Chapter 19: Financial Realities in Healthcare: The Need for Investment in Healthy Behavior; Treatments Near the End of Life; the Affordable Care Act
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Description
In this chapter, Dr. Burke talks about the fiscal realities that MD Anderson is confronting now and in the immediate future. He first observes that there has been no effort at the national level to make an investment in healthy behaviors, though he sees some change in that recently. He mentions where the resistance has been to such investment and observes that MD Anderson has advocated for these changes, but that no single institution can influence national priorities.
Dr. Burke next talks about the difficult financial decisions tied up with establishing care protocols at the end of a patient’s life. He talks about studies in progress to determine which efforts near the end of life have value (in that they improve a patient’s survival). He then discusses the realities of the conversations that physicians must have with patients, the decisions that patients and families must make.
Identifier
BurkeTW_03_20140429_C19
Publication Date
4-29-2014
Publisher
The Making Cancer History® Voices Oral History Collection, The University of Texas MD Anderson Cancer Center
City
Houston, Texas
Interview Session
Topic Covered
The University of Texas MD Anderson Cancer Center - The Finances and Business of MD Anderson; The Business of MD Anderson; The Administrator; Patients; Human Stories; Offering Care, Compassion, Help; Cancer and Disease; Understanding Cancer, the History of Science, Cancer Research; The History of Health Care, Patient Care; Fiscal Realities in Healthcare
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.
Disciplines
History of Science, Technology, and Medicine | Oncology | Oral History
Recommended Citation
Burke, Thomas W. MD and Rosolowski, Tacey A. PhD, "Chapter 19: Financial Realities in Healthcare: The Need for Investment in Healthy Behavior; Treatments Near the End of Life; the Affordable Care Act" (2014). Interview Chapters. 935.
https://openworks.mdanderson.org/mchv_interviewchapters/935
Conditions Governing Access
Open
Accessibility Statement
This item was created prior to May 2026. It is preserved for research, reference, or historical recordkeeping. Following WCAG 2.1, the library may provide accessible versions of archival materials upon request. For accommodation requests please submit an accessibility request form.
