Essay Title: 

Ethics in Health care

March 30, 2016 | Author: | Posted in health and medicine, nursing

: Ethics in Health care

p Question : ensated Care : What are the ethical implications of reductions in the provision of ensated care

ensated care is a method in which no payment is collected from the patient , insurance company or other third-parties for the services provided by the physician , hospital or a healthcare organization However , not all the services are classified as charity care , and some may develop due to bad-debt from people unwilling /unable to pay . These expenditures can be compensated by in-house donations , cost-shifting and /or paid by third-parties other than [banner_entry_middle]

insurance companies ensated care is usually required by the poor , elderly , needy and uninsured patients

The concept of ensated care actually began in 1963 . The physicians and the hospitals felt that the market situation and private donations (including charity by the hospitals and the physicians ) could help them provide treatment for the needy , who could not afford medical care . They considered that medical care matters were completely different from other businesses such as grocery and automobile industry who were not obliged to provide their services to the poor (even to those not able to pay . Statistics suggest that expenditure on ensated care has decreased in recent years (from around 6 in the 1990 ‘s , to 5 .6 in 2001 and about 5 .5 in 2003 (Weissman , Joel S 2005 . This may be due to increased expenditure on insured patients and /or reduction in expenditure on ensated care by the hospitals Some of the practices adopted by the hospitals to avoid cases of ensated care may be truly unethical indeed

There are several situations in which life-saving treatment have been denied to patients unable to pay . For instance , a poor woman was detected with early cervical cancer , which could easily be cured through comprehensive treatment (Edelman , A Adams K .E , 2004 . However curative treatment was denied to her , and she was told that she could only seek emergency care later , free of cost . Some hospitals may even resort to forcefully debiting the patient ‘s expenses from the attending physician ‘s salaries and /or seizing the patient ‘s property . Many healthcare organizations feel that they should not encourage ensated care because the policy could attract many more uninsured patients in the future seeking medical treatment . In fact some hospitals are overcharging the uninsured and poor patients in the hope that they do not return back to the hospital seeking medical care again Some patients are also being diverted to public hospitals or are provided treatment below the normal standards of care

I feel that the physicians and hospitals should do their best to provide care for the uninsured and the needy patients . They should build up a charity policy and a funding account that can be utilized under certain criteria . Resources that could make up for such expenditure from within and outside the healthcare organization should be recognized and utilized when needed . If the healthcare organization is unable to meet the expenses , they should at least lower the costs of… [banner_entry_footer]


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