Medical institutions have primarily been "charitable," a not-for-profit institution existing primarily to serve the community. Those who favor the advancement of health care for profit claim that an improved role in the delivery of healthcare will result in a more economical and successful health care system. For others, having health care for profit is unethical to the significance and nature of medicine and only exaggerates the growing problem of access to care. There has been limited access to health care for the poor, the aged, and those with chronic and devastating health problems due on the part of the mounting cost of care and the unwillingness of insurance companies to cover the cost, along with government budget cutbacks (Andre & Velasquez,
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
Ethical Dilemmas in Healthcare Healthcare Values and Ethics Western Governors University Jean Renelien 000809006 January 16, 2018 A1: Potential Ethical Dilemmas As healthcare providers, we are often faced with situations and decisions that require us to make ethical and moral decisions. As a healthcare provider, we take an oath to do no harm and put our patients first. I am a licensed registered respiratory therapist, and in my role, I have a duty to care for my patients and provide adequate treatment and respiratory support that falls within my scope of practice.
Ethics are a set of moral principles that serve as a guiding philosophy for behavior. Consequently it is not a surprise that ethical dilemmas occur daily in the health care setting. Any nurse who refuses to provide care for a patient faces an ethical dilemma (Kuhn, 2012, pp. 412-418). The reasons given for refusal range anywhere from a conflict of personal values to fear of personal risk of injury. Nurses do have the right, at times, to refuse patient care assignments. The decision to accept or reject an assignment must be based upon a judgment by the nurse of the nurse 's ability to provide competent patient care. This paper aims to show both sides of the argument when it comes to nurses refusing a patient assignment. One side believes that nurses has the right to refuse patient assignment, as they must be true to themselves if they want to perform their best on the job. On the other hand, the other side believes that it is the nurse’s responsibility to care for all patients and, therefore nurses cannot simply refuse a patient.
(1.1) In the healthcare profession various dilemmas can be encountered, sometimes everyday that put a professional in a position where they must make certain choices that can be classified as difficult or complicated depending on the individual or the situation. In the nursing profession not only do they have to consider the welfare of the patients but they also have to regard their wishes, which may create a conflict of interests in regards to promotion of well-being which would lead to the importance of informed consent. Respect for a person 's autonomy as well as respect for the individual are essential requirements; however so is promoting public interest.
While visiting my mother in the hospital this past weekend, I was a witness to an event that was quite unsettling. A homeless gentleman, who looked to be about 35 years old, was asked to pay $150 upfront for medical services due to his lack of insurance. The man informed the medical assistant that he was homeless and did not have the funds, to which the assistant responded that no services would be rendered without pay and turned the man away. The man stated that he was experiencing continuous chest pains, which could be an early symptom of a more serious condition. However due to his lack of funds and the fact that he was uninsured he was not permitted to be seen by the doctor.
Nurses are constantly challenged by changes which occur in their practice environment and are under the influence of internal or external factors. Due to the increased complexity of the health system, nowadays nurses are faced with ethical and legal decisions and often come across dilemmas regarding patient care. From this perspective a good question to be raised would be whether or not nurses have the necessary background, knowledge and skills to make appropriate legal and ethical decisions. Even though most nursing programs cover the ethical and moral issues in health care, it is questionable if new nurses have the depth of knowledge and understanding of these issues and apply them in their practice
Ethics is relevant to the field of healthcare just as it is to other professional disciplines. Contentious issues such as euthanasia and physician-assisted suicide, the body as a commodity, whether pedophiles should be punished or treated, and the brain death controversy call for high levels of soberness in professional judgement. According to Ekland-Olson, the sociological and clinical process is crucial in devising a moral ground for decision-making (111). The historical and medical perspectives of these issues can assist in shaping ethical decision-making. Healthcare practitioners are continually facing ethical dilemmas concerning a broad set of issues that arise in the clinical setting. For this reason, it is essential for them to define their set of moral beliefs that could enable them to know when and how to change their positions whenever they encounter tough dilemmas. Defining a set of beliefs requires viewing controversial issues from a variety of perspectives (Ekland-Olson 116). The paper seeks to deliberate the controversy surrounding pedophilia; in other words, whether the issues should be considered as a punishment for crime or treated as a psychological problem. Finally, the paper elucidates on ethical and social issues concerning the brain death, the body as a commodity, euthanasia, and physician-assisted death. Ethics forms a significant aspect of healthcare service delivery because health specialists are always making life-threatening decisions in
Two other themes that were mentioned by at least six of out of the thirteen (46%) interviewees were safety and affordability. Although these themes were not as strong in the interviews, they had significant connections to the data in the surveys and community conversations.
With a growing epidemic of obesity in America, some states and lawmakers have resorted to taking unconventional measures in order to counter the growing issue. Many legislators are debating the effectiveness of a “fat tax” would be on limiting the consumption of soda, high fat foods, and high sugar foods, and ultimately reducing the rate of morbidity and mortality due to obesity. The idea is that long term consumption of high fat, high sugar foods and drinks lead to many health problems, so making them more expensive and less accessible should decrease the health issues related to their consumption.
It is important that we act in a way that is ethical, legal, and commendable. Medical professionals struggle with healthcare dilemmas that are not experienced by the general public. Medical-ethical decisions have become increasingly complicated with the advancement of medical science and technology. (Fremgen) Just like the government has laws for citizens, not having laws in healthcare would allow people to do anything they want. It is important that we study the ethics and laws of healthcare, because if we were put in a situation it is essential that we know the difference between right and wrong. In the article I found, it talks about a nurse who refuses to give CPR to an older woman who collapsed in a senior residence where she works. This article has many more ethical issues than legal issues.
The moment I walked through the automatic double doors, the smell of anesthetics hit me, I could hear the faint beeping of machines in the background. I look up at my mother and clutch her hand firmly as the nurse leads us to a room at the end of the hall. The person laying in the bed was unrecognizable: she was a mere shadow of how Maribel used to look. She was about half the size of maribel, she had a paler, ghostly appearance: her gown seemed to merge with the bed itself giving the illusion that Maribel was not fully there. Her body was beaming with wires that connected her to a monitor. Maribel rose her hand slowly to shake mine: that was the only side of her body she could move since she was paralyzed on the left side of her body. Her weak, frail voice called my mother's name and I saw my mother for the first time burst into
The solution needed for this scenario is both ethical and practical. Is there any improvement that can be done to prevent a scenario in the solution? Of course. The weaknesses that might be found in the solution is even though the caregivers communicate, they are not communicating concise, accurate information to the staff as a whole, but simply telling one staff member and expecting that staff member to pass the information along the same way it was received could be miscommunicated to the rest of the staff. It is possible the health record could be annotated incorrectly causing the possible misdiagnosis, which would cause unnecessary harm to the patient by prescribing the wrong medications, an overdosing or even worse, death.
Over time the healthcare ethics meaning updates to demonstrate the values to guarantee the best policy is for the potential patient with honesty and the individuals with private matters. Healthcare ethics has updated since the last couple of decades, there are bio-ethics, traditional ethics, those ethical relations to individual rights, and the healthcare policies in ethical. For the Equity that has to be equally distribute to the amount of the benefits of healthcare and define socially aware of the standard ways. Here are two reviews about achieved equity, the solid approached and of the individual’s rightful approached. Finally, the last could be achieve through the wealth political stability of the communities. In order to established a
Figuring out how to allocate limited quantities of medications and donor organs is among the largest ethical and legal issues in healthcare. There is a concern as to whether or not there will be enough medications to go around in the future and how will these limited quantities be distributed. When shortages happen it is usually because economic incentive for a manufacturer is down. Money is king and if there is no profit to be made in manufacturing these medications then manufactures will not waste production time on them. Drug shortages will be a prevailing issue unless we can figure out how to give drug companies economic incentive to create and distribute these drugs. Until then the supply and demand of these drugs are vulnerable to problems that are inherent to the laws of economics.
Everyday, healthcare professionals are faced with ethical dilemmas in their workplace. These ethical dilemmas need to be addressed in order to provide the best care for the patient. Healthcare professionals have to weigh their own personal beliefs, professional beliefs, ethical understandings, and several other factors to decide what the best care for their patient might be. This is illustrated in Mrs. Smith’s case. Mrs. Smith is an 85 year old who has suffered from a large stroke that extends to both of her brains hemispheres which has left her unconscious. She only has some brain stem reflexes and requires a ventilator for support. She is unable to communicate how she wishes to proceed with her healthcare. Mrs. Smith’s children, Sara and Frank have different views regarding their mother’s plan of care. The decision that needs to be made is whether to prolong Mrs. Smith’s life, as Sara would like to do, or stop all treatments and care, as Frank feels his mother would want. In the healthcare field, there are situations similar to this case that happen daily where moral and ethical judgment is necessary to guide the decision that would be best for the patient. The purpose of this paper is to explore and discuss, compare and contrast the personal and professional values, ethical principles, and legal issues regarding Mrs. Smith’s quality of life and further plan of care.