Literature Review

Santa Maria woman sentenced to 10+ years for stealing from elderly clients NBC KSBY-6, California's Central Coast; by KSBY Staff; 5/20/25 A former Santa Barbara County investment advisor was sentenced Monday to just over 10 years in federal prison for stealing millions of dollars from elderly clients of her investment advisory business in the Santa Maria area. Julie Darrah, 52, of Santa Maria, ran an investment advisory business called Vivid Financial Management Inc. (VFM). ... Prosecutors say she stole approximately $2.25 million from her clients between November 2016 and July 2023. ... In December 2024, a U.S. District judge found her liable to pay back her clients $2,416,511. Department of Justice (DOJ) officials say Darrah abused the trust her victims placed in her, accusing the defendant of manipulating her elderly clients into believing she would take care of them in their older years, like a daughter. Darrah would then use this trust to persuade her victims to sign documents giving her the ability to transfer funds from their bank accounts into other accounts, including her own. Some of her victims were reportedly left in desperate circumstances, without the money to pay for needed end-of-life care. ... Anyone who thinks they may be a victim of financial fraud can contact the National Elder Fraud Hotline at 1-833-FRAUD-11.

Yes, you can die from a broken heartMedscape; by F. Perry Wilson, MD, MSCE; 5/14/25 A patient comes crashing into the emergency room with severe chest pain. The EKG looks like this: A patient comes crashing into the emergency room with severe chest pain. The EKG looks like this: [graphic]. As a doctor, if you see this, you’re calling the cardiac cath lab. This is an ST-elevation myocardial infarction — the big one — indicative of a blood clot blocking blood flow to a large section of the heart. The sooner you get that blood clot out, the better chance the patient has to survive. So the patient is rushed to the cath lab, and they find… nothing. Clear coronaries. No blood clot. Further questioning reveals that the patient, an older woman, lost her husband recently. This is stress-induced cardiomyopathy, medically known as Takotsubo cardiomyopathy (TC). It’s the pathophysiologic manifestation of a broken heart. First described in 1991, Takotsubo syndrome occurs in the setting of deep psychological, emotional, or physical stress.

After multi-year battle, Delaware Medical-Aid-in-Dying bill is law WDEL.com 1150AM and 101.7 FM - Delaware's News Now; by Mark Fowser; 5/20/25, 1:38pm ET Delaware is now the 12th jurisdiction to allow adults who are terminally ill and want to bring an end to their suffering to request and self-administer medication that would end their lives. Governor Matt Meyer Tuesday signed Delaware's Medical Aid in Dying legislation (House Bill 140) into law, which was passed by the General Assembly earlier this year. The measure also passed last year after a ten-year battle, but was vetoed by then-Governor John Carney. "For those with terminal illness who are seeking out more choices at end of life, the signing of this bill provides those in that circumstance one more option than they had just yesterday," Tim Appleton with The Compassion and Choices Action Network said. The legislation will take effect by January 1st, 2026 - or earlier, pending the implementation of regulations. Under the act, several medical professionals would have to agree that a person's prognosis is terminal with six months or less to live, the adult must be able to make clear decisions, and the person would need to be able to self-administer the medication. Appleton also had a message for people who think this may encourage more people to take their lives: "to assure that not one more person will dies as a result of this legislation, but far fewer will suffer."

The best leaders ask the right questions Harvard Business Review On Leadership, Episode 110; podcast by Arnaud Chevallier; 5/14/25 Few leaders have been trained to ask great questions. That might explain why they tend to be good at certain kinds of questions, and less effective at other kinds. Unfortunately, that hurts their ability to pursue strategic priorities. Arnaud Chevallier, strategy professor at IMD Business School, explains how leaders can break out of that rut and systematically ask five kinds of questions: investigative, speculative, productive, interpretive, and subjective. He shares real-life examples of how asking the right sort of question at a key time can unlock value and propel your organization. With his IMD colleagues Frédéric Dalsace and Jean-Louis Barsoux, Chevallier wrote the HBR article “The Art of Asking Smarter Questions.”

'Legendary' Hemsley takes over at UnitedHealth amid rough seas Modern Healthcare; by Nona Tepper; 5/14/25 Stephen Hemsley returns to the top spot at a UnitedHealth Group that looks very different from the one he helmed almost a decade ago and faces trouble bubbling up in its Optum healthcare services subsidiary. Over the past three years, the company has reported rising Medicare Advantage costs in its UnitedHealthcare insurance subsidiary. But some see Optum as more concerning. With Andrew Witty resigning as CEO on Tuesday [5/13], it falls to Hemsley to right the ship.

Trump Administration Executive Order TrackerMcDermott+Consulting; by McDermott+; 5/19/25 [This article] is a tracker of healthcare-related executive orders (EOs) issued by the Trump administration, including overviews of each EO and the date each EO was signed. We will regularly update this tracker as additional EOs are published. It is important to note that EOs, on their own, do not effectuate policies. Rather, in most cases, they put forth policy goals and call on federal agencies to examine old or institute new policies that align with those goals. ...

NorthStar Care Community launches 'Life's Big Moments' campaign to initiate nationwide conversation about end-of-life hospice care PR Newswire, Ann Arbor, MI; by NorthStar Care Community; 5/19/25 NorthStar Care Community has launched Life's Big Moments, a campaign that celebrates the beauty of life's journey from the big milestones to the small, everyday moments that leave the deepest impact on our well-being and purpose. The campaign aims to initiate conversation and awareness around end-of-life care while also raising money to benefit the members of NorthStar Care Community. Companies, organizations, and individuals are invited to support these efforts throughout the campaign, focusing on recognizing the needs of our Veterans.

16 hospital closures in 2025Becker's Hospital Review; by Madeline Ashley; 5/14/25 The healthcare landscape continues to change as hospitals and emergency departments face mounting challenges in 2025. Following a trend of 25 hospital closures reported on by Becker’s in 2024, many facilities are being forced to close their doors due to changing community needs, rising operational costs and evolving care models. Becker’s has reported on 16 hospital and emergency department closures in 2025: ...

Too many people overvalue what they are not and undervalue what they are. ~ Malcom S. Forbes

The evolution of hospice care The Journal; by Dr. Sarah Phillips, Medical Director, Hospice of the Panhandle; 5/18/25 Historians believe that the first hospices originated in Malta around 1065, dedicated to caring for the ill and dying enroute to and from the Holy Land. The term “hospice” referred to places of shelter for travelers, particularly in medieval Europe. The moder hospice movement began to gain momentum in the 1960’s with Dame Cicely Saunders’s establishment of St. Christopher’s Hospice in London, which emphasized comfort and quality of life for patients and their families. This idea of specialized care for the dying was first introduced to the United States during a lecture at Yale University in 1963. In the early 1970’s the first national hearings on the subject of death with dignity were conducted by the U.S. Senate Special Committee on Aging. In 1978, the National Hospice Organization was established and the U.S. Department of Health, Education, and Welfare task force reports that “the hospice movement … is a viable concept and one which holds out a means of providing more humane care for Americans dying of terminal illness while possibly reducing costs. As such, it is the proper subject of federal support.” [Continue reading ...]

The Quilters: NetflixPersonal communication; 5/16/25The Quilters follows the daily lives of several quilters inside the sewing room at South Central Correctional Center, a Level 5 maximum-security prison in a small town two hours south of St. Louis, MO. From design to completion, the men reveal their struggles, triumphs, and sense of pride in creating something beautiful in this windowless, sacred space deep within the prison walls. Watch on Netflix: https://www.netflix.com/title/82006530.Publisher's note: This program donates quilts to foster children in surrounding counties - similar to the quilt program at Angola Penitentiary in Louisiana that creates quilts as a fundraiser for their hospice program.

How to put together your AI Dream Team Forbes; by Megan Poinski; 5/15/25 What are front-runners [with AI] doing differently? Accenture found they have five imperatives in common. They’re prioritizing AI innovation and growth over cost reduction—with C-suite leaders agreeing on the reasons behind it and how to measure the outcomes. They’re reinventing talent and ways of working, hiring employees who can do more with AI and upskilling existing staff, and giving them more opportunities to learn on the job by experimenting with it. They’re building an AI-enabled digital core, ensuring that their core systems and data are all designed with current and future AI use in mind. They’re using AI responsibly, focusing on governance for its use and risk assessments for both security issues and impacts on the workforce. And they’re also continuously reinventing their strategies and goals, creating a change-management framework that can shift with the way tools are employed, actual results, and changes in technology capabilities and the larger business environment.  

'I kept going': After blindness and cancer, UT student fulfills PhD dream Ausint American-Statemen, Austin, TX; by Lily Kepner and Nicole Villalpando; 5/18/2025 Qusay Hussein has dedicated his life to advocating for refugees, marginalized people and those with disabilities. For almost a decade, he chose to drive that change at the University of Texas. Hussein is an education advocate and a doctoral student at the [University of Texas] Steve Hicks School of Social Work. He received the highest degree in the field this month, having overcome seemingly impossible barriers: a suicide bombing in Mosul, Iraq, in 2006 that left him blind and his face severely damaged; 70 reconstruction surgeries; and immigrating to the U.S. He recently finished his first book about his early years and the bombing: "Can You Open My Eyes?" He's currently writing a second book, "Between Two Worlds: From Refugee to Ph.D." ... After battling terminal kidney cancer the last two years, his dream - he told his doctors - was to walk across the graduation stage May 10, honoring the promise he made to his father that he would come to the U.S. and get an education.