ࡱ> knj 0l.bjbjҥҥ .v__^&  8D]54444444$M8;555- - - 4- 4- - ,h-@#,-4-50]5<-;; --;/- 55]5; X V:   PH 116: Introduction to the U.S. Health System Fall 2023 T/TH 9:40-10:55 Lattimore Room 201 Instructor: Mical Raz, MD, PhD. email:  HYPERLINK "mailto:micalraz@rochester.edu" micalraz@rochester.edu Office Hours: Thursdays 1230 -130, can be on zoom but need to coordinate in advance https://rochester.zoom.us/j/94498984911 Meeting ID: 944 9898 4911 Teaching Assistants: Head: Kevin Sapere  HYPERLINK "mailto:ksapere@UR.91̳.edu" ksapere@UR.91̳.edu Undergrad TAs: Niki Eckert HYPERLINK "mailto:ceckert4@u.rochester.edu"ceckert4@u.rochester.edu Priya Mandava HYPERLINK "mailto:pmandava@u.rochester.edu"pmandava@u.rochester.edu Raquel Williams HYPERLINK "mailto:rwilli77@u.rochester.edu"rwilli77@u.rochester.edu Shreya Mandalapu HYPERLINK "mailto:smandal2@u.rochester.edu"smandal2@u.rochester.edu Priscilla Peters HYPERLINK "mailto:ppete11@u.rochester.edu"ppete11@u.rochester.edu The TAs are your primary point of contact for questions and concerns. You will each be assigned an undergrad TA who will work with you, grade your essays and answer your questions. The TAs will also run a question board for discussion on Blackboard, hold regular office hours, and will be available to meet with you. Some will host community viewings of the movies if there is interest in that and will run informal review sessions. COURSE DESCRIPTION: PH 116 (Intro to the US Health Care System): This course examines the organization, financing and functioning of the United States health care system, utilizing primarily a historical perspective. Among the topics covered are the economics and organization of health systems, racial disparities in access to care and quality of care, historical understandings of social determinants of health, U.S. health policy and politics including the historical struggle for health reform, the passage of the Affordable Care Act, and its transformation under the Trump administration. The course textbook will be Donald BarrsIntroduction to US Health Policy: The Organization, Financing, and Delivery of Health Care in America, 4th edition (2016) but will also incorporate investigative journalism articles, primary and secondary historical sources, and videos and documentary films. Paul Starrs book The Social Transformation of American Medicine is also a very valuable resource, now available through our library as an e-book. The Colleges credit hour policy on undergraduate courses is to award 4 credit hours for courses that meet for the equivalent of 2 periods of 75 minutes each week. Students enrolled in PH 116 are expected to devote at least one hour each week to identifying the main lines of argument in course readings, working alone or in groups, and to preparing for their assignments and review sessions. EVALUATION: Short essay responses to films and their larger context: 5 pts each X 4 =20 pts Two MCQ Quizzes (in class) 10 pts each X 2 =20 pts Two in-class exams (in class) 30 pts each X 2 =60 pts Attendance and engagement may factor in as a way to increase final grade. Grade scale is as follow: A = 93-100 A- = 90-92 B+ = 87-89 B = 83-86 B- = 80-82 C+ = 77-79 C = 73-76 C- = 70-72 D+ =67-69 D = 63-66 D- =60-62 ATTENDANCE: Attendance is important for your success, and my experience with this course shows that students who actively participate in class learn more and earn higher grades. Quizzes and exams should be taken at the scheduled time, barring extreme circumstances that are pre-approved by the instructor. Otherwise, I do not check attendance and there is no need to request excused absences. ACADEMIC HONESTY: All assignments and activities associated with this course must be performed in accordance with the 91̳'s Academic Honesty Policy. Cheating and plagiarism are serious offenses and will be treated as such. Anyone who engages in such activities will be turned over to the College Board on Academic Honesty for disciplinary action, as outlined at http://www.rochester.edu/College/honesty/. For a helpful discussion of plagiarism (including subtle instances), see the American Historical Associations Defining Plagiarism,  HYPERLINK "https://www.historians.org/teaching-and-learning/teaching-resources-for-historians/plagiarism-curricular-materials-for-history-instructors/defining-plagiarism" https://www.historians.org/teaching-and-learning/teaching-resources-for-historians/plagiarism-curricular-materials-for-history-instructors/defining-plagiarism. If there is any question or concern please contact the instructor for clarification. Please note that essays should be written by the student without use of AI tools including Chat GPT. STATEMENT OF ACCOMMODATION: The 91̳ respects and welcomes students of all backgrounds and abilities. In the event you encounter any barrier(s) to full participation in this course due to the impact of disability, please contact the Office of Disability Resources. The access coordinators in the Office of Disability Resources can meet with you to discuss the barriers you are experiencing and explain the eligibility process for establishing academic accommodations. You can reach the Office of Disability Resources at: disability@rochester.edu; (585) 276-5075; Taylor Hall. Disclaimer: The instructor reserves the right to change topics and assignments on the syllabus at any point in the semester. Any changes will be announced in class and posted on Blackboard. IMPORTANT DATES : Quizzes- in class only September 19 and November 9th Exam A October 12 Exam B December 12 All reflections due 9am exactly 1 week from the date of the movie. Schedule of Lectures PART I Historical Foundations of the US Health Care System: Thursday, August 31, 2023 Introduction, History of 19th Century Medical Profession, Past as Prologue Reading: https://www.pbs.org/newshour/health/dec-14-1799-excruciating-final-hours-president-george-washington Tuesday, September 5, 2023 Early 20th Century Educational Reform, The Flexner Report, The Rise of the Medical Profession Read: Starr, Social Transformation of American Medicine, 112-134 Barr, Chapter 4 81-111 Thursday, September 7, 2023 Hospitals an Evolution Paul Starr, The Reconstitution of the Hospital, in The Social Transformation of American Medicine, p. 145-179 Tuesday, September 12, 2023 September10 Bacteriological Revolution and the Rise of Public Health Gawande, Better, 13-28; Nancy Tomes, The Making of a Germ Panic, Then and Now AJPH Feb 2000. Thursday, September 14, 2023 Asynchronous watch film (at home, online) The Most Dangerous Woman in America and submit reflection online by September20 at 9am. Tuesday, September 19, 2023 Health, Illness, and the Risk of Disease: A Transformation. Aronowitz, The Converged Experience of Risk and Disease,  HYPERLINK "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2728027/" Milbank Q. 2009 Jun; 87(2): 417442 In class quiz (15 mins for 10 MCQ) PART II Social Determinants of Health Historical Understandings Textbook for entire section Barr, 336-350 Thursday, September 21, 2023 Historical Understandings of SDoH Part 1 Tuesday, September 26, 2023 Historical Understandings of SDoH Part 2 Thursday, September 28, 2023 Maternal Health in American Part 1 Read Nothing Protects Black Women from Dying in childbirth : HYPERLINK "https://www.propublica.org/article/nothing-protects-black-women-from-dying-in-pregnancy-and-childbirth"https://www.propublica.org/article/nothing-protects-black-women-from-dying-in-pregnancy-and-childbirth Tuesday, October 3, 2023 Asynchronous. No class. Instead of this class watch at your convenience at home the movie United in Anger and submit reflection online due in exactly one week. Thursday, October 5, 2023 Kevin Sapere, PhD Student, History of AIDS activism and lessons for the future Tuesday, October 10, 2023 LGBT inequities, the HIV ongoing crisis, Review for first exam Thursday, October 12, 2023 Exam A Tuesday, October 17, 2023 No class Fall Break! PART III Access to Health Care in the US: Private, Public, and Uninsured Thursday, October 19, 2023 What is Health Insurance? Intro to ESI Read: Barr, 112-120 Tuesday, October 24, 2023 What is Managed Care? Barr, Health Insurance, HMOs, and the Managed Care Revolution, p. 112-149 Thursday, October 26, 2023 Asynchronous Watch: Power to Heal , reflection due one week later Tuesday, October 31, 2023 Historical Origins of Medicare and Medicaid Barr, Medicare 150-195 Thursday, November 2, 2023 Medicare and Medicaid contd Tuesday, November 7, 2023 Medicaid Wrap up Thursday, November 9, 2023 Uninsured, Underinsured, Uninsurable, Rand Experiment, Does Health Insurance even work? In class quiz (15 mins for 10 MCQ) Barr, 228-250 PART IV: HEALTH CARE REFORM Tuesday, November 14, 2023 100 years of Health reform ,What were the Clinton Reforms and What was Learned? Thursday, November 16, 2023 ACA Political History Read Excerpt from Obama Memoir Tuesday, November 21, 2023 Asynchronous Watch Sicko:  HYPERLINK "https://vimeo.com/76646445" https://vimeo.com/76646445 Submit Blackboard reflection due online one week later Thursday, November 23, 2023 No Class Thanksgiving Tuesday, November 28, 2023 ACA continued, Medicaid Expansion Thursday, November 30, 2023 Obamacare After Obama/ What do the American Rescue Plan and the IRA do for the ACA/ Where are we now with the ACA? Tuesday, December 5, 2023 Guest , health policy careers Thursday, December 7, 2023 Finish any outstanding topics, Review Session Tuesday, December 12, 2023 Exam B     KLM " # $ 2 3 þ{h=hCh5S0JjhCh5SU hCh5Sh5S hChZ hChr;hChr;5\hChW5 ht 5 hZ95 h?_l5hChZ95 hX5 hV W5 hyZ25 hZ5hChZ5hChg^5 h/\hZ0LM$ z { 4 C E gdpgd5SgdX3 = B F g s y z {      2 3 4 ? @ C ɽɱuuuhlu-hzI65\_H h^Khlf0J_H hlfhlf_H jhlfU_H  hlf_H  hd4_H  hzI6_H hlu-h5\_H hlu-h,5\_H hlu-hZ95\_H  hChP~ hChZ hCh5Shph5S hp_H hXhd4-C E G N O P Z [ b z { |   ( ) * B C D E K V W a b i  h%A _H  hX_H  hzI6_H h7mhlu-0J_H hlu-hlu-_H jhlu-U_H  hlu-_H  h _H M $ - . 2 <  ! 2 3 4 ? P Q c %'4<DUfi 4>K_fi׼h=B*phhChzE{B*phhYoB*phhChBB*phhChWmH sH  hCh`a hh_H  h%A _H J LMY[_`{gd%A gdBgd?_lgd@gdjk dd[$\$gd| dd[$\$gd, dd[$\$gdBit|'()4<DSWfiju)+467Bh}B*phh?_lB*phh @h @B*H*phh @B*phhChB6B*]phhChB0JB*phhChBB*_H phh=B*phhChBB*ph>BJf|4BCOQfm{4KLMYZ[ftyhjk hChZhCh0'B*_H phhCh0'B*phhChZB*phhChBB*phh0B*phh}B*phFy $4;<IQ]^_`dfovxy{Ĵht B*CJOJQJaJphh%A B*CJOJQJaJphh%A hCh?_lZo(h@h@6]h@h6h/ht hph[h}hjkh(= &+/49:U[lwx˼˸˴h0h&hpht hCh,hjk hChn hCh%A h%A B*CJOJQJaJph#h%A B*CJOJQJ_H aJphG|}Ugd(^o $1$a$gd(^o $1$a$gd&$a$gd;Xgd,gd/ngdpgdBgd%A $38=BGX{|}!'368GVil!'368GVil!3468GVjhCh,U hChn hCh/n hCh,h&h"hjkTVZ[\]il!368GTUmst#$%3;<=BKe~#$%3 hChnhCh&_H h&hzI6h&5\h,hCh,0JjhCh,U hCh,M3;<=BKe~*3Jab  Ŀhlu-h/H*\hlu-hlu-\hlu-h/\ hlu-\hlu-h}\ hP~5hCh,5 h(^o5 hChZh(^o h(^oh(^oh(^oh(^o_H h;XhCh,_H  hCh,<1E  %pqZ [ a \!^gdpR=^gdhgdpR=gd"gd(gdOv$%&.01278BCDE]^`d   #$%)þhChh\hhB*CJOJQJaJphh&B*CJOJQJaJph hh5hChpR=5 hpR=5 hZ5hChZ5hChjk5_H hlu-h!\_H hlu-hlu-\hlu-h/\hlu-h6\hlu-h}\2)123<=>@BKMR\fimopqrsxyz        # & ' 4 6 ̼ h'$hpR=B*H*OJQJphhpR=B*OJQJphh'$hpR=\hpR=B*CJOJQJaJphh&B*CJOJQJaJphh&B*OJQJphht hh\h'hh\hhhhH*\hChh\ hh\56 : > B C F K O Y Z [ ` a h k l n w x ! !! !$!+!,!D!H!L!Q!V!Y!Z![!óhChpR=\ hpR=\_H hpR=B*CJOJQJaJphh&B*CJOJQJaJphh&B*OJQJphhOvhpR=B*OJQJph hpR=\hpR=B*OJQJph@[!\!]!o!w!x!y!!!!!!!!!!!!!!!!!!!!!!!!!!!" """"" ";"<"=">"I"J"Q"S"T"f"g"h"m"n"o"q"r""˨+hEhpR=5B*CJOJQJ\aJph%hpR=5B*CJOJQJ\aJphh7ahpR=6\] hpR=\hpR=B*CJOJQJaJphh&B*CJOJQJaJphh&B*OJQJphhChpR=\9\!y!!"="""#####($R$p$$$$$$"%<&V&h`hgdu3`gdpR=h`hgdpR=gd<gdpR= <^`<gdpR=^gdpR=""""""""""""""""""""""### # # ######$#)#,#A#K#N#U#V#W#X#_#c#u#v#x###############öööñ hpR=\jh7ahpR=U\h7ahpR=\hChpR=\h&B*CJOJQJaJphh&B*OJQJphhpR=B*CJOJQJaJph=###############$ $ $ $$$'$($*$D$N$O$Q$R$S$n$o$p$r$x$$$$$$$$$$$$$$$$$%h#hpR=B*CJOJQJaJphh&B*CJOJQJaJphh&B*OJQJph hpR=\ hpR=5hehpR=5hpR=B*CJOJQJaJphh7ah<\%h_h<B*CJOJQJaJph( *hqh<B*CJOJQJaJph2$$$% %!%"%#%'%/%0%8%U%W%^%_%`%j%k%%%%%9&:&;&<&=&A&T&U&V&b&d&ϽwwkU+hOvhu35B*CJOJQJ\aJphh&B*OJQJph$h7mhn0JCJOJQJ_H aJ)hnhnB*CJOJQJ_H aJph,jhnB*CJOJQJU_H aJph hnhn#hnB*CJOJQJ_H aJphhnB*CJOJQJaJphhu3B*CJOJQJaJphh&B*CJOJQJaJph!d&g&i&n&o&p&v&&&&&&&&&&&&&&&&&&&'''"'-'/'4'5'6'?'X'b'c'd'e'}'~''''''''''''''''''''(%hlu-5B*CJOJQJ\aJph hu3\_H h&B*CJOJQJaJphh&B*OJQJphhnB*CJOJQJaJphhu3B*CJOJQJaJph=V&&&'c'd''''''((_({(((((7)T)a))))*^gdu3h`hgdu3gdu3gdpR=`gdu3( (((((((( (%(0(2(3(4(8(C(H(Z(](^(_(`(y(z({(|(((((((((((((((((Ŀ߫ߑm%hqhu3B*CJOJQJaJph hu3\_H hChu3\_H hGhu3\_H h&B*CJOJQJaJphh&B*OJQJphhChu35 hu3\hu35B*OJQJ\phhu3B*OJQJphhu3B*CJOJQJaJphhMB*CJOJQJaJph*((((((((((())+)/)6)7)8)Q)R)S)T)Z)`)a)c)f)m)n)s)t)u)v))))))))))))))ɶt漢ﶶhnB*CJOJQJaJph+h_hu35B*CJOJQJ\aJphh&B*CJOJQJaJphh&B*OJQJph%h1hu3B*CJOJQJaJph%h[vhu3B*CJOJQJaJph%hGhu3B*CJOJQJaJphhu3B*CJOJQJaJph-)))))))))))))))))))))))*****+*-*0*1*2*3*4*5*M*N*O*R*b*c*d*}*~******************аа%h_hyB*CJOJQJaJphhyB*CJOJQJaJphhu3B*CJOJQJaJphh&B*CJOJQJaJphh&B*OJQJph%h1hu3B*CJOJQJaJph=*3*4*O*c**** + +&+B+++++,,,d,,,,---`gdS8h`hgdygdy`gdygdu3`gdu3********+ + ++++!+%+&+'+<+@+A+B+O+V+]+^+a+c+d+e+i+k+p+z+~+++++++++++̱̽h1hyB*OJQJphhyB*CJOJQJaJphh&B*CJOJQJaJphh&B*OJQJphhy5B*OJQJ\phhyB*OJQJph%h_hyB*CJOJQJaJph( *hqhyB*CJOJQJaJph,++++++++++++,,,,,,,,, ,*,+,E,F,G,H,[,b,c,d,v,x,,,ͽzzzkzz^^zzzzzhw\hy0JOJQJh_hyB*OJQJphhyB*OJQJph jhyB*OJQJUph+h_hy5B*CJOJQJ\aJphhyB*CJOJQJaJphh&B*CJOJQJaJphh&B*OJQJph+hnhn6B*CJOJQJ]aJphhlu-B*CJOJQJaJph#,,,,,,,,,,,,,,,,,,,------+-,---.-6-7-D-I-L-e-q-r-t-~------------------ǴǤǤǤǤ%hS8hS8B*CJOJQJaJphhS8hS8B*CJOJQJaJph%h&h&B*CJOJQJaJphh&B*CJOJQJaJphh&B*OJQJphhyB*CJOJQJaJphhnB*OJQJph7-----(.K.L.N.P.Z.[.\.].^.`.a.c.d.f.g.i.j.k.l.gd0'gdL $^a$gdqgdqgdu3`gdygdS8---.....'.(.).B.C.D.J.K.L.M.N.O.P.Q.R.S.T.U.V.W.X.Y.Z.[.\.].^.ӽӭoo_X h/\h]hheB*CJOJQJaJphhLB*CJOJQJaJphh#ht \hChq\#hhhq5B*OJQJ\phht B*OJQJphhyB*CJOJQJaJph+hlu-hlu-5B*CJOJQJ\aJphh&B*CJOJQJaJphh&B*OJQJphhS8B*CJOJQJaJph"^._.`.a.b.c.d.e.f.g.h.i.j.k.l. h/\h]hhmzvjhmzvU,1h/ =!"#$% $x002 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@66666_H mH nH sH tH @`@ NormalCJ_HaJmH sH tH VV o Heading 1dd@&[$\$5CJ0KH$\_H aJ0DA D Default Paragraph FontRiR  Table Normal4 l4a (k (No List 6U`6 >%E Hyperlink >*B*phHH `/ Balloon TextCJOJQJ^JaJN/N `/Balloon Text CharCJOJQJ^JaJBo!B Bapple-converted-spaceRv!1R a[0Unresolved MentionB*ph`^\q FV AF oFollowedHyperlink >*B*phOr@R@ n@ List Paragraph ^NbN 0'0 Footnote Text XDYDCJOJQJaJH/qH 0'0Footnote Text Char OJQJ_H@& @ 0'0Footnote ReferenceH*F/F oHeading 1 Char5CJ0KH$\aJ02/2 o title_default8/8 mFbalancedheadlineDD mF css-1nuro5jdd[$\$_H ./. mF css-1baulvz*W * _Strong5\B' B 3Comment ReferenceCJaJ<< !3 Comment Text CJaJ>/> 3Comment Text Char_H@j@ #3Comment Subject"5\J/1J "3Comment Subject Char 5\_HPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vj\{cp/IDg6wZ0s=Dĵw %;r,qlEآyDQ"Q,=c8B,!gxMD&铁M./SAe^QשF½|SˌDإbj|E7C<bʼNpr8fnߧFrI.{1fVԅ$21(t}kJV1/ ÚQL×07#]fVIhcMZ6/Hߏ bW`Gv Ts'BCt!LQ#JxݴyJ] C:= ċ(tRQ;^e1/-/A_Y)^6(p[_&N}njzb\->;nVb*.7p]M|MMM# ud9c47=iV7̪~㦓ødfÕ 5j z'^9J{rJЃ3Ax| FU9…i3Q/B)LʾRPx)04N O'> agYeHj*kblC=hPW!alfpX OAXl:XVZbr Zy4Sw3?WӊhPxzSq]y l&9v 3 C  iByV3)6 [!"#$d&(()*+,-^.l. !#$%'()*,-./1235679: \!V&*--l."&+048 "2O{)BV\V_9$G$b$l&XXXXXXXXXXX8@0(  B S  ?LU$^&`&a&c&d&f&g&i&m&"#-R^ % q!w!V#b#%%%%^&m&33333333333M4B{ { "5"" # #'#$$$%(&]&^&`&a&c&d&f&g&i&m&3EEOCV!; !!$$]&m&l "Yt}p 0/[b#0Lr7 i|BTh^`OJQJo(hHh^`OJ QJ ^J o(hHohp^p`OJ QJ o(hHh@ ^@ `OJQJo(hHh^`OJ QJ ^J o(hHoh^`OJ QJ o(hHh^`OJQJo(hHh^`OJ QJ ^J o(hHohP^P`OJ QJ o(hH^`CJOJQJo(^`CJOJ QJ o(opp^p`CJOJ QJ o(@ @ ^@ `CJOJ QJ o(^`CJOJ QJ o(^`CJOJ QJ o(^`CJOJ QJ o(^`CJOJ QJ o(PP^P`CJOJ QJ o(h^`OJQJo(hHh^`OJ QJ ^J o(hHohp^p`OJ QJ o(hHh@ ^@ `OJQJo(hHh^`OJ QJ ^J o(hHoh^`OJ QJ o(hHh^`OJQJo(hHh^`OJ QJ ^J o(hHohP^P`OJ QJ o(hHh^`OJQJo(hHh^`OJ QJ ^J o(hHohp^p`OJ QJ o(hHh@ ^@ `OJQJo(hHh^`OJ QJ ^J o(hHoh^`OJ QJ o(hHh^`OJQJo(hHh^`OJ QJ ^J o(hHohP^P`OJ QJ o(hH ^`OJQJo(^`OJ QJ ^J o(o p^p`OJ QJ o( @ ^@ `OJQJo(^`OJ QJ ^J o(o ^`OJ QJ o( ^`OJQJo(^`OJ QJ ^J o(o P^P`OJ QJ o(0Lrl /[ i|t}                                    k/{PxsPxvS9#:;&.[>z'Px.!+eOpV366z,O|[>t@EPxm@O6z!+eO6EOPxPw&P TPx>v6T UOXZU-]Px~8aw$cPxZ_ujvZyPx6z]fE{Px^{{Px}Px65jF|0QmUO9p8[.h `x hh } %A J 52W|&;Xf|F;S!34UMjVkeohYo !!"4&'!'0'6'$;'@(,)a*N)+3x,U]-lu-Z..A/\S/`/B1yZ2;3u3d4S455?W5c6zI6S8Y(8Z9pR=n=s=^> @ {AOBfCZEEF2tF9H`IZL'LNQZNTOP:PbQlTQ5RVrRp+S5S}TLVV W LWY><n@.MMxL)V]r_@)gtE3QmFMI%p}n&XA 6`^&`&@ l&@Unknown G.[x Times New Roman5^Symbol3. *Cx Arial;[xPHelveticaY -webkit-standardCambria5. .[`)Tahoma3Z PTimesC.,.{$ Calibri Light7.*{$ Calibri?= .Cx Courier New;^MWingdingsA$BCambria Math"q'h G G8g E EY20K&K& 3Q @P ??2! xx ]; +HLS 116: Introduction to Community MedicineitsRaz, Mical Orit      Oh+'0 0< \ h t ',HLS 116: Introduction to Community Medicineits Normal.dotmRaz, Mical Orit2Microsoft Office Word@@t=F7@o@o  ՜.+,D՜.+,l( hp  '91̳EK& ,HLS 116: Introduction to Community Medicine Title 8@ _PID_HLINKS'AB9phttps://vimeo.com/76646445*=ghttps://www.propublica.org/article/nothing-protects-black-women-from-dying-in-pregnancy-and-childbirthO6https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2728027/uphttps://www.historians.org/teaching-and-learning/teaching-resources-for-historians/plagiarism-curricular-materials-for-history-instructors/defining-plagiarismJ4mailto:ppete11@u.rochester.eduxM mailto:smandal2@u.rochester.edum  mailto:rwilli77@u.rochester.edu+T  mailto:pmandava@u.rochester.edu`F mailto:ceckert4@u.rochester.eduh mailto:ksapere@UR.Rochester.edu]zmailto:micalraz@rochester.edu  !"#$%&'()*+,-./0123456789:;=>?@ABCDEFGHIJKLMNOPQRSTUVWXY[\]^_`acdefghilmpRoot Entry Fpo1Table<;WordDocument .vSummaryInformation(ZDocumentSummaryInformation8bMsoDataStore@@N1DRK5IPQ==2@@Item PropertiesUCompObj r   F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q