Random Sample

We invite readers to participate in our Random Sample — a single-question survey based on timely neurosurgical topics that also are tied to the current issue of AANS Neurosurgeon. Cast your vote, and then view the results below. Send us your comments …

I would be willing to financially support neurosurgical residency training.

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In the Loupe

As we discuss “Neurosurgery and the Future of Health Care,” we naturally consider technical advances in our field, such as the rapid expansion of endovascular neurosurgery. But time-tested techniques also will have a place in the future of neurosurgery. This video features Mustafa Baskaya, MD, FAANS, from the University of Wisconsin, performing a microsurgical clip occlusion of a ruptured middle cerebral artery aneurysm.


Departments

There Is Light at the End of the Tunnel

In this issue’s Editorial License column, Editor Michael Schulder, MD, FAANS, discusses the evolving changes in health care.
But is it an oncoming train? How different will medical education and practice after evolving changes in our health-care system take hold? Will medicine, including neurosurgery, remain an endeavor in which one can do good and do well?

As you read this issue of AANS Neurosurgeon, I believe you will agree that the answer is yes, but it is a qualified one. Broad-based political, academic and social pressures are conspiring (no, not consciously) to do what we have successfully resisted for over a century: Turn doctors into highly regulated civil servants, “members of the health care team,” who work in increasing numbers as employees. Directly or indirectly, as the government increases its role in physician payments, we will also be working more for the state.
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Inside Neurosurgeon

Neurosurgery and Health-care Reform

AANS President Robert Harbaugh, MD, FAANS, reflects on past health-care reform and on what can be done to help neurosurgeons prosper in today’s volatile health-care climate.
The United States has, for many years, led other nations in health-care spending as a share of its gross domestic product and on a per capita basis. In addition, the federal government’s share of national health-care expenditures has continuously increased, and this trend will accelerate under the Affordable Care Act. The projected growth in federal health-care spending is unsustainable, and so there is a great incentive for policy-makers to find ways to control it. This has led to recommendations for reform in health-care delivery and payment for services. Accountable care organizations, medical homes, bundled payments, the
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Peer-Reviewed Research

Open Call for Papers

AANS Neurosurgeon is seeking submissions of rigorously researched, hypothesis-driven articles concerning socioeconomic topics related to neurosurgery. These papers undergo thorough double-blind peer review, and they must comport with the pertinent instructions for authors. To learn more about how to submit an article for consideration, follow this link.
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