Biomedical Ethics: Assignment Week 6

Chapter 23

Health Care Reform: What About Those Left Behind?

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Ethics Concerns for Three Populations Without Health Insurance

• Individuals who are not documented. • Individuals eligible for Medicaid but not

enrolled. • Individuals exempted from purchasing

insurance because of financial burden.

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Ethical Analysis

• Analysis includes • Nonmaleficence. • Beneficence. • Paternalism vs. autonomy. • Distributive justice. • Code of Ethics of American Nurses

Association.

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Review the Case Studies

• Population needing renal dialysis. • Population of women who are pregnant &

non-documented. • Ethical analysis applied.

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Review the Ethical Guidelines for RNs

• ANA Code of Ethics. • ANA’s Social Policy Statement. • ANA & other specialty nursing association’s

standards of practice. • Analysis of 5 of 9 provisions of ANA Code.

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Ethical Analysis with Other Ethical Theories

• Deontological analysis. • Utilitarianism analysis. • Use of religions’ stances on ethics.

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Case Study—Medicaid State Differences

• Proposed changes in Medicaid accessibility & services.

• Rationale for proposed changes. • Tension between Affordable Care Act

provisions & state Medicaid rules. • Concerns of non-access to Medicaid services.

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Advocacy Strategies

• Work on electoral campaigns. • Have intentional relationships with elected

representatives. • Be self-educated. • Engage in lobby activities. • Invest time, money, & energy in one’s

professional associations.

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Application of Advocacy Strategies

• Discuss the listed examples in the chapters. How could you apply them?

• Make parallel conclusions with your own professions.

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What About Those Left Behind?

• There are concerns about populations not covered by the PPACA.

• Be sure to analyze the ethics of such non- access.

• Be able to describe policy interventions to accompany your ethical analyses and stances.

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In Summary…

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