Assignment:
Analyzing an ethical dilemma.
You are , thinking about two patients who are being evaluated for placement on the kidney transplant waiting list. One patient is a 40-yr-old African American schoolteacher. She is married and has two children. The other patient is a 22-yr-old unemployed white man. He misses three or four dialysis treatments per month and does not take his .
Points to consider:
The foundation of this conflict resides in the Constitution, in which the founders made education a free public resource and ignored health care as a right. Health care then became a privilege, a resource to be obtained by persons with the funds to pay for it.
It took almost 200years for health entitlement programs to be developed. Medicare is a . Individuals covered by Medicare are protected by Constitutional laws prohibiting discrimination based on race, gender, religion, and ethnic background.
Medicaid is a federally sponsored program jointly administered by the various states. The states have the right to set coverage eligibility and limits but may not violate an individual’s constitutionally protected rights against discrimination.
It is highly unlikely that the standard prohibitions against discrimination will change, but it is possible that definitions of unhealthy behavior such as substance abuse, alcoholism, smoking, and obesity may be used to screen out candidates.
Nurses are concerned about social justice because of their health advocacy role. Today the situation is immensely more complex because of the cost and availability of care.
Address the questions below:
Which ethical principles and values apply to this case; which ethical principles are in conflict?
What which of the patients should receive the next ? Defend your answer using the steps of the decision-making model. Address each level of the decision-making model. Identify other information that might help you make a decision.
Assignment Expectations
Length: 1375-1500 words
Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment.
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.
Format: Save your assignment as a Microsoft Word document (.doc or .docx).
Additional Resources:
American Nurses Association. (2015).Code of ethics for nurses with interpretive statements. American Nurses Association.IBSN-13:978-1-55810-603-1.
TEDx Talks. (2013, Jun 14).Why not cheat? How our ethics alters our happiness: Jennifer Baker at TEDxCharleston[Video]. YouTube.
AMA Journal of Ethics. (2021).HIV and health law: Striking the balance between legal mandates and medical ethics.
CDC. (2012, September 1).Menu of suggested provisions for and control laws.
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