Healthcare Law and Ethics

wellnessc be Ethics piece of music Brian Lucas HSC / 545 Health parcel out righteousness and Ethics 1/16/2012 SHAWNA pantryman Healthcare Ethics story My melodic theme is on persevering throw out which happens when a checkup discussion celerity whitethorn treat a longanimous initally for sharp-worded symptoms but then realizes the patient has no intend to pay for the medical checkup exam hightail it rendered. In some cases back in the 1990s it was found that a patient was pose into a cab and the cab heel one wood paid to take the patient out and let out on a street corner somewhere in a city in the USA. some(prenominal)(prenominal) stories imbibe been told that patients only had on a hospital gown and diaper and dumped on the curb.Usually these patients are older population, whitethorn have a bun in the oven dementia or are chronic alcoholics and are too dismal to care for themselves. Of course this entrust is wicked after relation passed the unavoid matchness checkup give-and-take and maskive jab Act (EMTALA), sometimes referred to as COBRA since it was part of the familys Consolidated Omnibus calculate. (http//www. nurseweek. com, Karen Markus, JD, RN, p 1. ) The Emergency Medical Treatment and Active Labor Act is a legal philosophy passed by Congress to treasure the patients from the practice of patient cast out.The lawfulness disk operating systems that all(prenominal) patient that seeks medical handling care in medical treatment facility essential be assessed or screened by a qualified medical skipper for the presence of an emergency medical assure. The law also requires the medical tratment facility to run tests, to rule out an emergency medical condition, can be screened by a physcian, nurse practicioner, physcian assistant. The patient essential non just be triaged, which is a act upon in which order of priority a patient is to be screened and treated, but essential be assessed to whether the patient has any(prenominal) health or safety issue that provide result in impairment of disembodied spirit or death.The law states that the patient must be stabilized before any kind of means to ravish may occur. Supporting documentation both from the physcian or medical doctor, nurse practioner, physcian assistant and care for care staff must also accompany the patient prior to any transfer. The patient must be deemed constant with no health or vitality threatening condition occuring during transfer. ((http//www. nurseweek. com, Karen Markus, JD, RN, p 1. ) So why did hospitals and medical treatment facilities produce the illegal practice of patient put away?Hospitals were being burdened with the pecuniary be of treating patients who were uninsured or didnt have a means to pay for services rendered. another(prenominal) factors were also researched and was just more than having financial means to pay. Social groups such as poor blacks and hispanic groups were also profiled to h ave the inability to pay for services rendered. motive factors for incentives to patient dump include change magnitude number of uninsured, healthcare cost containment measures, the super C law no-duty rule, and ineffective state statutory responses. (_ZITO1. DOC, THOMAS A.GIONIS, pg. 1). Healthcare Ethics Paper Cost cutting measures though is the direct reason for patient dumping and with the commons law no -duty rule, both hospitals and physcians have used this measure to decrease obligation in servies rendered without the possibility of reemburishment. But in order to protect the patient from defense reaction of care, it is required by law for hospitals and treatment facilities to be compliant in spite of appearance Emergency Medical Treatment and Active Labor Act Law. The patient must be determined to be medically horse barn before any kind of transfer is to be arranged.So how do the quad major eithical rationales apply to patient dumping? To answer this we need to lo ok hand-to-hand at the four major honest principles and expand on each principle as it applies to our ethical problem. The four major ethical principles are self-direction respecting self-rule of individuals and protecting those persons with diminished autonomy. 2. Benefice bountiful highest priority to the welfare of persons and maximizing benefits to their health. 3. Non-maleficence avoiding and preventing psychic trauma to persons or, at least, minimizing harm. . Justice treating persons with bazarness and uprightness and distributing benefits and burdens of health care as plum as possible in caller. With Autonomy being the first ethical prinicpal, the patient either must be able to understand and make decisions based on the information presented by the hospital for his or her own medical care. If the patient is not in a mental state to do that, then it must be determined either through with(predicate) a desginated assigned guardian legally, or through the state to determine the best enkindle for that patient.With Benefice, the law requires that the patient should be able to have diginity with respect to their own healthcare. They shouldnt be denied medical care based on their race, color, social stinting group term and fuck off a fair treatment as other citizens have got within the laws established by the government. With Non-maleficence, safety is the number one priority here. The patient must be protected from being harmed or harming themselves or others during their medical treatment and care.With Justice, the patient must be treated in a fair and appropiate manner that is equal to the treatments of what other people in society would expect to receive. This would be equal and fair humane treatment. Healthcare Ethics Paper Still even today patient dumping is facilitate happening. Illegal undocumented aliens who are in a condition of chronicle illness or dent are being shipped back to their category countries through the use of air am bulances. When they eliminate to their home countries, it is known that those countires dont have the means or medical equipment to treat those patients and their mortality rate significantly increases.So is this practice an ethical issue. Yes because the avoidance of treating them is still the kindred issue as before by using the practice of patient dumping. This remainder year the President of the United States and Congress passed the Patient Protection and Affordability Act. This law still leaves out undocument illegal aliens not allowing them to receive medical treatment. The law is still chronic to evol and it is in the future that changes in the law will be changed to include medical care for these people. Wolpin, supra note 6, at 15253. ) This paper goals is to provide more appreciation concerning ethical issues regarding patient dumping. It is the hope in the future that all patients regardless of economic social status, race and ethinic groups will receive fair and ade quate humane medical treatments. As to allow patient dumping is a non ethical practice that should not be allowed to continue. References www. wcl. american. edu/journal/lawrev/52/zito. pdf read Format PDF/Adobe Acro www. jblearning. com/samples/ /4526X_CH14_235_250. pdf