PBH Q2-ch.5 and cancer

• us const governs the public health (although it doesnt mention)
• interstate commerce clause is federal aspect
• us const grant rights

• federal has the right to tax and spend some
• the $ can go back to state

• const law
• leg statues
• adm reg
• judicial case common law

• more restrictive
• deals within the state and names it ex, jud, leg

written by federal AND STATE

note: fed starts the baseline but the state can take it to another level

LEGISLATIVE

• health and human keeps law going
• do's and don'ts

EXECUTIVE

• build on precedence (based on similar cases)
• unfair to treat similar facts differently
• nuiscance law

JUDICIAL

• good vs. resource
• free market conditions vs. active govt involvment
• efficiency differences
• by demand vs. by central planning
• ability to pay differences
• reward vs equal access

• individual responsibility vs. collective
• purchasing power vs. basic package
• limited obligation to collective good vs strong obligation
• individual well being vs community
• private soln vs prublic
• based on pay vs planned pay

• need permission
• good intentions
• should based on animal as well
• no mental suffer
• no death
• never exceed the acceptable risk
• proper pre
• only by the qualified
• power to end
• must be prepared to end as well

example of "power to end"

• you can get proxy consent from somebody
• first effrot to reg research/more intuned with clinical
• develop the 10

• despite tx, follow progression
• federally sanctioned

2nd leading cause of death, after heart disease

1.3

67

lung

• 1/2
• 1/3

overweight, ovesity, physicial inactivity, ntr

pop groups, race groups, socioeco groups, gender groups

look at early signs of the disease when the chance of cure is highest

• detect early
• not give false neg/pos
• not be dangerous
• cost effective

• breast-mammography
• cervix-paps smear
• colon-colonoscopy
• prostate-prostate spec antigen

• panel of experts in prevention
• used in primary care setting
• gold stardard of prevention
• ex.) screen, counsel, and meds

• by the human papillomavirus
• mircroscopic exam from cervix

• radition therapy-roentgen
• chemotherapy-chiu li

• american society for cancer control
• national cancer inst
• american cancer society
• national cancer act

lasker and yarborough

national cancer act of '71

betty ford, komen, and kushner

• delivery system
• employers
• media
• academia
• infrastructure
• community

• policymakers vs. audience
• decentralized vs. systematic
• environment vs. individual
• power gap vs. info gap
• target ppl who will make the change vs. ppl at risk

how to story is to be understood, developed, supported

• media health, pitching, create events
• celebrities
• gets ppl pondering

• health from advocate
• root causes
• social blame

• content
• visuals
• authentic voices
• media bites

• issue
• who
• recommend

• >>ist. review boards
• 3 formal: respect for persons, beneficence, justice

• paps smears
• 3 years after sex

• mammograms-over 40
• self breast-over 20
• clinical breast exam-teens around 15

digital rectal exam-over 50years

colonoscopy-over 50years