Laryngeal Cancer- Aspect 3
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Laryngeal Cancer- Aspect 3
The new healthcare system affecting the treatments of the patients
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Teacher's Comments

Senior research paper

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Tami Yaklich's comment, March 21, 2013 10:30 PM
30/30
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Hospitals Focus On Patient Satisfaction As Obamacare Measure Takes Effect

Hospitals Focus On Patient Satisfaction As Obamacare Measure Takes Effect | Laryngeal Cancer- Aspect 3 | Scoop.it
In an effort to earn greater reimbursements for treating Medicare patients, hospitals are upgrading their facilities and services to enhance patient satisfaction.
Courtney Common's insight:

This source gives further information about the hospitals focus on the patients satisfaction according to the new affordable care act going to take place.

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Courtney Common's comment, March 14, 2013 10:14 AM
Obamacare will conflict with hospital payments and how well the doctors are tending to and taking care of their patients. They will measure responses to a questionnaire that surveys will show how well hospitals are treating their patients.
Courtney Common's comment, March 14, 2013 10:21 AM
Hospitals that are reaching their goals without any problems will receive a Medicare bonus while hospitals that are not as performing and are not reaching their goals will have to live with the reimbursement rate cut. Hospitals having the new affordable care act are going to be far more in control of the new system than the patient satisfaction one. Suppliers are going to do what ever they can to provide and accommodate all the patients personal attention and to give a wonderful and acceptable hospital visit.
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The Affordable Care Act Negatively Impacts the Supply of Labor

The Affordable Care Act Negatively Impacts the Supply of Labor | Laryngeal Cancer- Aspect 3 | Scoop.it
Obamacare distorts the labor market by encouraging employers to drop health care insurance coverage or pay their employees less.
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This source provides negative facts affecting the supply of labor.

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Courtney Common's comment, March 15, 2013 10:20 AM
In November 2012, there was evidence that the marginal tax rates will increase. They will start to increase when the affordable care act kicks in, individuals marginal tax rates are going to maximize. The tax is going to come from the income we are making. If the income rises then the amount of the tax rate will also rise. Lower income individuals will be taxed at a lower cost than higher income earnings.
Courtney Common's comment, March 15, 2013 10:26 AM
Lower income employees will be more affect by the tax increase because their working labor is higher than a higher income employee. It will affect them more because they could be using the tax money that i going to be taken out for the new health care system for something they may need. Marginal rates are higher to begin with so the lower income workers are going to me more affected by this new change coming in 2014. This could also lead to insurance companies not covering low income workers because they could instead of paying for their coverage use it to pay for the higher income employee's insurance coverage.
Courtney Common's comment, March 15, 2013 10:34 AM
The medicaid tax reform is bad for patients because previous research has show that many individuals could not even get access to care rather than having regular insurance coverage. "One out of three doctors will not accept medicaid patients" due to the cost it will cause for the doctors as well as employees. Medicaid spending is going to continue to grow. "In 2010, total federal and state spending on medicaid exceeded $400 billion."
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How The Affordable Care Act Will Affect Doctors | The Health Care Blog

How The Affordable Care Act Will Affect Doctors | The Health Care Blog | Laryngeal Cancer- Aspect 3 | Scoop.it
Courtney Common's insight:

This website gives many facts and percentages between doctors and nurses pertaining to the new health care system.

 

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Courtney Common's comment, March 14, 2013 10:05 AM
Doctors are worried about the interference from the government jumping in and making decisions instead of the doctors. The created set of guidelines known as the Uniformity of Practice is a major worry. The independent payment advisory board will control the medicare spending along with decisions that ill put the doctors in a dilemma. The medicare and innovation center are approving information without external approval.
Courtney Common's comment, March 14, 2013 10:08 AM
Doctors are going to start to go off on their own clinics and demand the patients payments upfront so they do not have to deal and go through with the insurance and government agencies. Others will go to larger groups like hospitals because they have more staff to take care of the insurance polices. "The percentage of doctors owning their own practices are dropping drastically from almost half in 2005, 43% in 2009, and are projected to drop one third in the year of 2013.
Courtney Common's comment, March 14, 2013 10:12 AM
A lot of these changes are unpredictable and consequences will take place such as having a larger supply of doctors not being able to meet the demand, or that professionals will lose their free time and flexibility to create new cures, and upcoming student's that want to chose the medical field as a career will not even consider that option if all of this takes place.
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Interviewee Results

I emailed the National Cancer Institute and they emailed me back with a personal message along with some information that I could use for answers to some of my interview questions.

Courtney Common's insight:

Cancer.gov Inquiry - Cancer Research Paper [Inquiry: 121206-000251]   NCI Cancer.gov Staff <cancer.gov_staff@mail.nih.gov>12/7/12 to me    

Thank you for contacting the National Cancer Institute. Below is a response to your recent request for information.
--------------------------------------------------------------------------------
SubjectCancer.gov Inquiry - Cancer Research Paper  Discussion Thread Response Via Email (NCI Agent)12/07/2012 07:16 AMDear Ms. Common, Thank you for your e-mail to the National Cancer Institute (NCI) regarding your research paper on cancer and your questions about your uncle's situation.  We are sorry for your loss.  It is very understandable to want to learn more about his type of cancer.  We hope the information provided in this message will be helpful to you in your research. When you say that your uncle was diagnosed with stage IV admin carcinoma, we think you may be referring to adenocarcinoma.  Adenocarcinoma is a type of cancer that begins in cells that line certain internal organs and that have gland-like properties (meaning they may promote secretion).  Adenocarcinoma cancers can form in many different parts of the body, including the head and neck. When doctors find a specific type of cancer cells in the body, but are not sure where the cancer originated from, they may refer to the cancer as carcinoma of unknown primary (CUP).  Adenocarcinomas are the most common type of CUP.  You can read more about CUP and its treatment in the following link: http://www.cancer.gov/cancertopics/pdq/treatment/unknownprimary/Patient/page1/AllPages.&nbsp; To review a more medically technical version of this information, you can click on this link, which will take you to the version of the information written for health professionals:http://www.cancer.gov/cancertopics/pdq/treatment/unknownprimary/HealthProfessional/page1/AllPages You asked why your uncle only lived three weeks after he was initially diagnosed.  It is natural to want to understand why his illness progressed the way it did.  It is not always easy for doctors to say exactly why a patient's illness progressed so quickly, or why they passed away so soon after diagnosis.  However, we do know that some factors influence how cancer impacts a patient's body and overall health.  We know that the earlier cancer is diagnosed, the more treatment options a patient has.  If cancer is not diagnosed until it has spread to other areas of the body, it can be sometimes harder to treat or control.  When cancer has spread to other organs in the body, like the liver and pancreas, the cancer cells take up the needed space and nutrients that the healthy organs would use. As a result, the healthy organs can no longer function.  When organs stop functioning, a patient's health can begin to fail more quickly.  You can read more about how cancer causes death in question nine in the following resource: http://www.cancer.gov/cancertopics/factsheet/Support/end-of-life-care Tumor grade is a system used to classify cancer cells in terms of how abnormal they look under a microscope and how quickly the tumor is likely to grow and spread.  Some types of cancer have a high grade, meaning they grow and spread quickly throughout the body.  Tumor grade is another factor that contributes to how quickly the cancer can affect a patient's overall health.  You can learn more about tumor grade in this link: http://www.cancer.gov/cancertopics/factsheet/detection/tumor-grade We hope you will understand that NCI staff receive many requests for interviews or for advice with projects. Due to their heavy workloads, they are generally unable to grant such requests.  If you need to have an in-person interview for your research paper, it may be helpful to contact local hospitals or cancer treatment facilities in your area.  You can ask these centers if doctors or nurses may be available for interviews. Thank you for writing.  National Cancer Institute Staff  NOTE: You may get an error message when you click on the URLs in this e-mail. You can avoid this problem by copying the full URL and pasting it into your browser. Customer By Email ( courtneycommon@gmail.com)12/06/2012 11:25 AMyour zipcode: 15085

your country: 
Message: Hello my name is Courtney Common. Im a senior at Penn Trafford High School and wanted to do my senior research paper on a type of cancer. My Uncle was diagnosed with stage four admin carcinoma. It matasezied to his pancreas and liver. Doctors told us it could of started in his throat but was not fully sure. He was diagnosed on July 18, 2012 and passed away August 6, 2012. So in the matter of 3 weeks he died. I was wandering if you can give me some information on this and help me understand why he only lived three weeks after he was diagnosed. We were thinking he has had it prior to that, however he only went to the hospital because of a stomachache and diagnosed him from that. If you could get back to me that would be great. I just have a few questions that maybe you guys will be able to answer for me. I needed an interview for my paper so i thought you guys would be perfect to get a hold of. Thank you for your time.

Sincerely,
Student Courtney Common  Question Reference #121206-000251Date Created: 12/06/2012 11:25 AMLast Updated: 12/07/2012 07:16 AMStatus: Completed

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Tami Yaklich's comment, March 21, 2013 10:30 PM
This is good info that they provided you with!
Tami Yaklich's comment, March 21, 2013 10:30 PM
You can incorporate this into your interview results section of project