RESUMEN
Active recruitment of foreign-educated nurses is seen as one solution to the U.S.'s nursing shortage. Such recruitment, however, is seen by some of America's neighbors as an assault on their already weak health care systems. Others argue that nurses should be able to choose where they work.
Asunto(s)
Ética en Enfermería , Personal Profesional Extranjero , Enfermeras y Enfermeros/provisión & distribución , Selección de Personal , Emigración e Inmigración , Humanos , Cooperación Internacional , Estados UnidosRESUMEN
Health Maintenance Organization (HMO) administrators have been accused of engaging in 'selective marketing'. That is, through such strategies as tailoring the benefits package of the program or advertising in styles or in media that do not appeal to certain 'undesirable' audiences, the administrator can minimize the percentage of persons in the HMO who are heavy users of health care services. By means of analyzing what 'insurance' is (philosophically) and what it means for something to be a free market commodity, the author argues that, as long as American society chooses to regard health insurance as a commodity or service of the free market. the use of such strategies is within the moral rights of health administrators. The author concludes by noting some morally undesirable results of treating health insurance as a market commodity.
Asunto(s)
Ética Institucional , Sistemas Prepagos de Salud/normas , Comercialización de los Servicios de Salud/normas , Capitalismo , Organizaciones de Beneficencia , Regulación Gubernamental , Administradores de Instituciones de Salud , Sistemas Prepagos de Salud/organización & administración , Programas Obligatorios , Justicia Social , Factores Socioeconómicos , Estados Unidos , Virtudes , Poblaciones VulnerablesRESUMEN
The elderly are most often the focus of ethical dilemmas, not only because of the increased frequency of illness, but also because of the reality that death is an impending inevitability. Of all the health care professionals, it is the primary care physician who is best situated to assist the elderly patient in exercising his or her own autonomy in matters concerning health care decisions. Both intrinsic factors, such as the presence of dementia and delerium associated with acute illness, and extrinsic factors, including the family's wishes, the settings of care, and financial consideration, may influence decision making. Limited diagnostic and therapeutic interventions should be addressed as separate entities in the development of the patient care plan.