Skip to content

Programs : Brochure

This page is the brochure for your selected program. You can view the provided information for this program on this page and click on the available buttons for additional options.
  • Locations: London, United Kingdom
  • Program Terms: Summer Interim
  • Lafayette Engineering, interim, and summer programs have unique enrollment processes. Please read below for instructions. For affiliated programs, please contact for application instructions.
Fact Sheet:
Fact Sheet:
Language(s) of Instruction: English Housing Options: Apartment
Program Instructor: Brett Hendrickson, Christopher Ruebeck Distribution Requirements: GM2
Program Description:
Course Titles:
INDS 245: Social and Ethical Aspects of Health Care in the UK and US (1 credit)
INDS 371:  Health Care Internship
(1 credit)
Program Dates: May 23 (departure from the US May 22)- July 16, 2022
Program Costs:
13-15 participants - $13,900
16-20 participants - $13,500
21-24 participants - $12,900

Program Instructors: Professor Christopher Ruebeck (Economics) & Brett Hendrickson

For important information on course registration, eligibility, and financial aid, follow this link.

Course Description
We examine the social, cultural, and historical context of health care delivery in the U.S. and U.K. as it has evolved through the changing ethical, economic, and political goals of a nation and its citizens. These decisions have also led to conflict and unintended consequences in ethical choices, medical outcomes, and related economic effects. Our study focuses on these two very similar societies and highlights the differences and similarities between them. We discuss how those decisions have led to the two countries’ approaches to serving the health care needs of their citizens. 

Course Syllabi: 
syllabus INDS 245 2022.docx and syllabus INDS 371 internship 2022.docx

Internship Description
This aspect of these paired courses is a placement in a health care, human services, governmental, or academic institution. The internship will last four weeks, on a daily schedule to be determined by the placement supervisor. This experience will add to the student’s understanding of cultural differences in the U.K. and the role this organization plays in it. The internship will begin in mid-June and continue through early July. There will also be class meetings on Fridays during the internship period, as reflected in the schedule below.
London - Chris Ruebeck

Learning Outcomes
Students in this course will be able to describe how health care needs are viewed in and across societies, how different societies attempt to meet those needs, and the constraints within which the ethical, medical, and social decisions are made. They will be able to analyze a particular comparative health care topic and explain it in a poster presentation to a general audience.

The extended case study for the course focuses on a comparison of the health care histories, systems, and choices made in the United Kingdom and the United States. Students will read, discuss, and reflect on selected materials on the factors that shape a nation’s choices in developing and delivering a health care system. Video materials will also be part of the course.

Students will explore these ideas by adopting the roles of particular stakeholders, through internships in U.K. and through role-playing exercises during class, to explore insights inherent in these complex decisions. These experiences will be discussed within groups and as a class as well as through journal entries shared with the faculty. Through these discussions, research, analyses, and life-experiences, students will be able to describe differences for an expert audience in written form (through the journals, exams, and reflection papers) and for a general audience (in the poster presentation).
    UK Photo 1 C Ruebeck

Course Material (TBC)
  • Donald Barr, Introduction to US Health Policy, fourth edition
  • T.R. Reid, The Healing of America
  • Linda Grant, The Dark Circle

Course Format
Classes for INDS 245 will be held during weeks one, two, three, and eight. Students’ internships will occur Monday-Thursday during the fourth through seventh weeks of the experience, with class meetings on Fridays. The students will have readings from a variety of sources, including books, journal articles, and the popular press. There will also be videos that we will watch and discuss. This material will draw from fictional sources in addition to the bulk of the material from non-fiction sources. These sources are chosen to develop the students’ perspectives on and knowledge of the core aspects of this course. Guest speakers from medical fields and policy groups will also visit the class at various points during the eight weeks.

Class sessions will involve some lecture-style presentations from faculty to establish the issues, but we will allocate a significant portion of the time to discussion of the assigned materials in a seminar style with contributions from everyone. In group work, students will research and then report on positions taken on health care in both societies. Each student will also write reaction papers on questions posed to them by the instructors. There also may be quizzes on the topical readings, and there will be a final examination on the core issues of the course. Each student will also keep an online journal of reflections on and impressions of living in the UK.
Internship Format
The for-credit internship will be four days a week for four consecutive weeks, on a daily schedule to be determined by the placement supervisor. As described above, the student will keep a daily journal and prepare a weekly analytical summary that will be evaluated by the course instructors. The student will prepare a final summary and analytical report that will also be evaluated by the instructors. Friday mornings during the four-week internship will be spent in the classroom with Profs. Hendrickson and Ruebeck, making progress on the paired course as well as sharing students’ experiences and interpreting them in terms of the materials and topics of the paired course.

The final internship report will begin by describing the structure and activities of the placement. The student will need to develop this material by talking to coworkers, supervisors, or perhaps the director of the organization, in addition to reading any literature that might be available about the organization.

The second part of the report will provide a context for the organization within the larger British society. For example, if the student is doing rehabilitation work in a facility that sees mostly cardiac care patients, they would explain what the rehab work was and how the organization functioned within the general delivery of cardiac care in the United Kingdom. Sources include conversations of / interviews with individuals within the organization and do some research in order to understand this connection.

The report, a maximum of 3,500 words, must be uploaded before leaving London. The conversations / interviews and other resource materials used, will appear on a resource page for the report (with name, title, date, and location for conversations) using a standard format (for example, APA or MLA).
UK Photo 2 C Ruebeck

Course Itinerary (tentative and subject to change until confirmed)
Class Activity Classroom
Week 1    
    EUSA Orientation and Walking tour
   Portobello Market Reading: Shriver (So Much For That)
Viewing: Moore (2007) Sicko
Discuss: Shriver
  Borough Market
Shakespeare’s Globe
Report groups: (Medicare, Medicaid,
private, the uninsured)
   Wellcome Healthcare Trust Introduction to Obamacare (ACA)
  Bath and Stonehenge (weekend)  
Week 2  Southwark medical walk Bank Holiday
   The British Library Begin discussion of Barr
  Billy Elliot Delivery of U.K. Health Care: The NHS
Group Health insurance oral reports
  British Museum Formation of groups for presentation
    Common Pool Resource game
  Museum of London (weekend)  
Week 3 Alternative London Klein et al.: foundation of the NHS
NHS at 60 web site 
    Martinson: Income inequality intersection
with health status
  Brick Lane dinner Begin Escape Fire 
    Finish Escape Fire
Begin discussion of Brill
Group work assignments
  The Curious Incident of the Dog in the Nighttime  Distributing health care
“A Month in the A&E …”
Weeks 4-7: Fridays Brighton Beach (weekend)
Cambridge (weekend)
Picnic on the Heath
Commonwealth Fund’s “Mirror, Mirror”
NHS structure
Discuss group findings and direction
Discuss Internship Experiences
Health care reforms U.S., U.K.
Week 8  Soho medical walk Finalizing groups’ findings
Public finance: gov’t, private provision
    Finish discussion of Brill
Begin kaleidoscope exercise
  Greenwich, Thames Barrier Stakeholders’ decisions:
          finish kaleidoscope exercise
    Final poster presentations
   Tea at the Orangery Final exam

Grading: Internship
  • Journal and analysis 15%
  • Final Report 25%
  • Weekly session participation 10%
  • Adherence to Internship Process and Procedures 25%
  • Supervisor’s evaluation (graded as follows on 0-4 scale) 25%
    • Self-direction
    • Critical thinking
    • Communication (written and verbal)
    • Teamwork
    • Leadership
    • Global knowledge
    • Inter-cultural skills
To pass, the student must earn a grade of 70% or better on each of item, and receive at least a “2” evaluation from the internship supervisor in all criteria: receiving a “1” (the lowest rating) from the supervisor for any of the criteria will lead to a failure for the internship course.

Grading: Seminar
  • Group presentations and class work / quizzes 15%
  • Reaction papers 15%
  • Online journaling 15%
  • Final project presentation 15%
  • Final exam 25%
  • Overall class and field trip participation 15%

Academic Honesty
To maintain the scholarly standards of the College and, equally important, the personal ethical standards of our students, it is essential that written assignments be a student’s own work, just as is expected in examinations and class participation. A student who commits academic dishonesty is subject to a range of penalties, including suspension or expulsion. Finally, the underlying principle is one of intellectual honesty. If a person is to have self-respect and the respect of others, all work must be his/her own.

Federal Credit Hour Regulations
The student work in this course is in full compliance with the federal definition of a four credit hour course. Please see the Registrar’s Office web site ( resources/cep-course-proposal/) for the full policy and practice statement. 
Stonehenge - Chris Ruebeck
The preceding information is tentative and subject to change without notice. 
Updated October 27, 2021


Dates / Deadlines:

There are currently no active application cycles for this program.

Lafayette Engineering, interim, and summer programs have unique enrollment processes. Please read below for instructions. For affiliated programs, please contact for application instructions.