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Managing Care, Managing Dollars [electronic resource]

America's healthcare system frequently leaves patients feeling shortchanged, while physicians are forced to overdose on paperwork and managed care companies are helpless to cap their soaring costs. What is the future of this system, as the tidal wave of Baby Boomers surges toward retirement? This program analyzes the symptoms of America's healthcare ills and suggests a prescription for potential cure. Experts include Professor Uwe Reinhardt, of Princeton University; Dr. Joseph Carver, of Aetna U.S. Healthcare; Dr. David Shulkin, of the University of Pennsylvania Health System; and the Editor-in-Chief of The New England Journal of Medicine.
2006; 1999

A Different Kind of Care [electronic resource]

At the end of life, what many Americans want is physical and spiritual comfort in a home setting. In this program, veteran PBS journalist Bill Moyers presents the important strides being made in the area of palliative care at pioneering institutions such as New York's Mt. Sinai Medical Center and Memorial Sloan-Kettering Cancer Center. These advances are bringing peace to those who fear that they will be a burden to loved ones, will suffer needlessly, or will be abandoned in their hour of greatest need.
2005; 2000

A Time to Change [electronic resource]

Whether they want to or not, four out of five Americans will likely die in hospitals or nursing homes, and the care they get will depend on both who is providing it and who is footing the bill. In this program, veteran PBS journalist Bill Moyers introduces crusading medical professionals-including staff members of the Balm of Gilead Project in Birmingham, Alabama-who have dedicated themselves to improving end-of-life care by changing America's overburdened health system.
2005; 2000

Dying With Dignity [electronic resource]: Sun City Choice

In this program, NewsHour correspondent Susan Dentzer reports on life and death in Sun City, Arizona, a vibrant retirement community where hospice is the preferred form of end-of-life care. Dartmouth Medical School's John Wennberg and others consider the desire of many senior citizens with terminal illnesses to make peace with death rather than fight it. They also confront the fact that statistics show no direct correlation between costly ICU interventions and patient longevity. As America's elderly population doubles over the next 35 years, will more seniors opt for meeting the end in the Sun City way?
2006; 1999

Achieving Psychosocial Health [electronic resource]

Overall well-being requires not only physical health, but psychosocial health as well. What exactly is psychosocial health, and how is it achieved? This program explains the elements that compose psychosocial health, the internal and external factors that influence it, and methods to enhance it. The importance of taking responsibility for one's own psychosocial well-being through self-recognition of problems and identification of barriers to meaningful communication is stressed.
2008; 1998

Malpractice and the Measure of Human Suffering [electronic resource]

When it comes to malpractice awards, there will always be those who call them exorbitant and others who call them just. But how exactly do juries calculate a figure for damages? How do they determine what the quality of life-or even life itself-is worth in dollars and cents? This ABC News program introduces viewers to a jury that, after finding a doctor to be negligent, had to then answer questions that most would find unanswerable. Their insights are illuminating.
2006; 2003

The Americans With Disabilities Act [electronic resource]: Is It Working?

During the 1980s, a new civil rights movement got underway-for people with disabilities. In this program, Larry Paradis, executive director of Disability Rights Advocates, speaks with NewsHour correspondent Spencer Michels about the importance of litigation in pressuring companies and communities to comply with the 1990 Americans with Disabilities Act. But are such legal actions actually undermining support for the ADA? Richard Baier, president of the Building Owners and Managers Association International; Congressman Mark Foley (R-FL); and others present their points of view.
2005; 2000

A History of Care [electronic resource]: Nursing in America

Progressing from the late 18th century to the present day, this program offers a capsule summary of nursing in America. The tireless work of the U.S. Army and Navy nursing corps, the American Red Cross, and the countless nurses affiliated with hospitals and other organizations is celebrated while honoring the courage and self-sacrifice of those who put themselves in harm's way in order to help the helpless. Dorothea Dix, Clara Barton, Harriet Tubman, Sojourner Truth, Clara Maass, Lillian Wald, and Lavinia Dock are only a few of the nurses singled out by history-and this video-for special commendation. Inspiring! Useful in both academic and career guidance contexts.
2010; 2006

Sick No Good [electronic resource]: AIDS in Papua New Guinea

Young thugs brag about their "raskol" gang ritual of raping women and girls. A truck driver picks up a teenage prostitute out on the highway-just part of his routine. A "hostess supervisor" at a Port Moresby brothel explains that he might tell clients to use a condom with his girls, but that sometimes he's too tired to bother. Such are the human tragedies in this look at Papua New Guinea's uphill battle against AIDS. While it clearly shows how poverty, cultural factors, violence against women, and an overburdened health care system have turned Australia's closest neighbor into an HIV hot spot, the film also highlights small-scale initiatives aimed at deterring sex crimes, improving patient care, and increasing anti-AIDS education in the country.

Healthcare Casualties [electronic resource]: The Underinsured Mentally Ill

At St. Bernard's Hospital, in Chicago's blighted Englewood neighborhood, the ER staff refuses to back away from the challenge of serving patients with serious mental illnesses and little or no insurance-a population precariously poised to slip between the cracks of a healthcare system that is not set up to catch them. Who are the dedicated professionals stretching their limited resources to help some of those least able to help themselves, and how are they doing it? This ABC News program goes to St. Bernard's to find out.
2006; 2003

World-Class Healthcare [electronic resource]: Why Isn't the U.S. The Best?

In many ways, American healthcare is number one-but not in overall performance, says the WHO, which ranked the U.S. 37th. Unlike most first-world countries, America does not guarantee care for all of its citizens regardless of ability to pay. This ABC News program seeks to understand what factors contribute to top-notch healthcare as it assesses the advantages and disadvantages of the Canadian and U.S. systems. Can some of the Canadian benefits be brought to America, or would that require compromises that Americans are unwilling or unable to make?
2006; 2003

ERs in Crisis [electronic resource]: Turning Away the Uninsured

Today's emergency rooms are being used as a safety net for a healthcare system that leaves tens of millions of Americans uninsured-and that net is about to break. Because ERs are required to treat every patient who comes through the door, people with nowhere else to turn are joining the critical-care crowd. This ABC News program reports on America's emergency room crisis, in which many ERs, overwhelmed and losing money, are taking drastic actions to keep their heads above water-including turning away those who cannot pay.
2006; 2003

The Right to Die [electronic resource]: Terri Schiavo

Her feeding tube removed, Terri Schiavo has passed away. Medically speaking, was she in a persistent vegetative state or a locked-in state? On that question hung Terri's fate for more than a decade. Was she alive in a meaningful sense? Her husband said no; her parents said yes. This ABC News program, broadcast at the time when Terri's case was brought before the Florida legislature and Governor Jeb Bush, gives background on the acrimonious battle of life and death in which Terri was a pawn and then analyzes the medical, ethical, and legal aspects of the precedent-setting case.
2011; 2003

More Than Skin Deep [electronic resource]: Skin Cancer in America

The deep tan was accidentally popularized by Coco Chanel, yet even when Bob Marley died of melanoma decades later, the general public was still not fully aware of the dangers of UV radiation. This program examines not only the medical and scientific aspects of skin cancer, but its cultural, historical, and social facets as well. Using nationally known experts and dramatic personal testimony, it describes symptoms and risk factors - including indiscriminate use of tanning beds - mole assessment, and the pioneering medical trials for melanoma that may revolutionize cancer treatment.

Minority Health [electronic resource]

Healthy living presents special challenges for members of minorities living in lower-income neighborhoods-particularly senior citizens. This program examines those challenges, and the health problems that can result, by focusing on African-Americans and Latinos. Host Dr. Kevin Soden speaks with Dr. Terrance Fullham about difficulties faced by older African-Americans, including obesity and limitations on access to health care, highlighted by a case study of the Anacostia neighborhood of Washington, D.C. Then, Dr. Mark Hathaway leads the discussion on health issues facing Latinos, which are further complicated by language barriers. A thought-provoking perspective on minority rights and social inequality in America's urban areas.
2009; 2007

Mental Health [electronic resource]: The Individual and Society

For those who have never faced deep-rooted emotional or psychological problems, it can be difficult to see why maintaining mental health requires more than the capabilities of any one individual. While personal accountability remains an important step toward wellness, the complex demands of society do contribute to mental illness and create obstacles to healing. This program examines mental health at the personal level and in a social context. It discusses key processes for recovering and maintaining mental well-being; helpful information concerning depression and drug and alcohol abuse; and the importance of diet, exercise, meditation, social interaction, and community resources and structures.
2010; 2009

Fat and Happy? [electronic resource]

If a solution to America's obesity problem is found, it will likely draw upon not only clinical factors but also social, cultural, and psychological considerations. In this classic episode of Scientific American Frontiers, host Alan Alda talks with Dr. George Blackburn of Boston's Beth Israel Deaconess Medical Center to explore society's obsession with diets that promise quick, painless results. Alda also visits Arizona's Pima and Tohono O'odham Indians, who have the world's highest rate of obesity-related diabetes and now look to their traditional diets to save their culture and health. In addition, the program explores research on how obesity develops in children.

More Fries With That? [electronic resource]

Obesity is a widely discussed issue, and yet one of its principal causes - fast food consumption - shows no sign of going away. This program explores the popularity of convenience meals and the growing health and social concerns associated with them. Viewers learn about direct links between high-fat, high-sugar, highly processed foods and severe physiological problems as well as socioeconomic challenges. In addition, the video investigates a number of lifestyle factors that influence diet, including long work days or study sessions, high-tech entertainment and communication, and an overall rise in the pace of living.

Diet [electronic resource]: A Look at Processed Food, Nutrition, and Obesity in the 20th Century

Attitudes about the industrialization of food have changed greatly over the past several decades. What used to be considered a scientific miracle now seems like a horrific joke: piglets being reared in incubators that look like tiny iron lungs; fish raised in tanks of runoff water - and growing at a remarkable rate! - from a nuclear power plant. These scenarios and more are presented in Diet as it traces the rise and fall of processed food, from promising cure for malnourishment to eventually being linked to obesity, heart disease, and cancer. Using archival footage from BBC's Horizon television series, the program also reviews 20th-century theories about the cause of obesity, and the diets and "miracle cures" designed to combat weight gain.

The Chronically Ill [electronic resource]: Pain, Profit, and Managed Care

Currently, three-quarters of all U.S. healthcare dollars are spent on 100 million people with chronic illnesses and conditions. Will a cost-conscious healthcare system, increasingly driven by the market and oriented toward acute care, give them the proper care? This program examines how the chronically ill are faring today in seeking the high-quality, long-term care they need. Special reports focus on cases of patients with cancer, victims of stroke and heart disease, and children with congenital illnesses, comparing their treatment by commercial HMOs with the diagnoses and recommendations of independent experts. The program also documents the burdens on families providing home care.
2005; 2000