After the event, you can watch speaker presentations or access links to the readings at www.med.wisc.edu/bioethics-symposium

Symposium ReadingsSymposium Readings

Elisabeth Rosenthal, “An American Sickness: How Healthcare Became Big Business and How You Can Take It Back,” Penguin Books, 2017

Dean Baker, “Professional Protectionists: The Gains From Free Trade in Highly Paid Professional Services,” Center For Economic And Policy Research, Sept. 2003

S. Yousuf Zafar, Fumiko Chino, et al., “The Utility of Cost Discussions Between Patients With Cancer and Oncologists,” The American Journal of Managed Care, 2015;21(9):607-615

Katherine Baicker, Amitabh Chandra, and Jonathan S. Skinner, “Saving Money or Just Saving Lives? Improving the Productivity of US Health Care Spending,” Annual Review of Economics, 2012, 4:33-56

Alyna T. Chien, Lisa Soleymani Lehmann, et al., “A Randomized Trial of Displaying Paid Price Information on Imaging Study and Procedure Ordering Rates,” Journal of General Internal Medicine, 2016, 10.1007/s11606-016-3917-6

Gerard F. Anderson, Uwe E. Reinhardt, Peter S. Hussey, and Varduhi Petrosyan, “It’s The Prices, Stupid: Why The United States Is So Different From Other Countries,” Health Affairs, 2003, Vol. 22, No. 3

S. Yousuf Zafar, “Financial Toxicity of Cancer Care: It’s Time to Intervene,” Journal of the National Cancer Institute (2016) 108(5): djv370

Katherine H. Schiavoni, Lisa Soleymani Lehmann, et al., “How Primary Care Physicians Integrate Price Information into Clinical Decision-Making,” Journal of General Internal Medicine, 2016, 10.1007/s11606-016-3805-0

Anna D. Sinaiko, Alyna T. Chien, “Achieving the Promise of Price Transparency,” JAMA Internal Medicine, July 2017, Vol. 177, No. 7

Peter A. Ubel, Amy P. Abernethy, and S. Yousuf Zafar, “Full Disclosure – Out-of-Pocket Costs as Side Effects,” New England Journal of Medicine, Oct. 2013, 369:16

Peter A. Ubel, Robert M. Arnold, “The Unbearable Rightness of Bedside Rationing,” JAMA Internal Medicine, Sept. 1991, Vol. 155

Follow the Money: Ethical Dilemmas in High-Co$t MedicineThursday, March 8, 20181:00 - 5:30 pmAuditorium 1306 – Health Sciences Learning CenterPresented by the UW School of Medicine and Public Health, and the Department of Medical History and Bioethics

BioethicsBioethicsUniversity of Wisconsin School of Medicine and Public Health

SYMPOSIUM

UWSMPH

10th Annual

2018

Panel DiscussionPanel Discussion

Meg Gaines, JDDirector of the Center for Patient Partnerships, and distinguished clinical professor of law at UW Law School.

Peter Newcomer, MDSenior associate dean for clinical affairs, and clinical professor of internal medicine at the UW School of Medicine and Public Health.

Mary Schroth, MDProfessor and pediatric pulmonologist at the UW School of Medicine and Public Health.

David Vanness, PhDAssociate professor of population health sciences at the UW School of Medicine and Public Health.

Meg Gaines

Mary Schroth

Peter Newcomer

David Vanness

1:00 – 1:10 pm Welcoming RemarksRobert N. Golden, MD, dean, University of Wisconsin School of Medicine and Public Health

1:10 – 1:20 pm Essay Contest Winners and Introduction of SpeakersPaul Kelleher, PhD, associate professor, Department of Medical History and Bioethics at UW-Madison

1:20 – 1:40 pm Can We Pay Our Doctors Less? Should We?Dean Baker, PhD

1:40 – 2:00 pm Do Doctors Get Paid Too Much? Elisabeth Rosenthal, MD

2:00 – 2:10 pm Topic Q&A

2:10 – 2:15 pm Speaker Introductions

2:15 – 2:35 pm Price Transparency and Vulnerable PopulationsAlyna T. Chien, MD, MS

2:35 – 2:55 pm Can We Afford Avoiding the Cost Discussion in Clinic?Yousuf Zafar, MD

2:55 – 3:05 pm Topic Q&A

3:05 – 3:20 pm Break

3:20 – 3:25 pm Speaker Introduction

3:25 – 3:55 pm KEYNOTE ADDRESS: How Should We Navigate the Profit in Non-profit?Elisabeth Rosenthal, MD

3:55 – 4:15 pm Topic Q&A

4:15 – 4:25 pm Introduction to Panel Discussion

4:25 – 5:05 pm Panel Discussion: How will We Manage Conflicting Duties and Obligations Created by the High Price of Spinraza?Mary Schroth, MD Meg Gaines, JD Peter Newcomer, MD David Vanness, PhD

5:05 – 5:25 pm Topic Q&A

5:25 – 5:30 pm Closing RemarksGretchen Schwarze, MD

Symposium Agenda Symposium PresentersSymposium Presenters

Elisabeth Rosenthal, MD – KEYNOTE SPEAKERRosenthal, Kaiser Health News editor in chief, joined the publication in 2016 after 22 years as a New York Times correspondent in its Beijing bureau. While in China she covered SARS, bird flu and the emergence of HIV/AIDS in rural areas. Her two-year New York Times series “Paying Till it Hurts” won many prizes for both health reporting and its creative use of digital tools. She is the author of An American Sickness: How Healthcare became Big Business and How You Can Take it Back. She is a graduate of Stanford University and Harvard Medical School and briefly practiced medicine in a New York City. For more information about this speaker, please visit www.prhspeakers.com

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Dean Baker, PhDBaker co-founded the Center for Economic and Policy Research. His research areas include housing and macroeconomics, intellectual property, Social Security, Medicare and European labor markets. His analyses have appeared in the Atlantic Monthly, the Washington Post, the London Financial Times, and the New York Daily News. He is the author of several books, including Rigged: How Globalization and the Rules of the Modern Economy Were Structured to Make the Rich Richer. His blog, “Beat the Press,” provides commentary on economic reporting. He received his BA from Swarthmore College, and his PhD in economics from the University of Michigan.

Alyna T. Chien, MD, MSDr. Chien is an assistant professor of pediatrics at Harvard Medical School and practicing pediatrician at Boston Children’s Hospital. As a physician, she has always cared for vulnerable patient populations insured by Medicaid or receiving care in a free or federally qualified health center. Dr. Chien serves on national committees including the PCORI Advisory Panel on Disparities and the AAP Committee on Pediatric Research. She is an alumna of The University of Chicago’s Pritzker School of Medicine and The Robert Wood Johnson Clinical Scholars Program. Dr. Chien is an expert on the use of incentives to improve healthcare quality and spending.

Yousuf Zafar, MDDr. Zafar is an associate professor of medicine at Duke University, and an associate professor in the Sanford School of Public Policy. He is also an affiliate at the Duke Global Health Institute, a member of the Duke Cancer Institute, and a member in the Duke Clinical Research Institute. Dr. Zafar is a health services researcher with a focus in improving care delivery for patients with advanced cancer. He has participated in single-institution, multi-institution and national studies focusing on access to care, cost of care, and comparative effectiveness of care delivery between health systems. His primary area of interest is in the cost of cancer care.