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Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.
Is the United States a force for democracy? From 1940s China to Guatemala today, Blum presents a study of American covert and overt interference in the internal affairs of other countries. Each chapter of the book covers a year in which the author takes one particular country case and tells the story.
"The History of Wyoming" explains detailed information of territorial and state developments. This second edition also includes the post-World War II chapters containing discussion about the economy, society, culture and politics not included on the previous edition.
This provocative work explores the invention and reinvention of a fundamental goal of American social policy—universal health care. In Health Security for All, Alan Derickson examines the emergence of diverse proposals for all-encompassing health reform since the early twentieth century. This study discovers not only a number of imaginative arguments for extending health services but also an unexpectedly wide array of passionate advocates for universalism. An innovative approach to one of the great unresolved social and political problems of our time, Health Security for All will be of interest to social scientists, health policy scholars, historians, and idealists across the political spectrum.