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Monday, Jul 18 2016

Full Issue

Incentive To Game Organ Donation System, Worsen Patient's Condition Tempts Doctors

The transplant list is based the severity of a patient's condition. So should doctors try to game the system to get an organ? In other public health news, employers are using wellness plans to combat stress for their workers and a program uses horses to reduce teen suicides.

This is the system we have to navigate: The United Network for Organ Sharing, or UNOS, has established criteria to make sure that donor hearts go to the patients with the most severe disease. The criteria are based on which treatments a doctor has seen fit to prescribe, on the assumption that they鈥檙e a good indication of how critical your illness is. Generally, that's a good assumption. Except that the system itself creates a perverse incentive. (Movsesian, 7/15)

Stress has long been shown to increase the risk of heart disease, obesity, diabetes and a number of mental health problems. And a recent poll finds that a substantial number of working adults say stress is a critical health issue they face at work. The poll was conducted by NPR, the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Public Health. So what are employers doing about it? Fifty-one percent of the people in our poll said their workplace has a formal wellness or health improvement program. (Neighmond, 7/18)

It鈥檚 called the Horse Culture Program because the reservation鈥檚 two tribes, the Eastern Shoshone and the Northern Arapaho, have a long history with horses. After Europeans brought them to the Americas, many tribes adopted them to a new, more nomadic way of life, pursuing herds of bison and other big game. Now the Horse Culture Program is using that history to combat the modern day problem of teen suicide. 鈥淚t started as a suicide prevention initiative to help them understand and express their feeling,鈥 Sage says, 鈥渂ecause sometimes when we鈥檙e hurting or feeling sad, we don鈥檛 know how to say that.鈥 (Edwards, 7/15)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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