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T H E I N D E P E N D E N T D A I LY AT D U K E U N I V E R S I T Y
MONDAY, SEPTEMBER 16, 2019 DUKECHRONICLE.COM
Duke at forefront of NC health care changes
ONE HUNDRED AND FIFTEENTH YEAR, ISSUE 10
SEARCHING FOR SQUID
Dean Ashby talks graduate stipends By Matthew Griffin
Contributing Reporter
University News Editor
With the issue of health care at the center of the 2020 presidential campaign, North Carolina is tackling it head-on—with Duke at the center of the reforms. North Carolina’s health care system currently operates under a fee-for-service model, which charges patients for every service they receive during health visits regardless of quality of care. It’s shifting to a model that pays providers based on the success of health outcomes. The team behind this progress is multifaceted, including the Duke-Margolis Center for Health Policy, Duke University Health System and the North Carolina Department of Health and Human Services. The current model was born in the midst of the establishment of the federal Medicaid and Medicare systems in 1965. While the fee-forservice model has since become the U.S. health care standard, critics have argued that it has resulted in skyrocketing expenses for patients and providers alike, especially if a patient is charged for a service that they don’t actually need. To cope with those rising costs, North Carolina and Duke University affiliates are helping to pioneer a new way to pay for health care in North Carolina. “North Carolina is dramatically redesigning the way health care is paid for and delivered in the state,” Robert Eick, a policy fellow at the Duke-Margolis Center, wrote in an email to The Chronicle. “These changes are being led by [North Carolina] Medicaid’s transition to managed care and reimbursement models that pay for better patient health rather than how many services a provider or hospital delivers.” Under the new system, providers will be paid based on their patients’ health outcomes rather than the number of services they receive. This change is being implemented by both Medicaid providers and private insurers including Blue Cross and Blue Shield of North Carolina, the state’s largest private insurer. The idea of value-based payment has already been implemented
to w hen a n d T h e including that they quiet and possible. To i n the Medusa camera. The Medusa, which was also used to capture the first video of a giant squid seven years ago, was developed by Johnsen with a couple of colleagues around 2009. Built on a modest budget, the camera is designed to give off as little light and noise as possible. Apart from a small LED array on the camera, it is nearly completely anonymous, dangling at the end of a mile of rope. That rope has a satellite-tracked buoy on the other end that lets the researchers track their camera as it drifts for more than a day. Less conveniently, the rope has to be lowered and raised by hand, which can take more than three hours each way. “It was like 19th century mariner days, telling jokes and anything else to keep ourselves entertained as we pulled it up hand-over-hand,”
Valerie Ashby, dean of Trinity College of Arts and Sciences, loves her job. Still, she recognizes there is important work to be done. Ashby emphasized her main objectives as a dean and the progress she has helped make during her five years in the role at Thursday’s Arts and Sciences Council meeting. Ashby spoke of how she seeks to promote arts, humanities and social sciences at Duke, enhance teaching, hire diverse faculty and improve the quality of the graduate experience in pursuit of “consistent excellence.” Ashby noted that Duke’s promise to provide 12-month stipends to all graduate students comes with a hefty price tag of $3.4 million per year. “[Trinity College] made budget this year by the grace of God,” she said. “That’s the first time we’ve made budget since I’ve been here. We do not have $3.4 million annually.” However, she added that the administration would find funding somewhere. She compared the promise of 12-month stipends to Duke’s need-blind admissions policy, by which the university finds funding for financial aid after the undergraduate class has already been admitted. “We will do some hard work together in the next three years to figure out how we’re going to afford this,” she said. “So a lot of conversations will be had with departments about choices, because there isn’t an extra $3.5 million in here.” Ashby described placing emphasis on the arts, humanities and social sciences at Duke. Despite these programs’ consistent high quality, it is important to continue to promote them, she said. “You don’t have to worry about us taking our eye off of that while we run around the country trying to raise a billion dollars for science,” Ashby said. “By the way, I run around the country trying to raise significant dollars for the humanities and social sciences, and that will also continue.” Ashby noted that the University was looking to hire a new vice
See SQUID on Page 3
See ASHBY on Page 4
See HEALTH CARE on Page 4
Isabella Wang | Contributing Graphics Designer
By Nadia Bey
By Carter Forinash University News Editor
As the saying goes, lightning rarely strikes the same place twice—but sometimes it strikes right after you see a giant squid. While the saying might seem oddly specific, that was the reality of June 20 for one Duke professor— Sönke Johnsen, professor of biology at Duke, who became a biologist on a dare and wound up on research c r u i s e s searching for squids. Jo h n s e n , with a team of other r e s e a r c h e r s from around the country, led an eventful National Oceanic and Atmospheric Administration exploration cruise earlier this year that brought back the first footage of a giant squid in U.S. waters. NOAA funding comes with a quirk, requiring that expeditions focus on exploring rather than testing any specific hypothesis. Exploration is one thing, but this mission to the Gulf of Mexico needed to bring in new techniques to actually find anything. The Gulf of Mexico, in the grand scheme of bodies of water, is not particularly large or remote. In fact, Johnsen said, the flood of the Gulf at any given time is patrolled by a small army of more than 1,000 robot submarines, mostly run by large oil companies interested in maintaining their drilling operations. Given their mission, the robots are not particularly good at staying quiet or unobtrusive, making them poor scientists.
“They say that they never see anything and they have an incredible amount of footage showing that they never see anything,” Johnsen said. “But deep sea animals are smart enough just go away anything is big noisy.” NOAA team, Johnsen, knew needed to be as unremarkable as do so, they brought
Duke hosts research town hall
Grad students camp out in K-Ville
Effortless perfection at Duke
The forum comes after the University shelled out $112.5 million in a research fraud lawsuit. PAGE 2
Around 1,700 graduate students spend a weekend in K-Ville for a chance at men’s basketball season tickets. PAGE 7
Columnist Annie Yang dissects how neoliberal universities influence the drive for perfection. PAGE 11
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