DOCSLIB.ORG

Genetic Hygiene: Discourses of Causation in North American Medicine

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Genetic Hygiene: Discourses of Causation in North American Medicine Genetic Hygiene: Discourses of Causation in North American Medicine by Sarah Emily Blacker A thesis submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in English Department of English and Film Studies University of Alberta © Sarah Emily Blacker, 2015 Abstract Written in an era that is witnessing an epistemic shift through which human health is increasingly being geneticized by North American science and medical institutions, this dissertation interrogates the discourses that make such a shift—and all of its material repercussions—possible. I contend that the naturalization of reductive and mono-contextual discourses of causation have acted as conceptual precursors to the epistemic dominance now secured by genomic and “personalized” medicine in 2015. Reading these discourses of causation as part of a larger hegemonic set of processes that find expression as a liberal form of self-management in the context of Canada as a state that invests in the productive capacities of its citizenry, this thesis narrates the development of reductive causation through three case studies that examine how state institutions have parsed forms of social inequality from forms of biological inequality, while epistemologically cementing the latter as the scientific mechanism of causation. Ultimately, this thesis aims to disrupt the hegemony of these discourses to create space for other knowledges concerning health and illness, including that of Indigenous Traditional Knowledge. I contend that the state’s parsing of social and biological forms of inequality is informed by a notion of biovalue—a concept developed by Catherine Waldby and Robert Mitchell to theorize a biologically novel form of value produced by innovations in molecular biology. But, for the purposes of my analysis, I situate biovalue on a macro scale that I argue is particular to a neoliberal state that retains social-democratic features such as social security and universal health care, and the ways in which economic considerations of such a state have led to institutions and policies that distribute resources based on calculations of gradients of biovalue. Biovalue measures capacity for productivity, and yet longstanding biological and ! ""! political notions of variation and inequality, such as eugenic ideas concerning varying capacities for productivity along race and class divides, continue to inform state policy. The first chapter presents an early articulation of personal hygiene being framed as a form of self-management into which individuals—especially those living in poverty—are hailed as hygienic subjects, which is, in the interwar period, synonymous with responsible, self-determinate subjectivity. This chapter traces how the eugenic ideas and policies of the Canadian physician and policymaker Helen MacMurchy betray a calculation of biovalue that explicitly takes into account the perceived “drain” on state resources presented by unproductive citizens in the period preceding the implementation of universal health care following the passing of the Medical Care Act in 1966. The second chapter turns to a particular application of genomic science in the form of the development of pharmacogenetic drugs that divide therapeutic populations on the basis of race. This chapter draws attention to the multiple sites of power and knowledge production that have an interest in figuring race as a biological entity that “naturally” determines differential forms of biovalue, and the way in which science has been positioned as the preferred channel through which this knowledge is disseminated. In addition to revealing the extent to which science and the state are intertwined in their production of race as a form of valuation, this chapter notes how articulations of urgency accompany the shift into therapeutic applications, functioning as a political justification for intervention while eliding their centrality to modern racial projects. The third chapter considers how state calculations of biovalue in Indigenous communities in Canada have informed the development of two-tier public health in ! """! Canada in the form of race-targeted public health campaigns. Through an analysis of government policy, this chapter finds that these public health campaigns betray a persistent colonial attitude towards, and devaluation of, Indigenous lives—indirectly, through policy—and that in this sense, these public health campaigns can be understood as a logical extension of the colonial project that was at work in the Canadian government’s Indian Residential Schools. The overarching aim of this project is to bring to the forefront the multiple ways in which dominant discourses of causation prevent the development of new imaginaries, and keep us from asking critical questions beyond the reductive thinking produced by our current epistemological, technological, and funding infrastructures. ! "#! Preface This thesis is an original work by Sarah Blacker. Chapter Two of this dissertation includes a revised and expanded version of my published article “Epistemic Trafficking: On the Concept of Race-Specific Medicine.” Copyright © 2010 for English Studies in Canada by the University of Alberta. This article first appeared in English Studies in Canada 36.1 (2010): 127-148. Reprinted with permission by English Studies in Canada. Chapter Three of this dissertation includes a revised and expanded version of my published article “‘Your DNA Doesn’t Need to Be Your Destiny’: Colonialism, Public Health and the Financialization of Medicine.” Copyright © 2014 for TOPIA: Canadian Journal of Cultural Studies by York University, Toronto, Canada. This article first appeared in TOPIA: Canadian Journal of Cultural Studies 30-31 (2014): 123-146. Reprinted with permission by TOPIA: Canadian Journal of Cultural Studies. ! #! Acknowledgements It is such a pleasure to have the chance to thank the many people who have helped me reach the point of completing my Ph.D. In acknowledging my debts here and expressing my gratitude, I am aware that these thanks cannot be but partial; my debts can never be fully accounted for. I have been especially fortunate to receive support from five different institutions in four different countries during the course of my Ph.D., so these thanks will not be brief. This dissertation has benefitted from financial support from McMaster University, the University of Alberta, the Social Sciences and Humanities Research Council of Canada, and the Max Planck Institute for the History of Science. I have been lucky to have such a wonderful supervisory committee. Imre Szeman, Heather Zwicker, and Mark Simpson have modeled the kind of mentorship and generosity that I hope to extend to my own graduate students. Since the first time I met him at McMaster, Imre has expressed an unflagging confidence in my abilities and in my ideas. He has always treated me as a colleague; collaborating with him on various projects has greatly enriched my experience of the Ph.D., and for this I will always be grateful. I thank Heather Zwicker for her incomparable guidance, care, and mentorship, as well as for her challenging questions that helpfully pushed me beyond my own thinking. Mark Simpson is an extraordinarily perceptive reader and has provided insightful comments that have greatly enriched this thesis. I also thank my examiners, Amy Kaler and Margery Fee, for their deep engagement with my work and for the generative questions they have posed of it. For their support and guidance during my time at the University of Alberta, I thank Karyn Ball, Teresa Zackodnik, Nat Hurley, Cecily Devereux, Mike O’Driscoll, Keavy Martin, Julie Rak, Terri Tomsky, Sue Howard, Kim Brown, and Mary Marshall Durrell. I thank, too, my wonderful colleagues at both McMaster and the University of Alberta, especially Jennifer Adese, Phanuel Antwi, Brent Bellamy, Adam Carlson, Alexandra Carruthers, Rich Cole, Jeff Diamanti, Ashley Dryburgh, Andrea Hasenbank, Lisa Haynes, Tim Kaposy, Ailsa Kay, Matt MacLellan, Mike Mikulak, Dana Mount, Clare Mulcahy, Andrew Pendakis, Malissa Phung, Jen Pybus, Laura Schechter, Brianna Wells, Caitlin Wells, and Liam Young. The time I have spent working at the Max Planck Institute for the History of Science has had a profound influence on the framing of the research questions that lie at the heart of this thesis. For sharing ideas, productively challenging mine, and providing an unendingly inspiring research environment, I thank Jenny Bangham, Saskia Bultman, Shih-Pei Chen, Samuël Coghe, Rohan Deb Roy, Judy Kaplan, Lara Keuck, Veronika Lipphardt, Robert Meunier, Yuriditzi Pascacio-Montijo, Dagmar Schäfer, Martina Schlünder, Skúli Sigurdsson, Mihai Surdu, Honghong Tinn, and Sandra Widmer. I thank Sandra for inviting me to join the “Twentieth Century Histories of Knowledge About Human Variation” research group in 2012, as well as for her generous support and mentorship in the years that have followed. I was extremely fortunate to share an office with Jenny Bangham during the final stages of the writing of this dissertation. Being able to share books, writing space, ideas, meals, commutes, and close friendship with Jenny was a pleasure and greatly ! #"! enriched the pages of this dissertation. Martina Schlünder’s bright mind and creativity know no bounds, and she is a wonderful teacher. Daily conversations with Martina on biomedicine, STS, interdisciplinarity, Zwischenraum, and the history of science and medicine have without a doubt inflected the ideas in the following pages. I thank Martina
Load more

Recommended publications
  • UC Santa Cruz Electronic Theses and Dissertations
    UC Santa Cruz UC Santa Cruz Electronic Theses and Dissertations Title Unbecoming Silicon Valley: Techno Imaginaries and Materialities in Postsocialist Romania Permalink https://escholarship.org/uc/item/0vt9c4bq Author McElroy, Erin Mariel Brownstein Publication Date 2019 Peer reviewed|Thesis/dissertation eScholarship.org Powered by the California Digital Library University of California UNIVERSITY OF CALIFORNIA SANTA CRUZ UNBECOMING SILICON VALLEY: TECHNO IMAGINARIES AND MATERIALITIES IN POSTSOCIALIST ROMANIA A dissertation submitted in partial satisfaction of the requirements for the degree of DOCTOR OF PHILOSOPHY in FEMINIST STUDIES by Erin Mariel Brownstein McElroy June 2019 The Dissertation of Erin McElroy is approved: ________________________________ Professor Neda Atanasoski, Chair ________________________________ Professor Karen Barad ________________________________ Professor Lisa Rofel ________________________________ Professor Megan Moodie ________________________________ Professor Liviu Chelcea ________________________________ Lori Kletzer Vice Provost and Dean of Graduate Studies Copyright © by Erin McElroy 2019 Table of Contents Abstract, iv-v Acknowledgements, vi-xi Introduction: Unbecoming Silicon Valley: Techno Imaginaries and Materialities in Postsocialist Romania, 1-44 Chapter 1: Digital Nomads in Siliconizing Cluj: Material and Allegorical Double Dispossession, 45-90 Chapter 2: Corrupting Techno-normativity in Postsocialist Romania: Queering Code and Computers, 91-127 Chapter 3: The Light Revolution, Blood Gold, and
    [Show full text]
  • Dis/Connection Conflicts, Activism and Reciprocity Online and Beyond 27–28 September 2018 Uppsala University
    Dis/connection Conflicts, Activism and Reciprocity Online and Beyond 27–28 September 2018 Uppsala University UPPSALA UNIVERSITY DIS/CONNECTION 2018 2 (38) UPPSALA UNIVERSITY DIS/CONNECTION 2018 3 (38) Dear Colleagues, It is our pleasure to welcome all of you to the symposium Dis / Connection: Conflicts, Activism and Reciprocity Online and Beyond organized by the Cultural Matters Group based here at Department of Sociology, Uppsala University. The goal of this two-day event is to gather researchers, stimulate discussion and scholarly exchange about one of the fundamental aspects of social relationships, namely connection. For over the past two decades or so digital networks became increasingly embedded in the everyday life and subsequently transformed many aspects of social living – from intimate and private relations through collective action to industries and social structures. At the same time, the goal of this event is to tackle the idea and question of disconnection – a multifaceted concept which has gained public and scholarly attention in recent years. As already noted in our call for abstracts, the purpose of this symposium is to stimulate the discussion on the gains, costs and possibilities of ethical life in the culture of hyperconnectivity. The aim is thus also to address both positive and negative aspects of dis/connected living and to better understand how it can possibly give rise to and facilitate social inclusion and meaningful societal exchange. The symposium programme consists of international and local researchers and promises intellectually stimulating time and great opportunity for networking, new partnerships and friendships. This event will take place at Campus Engelska Parken (The English Campus) and the University Main Building (Universitetshuset) and is arranged by the Cultural Matters Group with support from Uppsala Forum on Democracy, Peace and Justice at Uppsala University.
    [Show full text]
  • Direct Primary Care: a Legal and Regulatory Review of an Emerging Practice Model
    DIRECT PRIMARY CARE: A LEGAL AND REGULATORY REVIEW OF AN EMERGING PRACTICE MODEL Abstract Direct Primary Care (“DPC”) practices are a type of retainer practice where physicians directly charge patients a periodic fee and avoid any third party fee for service payments. These physicians have been small and overlooked group for many years, but the recent growth of the model demands attention. Previously tacit insurance commissioners have taken notice. Laws enacted by six state legislatures and the Affordable Care Act provides a background from which a legal framework can be developed. This article will articulate “business of insurance” concerns encountered by DPC physicians including recommended contractual provisions to minimize this risk, compare state laws written chiefly to address this concern, consider the DPC provisions of the Affordable Care Act, and briefly consider tax and scope of practice policy implications of the DPC model. A Definition & Introduction A retainer practice model involves a contract between the physician and patient whereby ongoing primary care services are provided in exchange for a periodic fee.1 For the practice to qualify as a direct primary care practice (a subset of the retainer category) the practice must 1) charge a periodic fee, 2) not bill any third parties on a fee for service basis, and 3) any per visit charge must be less than the monthly equivalent of the periodic fee.2 Billing third parties on a 1 Eskew, P. Direct Primary Care Membership Medicine, W V Med J, 2014 Mar-Apr;110 (2):8-11. 2 Interpretations of the Wash. Rev. Code § 48.150.010 (2007), Louisiana Senate Bill No.
    [Show full text]
  • HANDBOOK on HEALTHCARE REFORM DECEMBER 2017 Thomasjeffersoninst.Org Thomas Jefferson Institute for Public Policy
    THOMAS JEFFERSON INSTITUTE FOR PUBLIC POLICY HANDBOOK ON HEALTHCARE REFORM DECEMBER 2017 thomasjeffersoninst.org Thomas Jefferson Institute for Public Policy The Thomas Jefferson Institute for Public Policy is a non- partisan research and education organization devoted to improving the lives of the people in Virginia. The Institute was organized in 1996, and was the only state and local government focused public policy foundation in Virginia based on a philosophy of limited government, free enterprise and individual responsibility. It is a “solutions tank” seeking better ways to accomplish the policies and programs currently being undertaken by state and local government – always based on the Institute’s underlying philosophy. The first study was published in February 1997. The work of the Thomas Jefferson Institute for Public Policy is geared toward educating our political, business and community leadership about the issues facing our society here in Virginia. The Institute offers creative solutions to these problems in a non-partisan manner. The Thomas Jefferson Institute is a fully approved foundation by the Internal Revenue Service. It is designated a 501 ( c ) 3 organization and contributions are tax-deductible under the law. Individuals, corporations, associations and foundations are invited to contribute to the Thomas Jefferson Institute and participate in our programs. For more information on the programs and publications of the Thomas Jefferson Institute, please contact: Thomas Jefferson Institute for Public Policy 9035 Golden Sunset Lane Springfield, Virginia 22153 703-440-9447 email: [email protected] website: www.thomasjeffersoninst.org This paper, “Handbook on Healthcare Reform” is published by the Thomas Jefferson Institute for Public Policy.
    [Show full text]
  • News Arts Eats
    NORTHERN SANTA BARBARA COUNTY’S NEWS AND ENTERTAINMENT WEEKLY > JANUARY 23 - JANUARY 30, 2020 > VOL. 20 NO. 47 > WWW.SANTAMARIASUN.COM AT THE MOVIES 1 Bad Boys: It’s definitely a sequel [31] Whole For the Sun’s annual Health and body Wellness issue, take a walk [10], find a new kind of health care [12], and redirect your energy [15] care BY SUN STAFF Solvang deals with more Sketching Polaroids Doughnuts and wine NEWS political unease [5] ARTS in Lompoc [29] EATS at Riverbench [35] Follow Our Footsteps! JANUARY 23 - JANUARY 30, 2020 VOL. 20 NO. 47 o you have your New Year’s resolutions out and ready? Join classes now to perform in Well, I’ve already forgotten mine, but if yours have anything to do with your health, this is the issue for Sleeping Beauty Dyou. In the Sun’s annual Health and Wellness Issue, you can find out more about the program in Santa Barbara County Classes for ages 2 through adult! where some doctors prescribe walking as a remedy [10], an 2 alternative business model to traditional health care [12], and CARE FOR ALL: The goal of the direct using energy to heal what ails you [15]. primary care health care model is to provide direct physician-to-patient Come try a class for free! Also this week, read about what Solvang is doing with its access at an affordable rate. Board of Architectural Review [5], an artist who preserves Polaroids in charcoal [29], a new book detailing the history of Solvang [30], and what it takes to pair doughnuts with wine [35].
    [Show full text]
  • Theres No Rules. Its Hackathon
    bs_bs_banner ■ Graham M. Jones Anthropology Program Massachusetts Institute of Technology [email protected] ■ Beth Semel History, Anthropology, and Science, Technology, and Society Program Massachusetts Institute of Technology [email protected] ■ Audrey Le Anthropology, Teachers College Columbia University [email protected] “There’s no rules. It’s hackathon.”: Negotiating Commitment in a Context of Volatile Sociality How do people negotiate commitments to engaging in joint activity while at the same time anticipating and managing the inherent risks of collaboration? We explore this question through the ethnographic example of a hackathon, a collaborative software-design competi- tion. We focus specifically on the earliest and, in many ways, most uncertain phase of collaboration, in which commitment and activity simultaneously emerge: team formation. We analyze mercurial allegiances in terms of a technoliberal participation ideology closely asso- ciated with the mores of the digital economy, which paradoxically emphasizes intensive project-based collaboration but limited interpersonal responsibility. We examine the verbal and nonverbal resources (such as stance-taking, politeness, reported speech, humor, and gesture) that prospective teammates use to modulate expressions of commitment, and the ways in which they pursue self-interested projects while maintaining social relatedness in order to accomplish joint activity in a context of social volatility. [commitment, joint activity, participation, collaboration, ideology] Introduction erbert Clark (2006:126) identifies “joint activities . in which two or more participants coordinate with each other to reach what they take to be a Hcommon set of goals” as a quintessential feature of human sociality. Such activities, he asserts, “are managed through joint commitments” to a shared project and to particular tasks within it, which participants negotiate through a variety of verbal and nonverbal strategies.
    [Show full text]
  • EBPA Callender 2019
    ©Copyright 2019, The Phia Group, LLC Self-Funding, A Deep Dive Into Innovative Solutions ©Copyright 2019, The Phia Group, LLC Today’s Speaker Tim Callender, Esq. Vice President, Sales & Marketing . LEARN • PLAN • SAVE • PROTECT ©Copyright 2019, The Phia Group, LLC Self-Funding – Why It Matters Healthcare Costs – Out of Control • Lack of transparency • Convoluted and confusing system • The wrong incentives • Payer, provider, and plan sponsor tolerance • We’ve made this mess together – we can fix it through self-funding LEARN • PLAN • SAVE • PROTECT ©Copyright 2019, The Phia Group, LLC Self-Funding – Why It Matters Healthcare Costs – Out of Control – Lack of Transparency • $57 for a FRED (Fog Reduction Elimination Device: a 2 inch sQuare gauze strip used to wipe moisture from lenses in the operating room) • $200 for a bag of IV solution • $985 pair of scissors • $1,028 for a 1 oz container of contrast solution • $11 for a mucous recovery system (a box of tissues) • $350 for an IV kit LEARN • PLAN • SAVE • PROTECT ©Copyright 2019, The Phia Group, LLC Self-Funding – Why It Matters Healthcare Costs – Out of Control – Worst Offenders • Air Ambulance • Implantable Devices • Devices typically marked up between 500% and 1,000% of cost • Some providers get gouged on the procurement side as well • Dialysis • Dialysis facilities routinely charge 1,000% to 2,000% of Medicare allowable rates LEARN • PLAN • SAVE • PROTECT ©Copyright 2019, The Phia Group, LLC Self-Funding – Why It Matters Healthcare Costs – Out of Control • Payer and Plan Sponsor Tolerance
    [Show full text]
  • We Are All Self-Funded Now February 4-6
    The New Reality: We are All Self-Funded Now February 4-6 Program sponsored by: Caesars Palace ● Las Vegas, NV ● #HCAAExecForum ● hcaa.org TABLE OF CONTENTS Welcome .......................................................................................... 3 Thank You to Our Partners ......................................................... 4 Thank You to Our Sponsors ........................................................ 5 WIFI Instructions ............................................................................ 5 HCAA Mission, Vision and Values Statement ...................... 6 Antitrust Policy/Ethics Policy/Anti-Harassment Policy .... 7 Schedule-At-A-Glance .................................................................. 8 Speakers .................................................................................. 9 - 13 Schedule of Events .............................................................. 14 - 17 HCAA Management Staff / Past Presidents ........................ 17 2018-2019 Officers and Board of Directors ........................ 18 HCAA Committees & Task Forces ......................................... 19 Member Companies ............................................................ 20 - 21 CSFS® Information .............................................................. 22 - 24 Sponsor/Partner Materials ................................................ 25 - 53 Maps of Caesars Palace .................................................... 54 - 55 2 TABLE OF CONTENTS WELCOME TO EXECUTIVE FORUM 2019 Welcome to the 2019 HCAA
    [Show full text]
  • Table of Contents
    Mobile Utopia Conference – Abstracts Table of Contents KEYNOTE ABSTRACTS AND KEYNOTE SPEAKERS 6 Bicycling on Mars - Thoughts on the Future of Transportation - Rob La Frenais 6 TBC Clapperton Chakanetsa Mavhunga 6 ABSTRACTS AND PRESENTER INFORMATION 6 Data and Datafication 6 Smart Velomobile Utopias 6 The Active Mobility in Brazil: Advances in the Scientific Literature 7 Datadrifts: Mapping Journeys through Critical Participation in Environmental Data 8 IsITethical? Play with Datafication as Ethical Impact Assessment 9 Big Data Utopia 9 openAnalogInput(): Data Mining and Subjectivation 10 MPC Data Utopia/Dystopia: Medical Data Mobilities 11 Autopia I: Autonomy, Automation, Automobility 12 From Horse-drawn Carriages to Driverless Cars 12 Effect of Detector Placement, Train and Traffic Characteristics on Operational Performance 12 Automobile Utopias and Dystopias: Designing a Dystopian International Motor Show 13 Automobile Ownership in North Carolina, 1916-19: A Digital History Project 14 ‘Smart’ Autonomous Vehicles in Cities of the Future 14 What Kind of Utopia for Automated Mobility Futures? 15 Anticipation, Automation and Navigation 16 Autopia II: Autonomy, Automation, Automobility II 16 Automated Transport as Technological Vision and Political Utopia 16 Do Androids Dream of Electric Cars? 17 What Will Sleep Be Like in the Age Of Autonomous Vehicles? 17 Making Utopia Possible: How Lessons from History Can Contribute 18 A Spoiler that Embodies Hope: Utopian and Dystopian Dimensions of Radio Traffic Reports 18 Transport Utopia 19 Introducing
    [Show full text]
  • Defining the Place of Direct Primary Care in a Value-Based Care System
    REVIEW ARTICLE Defining the Place of Direct Primary Care in a Value-Based Care System Lindsey E. Carlasare, MBA ABSTRACT INTRODUCTION Introduction: Direct primary care, one of several retainer-based practice models, is a niche Health care in the United States has trans- practice type that offers an alternative to the traditional fee-for-service and insurance-based formed in recent years as influences through- practices most prevalent in US health care. In Wisconsin, the prevalence of direct primary care out the system necessitate changes in the practices is higher than in most other states. The market for direct primary care practice may be ways patient care is delivered and paid for. growing along with the industry shift to value-based care and an increase in physicians’ desire Physicians increasingly find themselves fac- to reduce the increasing administrative work and regulations that detract from patient care and ing burdensome administrative work,1 pres- increase burnout. Many physicians are seeking ways to reduce these burdens so they have sure to increase the quantity of patients,2 and more time with patients. Some are transitioning their practice to a retainer-based model, such increased levels of burnout.3 Recent research as direct primary care, in which they collect a retainer from patients in exchange for more time, shows 82% of Wisconsin physicians report freer communication, and less paperwork. some level of professional burnout and over half feel their work environment is chaotic or Objective: The objective of this review is to provide information about the direct primary care practice model, possible drivers to this model of care, and its advantages and drawbacks for hectic.4 Insurers are navigating higher costs physicians and patients.
    [Show full text]
  • Managing Principal of Mitigate Partners
    Carl C. Schuessler, Jr., DHP, DIA, GBDS Managing Principal of Mitigate Partners, LLC Carl Schuessler is the Founder and Managing Principal of Mitigate Partners, a Risk Management, Cost Containment and Employee Benefits Consulting firm, which is a partnership of 28 employee benefit consulting and brokerage firms that allows local management within a collaborative environment with more than 150 years of combined experience. We are an intentionally small “concierge” consulting firm offering a unique approach to benefits management for a select group of clients. We have chosen collaboration over competition and maintain healthy relationships with a cadre’ of like-minded consultants and resources throughout the United States. Being open to and encouraging the ideas of others allows us to remain on the cutting edge of thinking in our area of expertise, rather than developing the myopic view of the world that so often occurs in single source benefit brokerage shops. With more than 30 years of experience in benefits consulting and financial services, Carl pioneered the fiduciary approach to benefits advisory services. His interest in treating the employer’s money like his own, led Carl through years of research culminating in the development of his proprietary t FairCo$t Health Plan, an innovative plan design seamlessly integrated with a High- Performance Healthcare Solutions platform that provides best-in-class benefits at substantially lower costs while improving clinical and financial outcomes for health plans and their members. A founding Health Rosetta Charter Certified Advisor, Carl is a highly accomplished speaker and author who is engaged in the pursuit of EMPLOYER-Built Healthcare to replace the archaic Insurer-Built Healthcare system that has ceased to meet the needs of employers and their employees.
    [Show full text]
  • Direct Primary Care
    EMPOWERING TENNESSEANS INDIVIDUAL LIBERTY LIMITED GOVERNMENT FREE MARKETS EMPOWERING TENNESSEANS INDIVIDUAL LIBERTY LIMITED GOVERNMENT FREE MARKETS EMPOWERING TENNESSEANS INDIVIDUAL LIBERTY LIMITED GOVERNMENT FREE MARKETS EMPOWERING TENNESSEANS INDIVIDUAL LIBERTY LIMITED GOVERNMENT FREE MARKETS EMPOWERING TENNESSEANS INDIVIDUAL LIBERTY LIMITED GOVERNMENT FREE MARKETS EMPOWERING TENNESSEANS INDIVIDUAL LIBERTY LIMITED GOVERNMENT FREE MARKETS EMPOWERING TENNESSEANS INDIVIDUAL LIBERTY LIMITED GOVERNMENT FREE MARKETS EMPOWERING TENNESSEANS INDIVIDUAL LIBERTY LIMITED GOVERNMENT FREE MARKETS EMPOWERING TENNESSEANS INDIVIDUAL LIBERTY LIMITED GOVERNMENT FREE MARKETS EMPOWERING TENNESSEANS INDIVIDUAL LIBERTY LIMITED GOVERNMENT FREE MARKETS A COMPREHENSIVE EMPOWERING TENNESSEANS PACKAGE TO REFORMING INDIVIDUAL LIBERTY LIMITED GOVERNMENT FREE MARKETS EMPOWERING TENNESSEANS INDIVIDUAL LIBERTY LIMITED GOVERNMENT FREE MARKETS HEALTHCARE EMPOWERING TENNESSEANS INDIVIDUAL LIBERTY LIMITED GOVERNMENT FREE MARKETS HEALTHCARE Nationally, 1/3 of physicians now claim they will not accept new Medicaid patients. Last year, 2/3 of Medicaid Only 11% of those with patients had di culty private coverage had trouble obtaining an appointment. booking an appointment. THE SOLUTION DIRECT PRIMARY CARE Individuals pay a monthly fee for access to expert physicians. 1 | SUMMARY IT’S ABOUT ACCESS TO QUALITY CARE, NOT MERE COVERAGE The discussion about healthcare reform in Tennessee during the 2015 legislative session was monopolized by a debate over whether the state should expand Medicaid under Obamacare to at least 280,000 able-bodied, working-age adults. Unfortunately, this sidelined more substantive conversations about how we can provide true care—not just insurance coverage—to Tennesseans who lack access, quality, and control over their healthcare decisions. Regardless of income or socio-economic status, everyone deserves the opportunity to chart his or her own healthcare maps.
    [Show full text]