PPACA is the most profound change in health care since Medicare/Medicaid. There are many concerns about its implementation and implications for healthcare systems and practices. Using Chapters 11 and 16, identify at least three potential ethics issues for health care during the implementation of PPACA. Present at least one way to be compliant with the law and remain ethical as a practitioner.
Health Care Ethics: Critical Issues for the 21st Century HEALTH CARE ETHICS Critical Issues for the 21st Century Edited by Eileen E. Morrison, EdD, MPH, LPC, CHES Professor, School of Health Administration Texas State University, San Marcos San Marcos, Texas Beth Furlong, PhD, JD, RN Associate Professor Emerita, Center for Health Policy and Ethics Creighton University Omaha, Nebraska FOURTH EDITION World Headquarters Jones & Bartlett Learning 5 Wall Street Burlington, MA 01803 978-443-5000
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[email protected] https://lccn.loc.gov/2017043204 Writing is always a collaboration. While writers have unique ways of seeing the world, they are influenced by their experiences, research, and education. Therefore, I dedicate this edition of Health Care Ethics: Critical Issues for the 21st Century to all those who contributed to chapters in this work and those who supported me through its creation. First, there is my immediate family, Grant, Kate, Emery Aidan, and Morrigan Leigh, who listened and encouraged. There are also colleagues, relatives, and friends who provided feedback and a lift of spirit when I needed it. Finally, there is my publisher, Michael Brown; my coeditor, Beth Furlong; and my Jones & Bartlett Learning editor, Danielle Bessette. They each added much to the quality and integrity of this work. –Eileen E. Morrison Mentors facilitate one’s journey. My gratitude goes to Dr. Amy Haddad and colleagues at Creighton University’s Center for Health Policy and Ethics. I value the ever-present support of my husband, Robert Ramaley. Furthering the ethics education of others with this book is possible because of the collegiality and support of my coeditor, Dr. Eileen Morrison. It has been a professional pleasure to work with her. –Beth Furlong iv © f11photo/Shutterstock Contents Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . viii About the Editors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x PART I Foundations in Theory 1 Chapter 1 Theory of Healthcare Ethics . . . . . . . . . . . . . . . . . . . . . . . 3 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Ethics and Health Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Ethical Relativism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Ethics Theories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Ethics Theories and Their Value to Healthcare Professionals . . . . . . . . . . . . . . . . . . . . . . .30 Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31 Questions for Discussion . . . . . . . . . . . . . . . . . . . . . . . . .31 Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31 Chapter 2 Principles of Healthcare Ethics . . . . . . . . . . . . . . . . . . . . . . 41 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 Nonmaleficence . . . . . . . . . . .