Lessons From Investigations of Foodborne Disease Outbreaks

Article Abstract:

Investigations of disease outbreaks can assist public health officials to identify more foodborne diseases. Most foodborne diseases are sporadic, and unless there is a cluster of cases, it may be impossible to determine the cause. Two outbreaks of salmonella food poisoning in California and Washington allowed researchers to link the outbreaks to Mexican-style soft cheese (queso fresco) made from unpasteurized milk. However, although the dangers of raw milk have been known for decades, people still use it. This illustrates how difficult it is to educate the public about potential causes of foodborne diseases.

Editorial, Investigations, Foodborne diseases, Salmonellosis

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The Oregon capitation initiative: lessons and warnings, from the forefront of the backlash

Article Abstract:

Physicians need to study how capitation affects patient care and develop a form of capitated payment that preserves patient trust. Residents of Oregon put an initiative on the ballot that, if passed, would eliminate capitated payment systems. These are usually found in managed care plans that pay physicians a set fee per patient. Many people believe this gives doctors a financial incentive to ration health care. However, little research has been done to support this belief. Physicians should be able to design a capitated payment system that can allay the public's fears.

Laws, regulations and rules, Oregon, Capitated payment systems (Medical care)

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Arizona overwhelmingly adopts health care initiative

Article Abstract:

The Healthy Arizona Initiative passed in Nov, 1996, was the most successful initiative in Arizona history. The initiative was placed on the ballot to raise the eligibility standard for the state's Medicaid program to 100% of the federal poverty level and to fund 6 health programs that the legislature had underfunded. The initiative received widespread support and very little opposition. Seventy-two percent of the voters voted for the initiative. Supporters are now planning for its implementation.

Finance, Medical care, Political aspects, Arizona, Referendum, Referendums

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