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To that end, patients who opt to pay more are likely to have better access to treatment; meaning, essentially, that patients who choose to go with commercial healthcare providers will have more accessibility and better quality of treatment as opposed to those who depend upon CSM or the government. Patients who go with a commercial healthcare provider such as Fresenius, for example, may be paying considerably more than someone whose costs are financed by CMS or the government. However, that person will certainly be granted treatment (particularly if it involves dialysis), although the expenses will be considerable for medication such as erythropoietin. However, those who opt for CMS or governmental services have to cope with the fact that the former organization is treating fewer and fewer of its population for ESRD, while those relying on the government may well see the effects of cost shifting. Those fortunate enough to in fact receive treatment by these two organizations, however, will be responsible for a substantially lower amount of payment than those who go with commercial healthcare providers.
The ethical implications of treatment options based upon cost evaluation, therefore, are fairly salient. To a certain extent, the options for patients regarding cost of treatment, accesses to treatment and quality of treatment resemble a scenario in which those select few with the personal finances able to procure service through health care providers will be able to obtain curative measures effective enough to cope with ESRD. This point is reinforced by the fact that if CMS is able to meet...
Were these events to actually transpire, then the actual value in providing healthcare services would significantly decline due to the poor quality, the consolidation of treatment facilities -- which could likely lead to some unbalanced monopolies -- as well as the overall lowering of standards of the industry. From an ethical perspective then, it would be highly difficult to justify a rapid decline in the service of providing treatments that people need in order to sustain their lives, for the simple fact of meeting a budget. At the same time, however, there are necessary components of such considerations, since organizations need to be cost effective in order to stay in business and provide any type of service.
References
Milstead, J.A. (2007). Health Policy and Politics: A Nurses Guide. Burlington: Jones & Bartlett.
Summary: This paper examines the financial repercussions of providing health care services within the United States. Specifically, it analyzes information regarding reimbursement practices and quality of service to patients who have been diagnosed with End Stage Renal Disease. A number of options for treatment are elucidated in terms of their quality and cost, as the inherent tradeoff between accessibility to services and the price required to gain such accessibility that is endemic throughout the health care industry is significantly demonstrated.
ESRD patients provide the full fixed cost payment due to the full reimbursement for their care. Long-term care facilities would like to have 100% ESRD patients however, such a patient load does require skilled workers in numbers to care for these especially demanding patients. ESRD includes the ADL's and care specific to kidney cleaning and functioning, such as dialysis treatment either at home or at an outpatient facility. Additionally, some
Hemodialysis on End Stage Renal Disease Patients and the Increasing Role for the Nurse It is a difficult condition of a kidney failure when one's kidney could no longer carry out the proper metabolism system to eliminate waste products. Kidney is the essential organ that is responsible in waste elimination, including others like detoxification process of drugs and toxic materials, also in controlling water balance, salt balance, blood pressures and
Recession is a period characterized by increased unemployment rate, lower inflation, lower spending, reduced production and stocking. Different economic theories such as the Classical, Neo-classical, Keynesian and the Growth curve and life cycle theories argue differently about the economic cycles. The neo-classical theorists for example argue that interest rates are crucial in the shift towards the different cycles and therefore by regulating the flow of funds (increasing or decreasing)
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However, many patients suffering with chronic renal disease do not explore this option. 4-6: Increase the proportion of patients with treated chronic kidney failure who receive a transplant within 3 years of registration on the waiting list. Again renal transplantation can improve overall quality of life for patients struggling with this condition. 4-7: Reduce kidney failure due to diabetes: Type II diabetes is a significant contributor to chronic kidney disease. Reducing
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