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
City
Houston, Texas
Interview Session
Topics 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
