Rashi Fein
Rashi Fein | |
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Born |
The Bronx, New York | February 6, 1926
Died |
September 8, 2014 88) (aged Massachusetts General Hospital, Boston, Massachusetts |
Resting place | Lindwood Memorial Park, 497 North Street, Randolph, MA[1] |
Nationality | American |
Spouse(s) | Ruth (Breslau) Fein |
Institution | Harvard Medical School |
Field | health economics |
School or tradition | providential government |
Alma mater | Johns Hopkins University, Harvard University |
Influenced | Medicare, Affordable Care Act |
Contributions | 'a father of Medicare'; founding member, Institute of Medicine (IOM); Founding Member, National Academy of Social Insurance |
Awards | Traveling Fellowship, World Health Organization, 1971; John M. Russell Medal, Markle Scholars, 1971; Martin E. Rehfuss Medal and Lectureship; Johns Hopkins University Alumni Association Award, 1999; Lifetime Achievement Award "For Fearlessly Promoting the Rights of All to Health Care", Health Care, 2000; Adam Yarmolinsky Medal, Institute of Medicine, 2000; Debs-Thomas-Bernstein Awards, 2009 |
Rashi Fein (February 6, 1926 – September 8, 2014) was an American health economist termed 'a father of Medicare' in the United States[2] and 'an architect of Medicare',[3] was Professor of Economics of Medicine, Emeritus, in the Department of Global Health and Social Medicine at Harvard Medical School, and the author of the book Medical Care, Medical Costs: The Search for a Health Insurance Policy[4] (Harvard University Press, 1986, 1989).[5][6]
His work has included: benefit-cost analysis, health care financing, health care workforce policy, cost containment, the financing of medical education, and health care reform.
He was the brother of Leonard J. Fein, also known as Leibel Fein, an American activist, writer, who had taught political science at MIT and was Deputy Director of the Harvard–MIT Joint Center for Urban Studies, and who specialized in Jewish social themes.[7] Fein served on the Advisory Committee of the Jewish Alliance for Law and Social Action.[8] Fein died in 2014 of melanoma at Massachusetts General Hospital in Boston.[9]
Education
- B.A., Johns Hopkins University, Baltimore, MD (1948)
- Ph.D. (political economy), Johns Hopkins University, Baltimore, MD (1956)
- M.A., Harvard University (1976)
- (Hon) D. Litt., State University of New York (1996)[10]
Professional and academic career
- Staff, President Harry S. Truman's Commission on the Health Needs of the Nation, 1952
- Lecturer to Associate Professor, Economics Department, University of North Carolina, Chapel Hill, 1952-1961
- Project Director, Economics of Mental Illness, Joint Commission on Mental Illness and Health, Cambridge, MA, 1957-1958
- Statistician, U.S. Bureau of the Census, Suitland, MD, 1958-1959
- Senior Staff, President John F. Kennedy's Council of Economic Advisors, 1961-1963
- Senior Fellow, Economics Study Program, The Brookings Institution, 1963-1968
- Professor of Economics of Medicine, Department of Social Medicine, Harvard Medical School, 1968 - 1999
- Professor of Economics of Medicine, Harvard Kennedy School of Government, 1968 - 1999
- Professor of Economics of Medicine Emeritus, Department of Social Medicine, Harvard Medical School, 1995 - 2014
Career
Rashi Fein began his service to the United States during World War II, in the United States Navy.[11] He spent much of his time after that thinking and writing about health care reform. He was a member of the Truman Commission on the Health Care Needs of the Nation, which as early as 1952 had supported national health insurance and regionalization of health care delivery. Later, he served on President John F. Kennedy’s Council of Economic Advisors as a senior staff member (1961-1963). There, he helped to develop the initial legislation for Medicare, a healthcare model he continued to advocate throughout his life.[12][13] Professor Fein had also served on the Board of the Committee for National Health Insurance under the leadership of former United Auto Workers President Douglas Fraser and under Walter Reuther on a Board investigating malnutrition in the United States.[14][15] He was a charter member of the Institute of Medicine (IOM), had received numerous honors for service in medical economics, and sat on boards of a number of not-for-profit health care institutions. He had authored nine books, the most recent of which was Lessons Learned: Medicine, Economics and Public Policy,[16] published in November 2009.[17]
He joined the Harvard faculty of the school of medicine and the John F. Kennedy School of Government in 1968. He also served as senior fellow in the economics program at the Brookings Institution in Washington, D.C.
His 1982 "What Is Wrong with the Language of Medicine?"[18] in the New England Journal of Medicine began:
A new language is infecting the culture of American medicine. It is the language of the marketplace, of the tradesman, and of the cost accountant. It is a language that depersonalizes both patients and physicians and describes medical care as just another commodity. It is a language that is dangerous.
He concluded that paper:
A decent medical-care system that helps all the people cannot be built without the language of equity and care. If this language is permitted to die and is completely replaced by the language of efficiency and cost control, all of us — including physicians — will lose something precious.
He served as chair of the National Advisory Committee (NAC) for the Robert Wood Johnson Foundation's Scholars in Health Policy Research Program from 1994 to 2002 and was its Chair Emeritus until his death. His work has included: benefit-cost analysis, health care financing, health care workforce policy, cost containment, the financing of medical education, and health care reform. His first book was Economics of Mental Illness (1958). His most recent (2010) book, Lessons Learned: Medicine, Economics and Public Policy, was built on various lessons and stories that, as Chair of the NAC, he presented over the years at the Scholars’ Annual Meeting in Aspen.
As an invited speaker, he presented his then-forthcoming 2009 book at the "Health Care Reform 2009:Politics and Paranoia" in Boston, on October 21, 2009, sponsored by the Boston Democratic Socialists of America and Mass-Care.[19]
Among colleagues, Fein was admired for his wry, often-humorous anecdotes drawn from Jewish culture and over fifty years of experience in the policy arena, which he brought together in his final book, Learning Lessons: Medicine, Economics, and Public Policy (Transaction Publishers, 2010).[20]
He also had served as a Director at Newbridge on the Charles, a senior living facility, an affiliate of the Harvard Medical School.[21][22]
Recognitions and awards
- Rashi Fein was a charter (founding) member of the Institute of Medicine (IOM), a nonprofit NGO founded in 1970.[23]
- Founding Member, National Academy of Social Insurance
- He received numerous honors for his writings in medical economics.
- Traveling Fellowship, World Health Organization, 1971
- John M. Russell Medal, Markle Scholars (Markle Fund) for "Advancement of Knowledge in Medicine", 1971[24]
- Martin E. Rehfuss Medal and Lectureship "For Distinguished Service to Medicine"
- Theobald Smith Lectureship, Albany Medical College, "For Teaching", Albany, NY, 1976
- Heath Clark Lecturer, London School of Hygiene and Tropical Medicine, 1980, delivered paper "Social and economic attitudes shaping American health policy" on March 24 and 26, 1980[25]
- Johns Hopkins University Alumni Association, 1999
- Lifetime Achievement Award "For Fearlessly Promoting the Rights of All to Health Care", Health Care, 2000
- Adam Yarmolinsky Medal from the Institute of Medicine, 2000[26]
- On June 30, 2009, he received the Debs-Thomas-Bernstein Awards, sponsored by Boston Democratic Socialists of America, in Boston.[27]
Publications
- Economics of Mental Illness, Basic Books, 1958.
- The Doctor Shortage: An Economic Diagnosis, The Brookings Institution, 1967.
- Financing Medical Education: An Analysis of Alternative Policies and Mechanisms (with Gerald I. Weber), McGraw Hill, 1971.
- A Right to Health: The Problem of Access to Primary Medical Care (with Charles Lewis and David Mechanic), John Wiley & Sons, 1976.
- Employment Impacts of Health Policy Developments (with Christine Bishop), Special Report No.11, National Commission for Manpower Policy, 1976.
- Alcohol in America: The Price We Pay. California: Care Institute, 1984.
- Medical Care, Medical Costs: The Search for a Health Insurance Policy, Harvard University Press, 1986, 1989.
- The Health Care Mess: How We Got Into It and What It Will Take To Get Out (with Julius B. Richmond), Harvard University Press, 2005.
- Learning Lessons: Medicine, Economics, and Public Policy, Transaction Publishers, 2010.
See also
- Link to journal publications, 1954-2010, and downloadable abstracts
- Harvard Catalyst profile for Rashi Fein
- Google Scholar search for Rashi Fein: read portions of Rashi Fein's writings, and citations of Rashi Fein's work
- Social Security Administration
References
- ↑ Legacy.com obituary: Rashi Fein
- ↑ Rashi Fein, a ‘father of Medicare,’ dies, September 9, 2014, 11:52am, in JTA
- ↑ Boston Globe obituary for Rashi Fein
- ↑ brief review of Medical Care, Medical Costs: The Search for a Health Insurance Policy
- ↑ Rashi Fein Faculty Profile page, Department of Global Health and Social Medicine, Harvard Medical School
- ↑ Listing for Rashi Fein in The International Who's Who: 1990-91, page 491, gives date of birth and full encyclopedia bibliography and CV/bio
- ↑ A brother’s tribute to Leonard Fein, MAZON: A Jewish Response to Hunger, October 26, 2010
- ↑ Rashi Fein, a ‘father of Medicare,’ dies, September 9, 2014, 11:52am, in JTA
- ↑ http://www.nytimes.com/2014/09/14/us/rashi-fein-economist-who-urged-medicare-dies-at-88.html?ref=obituaries
- ↑ SUNY Honorary Degrees, Awarded and Pending, website of State University of New York, Albany
- ↑ "Rashi Fein" article in KeyWiki
- ↑ History of SSA During the Johnson Administration 1963-1968; Rashi Fein was a Members of the 1968-1969 Advisory Committee
- ↑ Papers of Wilbur J. Cohen, notes Rashi Fein's role as member of the Advisory Council on Research Development, which provided assistance to the Social Security Administration for its research program
- ↑ National Health Insurance—A Brief History of Reform Efforts in the U.S., March 2009, in Focus on Health Reform, blog of the Henry K. Kaiser Family Foundation
- ↑ Index of Archives of Committee for National Health Insurance Collection in the Walter P. Reuther Library of Wayne State University
- ↑ JAMA book review for Lessons Learned: Medicine, Economics and Public Policy
- ↑ Profile Page for Rashi Fein, Scholars in Health Policy Research, Robert Wood Johnson
- ↑ Fein, R., 1982, "What Is Wrong with the Language of Medicine?", N Engl J Med 1982; 306:863-864April 8, 1982DOI: 10.1056/NEJM198204083061409
- ↑ OpenMedia's review of Health Care Reform 2009: Politics and Paranoia
- ↑ A brother’s tribute to Leonard Fein, MAZON: A Jewish Response to Hunger, October 26, 2010
- ↑ Continuum of Care, Newbridge on the Charles website
- ↑ Trustees and Associates, Newbridge on the Charles
- ↑ ReachMD profile for Rashi Fein
- ↑ Rashi Fein profile, Publishers of Record in International Social Science
- ↑ Fein, R., Social and economic attitudes shaping American health policy, Milbank Quarterly, Vol. 58, No. 3, Summer, 1980
- ↑ List of Adam Yarmolinsky Award Recipients, IOM website
- ↑ TYR, June 2009
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