According to the U.S Department of Health and Human Services, the Affordable care Act from President Obama gives consumers more options and benefits when seeking coverage from insurance company. It offers lowering cost as well as gets more access to high quality of care. This law creates Patient’s Bill of Rights that is very effective to protect consumers from any abuses or fraud from insurance company. Some preventive services are available to many Americans especially Medicare recipients at no cost. Not just that, they also receive a special offer of 50 percent discount for any well-known drugs in the market place under Medicare named “donut hole.” The Affordable Care Act helps other organizations and programs to convince healthcare providers
The relationship between immigrants and health care is both legal and ethical. This article explores the realities of the United States legal and moral obligations to illegal and legal immigrants in regards to healthcare access. The article examines the Canadian 2011 Federal Court of Appeal's decision in Toussaint- v. Attorney General in which Toussaint was denied medical coverage and it was determined that aliens where unable to receive health benefits. The United States does not provide medical services to illegal immigrants except in certain emergency circumstances to pregnant women and children, in which Medicaid services are provided. The author explores the idea that emergency department expenditures were more than three times as
According to Benatar, the ordinary "standard of care" against which new intercessions are tried in restorative research has not been formally characterized and is typically interpreted as meaning the "best demonstrated treatment" for any condition under scrutiny in a trial (Benatar, 2000).
The ethical-legal concern in this situation was when Stephanie went outside of her scope of practice to call in an unauthorized medication refill using the nurse practitioner’s name. Even though Stephanie’s action caused no harm to the patient, potentially it could have and resulted in a negative legal litigation for the NP and practice. Stephanie is an unlicensed employee who made an unethical decision, which was not within her scope of practice. According to the American Association of Medical Assistants (2017), certified medical assistant alongside their administrative duties can perform certain medical task in an outpatient care facility, such duties include taking patient’s history, preparing patient for procedures, collecting laboratory
Ethically physicians are required to provide an appropriate plan of care for all of their patients without insurance bias. The discrimination lies in the fact that most uninsured patients cannot follow the plan of care they have received. The Kaiser Family Foundation found that, “uninsured adults were three times as likely as adults with private coverage to say they postponed or did not get a needed prescription drug due to cost” (2015). This creates problems for both the patient and the hospital/place where treatment was provided. If the patient cannot afford the proper post care, the patient's condition will worsen. The patient will have to decide to either go to the ER or continue on due to the fear of a high bill. The Kaiser Family Found:
In this situation I first refuse to render services due to this is a matter of committing fraud against insurance company. Second, I would inform the school that this is unethical pertaining to my code of ethics as well as inform the child’s parent of the schools manipulation of my services as the Behavioral Analyst. Finally I would report the school’s intention to the insurance company as this might has been an on going situation with other children at the school. The Analyst responsibility is to report this to the insurance company in order to maintain their integrity of their position. According to Bailey & Burch (2016) it states that the behavior analyst needs to leave the company and seek employment else where who is more
Last week I had the opportunity to talk to Mr. R who was brought in to the hospital due to a workplace injury. The referral was put through by the attending physician indicating that there was concerns of substance use. I started the conversation by introducing my role as a hospital social worker and tried to build report by asking Mr. R how he was managing at the hospital. Being transparent is important and explaining the reason for the visit helps in creating trust for the therapeutic intervention. I probed Mr. R about his alcohol use and if he identified that as being an issue for him. Mr. R indicated that he has been using alcohol for over a long period and reports this as a part of his daily social life, which makes it hard for abstinence.
My initial approach would be to save the patient by monitoring her blood pressure and heart rate. To keep her alive would have been my top priority before proceeding to any other step. Once she is stable enough to respond to the treatment, I will advised with the staff to cleaning the patient to perform other tests. First, I would do my best to save her life at all cost, and place her on a ventilator for a period of time hoping her respiratory condition to improve before contacting her primary care doctor and relatives regarding her status. Because many risks are involved using a ventilator such as lung damage, infections, I would urge the staff to contact any close relatives about the procedure and contact her previous doctor to know any past
In the first scenario, the patient and his family members have different views on how to approach the patient’s health condition. This is one of those complicated ethical dilemma (situational dilemma) because the family wants the “best” for the patient and wants to proceed with the invasive procedure. On the other hand, the patient wants to approach his cancer in a more conservative way. But who ultimately determines what is “best” for the patient? As a nurse caring for this patient, my role is to be the patient’s advocate. Although the family may have fears of losing the patient from cancer, I as a nurse caring for this patient would respect his autonomy to choose how he wants his quality of life to be. However, there are factors that should
I have spent a good deal of time in the past week reflecting on my emergency medicine clerkship experience, specifically in regards to illustrative ethical situations I have encountered. Despite by best efforts, I could not come up with a true “ethical dilemma” I encountered, in the sense that there was never a situation in which there was significant doubt or disagreement between the healthcare team and/or patients and their families about the proper or ethical course of action. In many ways, this is fortunate. Nevertheless, there were several cases that did serve to illustrate some of the core ethical principles in action that would be useful to discuss. One in particular that comes to mind involves the question of advanced directives and
Medical professionals are frequently confronted to make ethical decisions about life and death matters when giving aid to individuals and families. Ethical decisions need to be considered in a wider context than personal, professional and ethical principles. When making the decision, nurses and other health care providers should try to look from the viewpoint of the patient and the patient’s family by standing in their shoes. The author describes futile treatment as when there is 10% or below success rate for survival. Michael Li believes that the crucial decision of withdrawing or withholding treatment is not only up to the doctors, but should be deliberated with the patient and the family as early as possible so that they are able to contemplate
It is quiet common in health care profession that there is always clash between a patient’s family and health care personnel. It has been observed that few patients inevitably suffer from the consequences, that they made during the course of their care or when they are hospitalized. Many people, who need surgical procedure or diagnostic tests, are compelled to wait months, or in worst cases for few years. This are few examples of some ethical issues that a patients and their near one may need to face in a health care organization (Breslin, MacRae, Bell & Singer, 2005). Besides that there are other issues are present in health sector. Apart from that there is a great discrimination have been observed in addressing ethical issues in health care from one issue to another. Few of the issue receives great attention from different media as well as from government where as others remain unnoticed.
In practice, I have encounter a few ethical dilemmas in the delivery of care. However, I feel that we should carry on the care according to the patient wish, regardless of our personal belief. I’m able to do nursing care without discriminating any patients. I recognize and respect personal beliefs and decision of the patients.
Despite the advantages for both patients and personnel in the form of, for example, more convenience with resources, time, location and a cost-effectiveness way for doctors to care for patients, it might also involve ethical difficulties. Patients may abuse the system by seeking for physicians who will more readily issue prescriptions, especially for controlled substances. Doctors may be legally permitted to be involved in the online consultation, it doesn’t mean that they ethically should do so. The other identified ethical dilemmas are the destruction of the patient-doctor relationships, patient privacy corrupting and forcing one-size-fits-all interpretations. (Layman E (2003).