Robert I. Field
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About Robert
Field's research combines legal and public health perspectives to explore the relationship between the public and private sectors in health care. His primary focus is on health care regulation as a tool for policy change, both in the United States and in comparative perspective. An additional area of focus is the legal and ethical basis for vaccination policy. Overarching themes in Field's writing include the role of government programs in creating and sustaining the private health care industry, the evolution of health care regulation and its relation to policy implementation, hospital reforms in the United States and France as reflections of cultural and ethical values, and the balance of ethical values in vaccine mandates. Field serves on the governing and advisory boards of several nonprofit organizations involved in communication, technology assessment, and ethical consultation on biotechnology development. He also writes and edits a blog on health policy issues for a major news website.
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Publications
Traces the evolution of four key health care industry sectors, pharmaceuticals, hospitals, physician practice, and health insurance, to explain the role of government regulatory and funding programs in creating and sustaining them.
Explains and analyzes ethical conflicts in the use of evidence-based decision making for formulating vaccine policy in developing countries.
Traces the history of the perception of a medical malpractice "crisis" to its origins in the 1830s and considers three possible causes for the emergence of this concern: advancing technology, increasing standardization of practice, and expanding professional autonomy. Proposes changes to the nature of physician business autonomy as the most fruitful avenue to meaningful reform.
Explains the importance of government policy in creating and sustaining for the for-profit health care industry, the symbolic relationship between the public and private health care sectors, and the importance of this relationship to passage of the Affordable Care Act.
Proposed an approach to graphical analysis of conflicts between ethical principles in government vaccine mandates and applies it to proposed mandates for HPV vaccination of school children.
Explains the nature and history of regulatory programs and agencies that oversee the American health care industry, including physician practice, hospitals, finance, pharmaceuticals, and biomedical research.