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Today on HealthCetera Radio, host Diana Mason talks about the Program for All Inclusive Care (PACE model) for older adults and its expansion to younger adults under new legislation that was signed into law recently. The aim of the PACE model, which combines a medical and social approach to health, is to keep people out of nursing homes, help them to remain as independent as possible in their own homes and communities, and improve the quality of their lives. 

 

For those who cannot remain in their own homes, another model of care–Green House–is emerging that eschews a biomedical model and uses a social model of health and care. HealthCetera co-producer Liz Seegert interviews Dr. Audrey Weiner, about Jewish Home Lifecare’s adoption of the Green House approach to those who need more supportive environments. To listen to this segment online, visit WBAI, or stream here:

The program ends with a discussion of the costs of health care. Diana Mason interviews Christopher Moriates and Neel Shah about their new book, Understanding Value-Based Health Care, and their organization, Costs of Care. Their work focuses on how to reduce health care costs by reducing unnecessary, ineffective, and sometimes harmful tests and procedures. To listen to this segment online, visit WBAI, or stream here.

HealthCetera is sponsored by the Center for Health, Media & Policy at Hunter College, City University of New York. Listen to today’s program live at 1PM via WBAI online, or 99.5FM. 

 

Today on HealthCetera Radio, host Diana Mason

After 20 years in graphic design, I’m back in school, studying to become a nurse. Even though nursing is a popular second career, people ask me all the time: “Why the 180?”

 

In December 2010, a blizzard dropped over 20 inches of snow on New York City. Unprepared, the city shut down. Buses lay jackknifed across intersections, wreaking havoc on those trying to clear the roads or respond to emergencies. Mayor Bloomberg implored all nonessential personnel to stay at home.

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“Nonessential.”

 

The word stuck with me. A year and a half prior, I had been told by my employer that I was no longer needed as a graphic designer. With print design on its way out, and my technical skills quickly becoming obsolete, I found myself limited to periodic freelance work. As someone who highly values usefulness, I volunteered my services to various groups working toward social good, but it didn’t feel like enough. As important as it was to help nonprofits get quality messages out, it didn’t feel like world-changing work. It was still nonessential.

 

Enough.

 

I want to be essential personnel. I want to be the one who has to suit up during any state of emergency to give care and save lives. I want to do the work that “neither snow nor rain nor heat nor gloom of night” stays from appointed rounds. A career in nursing aligns with my personality and mission: I’m the one in any given group who remains calm in a crisis, who leads when no one else will, who finds no job beneath her in service to the good of the group. I believe creativity solves problems, and won’t give up until they’re solved. I want to know how things work, so that I can help improve them.

 

New York City has given me so much — as soon as I got here fifteen years ago, it felt like home — and I want to give back, by working in the public health system. I want to improve our community’s health and outreach capabilities, especially for the tired, poor, huddled masses who have been marginalized or shut out. I want to help all New Yorkers take care of themselves and each other, regardless of race, income, or background. I want to be there for people during the times when self-care and community are not enough, when they need extra help to survive — and to thrive.

 

This is an exciting time to enter the health care field. The implementation of the Affordable Care Act means millions more are now insured, regardless of previous health conditions or employment status, with protections for the LGBT community, parental coverage for adults under 26, and elimination of lifetime limits. The awareness of racial and class disparities and their effects on physical and emotional health is higher than ever before, thanks to the watchful eye of social media. Even New York is at the dawn of a new era, switching from a three-term millionaire mayor to a one with a diverse family and left-leaning politics.

 

I find these intersections of science, society, and spirit exciting. Being useful has always been important to me, but being useful while being relevant and humanist all at once used to be beyond my ambitions. Oh sure, learning dramatically new things as an adult is daunting. I joke about becoming ambicerebral rather than ambidextrous. But it turns out training a brain that recognizes typefaces to recognize signs and symptoms instead is not all that different. I bet that many of my skills and talents will be useful in the next two years of education, as well as in my new profession. I’m about to find out.

 

And I’d like to share this adventure with you. Over the coming months, I’ll write about my experience as I go through nursing school, what it’s like being an adult learner, the challenges of switching careers, and my perspective on how these subjects relate to current issues and the bigger picture

After 20 years in graphic design, I'm

Join me today on HealthCetera Radio, starting with an interview with Bert Chantarat, MPH, Senior Research Analyst, Center for Evaluation and Applied Research, New York Academy of Medicine and lead author of the New York Academy’s, “Transgender: Speaking Out for Better Care” part of the Academy’s City Voices on Health Series.

 

We’ll discuss key findings of this study that looks at health disparities of transpeople. You can’t empower transpeople without listening to their stories. They are the experts. Hear what they had to say by downloading the mp3 here.

 

For the second part of the show, MakerNurse’s co-founder Anna Young returns to HealthCetera to update us on where things have evolved since the launch of this initiative in 2013. “MakerNurse honors the inventive spirit of nurses across America, and seeks to bring nurse making to the forefront of health care.” Find out about the first health care maker space that’s been set up in John Sealy Hospital in Galveston, Texas. Over 100 nurses have been at the space and 15 prototypes have been created. Download the mp3 to hear the interview here.

 

Barbara Glickstein hosts HealthCetera Radio today,Thursday, November 12, at 1 PM on WBAI 99.5 FM.

 

Join me today on HealthCetera Radio, starting