¶ … Veatch compares two principles of distributive justice as applied to health care, namely maximum principle and egalitarian principle. Describe briefly his characterizations of these principles. Which principle does he prefer for health care distribution and why?
Veatch (1994) characterizes these principles in terms of fairness, i.e. justice, and autonomy (p. 694), discovering between the two the differences inherent in their individual assessments of health care through the lens of the max-min principle and the egalitarian principle. The min-max principle rests on the maximum good (utilitarian) for the most people with the minimum negative consequences, while the egalitarian principle rests on the sense of all things and people being equal and therefore on the same footing and deserving of the same amount of care.
Veatch prefers this principle: "The principle of justice for health care could...be stated as follows: People have a right to needed health care to provide an opportunity for a level of health equal as far as possible to the health of other people." This is essentially the egalitarian principle because it is based on the need for equal rights under the protection and guarantee...
He wants to see that health care should be for everyone and not just for a select few or those who can afford it. Thus the state should take over for how this health care is divided out among the people. Since not all the people can pay, the state has to intervene and make everything equal. This is the justice that Veatch talks about needing in the health care policy.
2.The claim that everyone is entitled to some minimal level of health is implausible according to Buchanan. Why? What does he mean by "enforced beneficence" as applied to health care? How does it work?
Buchanan talks about the principle of "enforced beneficence" when he describes that by taking money from the people in order that the state might then provide for the good of all is a matter of enforcing the good or the beneficence as it is called. Buchanan uses this idea as a way to support his argument for why it is implausible to expect that all should be entitled to some minimal level of health care: entitlements and rights are not the issue: the issue is morality and…
Medical ethics are basically a collection of values, principles and moral judgments in the context of healthcare practice. For instance at the core of these values, is the aspect of autonomy. In this regard, it is realized that a patient is granted the right to accept or refuse treatment which only affects them. Medical practitioners are not therefore supposed to forcefully offer their services or compel patients to accept
A recently enacted policy, however, enforces the use of a dogmatic and uncompromising ideological speech as a standard replacement of informed consent (Minkoff & Marshall, 2009). The policy requires a list of statements, considered "facts," which discuss risks, benefits and alternatives. These focus largely on risks, misinformation and implied government disapproval. The use of this script compels the physician to commit an ethical and professional wrong, deceive his patient with
Nursing Case Study Case Discussion This case scenario is a classic case of professional misconduct carried out by Nurse X. The nurse did not have enough medical or chemical knowledge and therefore she made this mistake. It is common sense for any health care professional to realize that nasogastric or endoscopic route is very different to an IV route. All nurses and health care providers must be extra careful when administering to
Mudra did not act according to this principle when he ignored the warning signs of Daniel's condition. The best course of action would therefore have been a focus on beneficence/non-maleficence rather than upon respect for autonomy. Daniel's age is also an important factor. Concomitantly with his condition, Daniel's immaturity and a desire to "prove" his independence to his parents, could have contributed to his death. When treating such young persons,
In the case of breast augmentation, the parent must guide the minor to the right decision -- and that is usually not to have the surgery unless it is necessary for the teen's overall health. It is up to the adult to think responsibly. There are dangers to any surgery and infections are not among the least of them. Perhaps low self-esteem is a reason for counseling by a
Ethical Principles Autonomy Autonomy (which literally means self-rule) is the capacity to independently think, make decisions, and act on thoughts freely without being hindered or need for permission. As far as action is concerned, it is crucial that distinction be made between on one side, liberty, freedom, license or just doing what a person pleases and on the other side, acting in autonomy, that can be doing whatever one pleases but based