behaves below $T_c$ within the superconducting dome. One perspective sees $T^*(p)$ cutting the dome and continuing to descend monotonically to zero at $p_{crit} \approx 0.19$ holes/Cu $-$ referred to here as `entrant behavior'. Another perspective derived from photoemission studies is that $T^*(p)$ intersects the dome near $p_{crit} \approx 0.23$ holes/Cu then turns back below $T_c$, falling to zero again around $p_{crit} \approx 0.19$ $-$ referred to here as `reentrant behavior'. By examining thermodynamic data for Bi$_2$Sr$_2$CaCu$_2$O$_{8+\delta}$ we show that neither entrant nor reentrant behavior is experimentally supported. Rather, $p_{crit} \approx 0.19$ sharply delimits the pseudogap regime and for $p < 0.19$ the pseudogap is always present, independent of temperature. Similar results are found for Y$_{0.8}$Ca$_{0.2}$Ba$_2$Cu$_3$O$_{7-\delta}$. For both materials $T^*(p)$ is not a temperature but a crossover scale, $\approx E^*(p)/2k_B$, reflecting instead the underlying pseudogap energy $E^*(p)$ which vanishes as $p \rightarrow 0.19$.Comment: 20 Pages, 9 Figures, in press Phys. Rev.

Using sports infrastructure to deliver economic and social change: Lessons for London beyond 2012

Over the last two decades, there has been a new trend emerging within sport, which has seen a shift, from investment for the sake of sport, to investment in sport for good (Sport England, 2008). In the context of the latter approach, there has been an emergence of the use of sport to address regeneration objectives, largely stemming from the belief of government and other sporting and non-sporting organizations, that it can confer a wide range of economic and social benefits to individuals and communities beyond those of a purely physical sporting nature, and can contribute positively to the revitalization of declining urban areas (BURA, 2003). This commentary will examine regeneration legacy in the context of the London Olympic Games. In particular, it will focus on the use of sports stadia as a tool for delivering economic and social change, and by drawing upon previous examples, suggest lessons London can learn to enhance regeneration legacies beyond 2012