Why does Nathan S. Kaufman believe the health care bubble is going to burst? Do you agree or disagree with his views? Kauffman (2011) projects a burst in the healthcare bubble that has been brought about by the passing of the Patient Protection and Affordable Care Act (PPACA or ACA) due to the increased spending in healthcare that will follow the implementation of the Act. Due to the increased budget, the government will be forced to acquire credit for funding healthcare (Kaufman, 2011). This will push interest rate up in a similar manner during the housing bubble that caused the financial crisis. Since the states budgets are unable to absorb the costs of the PPACA, they will be forced to draw funding …show more content…
Do you believe this will improve patient care? Physician autonomy implies that physicians should possess complete freedom to provide treatment for patients according to their best judgment. This also includes determine the content of work and how they provide care for patients. Therefore, physician autonomy is the freedom of determining conditions of practice and delivery of care that I patient centered (Emanuel & Pearson, 2012). Furthermore, by suggesting that physician autonomy will reduce Kauffman implies that physicians will be less involved in the assessment, monitoring and maintenance of high quality care within the hospitals for their patients. Due to the establishment of certain programs such as Value-based-purchasing where incentives are earned depending on patient reports and adherence to certain predetermined clinical treatment processes. Therefore, the practice by the two groups will be determined by these programs hence reduce autonomy (Kaufman, 2011).
Nontheless, this is not true because the ACA has numerous provisions that increase autonomy for the two groups through initiation of payment reforms giving them greater financial
Autonomy is a concept found in moral, political, and bioethical reasoning. Inside these connections, it is the limit of a sound individual to make an educated, unpressured decision. Patient autonomy can conflict with clinician autonomy and, in such a clash of values, it is not obvious which should prevail. (Lantos, Matlock & Wendler, 2011). In order to gain informed consent, a patient
According to Terrence F. Ackerman, as of the 1980s the American Medical Association had to include the respect for a person’s autonomy as a principle of medical ethics (Ackerman 14, 1982). This includes having the physician provide all the medical information to the patient even if the information could cause negative implication onto the patient. The physician is also expected to withhold all information of the patient from 3rd parties (Ackerman 14, 1982). Although it is seen as standard in today’s world, in
...lthcare system is slowly shifting from volume to value based care for quality purposes. By allowing physicians to receive payments on value over volume, patients receive quality of care and overall healthcare costs are lowered. The patients’ healthcare experience will be measured in terms of quality instead of how many appointments a physician has. Also, Medicare and Medicaid reimbursements are prompting hospitals, physicians and other healthcare organizations to make the value shifts. In response to the evolving healthcare cost, ways to reduce health care cost will be examined. When we lead towards a patient centered system organized around what patients need, everyone has better outcomes. The patient is involved in their healthcare choices and more driven in the health care arena. A value based approach can help significantly in achieving patient-centered care.
“Section 1342 of the ACA makes taxpayers responsible for bailing out insurance companies if the need to do so arises.” (MacKenzie, Tragic Problems With the (Un)Affordable Care Act). Although tax payers are legally obligated to finance federal programs such as the ACA, there are many who do not believe this is fiscally responsible. “Economist Laurence Kotlikoff estimates that average rates of taxation would have to rise 56% to cover projected increases in federal expenditures.” (MacKenzie, Tragic Problems With the (Un)Affordable Care Act). Therefore the American tax payers will never be able to supply the projected increases in this federal program, which makes national bankruptcy that much more likely to
Alan Goldman argues that medical paternalism is unjustified except in very rare cases. He states that disregarding patient autonomy, forcing patients to undergo procedures, and withholding important information regarding diagnoses and medical procedures is morally wrong. Goldman argues that it is more important to allow patients to have the ability to make autonomous decisions with their health and what treatment options if any they want to pursue. He argues that medical professionals must respect patient autonomy regardless of the results that may or may not be beneficial to a patient’s health. I will both offer an objection and support Goldman’s argument. I will
In his essay, “The Refutation of Medical Paternalism,” Alan Goldman discusses his argument against differentiation in the roles between physicians and patients. He says the physician may act against a patient’s will in order treat the patient in their best interest. Goldman makes his whole argument around the assumption that a person’s right to decide his or her future is the most important and fundamental right, saying, “the autonomous individual is the source of those other goods he enjoys, and so is not to be sacrificed for the sake of them.” His claim is that most people agree that they are the best judges of their own self-interest and there is an innate value in the freedom to determine their own future. On these principles, Goldman starts by discussing conditions under which paternalism may be justified.
In the 2012 Presidential Debates over the Affordable Care Act President Barack Obama said “If you like your health care plan, you can keep your health care plan.” But this, in fact, is not the case. Barack Obama mislead voters into believing they could keep their health insurance if you were among the 85% already happily insured. His message was, “ObamaCare will affect the other people, not you” (Troy). ...
The Affordable Care Act (ACA) is a federal that was signed into law by President Barack Obama on March 23, 2010 to systematically improve, reform, and structure the healthcare system. The ACA’s ultimate goal is to promote the health outcomes of an individual by reducing costs. Previously known as the Patient Protection and Affordable Care Act, the ACA was established in order to increase the superiority, accessibility, and affordability of health insurance. President Obama has indicated the ACA is fully paid for and by staying under the original $900 billion dollar budget; it will be able to provide around 94% of Americans with coverage. In addition, the ACA has implemented that implemented that insurance companies can no longer deny c...
There is no doubt that health care costs are rising out of control. Look again at the information presented in this paper. It should make sense of things.
The Affordable Care Act (ACA) of 2010 is Obama’s plan for affordable healthcare insurance coverage and improved access to care. (Davis) This will be a long process due to the political and practical obstacles, but will have an effect on everyone. The ACA will start to provide coverage at different times in each state, which will depend on where they live and which party controls their statehouse. At the moment, Massachusetts provides coverage to nearly all residents. Court’s decision to make the ACA’s Medicaid expansion voluntary and Republican states opposition, means coverage expansion will be slower.
Within public health, the issue of paternalism has become a controversial topic. Questions about the ethics of public health are being asked. The role of ethics in medical practice is now receiving close scrutiny, so it is timely that ethical concepts, such as autonomy and paternalism, be re-examined in their applied context (Med J Aust. 1994). Clinically, patients are treated on a one on one basis, but public health’s obligation is toward the protection and promotion of an entire population’s health. So, based on this difference, the gaping questions targeting public health now becomes, under what conditions is it right to intervene and override an individuals’ autonomy? And if so, is the paternalistic intervention justified? Part of the concern
Autonomy is another value that I cherish in patient care. Autonomy is descried as giving control and right to the individual to make choices (Cherry & Jacob, 2013). This is so important because nobody wants to lose their ability to make choices and make decisions. Autonomy is letting the patients make their decisions concerning their diagnosis and how health care is provided for them. To me giving the patient the ability to exercising autonomy is empowerment. For instance, I like to give my patients the choice to make decisions from the very little things such as if they would like to shave by themselves or would have someone shave for them, to the not so little choices as to making major decisions about diagnosis and treatment
Sutrop M. (2011) How to avoid a dichotomy between autonomy and beneficence: from liberalism to communitarianism and beyond. Journal of Internal Medicine. 269(4):375-79. Retrieved from http:// onlinelibrary.wiley.com/doi/10.1111/jim.2011.269.issue-4/issuetoc
The principle of autonomy states, that an individual’s decision must be respected in all cases, also an individual can act freely in accordance to their plan. For example, in a case where a patient and family demands to continue medical or surgical care and a physician want the patient to stop further treatment. In this case the patient’s choice will matter the most. According to the principle of autonomy it will be the patients and family choice whether to continue or discontinue treatment. The principle of beneficence which states, “one must promote good” comes into play in this case. In accordance to beneficence the patient will not benefit from the physicians responses personally. He/she will not benefit from harming her body with more surgeries. The patient will be going against the principle non-maleficence, which states that “one must cause no harm to an individual” by causing harm to herself. In this case the physician is justified in his/her actions by discontinuing medical or surgical care to the patient because it will not it her. These principles are what healthcare provider use to help and guide patients with the ...
The aim of the analysis is meant to clarify the meaning of the word autonomy thereby the introduction of a concept. Clarification is needed as the word autonomy does have several meanings and not all apply to medical terminology, some meanings span to philosophy, technology and general decision making. The medical meaning is significant in the care of patients for improved outcomes through choice and educated decision making on the part of the patient. Autonomy can be empowering as a concept or even as a single word.