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Narrative Matters

The Narrative Matters section of Health Affairs publishes personal essays (literary nonfiction) based on firsthand encounters that have a health policy aspect. These "policy narratives" take a story (or anecdote) and grow it beyond one person to include a big-picture view of the subject. The purpose of the Narrative Matters section is to put a human face on the health policy discussions in the other parts of Health Affairs.

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To see a Narrative Matters essay, click its [PDF] or [Full Text] link.

November 2002
  Getting The Elderly Their Due
An HMO executive's firsthand view of poor seniors' helplessness in navigating the U.S. health care labyrinth.
David Carliner, November 1, 2002
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  An Unsuspecting American With No Medicare Coverage—Me!
The United States is creating coverage gaps faster than it is filling them.
Gordon Schiff, November 1, 2002
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September 2002
  Dolores
A young medical resident takes her own life, shining a harsh spotlight on the pressures of the current residency education system.
Daniel J. Derksen, September 1, 2002
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July 2002
  The Rest Is Silence
Hospitals and doctors should beware of what can fill the space of their silence after a loved one's death.
Michael Rowe, July 1, 2002
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  Life But No Limb: The Aftermath Of Medical Error
Money helps, but it's not the sole reason that family members sue.
Carol Levine, July 1, 2002
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  The Curtain
What happens when doctors reach out to bereaved family members.
W. Richard Boyte, July 1, 2002
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May 2002
  Purple Is The Color Of The Future
South Africa struggles to save its youth and its future from the onrushing HIV epidemic.
Fitzhugh Mullan, May 1, 2002
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  The Butterfly And The Sword: AIDS In China
The lid is coming off of China's potentially monumental AIDS problem--but slowly.
Kyna Rubin, May 1, 2002
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March 2002
  No Free Lunch
Paul Jung, March 1, 2002
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  A Matter Of Influence
Changing times call for changing policies on the presence of drug company reps in residency programs.
Howard Brody, March 1, 2002
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  Between The Lines: Navigating The Uncharted Territory Of Industry-Sponsored Research
A former medical journal editor describes how and why staff changed their policy on disclosing conflicts of interest.
Frank Davidoff, March 1, 2002
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  The Benefits And Risks Of A Pack Of M&Ms
A pharmaceutical spokesman answers his industry's critics.
Bert Spilker, March 1, 2002
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January 2002
  Leaving Nursing
Hospital staffing cuts have created conditions under which this dedicated nurse can no longer work.
Ray Bingham, January 1, 2002
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  Accountable But Powerless
Unable to deliver high-quality care, a nurse calls it quits, but not before blowing the whistle.
Barry Adams, January 1, 2002
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  Mosaics And Misery
Joseph J. Fins, January 1, 2002
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