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Essay on Matters of Life and Death

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I. Identification Matters of Life and Death: Defunding Organ Transplants for the State of Arizona II. Management Issues This case surrounds the controversy brought about by the Arizona state legislature defunding life-saving organ transplant operations. In 1987, the Arizona state legislature voted to eliminate funding for most organ transplants for the indigent through the Arizona Health Care Cost Containment System (AHCCCS). At the same time of this decision, the legislature voted to extend health coverage to pregnant women and children in a “notch group.” The public controversy began when Dianna Brown died after being denied coverage for a liver transplant that would have saved her life. After her death, there was wide spread …show more content…

In rebuttal to the governmental policies and financial analysis, Dr. Copeland argued that even if the AHCCCS were to deny funding to transplants, the health care system would still end up incurring costs associated with hospital costs till death as well as social security benefits to the families of patients who die without receiving a transplant. Also, he mentioned that Medicare would soon approve his transplant center as one of the 10 in the country to be covered. This came under much scrutiny and in the end a compromise was reached to look at each by a case-to-case basis. After the drama surrounding Diana Brown’s death, it was the opinion of the Arizona legislature that it would make the decision that would most benefit the residents of Arizona. In the end, “the public generally is not willing to, say, double the taxes in this state to insurance that everyone got the maximum possible health care.” While the decision may have had justifications by the state legislature, completely defunding organ transplantation services takes away the rights of patients and makes it so that health care is a privilege. I do not believe this is how health care

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