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In June 2018, Gov. Ralph Northam signed a budget bill that gives 400,000 low-income Virginians access to government health insurance through Medicaid. This action marked an upbeat, bipartisan close to a bitter, four-year battle in the General Assembly. An Affordable Care Act option, Medicaid expansion makes additional low-income persons in participating states eligible for care that is funded chiefly with federal dollars. Virginia’s decision to join 32 other participating states hinged on a legislative compromise with Republicans that imposes work requirements on Medicaid recipients. While a few other states have taken similar positions, debate about work requirements continues in government, policy circles, and the courts. This Medical Center Hour looks at Medicaid expansion in Virginia—to be implemented in January 2019—from policy, political, and health care perspectives, with a focus on what it means locally, in Charlottesville and Central Virginia.
A John F. Anderson Memorial Lecture
American medical education can be proud of its accomplishments. Its graduates populate a sophisticated medical system that often sets global standards in teaching and self-regulation. doctors the world over compete to train and practice in the U.S. There are nearly three applicants for every one place in U.S. medical schools. Things are good. But are they? The U.S. medical system is now by far the world's most expensive, a drag on the economy and a major contributor to accumulating national debt. Physician-writer Atul Gawande notes that the doctor's most expensive instrument is the pen, ordering costly, and sometimes unnecessary, diagnostics and therapeutics. We import a quarter of our doctors, yet major portions of the country are short of physicians. All is not well in medical education. In this Brodie Medical Education Lecture, distinguished physician and health policy expert Dr. Fitzhugh Mullan addresses the technical, cultural, and moral challenges facing American medical education today, and how they go straight to the soul of medicine.
Co-presented with the Brodie Medical Education Committee, the Department of Medicine, and the Academy of Distinguished Educators, as part of UVA's Medical Education Week
Thirty years ago, the medical school at East Carolina University created a readers' theater program in which short stories about medicine were adapted as theatrical scripts. Medical students performed a story by reading it aloud, then actors and audience--often a community group--together discussed the drama and the ethical and social issues it raised. These plays and post-performance discussions enlivened and changed how future physicians and audiences--prospective patients all--approached and learned from one another.
The best way to learn about medical readers' theater? Just do it. In this Medical Center Hour, UVA medical student actors present a dramatic reading of physician-poet William Carlos Williams's 1938 short story, "A Face of Stone." Following the performance, the audience joins in, as everyone responds to and discusses the play and the ethical, social, and cultural concerns it explores.
A John F. Anderson Memorial Lecture
Co-presented with the Sloane Society for Medical Humanities, UVA
As a UVA undergraduate (Class of 2010), Pennsylvania native Matthew Miller had a catastrophic, near fatal cycling accident on the Blue Ridge Parkway while training for an Ironman triathlon. He lost control of his bike as a caravan of classic cars passed by in the opposite lane; Miller plowed into an oncoming Porsche, breaking every bone in his face. Pulitzer Prize winning journalist Michael Vitez's articles about Miller for The Philadephia Inquirer (reprinted in the Charlottesville Daily Progress) led to his book, The road back: a story of grit and grace (2012). This compelling narrative of Miller's remarkable survival and recovery. He is now a third year medical student at the University of Pennsylvania not only celebrates the strength and resiliency of the human spirit but also vividly attests to the power of medicine at its best. This Medical center hour, with Michael Vitez and UVA surgeon J. Forrest Calland, one of Miller's doctors, suggests that the best way to explore and explain what's happening in medicine may be to tell stories of ordinary people, patients and professionals meeting extraordinary challenges.
A John F. Anderson Memorial Lecture
This is a rendered flythrough animation of the 3D data collected and processed for the former Midloch Plantation enslaved dwelling. Produced from 3d data collected with FARO Focus 3D laser scanners on 2023-03-28 and rendered using Autodesk ReCap Pro v. 2023.
Monét Johnson is a Norfolk resident and advocate working with New Virginia Majority, a nonprofit focused on economic and racial justice. She works as the Lead Organizer for Housing and Environment. Johnson was born in 1996 in Brockton, Massachusetts, and spent her summers as a child in Virginia before moving to Norfolk.
Track 1: In this oral history, Johnson discusses her experience growing up in a majority-Cape Verdean community in Massachusetts, her memories visiting her family in Virginia, and her organizing work during her college years at Framingham State University. Johnson describes her work at New Virginia Majority starting in 2020 fighting housing discrimination and combating environmental injustices, including rising sea levels and coal dust pollution in Norfolk.
Track 2: Johnson discusses the legal battle with the Norfolk Redevelopment and Housing Authority in 2021, where she was a plaintiff on behalf of residents of St Paul’s public housing. In 2020, New Virginia Majority sued the city for housing discrimination violating the federal Fair Housing Act on behalf of Black residents. The lawsuit alleged that the NRHA perpetuated systemic racism and segregation through redevelopment of St Paul’s and the resulting displacement of hundreds of Black residents. Johnson’s party, made up of the New Virginia Majority and several other civil right organizations, won the lawsuit on behalf of tenants. The interview also discusses Johnson’s experiences advocating with public housing residents for better flooding and facility management and safer accommodations for children and elders. Kim Sudderth is also present in this interview.