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These are just some of the expenses. Treating this man for free, more so, may open the door for more 'deserving cases', and then where does one draw the line. And a further ethical dilemma: if the care system agrees to treat the man for free, its debt may be so steep that it will be the paying customers who will, eventually, have to pay the price.
Identified alternative courses of action and explained expected consequences.
The health care system could return the man to Mexico and to his family, but this would aggravate the man's station. In terms of traumatic brain injury, any lapse in treatment spells crucial damage to the patient's brain.
Another option is that once danger to life is over, the patient could be moved to an ordinary hospital ward where his care would be less expensive and he could spend time recuperating. This, nonetheless, would pose problems since, firstly, this too carries some element of expense, and, secondly, the patient should spend this time progressing to rehabilitation programs so that what he has left of his neuronal capacities should receive optimum attention. Receiving these rehabilitation services from the healthcare system would force the system to dole out millions on what could transpire to be ongoing care.
Recommended one course of action, giving rationale.
The health care system seems to feel that its responsibility to the patient is ongoing and throughout his life. I do not see why this is the case. Hospitalization and emergency intervention is an obligation in order to save the man, but treatment for brain trauma, generally devolves along two levels: emergency intervention where the hospital's primary aim is to stabilize the patient and to prevent further injuries,...
This emergency care should not be stingy and should be provided with the same warmth and attention as that which they would accord any full-paying client. The hospital, however, should be prudent and practical too: With the culmination of that care, the man can then be conveyed to some hospital or health care system in Mexico where under his country's own health care system he may then receive or not receive the necessary follow-up treatment plan.
References
Hardman, J.M., & Manoukian, a. (2002). Pathology of head trauma. Neuroimaging Clinics of North America, 12, 175 -- 87.
Saatman, K.E, & Duhaime, a.C. (2008). Classification of traumatic brain injuries for targeted therapies. Journal of Neurotrauma, 25, 719 -- 38.
WGBH Educational Foundation. (n.d.). The Hippocratic Oath: Modern version. Doctors' Diaries. Retrieved on January 30, 2011 from: http://www.pbs.org/wgbh/nova/doctors/oath_modern.html
Holder, S. (2008). Traumatic brain injury -- the medical insurance maze. Head and brain injuries. Retrieved on January 30, 2011 from: http://www.headbraininjuries.com/brain-injury-medical-insurance
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