Reflection on Carl Taylor Lecture Essay

The health care system must change to improve our nation’s health and takes strong steps to address the unsustainable growth of health care costs in America. We still have a long way to go before our health system become effective. We still have population that do not have insurance, have difficulties accessing their health care, or their needs are not met within the healthcare system. It is an investment in prevention and wellness and increasing access to primary care physician.

Personally, I am sympathetic to Paul Taylor’s idea that people should respect for every living organism. From his book “Respect for Nature”, he proposes a definition of environmental ethics called Biocentric Individualism. It basically means that humans are not superior to any living organisms. Humans are a part of nature, so humans should have moral relations and connections with every living organism in the world. Thus, human’s obligations, actions and responsibilities should be often determined with respect to those relations and connections. Moreover, he suggests that every organism has intrinsic value such as unique biological functions or natural goals. To maintain a good natural system, organisms have to contribute and function together. Hence, all organisms should have equal inherent worth.

The PCMH is a model to improve healthcare in America by changing how primary care is delivered and organized. The PCMH is is made of 5 attributes to improve healthcare delivery. The first is Comprehensive Care: This includes the patient’s physician and mental healthcare needs including wellness and preventive care, acute care, and chronic care. This requires a team of providers to care for the patient. These teams can be physically connected or virtually connected to care for the patient.

Capital can come from state and corporate pension funds, public and private endowments and personal investors

There is an imbalance between primary and specialty care services in the U.S. health care delivery system.

”The concept of primary health care was defined by the world health organisation in 1978 as both a level of health service delivery and an approach to health care practice”( Gilchrist 2002)

As a HNC Health Care student I am required to provide evidence of the following principal aims and objectives: to integrate knowledge, theory and practice, to develop and apply a broad knowledge and skills and to have an individual patient/client focus in my practice. To achieve all of the above I am required to complete project in a form of Graded Unit which consists of three stages: planning, development and evaluation.

Currently, there is still a large shortage of primary care practitioners in the United States. The margin between available providers and those in need continues to grow. Many people without proper access to care have to delay seeking help for what ails them ("Health Wanted," 2012). Glicken & Miller (2013) state that approximately 16,000 primary care providers would be necessary to meet the existing demand. Rural communities would represent the area of greatest need followed closely by low-income urban areas. The number of underserved individuals is estimated to have reached fifty-seven million. This demand will only increase, as 52,000 primary care providers are expected to be needed by the year 2025 (Glicken & Miller, 2013, p.1883-1889).

Today, the United States is facing a shortage of about 16,000 primary care physicians and this number will continue to grow by 2025 (Amirault, 2014). Primary care physicians (PCPs) are the doctors who focus on overall health and offer the treatments and preventive screenings that save lives. A physician shortage is a situation in which there are not enough providers to treat all patients in need of medical care. The Association of American Medical Colleges (AAMC) has long pointed out that the shortage of primary care physicians will be a major setback for the American healthcare system advancing (Amirault, 2014). The shortage of primary care providers presents

Lack of physician’s involvement, lack of research studies, and complexity of teams are the most prominent challenges for primary care reform.

The medical home concept is not new, as it is built on health care practice innovations that have arisen over the past 40 years (Kilo & Wasson, 2010). From these principles, a multitude of medical home projects and demonstrations across the United States have grown (PCPCC, 2011). Given the unique characteristics of each of the numerous projects promoting the PCMH model, it is difficult to obtain generalizable evidence of the effectiveness of the model (van Hasselt, et. al., 2015). However, the most fundamental aspect of the medical home model—the primary care provider – can be the source of the effective functioning of the model, and its direct benefit to the Medicare-eligible population. The role of primary care within a health care system has been tied to health services’ costs, with some evidence supporting the idea that health care delivery systems that place an emphasis on primary care have lower overall health costs (Starfield & Shi, 2004). Although the medical home model is not just about primary care, it places a priority on this type of care as a critical aspect of patient care. As a result, evidence of the success of primary care can carry through to the PCMH model.

The current health care sector is too costly and too fragmented with a lot of variation in care even with established evidence based guidelines. Providers lack the tools, support and information they need to offer the coordinated health management that can reduce cost and improve outcomes. Primary Care Physicians are constrained in their abilities to perform any proactive care that involves avoiding Hospital or ER visits, and influencing healthy lifestyles.

Camus explanations of the Myth of Sisyphus, presented the concept of the absurd by outlining the beliefs that an individuals life has worth but only his live in a world that denies such worth to survive. Therefore, the absurdity in the statement, explains the fact of a clash between the orders through which an individuals mind hard for, likewise the lack of order that we as humans find in the world.

Primary care practice will be greatly impacted by health care reform. To provide better health care, the country will see a trend away from specialty to primary care and the avoidance of acute issues by delivering this care in the community setting. As a result, primary care physicians will be overwhelmed with the patient load as the number of the insured increases exponentially. The committee recognizes the scope of nursing practice that remains untapped and therefore the profession

In Respect for Nature, Paul Taylor develops the following four elements of the biocentric outlook on nature: