Lying to Insurance Companies: The Desire to Deceive among Physicians and the Public

This study examines the public's and physicians' willingness to support deception of insurance companies in order to obtain necessary healthcare services and how this support varies based on perceptions of physicians' time pressures. Based on surveys of 700 prospective jurors and 1617 physicians, the public was more than twice as likely as physicians to sanction deception (26% versus 11%) and half as likely to believe that physicians have adequate time to appeal coverage decisions (22% versus 59%). The odds of public support for deception compared to that of physicians rose from 2.48 to 4.64 after controlling for differences in time perception. These findings highlight the ethical challenge facing physicians and patients in balancing patient advocacy with honesty in the setting of limited societal resources.     

默认选项助推老年人意外伤害险在线购买

老年人意外伤害保险作为应对人口老龄化带来的意外风险的措施之一,能够有效缓解老年人意外伤害给其和家庭造成的经济负担。然而该险种购买不足的现状有可能影响其持续运营。本研究试图通过四个子研究探讨默认选项的助推方式是否能够促进老年人意外伤害险在线购买额。研究1通过实际销售数据分析,研究2~4通过实验发现:把默认选项设置在最高份数上能够有效地促进保险的购买份额。研究表明应用行为科学的发现可以有效促进公共政策的实施。     

Experiences of psychotherapists transitioning to private practice during COVID-19

The purpose of this qualitative phenomenological study was to gain insight into the lived experiences of psychotherapists transitioning to private practice during the COVID-19 pandemic. With an ever-expanding need for targeted and accessible mental health care, it is vital to understand this phenomenon and how it impacted patient access and care, and the providers themselves. Eighteen licensed psychotherapists were interviewed and their responses highlighted meaningful professional and clinical implications. As a result of the participant interviews, three major themes were identified: (1) the unknown related to COVID-19, (2) ease of transition and (3) work–life balance. Eleven additional subthemes emerged. Results suggested that psychotherapists had various personal and professional stressors exacerbated by the pandemic, along with a desire to balance work and life, manage the changes brought on by the pandemic, and gain or retain autonomy in their professional careers. Ultimately, the results of the study point to some shared experiences among psychotherapists, potential issues of access to psychotherapy, issues related to career satisfaction among psychotherapists, as well as some important areas for future research.     

The role of collaborative planning in children's source-monitoring errors and learning.

The aim of this research was to provide empirical evidence for a cognitive process that may contribute to children's learning from another person. A cornerstone of Vygotsky's sociocultural theory is that knowledge is internalized from others; however, the cognitive processes that support this transformation are underspecified. In a series of three studies, kindergarten children (mean age 5 years 8 months) participated in a categorization task with an adult in several collaborative and noncollaborative conditions and then were tested on their memory of who had performed which actions in the task. After the memory task, children were asked to recategorize the items on their own. Source-monitoring patterns and children's learning varied across conditions according to predictions. A measure of recoding was related to children's planning language that, in turn, predicted learning among the children. The results suggest that one process that contributes to children's internalization of knowledge may involve recoding of agent information and that recoding can be indexed by source-monitoring performance.     

In Defence of Luck Egalitarianism

This paper considers issues raised by Elizabeth Andersons recent critique of the position she terms luck egalitarianism. It is maintained that luck egalitarianism, once clarified and elaborated in certain regards, remains the strongest egalitarian stance. Andersons arguments that luck egalitarians abandon both the negligent and prudent dependent caretakers fails to account for the moderate positions open to luck egalitarians and overemphasizes their commitment to unregulated market choices. The claim that luck egalitarianism insults citizens by redistributing on the grounds of paternalistic beliefs, pity and envy, and by making intrusive and stigmatizing judgments of responsibility, fails accurately to characterize the luck egalitarians rationale for redistribution and relies upon luck egalitarians being insensitive to the danger of stigmatization (which they need not be). The luck egalitarian position is reinforced by the fact that Andersons favoured conception of equality, democratic equality, is counterintuitively indifferent to all unchosen inequalities, including intergenerational inequalities, once bare social minima are met.I am indebted to Catriona McKinnon and Hillel Steiner for their insightful comments on earlier versions of this article. An antecedent of the paper was presented at the Northern Political Theory Association Annual Conference at the University of St Andrews in August 2003. Research for this article was supported by the University of York Alumni Fund and the Arts and Humanities Research Board.     

The Use of Communication Technology in Private Practice: Ethical Implications and Boundary Dilemmas in Therapy

This study investigates the use of communication technology (CT) by therapists in private practice. CT has exploded in the last decade and therapists have begun to implement this technology in their work. It is important to understand better the types of technology therapists are using and how they decide which devices are most useful for clinical practice. Additionally, the availability of the therapist has long been debated and CT provides media to make therapists readily available. Results show that therapists have boundary concerns and ethical dilemmas regarding CT and often feel unprepared to handle inappropriate out-of-session contacts when they occur.     

医疗保险实施中的新课题：构建合理的利益格局

大连市实施医疗保险制度6年来,在医疗保险制度改革中医保机构、医疗机构、医药行业及参职工在利益格局调整中,出现了一些问题。从有利于医疗保险制度改革和公平、公正、客观的角度,用辩证的方法分析了医疗保险制度改革过程中的几个主要矛盾,进而从改变利益观、完善政策、加快配套改革等方面提出了相应的建议。     

人口老龄化呼唤老年医疗保障

我国人口老龄化进程加快,迫切需要建立健全老年人的医疗保障体系。简述了人口老龄化与老年人医疗卫生问题与支付能力,说明了在我国建立老年医疗保障制度的重要性及意义,并提出：针对社区老年人医药费用的不同负担形式与经济承受能力,建立不同收入、不同需求、不同形式的老年医疗保障制。