New Ethical Dilemmas In Healthcare Research Paper

Length: 6 pages Sources: 4 Subject: Healthcare Type: Research Paper Paper: #16425230 Related Topics: Prostate Cancer, Ethical Dilemmas, Ethical Dilemma, Colon Cancer
Excerpt from Research Paper :

3%) are very satisfied with their health care services, compared to only 41.5% of Canadians; a lower proportion of Americans are dissatisfied (6.8%) than Canadians (8.5%).

Atlas (2009) acknowledge that Americans have much better access to important new technologies like medical imaging than patients in Canada or the U.K. Maligned as a waste by economists and policymakers naive to actual medical practice, an overwhelming majority of leading American physicians identified computerized tomography (CT) and magnetic resonance imaging (MRI) as the most important medical innovations for improving patient care during the previous decade (Fuchs & Sox, 2001). This is justifiable in the presented table showing the most important recent medical innovations, below. Hence, Atlas (2009) claim that the United States has nearly 27 MRI machines per million compared to about 6 per million in Canada and Britain.

According to" The U.S. Health Care System as an Engine of Innovation," 2004 Economic Report of the President, Coburn and Turner (2007); and Boehm (2005), the Americans are responsible for the vast majority of all health care innovations. The top five U.S. hospitals conduct more clinical trials than all the hospitals in any other single developed country. Since the mid-1970s, the Nobel Prize in medicine or physiology has gone to American residents more often than recipients from all other countries combined. In only five of the past 34 years did a scientist living in America not win or share in the prize. Most important recent medical innovations were developed in the United States.

Therefore, according to Atlas (2009), despite serious challenges such as escalating costs and the uninsured, the U.S. health care system compares favorably to those in other developed countries.

According to the Association of American Medical Colleges (2010), the United States continues to have difficulty bridging the gap between conceptualizing and creating a better-functioning healthcare delivery system. In such a situation, improving quality and reducing costs nationally, will require a fundamental redesign of both the systems of care delivery and payment for healthcare in the U.S. today. Therefore, the Association of American Medical Colleges proposes the creation and testing of a concept called the "healthcare innovation zone" (HIZ)which is designed to demonstrate that coordination of care, coupled with a multiple payer reimbursement model, will support more effective planning and delivery of care; and enable resources to be allocated where they can add the greatest value. The Association of American Medical Colleges claim that this demonstration will be large enough to demonstrate the efficacy of fundamental changes in the healthcare delivery and financing models that are needed to increase quality and reduce costs throughout the U.S.

Without new, more effective medicines along with new devices and diagnostic tools, and better treatments and surgical techniques, it will be impossible for larger numbers of Americans to obtain better health care at a manageable cost. Therefore, it is vital to all of us that we insist that reform proposals pass the "innovation test" because providing insurance to millions of Americans through a government-run plan would fail the test. Similar efforts around the world have led to rationing of health care and created hurdles between patients and the most advanced treatments. On the other hand, innovation would remain reasonably secure if universal access were achieved through tax credits and government subsidies that allow patients to choose from a...


Therefore, U.S. government should adjust or do away with their price controls and some rebate requirements initiatives; which tend to be arbitrary and make it much harder for innovators to attract and recoup investments. This recommendation is so because, for the U.S. government part, private insurers and patients tend to control costs by insisting on value thus forcing companies to demonstrate how the effectiveness or broader savings generated by their product justifies its price hence that approach maintains the incentives for innovation and is yet another reason not to crowd out the free market (Lechleiter, 2009).


Association of American Medical Colleges. (2010). Healthcare Innovation Zones: A True

Platform for Reform. Retrieved on 29th March, 2010 from

Atlas, S. (2009). Ideals Changing the World: 10 Surprising Facts about American Health Care.

National Center for Policy Analysis (NCPA) No. 649

Boehm, T. (2005). "How can we explain the American dominance in biomedical research and development?" Journal of Medical Marketing 5 (2), 158-66.

Business Services Industry (2007), U.S. Healthcare Industry Witnesses Robust Growth with Continued Focus on Innovation. Retrieved on 29th March, 2010 from;col1.

Christensen, C.M., Baumann, H., Ruggles, R., & Thomas M. Sadtler, T. M.(2007). Disruptive

Innovation for Social Change. Harvard Business Review. Retrived on 28th March, 2010 from;col1

Coburn, T., Antos, J., & Turner, G. (2007). "Competition: A Prescription for Health Care

Transformation." Heritage Foundation, Lecture No. 1030.

Concord Working Group. (2008). "Cancer survival in five continents: a worldwide population-

based study,.S. abe at responsible for theountries, in s chnologies." Lancet Oncology, 9 (8), 730 -- 756.

Esmail, N., Michael A.W., & Bank, M. (2007). "Waiting Your Turn, (17th edition) Hospital

Waiting Lists In Canada." Fraser Institute, Critical Issues Bulletin 2007, Studies in Health Care Policy (August 2008).

Esmail, N., & Wrona, D. (2008). "Medical Technology in Canada," Fraser Institute Critical

Issues Bulletin 2007, Studies in Health Care Policy (August 2008).

Fuchs, V.R., & Sox, H.C. (2001). "Physicians' Views of the Relative Importance of 30 Medical

Innovations." Health Affairs 20 (5), 30-42.

Mandel, M. (2010). Is the U.S. Overweight on Health R&D. Retrieved on 29th March, 2010 from

Nussbaum, B. (2010). Health Care Reform Passes Now Let Us Start Health Care Innovation.

Business Week. Retrieved on 29th March, 2010 from

O'Neill, J. & O'Neill, D, M. (2007). "Health Status, Health Care and Inequality: Canada vs. The U.S." National Bureau of Economic Research, Working Paper 13429 (September 2007).

Schoen, C., et al. (2007). "Toward Higher-Performance Health Systems: Adults' Health Care

Experiences In Seven Countries, 2007," Health Affairs 26 (6), w717-w734

Schoffski, O. (2002). "Diffusion of Medicines in Europe," European Federation of Pharmaceutical Industries and Associations. Also retrieved on 29th March, 2010 from

Tanner, M. (2008). "The Grass is Not Always Greener: A Look at National Health Care Systems

around the World." Cato Institute, Policy Analysis No. 613 (March 18, 2008). Also retrieved on 29th March, 2010 from

"The U.S. Health Care System as an Engine of Innovation," 2004 Economic Report of the President (Washington, D.C.: Government Printing Office, 2004), 108th Congress, 2nd Session H. Doc. 108-145, February 2004 Chapter 10, 190-193.

U.S. Cancer Statistics, National Program of Cancer Registries, U.S. Centers for Disease Control;

Canadian Cancer Society/National Cancer Institute of Canada. (2007). "Health Status, Health Care and Inequality: Canada vs. The U.S.," National Bureau of Economic Research Working Paper No. 13429 (September 2007).

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Analysis of EUROCARE-4 Data." Lancet…

Sources Used in Documents:


Association of American Medical Colleges. (2010). Healthcare Innovation Zones: A True

Platform for Reform. Retrieved on 29th March, 2010 from

Atlas, S. (2009). Ideals Changing the World: 10 Surprising Facts about American Health Care.

National Center for Policy Analysis (NCPA) No. 649

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