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