ABSTRACT
Pulmonary artery intimal sarcomas (PAISs) are rare, malignant tumours that arise from the intimal or intramural wall of the pulmonary artery and are often mistaken for pulmonary emboli. Diagnosis and treatment of this condition are difficult due to the lack of formal guidelines. Initiating treatment as soon as possible after diagnosis is essential for maximising survival. Here, we present the case of a patient with a PAIS that initially presented similar to pulmonary thromboembolic disease and was treated with a multimodal approach.
Subject(s)
Androgen-Insensitivity Syndrome , Lung Neoplasms , Pulmonary Embolism , Sarcoma , Humans , Male , Pulmonary Embolism/diagnostic imaging , Pulmonary Artery/diagnostic imaging , Lung Neoplasms/diagnosis , Lung Neoplasms/diagnostic imaging , Sarcoma/complications , Sarcoma/diagnosisSubject(s)
Financing, Government/legislation & jurisprudence , Health Care Reform/legislation & jurisprudence , Insurance, Health/legislation & jurisprudence , Privatization/legislation & jurisprudence , Universal Health Insurance/legislation & jurisprudence , Health Care Costs/statistics & numerical data , Humans , United StatesABSTRACT
Sen. John Breaux (D-LA) proposes a new universal health insurance scheme that takes the best from both the private and the public sectors. Government would use its strength as regulator to set minimum standards and offer a fallback coverage system; states would organize their own insurance pools and arrange coverage for the most vulnerable. The private sector would play a critical role to ensure that the new system was based on principles of competition; employers would have the option of covering their workers much as they do now; and individual coverage would still be available for those who desire and can afford it. For the first time, Americans would be held accountable for obtaining health insurance and would be assisted in doing so.
