Book: Ethics in Health Administration Chap: 6 Market forces In the United States, the economy and market forces shapes the interaction among employment, health coverage, costs, access to care, and health outcomes. The market such as general economy also influences the healthcare business. Some of the ongoing events i.e. housing market crisis, rise in gasoline price, and banking bailout makes it difficult to understand the economics for the community. Economy is known to affect all the businesses and healthcare business is no exception. One of the biggest effect can be seen when the economy is down and people lose their job. Along with the job, they lose health insurance and coverage for themselves and family. In this situation, programs like COBRA, HIPAA, medicare and CHIP delivers benefits to people by providing them coverage for healthcare. Without insurance, it puts pressure on healthcare organizations because the uninsured people are not able to pay for the services provided to them and this affects the organization financially. Being uninsured and getting healthcare services can also affect the uninsured population and leads them towards the bankruptcy and debt. There are many events that describes the drastic effects of economy on healthcare business. Ethics and decision making also becomes challenging when providers have to think about patient’s financial responsibilities. But it becomes easy to neglect ethics when survival thinking gets second priority over patient thinking. Ethics issues related to providing healthcare services to uninsured becomes more challenging in an economic recession. Along with the economy, there are many factors that affects the business of healthcare such as technology. Technological advancements are making lot of medical practices easy and affordable but it also comprises some future risks and ethical issues. One of the other factor is aging of population in the United States. There is almost 12% population of the U.S. consists baby boomers. According to the Shi and Singh (2008), 20% population will be baby boomers by the year 2030. The increasing technological advancement has make it possible to treat and cure many life threatening diseases and this has resulted into increase in life expectancy. Baby boomers are willing to pay for the high-quality services and prevent the chronic diseases and conditions. To meet these demands, it is necessary to evaluate and expand the community and institution based care. This will bring its own ethics and it will also change the type and delivery of the healthcare services (Morrison, 2011). Reference: Morrison, E. E. (2011). Ethics in health administration (2nd ed.). Sudbury, MA: Michael Brown. Chap: 12 Paternalism The U.S. healthcare system has two main elements in its historical roots; medical practices and medical ethics. The medical practices is based on the training and proprietary education, but it is majorly controlled by physicians and healthcare professionals and it is transformed itself into controller of the medical system. The
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- Fall '14
- Health care provider, healthcare providers