The growth of managed care was accompanied by concern about the impact that changes in health care organization would have on the doctor-patient relationship. We now are in a “post-managed care era,” where some of these changes in health care delivery have come to pass while others have not. A re-examination of the DPR in this setting suggests some surprising results. Rather than posing a new and unprecedented threat, managed care was simply the most recent of numerous strains on the (...) DPR that have occurred throughout the century. These strains are a constant, inevitable consequence of the varying needs and concerns of patient and physicians as they seek to balance their desires for a certain type of DPR with their simultaneous desire for other aspects of care such as lower costs, greater technological sophistication, and improved outcomes. (shrink)

Changes in healthcare financing increasingly rely upon patient cost-sharing to control escalating healthcare expenditures. These changes raise new challenges for physicians that are different from those that arose either under managed care or traditional indemnity insurance. Historically, there have been two distinct bases for arguing that physicians should not consider costs in their clinical decisions—an “aspirational ethic” that exhorts physicians to treat all patients the same regardless of their ability to pay, and an “agency ethic” that calls on physicians to (...) be trustworthy advisors to their patients. In the setting of greater patient cost-sharing, physicians' aspiration and agency roles increasingly conflict. Satisfactorily navigating the new terrain of consumer-driven healthcare requires physicians to consider these two roles and how they can best be reconciled so as to maximize quality of care while respecting the heterogeneity of patients' financial resources and willingness to pay. (shrink)

Contemporary religious studies contains many studies of Orthodox theology of the twentieth century, but there are almost no studies of the most prominent modern trend in Orthodox theology, neo-patristics. In particular, in the works of L. Voronkova, G. Gabinsky, M. Gordienko, Y. Kalinin, P. Kurochkin, I. Mozgovy, V. Molokov, M. Novikov, N. Petelinskaya, V. Chertikhin, A. Chertkov, a thorough analysis of tendencies was carried out Modernism of Orthodox theology of the Russian Church. Of these, only M. Novikov briefly criticizes the (...) views of V. Lossky, a representative of Neopatristics, but the researcher does not realize the originality of this trend in Orthodox theology. Especially the tendencies of the development of Orthodox theology of spiritual academic schools of the XIX-beg. XX century. M. Ivanov, M. Glubokovsky, I. Kondratieva, G. Pankov, O. Pechurina, O. Sarapin, L. Fokina were thoroughly researched, but these studies were usually conducted outside the context of all Orthodox theology of the XX century. (shrink)

Λαϊκισμός εναντίον Αντι-Λαϊκισμού: Μια διαχρονική διαμάχη, Νόημα, 21 (2024): 45-55.

The Stepford Wives, a novel by Ira Levin, provides the theme for this allegory. The men of Stepford belong to the Men’s Association. Their wives are “perfect”, in that they do nothing other than clean, cook, preen, and provide satisfaction without argument for their husbands. They are, furthermore, content with their lot, and believe that their previous interests and freedoms were self indulgent. Levin never informs his readers how the men came to obtain total mastery over their “Stepford wives”, although (...) there is the suggestion that the real wives have been replaced by robotic lookalikes. (shrink)

In this unique work, Professor G.A. Powell Jr. writes: "Thinkers are different from writers—writers are prostitutes. Thinkers desire to be prostitutes." Daily Conversations with My Interloper is first and foremost a celebration of the narrative paradigm, its evolution, latitude of expression, and radical subjectivity in the forms of aphorisms and feuilletons. Following in the literary tradition of Ralph Waldo Emerson, Albert Camus, John Cage, Emile Cioran, and Susan Sontag, et al., the text chronicles Professor Powell's reflections about the ongoing metamorphoses (...) of cultures, influential literary figures, travel, film, history, ennui, quotidian, and the mundane day-to-day existence in which all people participate. Daily Conversations with my Interloper, is a provocative read for the public and private intellectual interested in a panoply of ideas. (shrink)

Thirteen essays on the treatment of a criterion for truth by such classical writers as Parmenides, Protagoras, Plato, Aristotle, Theophrastus, Philo, Epicurius, the Stoics, Plotinus, and Ptolemy, whose neglected Greek work on the subject is included here, along with an annotated English translation. The price $LB12.50, has been estimated to US $24. Annotation copyrighted by Book News, Inc., Portland, OR.

Una importante causa filosófica e ideológica de la inhumanidad de la sociedad rusa durante las décadas del marxismo-leninismo fue la obsesiva orientación de los marxistas-leninistas hacia el futuro histórico (futuro comunismo) en aras de lo cual, comunidades, culturas y personas podían ser reducidas a medios para alcanzar ese fin histórico. El autor de los debates apoyándose en los propios pensadores rusos de la "tradición clásica", como por ejemplo Herzen, Dostoievsky, Tolstoy, Leontiev y Berdiaev. No se opone a cualquier tipo de (...) orientación de futuro, pero recalca la importancia de las personas actuales. (shrink)

First published in 1937, this book presents itself as a philosophic dialogue, starting with the diversity of men’s ideas about Good. In the first part, it considers the creation and criteria of Good and its relation to truth, pleasure and happiness. In the second part, the book examines some kinds of Good, pointing out their defects and limitations, and suggesting the character of Good which we might hold to be perfect. The topic of the book is treated both philosophically and (...) practically making it intriguing reading. (shrink)

Radzikowska and Kerre developed L-fuzzy rough set as a fuzzy generalisation of the notion of rough sets. Specifically, they have taken a residuated lattice L as the underlying set of truth degrees. However, in real life, we may encounter situations where truth degrees are not always linear, or where the existence of the least upper bound of two elements is no longer required. Instead, there may be the possibility of having minimal upper bounds, and dually, maximal lower bounds, multilattices have (...) become a suitable algebraic structure for addressing such cases. Our aim is to extend Radzikowska and Kerre's work by replacing a residuated lattice with a multilattice M, thereby obtaining a more flexible structure. We define M-fuzzy rough sets using operators derived from adjoint pairs within the multilattice M. For a tolerance and an equivalence M-fuzzy relation, we define an appropriate M-fuzzy rough set and investigate its properties. (shrink)