Asunto(s)
Disparidades en el Estado de Salud , Disparidades en Atención de Salud , National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division , Predicción , Disparidades en Atención de Salud/historia , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Grupos Minoritarios/historia , National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division/historia , Racismo , Determinantes Sociales de la Salud , Estados Unidos , United States Dept. of Health and Human Services/historiaAsunto(s)
Dieta Saludable , Dietética/métodos , Medicina Basada en la Evidencia , Promoción de la Salud/métodos , Política Nutricional/historia , Ciencias de la Nutrición/métodos , United States Department of Agriculture/historia , Enfermedad Crónica/prevención & control , Dieta Saludable/tendencias , Dietética/tendencias , Promoción de la Salud/tendencias , Historia del Siglo XIX , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Política Nutricional/tendencias , Ciencias de la Nutrición/tendencias , Estados Unidos , United States Dept. of Health and Human Services/historiaAsunto(s)
Atención a la Salud/economía , United States Dept. of Health and Human Services/historia , United States Dept. of Health and Human Services/organización & administración , Atención a la Salud/historia , Atención a la Salud/legislación & jurisprudencia , Historia del Siglo XX , Historia del Siglo XXI , Patient Protection and Affordable Care Act/economía , Patient Protection and Affordable Care Act/historia , Patient Protection and Affordable Care Act/legislación & jurisprudencia , Política , Estados Unidos , United States Dept. of Health and Human Services/legislación & jurisprudenciaAsunto(s)
Política de Salud , United States Dept. of Health and Human Services , Salud de la Mujer/tendencias , Femenino , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Estados Unidos , United States Dept. of Health and Human Services/historia , Salud de la Mujer/historia , Salud de la Mujer/legislación & jurisprudenciaAsunto(s)
Política de Salud , Neoplasias Pulmonares/prevención & control , Cese del Hábito de Fumar/métodos , Prevención del Hábito de Fumar , Contaminación por Humo de Tabaco/prevención & control , Dispositivos para Dejar de Fumar Tabaco , United States Dept. of Health and Human Services , Predicción , Política de Salud/historia , Política de Salud/legislación & jurisprudencia , Política de Salud/tendencias , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Neoplasias Pulmonares/epidemiología , Factores de Riesgo , Fumar/efectos adversos , Fumar/historia , Fumar/legislación & jurisprudencia , Cese del Hábito de Fumar/historia , Cese del Hábito de Fumar/legislación & jurisprudencia , Factores de Tiempo , Contaminación por Humo de Tabaco/efectos adversos , Contaminación por Humo de Tabaco/historia , Contaminación por Humo de Tabaco/legislación & jurisprudencia , Dispositivos para Dejar de Fumar Tabaco/historia , Dispositivos para Dejar de Fumar Tabaco/tendencias , Estados Unidos , United States Dept. of Health and Human Services/historia , United States Dept. of Health and Human Services/legislación & jurisprudencia , United States Dept. of Health and Human Services/tendenciasRESUMEN
The transplant medical community in the United States has frequently been divided over the appropriate role of the federal government and of the public in matters related to organ transplantation. Using public statements in government hearings, newspapers, and press releases, this article traces the thinking of the transplant medical community in particular during three especially politicized periods: the heart transplant and brain death controversies in the late 1960s, consideration of the National Organ Transplant Act and other legislation during the mid-1980s, and the controversy over organ allocation regulations issued by the Department of Health and Human Services in the late 1990s. Even while sometimes denouncing "politicization," over time surgeons, physicians, representatives of the United Network for Organ Sharing, and other leaders in the field became increasingly politically active and more accustomed to the notion that because of the unique nature of organ transplantation, both the public and the federal government have a legitimate and potentially beneficial oversight role.
Asunto(s)
Gobierno Federal/historia , Regulación Gubernamental/historia , Trasplante de Órganos/historia , Médicos/historia , Política , Opinión Pública/historia , Disentimientos y Disputas/historia , Política de Salud/historia , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Organizaciones sin Fines de Lucro/historia , Obtención de Tejidos y Órganos/historia , Estados Unidos , United States Dept. of Health and Human Services/historiaAsunto(s)
Investigadores/legislación & jurisprudencia , Mala Conducta Científica/legislación & jurisprudencia , United States Office of Research Integrity/organización & administración , Academias e Institutos/organización & administración , Habilitación Profesional/legislación & jurisprudencia , Fraude/legislación & jurisprudencia , Guías como Asunto , Historia del Siglo XX , Hospitales/normas , Política Organizacional , Investigadores/normas , Mala Conducta Científica/historia , Estados Unidos , United States Dept. of Health and Human Services/historia , United States Office of Research Integrity/historia , Universidades/organización & administraciónRESUMEN
The author served as the 17th U.S. Secretary of Health and Human Services, from March 1, 1989 until January 20, 1993. The department had 250 programs and 38 percent of the expenditures of the federal government ($600.0 billion), the fourth largest budget in the world. The history of the department included the fact that the tenure of previous Secretaries had ranged from only eight months up to 37 months, and had averaged 27.5 months, resulting in the view that the department was unmanageable. The author's tenure as Secretary was 47 months, and, in the author's view, the department was indeed manageable. The United States Department of Health, Education and Welfare (DHEW) was created as a cabinet agency in 1953, during the administration of President Dwight D. Eisenhower. The Department was formed by bringing together the Social Security Administration (founded in 1935), the United States Commissioner of Education, and the United States Public Health Service (founded in 1798) to serve the United States Merchant Marines). This new cabinet department contained the nation's major domestic programs concerned with income security, public health and education. Oveta Culp Hobby of Texas was the first Secretary of the Department. By 1989, the department's programs had increased to more than 250, including Medicare, Medicaid, Headstart, Welfare, and others. During the administration of President Jimmy Carter, the Education programs were separated into a new cabinet agency, the U.S. Department of Education, and the name of the U.S. Department of Health, Education and Welfare became the U.S. Department of Health and Human Services (DHHS).