Dr. Richard Besser, head of Princeton’s Robert Wood Johnson Foundation, is making a difference

By Wendy Greenberg | Photo courtesy of Robert Wood Johnson Foundation

Dr. Richard Besser, a pediatrician and head of the Robert Wood Johnson Foundation (RWJF), has volunteered in a clinic in every place he has lived.

Seeing children once a week at the Henry J. Austin Center in Trenton brings health inequity into focus. There, in Trenton, the life expectancy for children is 73 years. In Princeton, the life expectancy for the same-age child is 87 years.

The clinic grants a window, he said, “into the lives of children, many of whom have profound barriers to health, children growing up in very different circumstances than the children in my hometown of Princeton.”

At a New York City health center, Besser met a grandmother who knows her grandchildren needs daily physical exercise, but was concerned about the safety of playing outdoors. He met a youngster whose asthma attacks were triggered by environmental contaminants in the family’s apartment. At the Trenton clinic, he met a mother of a son with significant developmental disabilities who has been waiting two years for services that would help him.  more

Krugman and Cheng at Labyrinth Books. (Photo courtesy of Labyrinth Books)

Uwe Reinhardt, Tsung-Mei Cheng, Paul Krugman, and the U.S. Health Care Crisis

By Donald Gilpin

Have you tried recently to obtain health insurance or choose a health care provider? Tried to find out the price for a procedure or surgery? Tried to understand the bill from your doctor or the statement from your insurance company?

More critically, have you been unable to afford a necessary surgery or crucial prescription in this wealthy country, where health care costs so much more and delivers so much less than the health care systems of every other advanced country?

“Confusion, ignorance, and misinformation are rampant out there,” said Princeton University Research Scholar Tsung-Mei Cheng, speaking with Nobel Prize-winning economist Paul Krugman at an April 30 Labyrinth Books event featuring the recently published Priced Out: The Economic and Ethical Costs of American Health Care, written by Cheng’s late husband Uwe E. Reinhardt, renowned health policy expert and Princeton University economics professor.

Emphasizing Reinhardt’s drive to combat the chaos, inefficiency, and, inequity surrounding health care in the U.S., Cheng, one of the world’s top experts on health care systems, argued that the real debate, and all the controversy over the Affordable Care Act (ACA, also known as Obamacare), though “conducted in the jargon of economics and Constitutional federal-state relations,” is not about economics and the Constitution at all.

“The heart of the debate,” for Cheng and for Reinhardt, “is a long-simmering argument over the following question on distributive social ethics: To what extent should the better off members of society be made to be their poorer and sick brothers’ and sisters’ keepers in health care?” she said. “That is the question. Social ethics was a big thing for Uwe.”

Health care could be the key issue in the 2020 election. Voters have consistently indicated that affordable health care is a priority, and health care reform bills continue to be debated in Congress.

The ACA, despite numerous court and legislative challenges, is still in effect, and Medicare and Medicaid continue to be popular. This may possibly be due to the fact that it tends to offer Health insurance plans for every stage of life. Besides, health insurance is also available for most employees through their workplaces.

As the 2020 election approaches, Republicans are still calling for the repeal of the ACA, with few indications of how they would replace it. Democratic presidential candidates favor a range of proposals from single-payer (“Medicare for all”), a government-operated program like that of Canada and the United Kingdom. In such countries, it is generally easy to obtain a life insurance policy or health insurance plan favorable to all classes of people in society.  more

By Taylor Smith 

NJ Sharing Network is a nonprofit organization dedicated to the recovery and placement of donated organs and tissues for those in need of a life-saving transplant. According to its website, nearly 4,000 New Jersey residents are in need of a transplantation. The organization operates 24 hours a day, 365 days a year and is staffed by a team of more than 150 highly-trained and dedicated advocates.  more

By Taylor Smith

Colorectal cancer is a cancer that starts in the colon or the rectum. Cells in nearly all parts of the body can become cancerous, but most colorectal cancers start with growths on the inner lining of the colon or rectum, called polyps. Some types of polyps change into cancer over time and others never become cancerous. Neal Luppescu, MD, a gastroenterologist at Summit Medical Group explains, “There are numerous risk factors doctors have identified that affect your risk of developing colon cancer. The most important thing is to schedule a colonoscopy screening.” more