¶ … 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...
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
Confidentiality Breaches in Clinical Practice The confidentiality and privacy of patients are considered as one of the fundamental freedoms that they should enjoy and are safeguarded under Health Insurance Portability and Accountability Act of 1996 (HIPPA). It is also a precept of the American Medical Association’s Code of Ethics and the Hippocratic Oath. The breach of confidentiality is unethical and illegal. Medical professionals are under the obligation of protecting the patient’s confidentiality.
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