Controversially, the United States is one of the few countries that does not offer subsidized health care to all of its citizens; so therefore, a utilitarian would believe that the ACA will deliver the maximum benefit to a large portion of uninsured citizens (McClurkin, 2011). With this intention, some people will benefit through the expansion of Medicaid and others, mainly lower and middle class Americans will fall in between the upper cut off limits of Medicaid and the lower limits of affordability of premiums and high deductibles they cannot afford. In spite of the gains made by the Affordable Care Act, many believe that it is unethical in a country that touts its wealth to the rest of the world, have so many of its citizens not seek medical care because of high costs or are left struggling financially with medical bills. Certainly, for all its wealth the United States has a comparatively low level of health as compared to other industrialized nations that offer universal health care to all of its citizens. Significantly, politics and funding play a lar...
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...the emergency room is be treated regardless of their ability to pay (May, 2007). Furthermore, finding themselves under the huge singular burden of financially supporting this population, the number of medical facilities has declined dramatically over the last decade. Again, according to Thomas May, there has been a 16 percent decline in acute care facilities and a 26.4 percent decrease in the number of beds available, mainly in the rural areas that care for a larger impoverished population (May, 2007). This health care crisis facing the rural medical facilities weights heavily on the administrators and medical personnel that have taken on the task of caring for the rural community. Now, find themselves struggling with the moral obligation of having to weigh the values of others and shifting scarce resources away from those they have sworn to protect (Hartwig, 2013).
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