Center for Medicare Advocacy

Academic medical centers provide cutting edge acute care, train tomorrow's physicians, and carry out research that will expand the range of treatable and curable illnesses. But these centers themselves may need urgent care -- experts generally agree that many are suffering acute -- even life-threatening -- financial distress. Many academic medical centers are suffering for several reasons: in-patient admissions are down, as many procedures that once required a hospital stay are now performed on an out-patient basis or in a physician's office; managed care plans have negotiated discounted fees that cut hospital operating margins; the Balanced Budget Act of 1997 curtailed Medicare reimbursements, lowered margins and pushed some into the red; the revolution in information technology is imposing large new capital costs; and the character of medical education is receiving its most thorough review in decades.While there is a general consensus that medical centers are under pressure, experts disagree about the depth and pervasiveness of the current financial distress. Are they whining about financial pressures other, less-favored sectors find routine; or is the high quality American teaching hospital becoming an endangered species -- that could face extinction if nothing is done. Because academic medical centers perform such important jobs, it is critical to determine the true nature and depth of their current financial problems -- and then fashion analytically sound and politically sustainable solutions. This book brings together chief executive officers of major medical centers, university presidents, senior members of Congressional and executive office staffs, and leading analysts. Theseexperts address the key issues and prescribe remedies both regulatory and legislative to ensure that the teaching hospital remains a picture of financial health.

It was like no other library: not a musty, mute archive but a bustling center of activity and voice of advocacy. It brought together otherwise combative parties -- sportsmen, lumbermen, librarians, politicians, even disputing activists -- as it helped redefine what environmentalism means in America. Denver's Conservation Library was established in 1960 as a repository for environmental and conservation documents. In chronicling its history, Andrew Kirk also traces the cultural history of American environmentalism as viewed through the lens of this unique institution. He tells how this library created by an older generation of technophobic men evolved into a cutting-edge laboratory for alternative technology research run by young women, mirroring tumultuous changes in American culture and social movements over the past four decades. Kirk reveals how the Conservation Library Collection merged with various constituencies vying to shape it for their own purposes, and how it reflected the thinking of influences as diverse as John Muir and Stewart Brand. He introduces key players such as founder Arthur Carhart and administrator Kay Collins, then tells how the CLC was transformed into the Regional Energy/Environment Information Center, suffered cutbacks in the Reagan era that brought on its demise, and lately began a quiet resurgence as the archive it was originally intended to be. Collecting Nature shows that the CLC was a microcosm for the environmental movement itself, as well as a clear barometer of its gender and generational shifts. Kirk's eloquent narrative reveals much about the ideological bases and promises of environmentalism, while showing how the movement grew from itsconservationist and preservationist roots. In the process, Kirk contributes to the debate over the evolution of environmental thinking, with an eye toward resolving the differences among competing perspectives.

Treatment Advocacy Center - The Treatment Advocacy Center (TAC) is a United States nonprofit organization dedicated to promoting laws allowing Assisted Outpatient Commitment (AOC) "for individuals who, due to the symptoms of untreated severe mental illness, become either dangerous or in need of treatment and incapable of making rational medical decisions." According to their website, TAC advocates "elimination of legal and clinical barriers to timely and humane treatment for Americans diagnosed with severe psychiatric] disorders who refuse care.

Pew Research Center - The Pew Research Center is a nonpartisan "fact tank" that provides information on the issues, attitudes and trends shaping the USA and the world. The Center and its projects receive funding from The Pew Charitable Trusts The Pew Research Center is a strictly nonadvocacy organization, while the Pew Charitable Trusts supports advocacy and nonadvocacy projects.

Southern Poverty Law Center - The Southern Poverty Law Center (SPLC) is an American non-profit legal, educational, and intelligence-gathering group for the purposes of advocacy for civil rights and against racism. The center is based in Montgomery, Alabama, in the Southern United States.

National Center for Transgender Equality - The National Center for Transgender Equality (NCTE) is a social justice organization dedicated to advancing the equality of transgender people through advocacy, collaboration and empowerment. It was founded in 2003 in order to provide a consistent voice in Washington, D.

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