David A. Fleming

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This position paper concerns improving health care in the United States. Unlike previous highly focused policy papers by the American College of Physicians, this article takes a comprehensive approach to improving access, quality, and efficiency of care. The first part describes health care in the United States. The second compares it with health care in(More)
and this updated policy paper is a collaboration between the ACP and the HIVMA of the IDSA. Since the last statement, many new developments call for the need to reexamine and update our policies relating to HIV infection. First, there have been major advances in treatment for HIV infection that have transformed HIV/AIDS from a terminal illness to a chronic(More)
All rights reserved. Individuals may photocopy all or parts of Position Papers for educational, not-for-profit uses. These papers may not be reproduced for commercial, for-profit use in any form, by any means (electronic, mechanical, xerographic, or other) or held in any information storage or retrieval system without the written permission of the(More)
Peoples' behavior in the aftermath of natural disasters may depend critically on various conditions. In this paper we postulate three conditions, likely to occur after massive natural disasters, that can adversely affect the trusting behavior of people within communities: rivalry for scarce relief and recovery recourses, increment of information asymmetries(More)
All rights reserved. Individuals may photocopy all or parts of Position Papers for educational, not-for-profit uses. These papers may not be reproduced for commercial, for-profit use in any form, by any means (electronic, mechanical, xerographic, or other) or held in any information storage or retrieval system without the written permission of the(More)
When caring for patients with end stage illness there tends to be universal agreement that overly aggressive treatment should be discouraged or limited when death is near and when further intervention would be futile or otherwise inflict undue suffering on the patient (1; 2; 3). The modern ability to delay the natural course of dying, however, has(More)
Hospice care focuses on palliation and the relief of suffering aiming to improve the quality of patients' last days. Telemedicine is considered to be a tool that can address challenges such as staff shortage, funding limitations and limited access to services in rural areas. Hospice services via telemedicine can be delivered directly into a patient's home(More)
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