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
On Death and Dying By Elisabeth Kubler-Ross For my book review, I read On Death and Dying, by Elisabeth Kubler-Ross. Dr. Kubler-Ross was the first person in her field to discuss the topic of death. Before 1969, death was considered a taboo. On Death and Dying is one of the most important psychological studies of the late twentieth century. The work grew out of her famous interdisciplinary seminar on death, life, and transition. In this paper, I give a comprehensive book review as well as integrate topics learned in class with Dr. Kubler-Ross' work. Like Piaget's look at developmental stages in children, there are also stages a person experiences on the journey toward death. These five stages are denial/isolation, anger, bargaining,
Both rulings bring about interesting points involving how healthcare is paid for, purchased, and how it is determining who is eligible for it. Health care alone is a unique market that combines many variables with few realistic purchasing alternatives and affordable options for care treatments. Those treatments are very expensive and traditionally difficult to pay out of pocket for Most people except for their yearly check-ups and immunizations do not plan for the random costs and unintentional illnesses and injury that are exclusive to the healthcare market. The costs associated with ER visits, which tend to be relatively expensive, and the healthcare provided to those whether they are uninsured or insured incurs a significant cost that is
Because of Samuel Linares’s case, the Illinois governor appointed a commission to identify standards for surrogate-decision-making, including the withdrawal of life-sustaining treatment. The main question came up as why should others lose the right to choose or just have it only ordered by court? In response to that Illinois came up with 8 different people ranked who could make decisions. In the case of same sex couples, who in Illinois could not yet be married, would fall under the 7th option as a close friend of the patient no matter how long or intimate the relationship was. If married
Then, in a 5-to-4 decision the Court states that a person who is incapable of making such decision cannot exercise the rights. Since there was not enough “clear and convincing” evidence that Nancy Beth Cruzan wanted to refuse to such medical treatment, the Court stated that it is constitutional to preserve human life in the state of Missouri. Due to the fact that family members will not always make the correct decision in choosing to withdraw treatment, the court concluded that the evidence must be heightened in order to make the final
A. It seems that recently, the healthcare system has been placing labels on the values of lives. Doctors, hospitals, and pharmaceutical companies are separating patients on the sole bases of their finances. In these situations, individuals with health insurance are receiving priority care over those without health insurance. Doctors and hospitals are increasing waiting times of those without insurance, to take advantage of those with insurance. In addition to doubled-waiting times, these uninsured patients are even forced to take lower grades of medication. This isn’t only unfair, but inhumane, displaying the belief that these charity care patients’ lives aren’t as valuable as those with insurance. These
Alan D. Shewmon, the professor of pediatric neurology at UCLA Medical School believes that "until the turn of the decade, most people thought that 'brain death' was a settled issue; it no longer is. An increasing number of experts have begun to re-examine critically and to reject various key underlying assumptions" (Shewmon 1998). Determination of death has obviously become more complex, and the questions of when death is final require answers. According to most recent definitions, if the brain is entirely and irreversibly destroyed, a person can no longer relate to the world. As with any definition however, there are exceptions, gray areas, and blurred lines. We cannot strive for one all-encompassing definition. We
Ethical concerns in healthcare are common. Every decision making has ethical implication that impacts the hospital administrators, clinicians, and patients as well as their families. The top ethical challenges in healthcare leaders that are facing today are balancing care quality and efficiency, improving access to care, building and sustaining the healthcare workforce of the future, addressing end-of-life issues, and allocating limited medications and donor organs (Larson, 2013). Nonetheless, waiting time and treatment decisions have been the greatest challenge throughout the health care settings for decades and it has effected the quality and access to care, which have triggered an influx of cost. As this country move
What would you do if you were caring for a child whose condition would eventually kill them, but the parents wanted you to try every treatment? In the article “When Living Is a Fate Worse Than Death” by Christine Mitchell, the main point consists of this very question. The choice that hospital staff sometimes must make between keeping a child alive knowing that their condition will eventually take over or trying every procedure in an attempt to keep them alive. I believe that Mitchell does a great job in stating her claim favoring the side that a child with an illness that would, in time, take their life should be allowed to die peacefully rather than enduring painful procedures and bouncing between home and hospitals.
Every theme we have touched and gone in depth with in Ethics of Living and Dying has touch me in one way or another, but the theme that has touched me whole heartedly is rape. Rape is the most disgusting act that can happen to anyone women, men, lesbians, bisexuals, straight, no matter your gender, ethnicity, etc. we are all human and no one should have to go through such a life scaring situation that affects victims in one or more ways. Not only has rape affected many women and men, but an attempt has also scared others from trusting those around them as well. This theme has affected me personally because of those whom I know that have been victims of an attempt or rapped.
In William Shakespeare’s Hamlet, the ghost of Hamlet’s father appears very briefly. However, he provides the basis for the development and eventual downfall of Hamlet’s character. The play begins with a dismal Hamlet mourning his father’s death Recognizing this gloom, Queen Gertrude urges Hamlet to “cast thy nighted color off, and let thine eye look like a friend on Denmark” (I, ii, 68-69). Soon after, the ghost appears, insisting, “If thou didst ever thy father love, revenge his foul and most unnatural murder” (I, v, 24-25).
In the past century, science has made remarkable improvements in individual’s daily lives, from landing a man on the moon to transplanting organs between two people; science has taken a leap forward in helping humanity. The scientific discovery that absolutely fascinates many people is how surgeons can remove a failed organ from one person and implant a healthy organ inside the same person so that they can survive and live a longer and healthier life (1). Organ transplants are important in our society and there should be more funding from the government for research on organ transplants because not only has it been important that doctors have transplanted vital organs, but wouldn 't it be an honor to say that a doctor or scientist in America was the first to successfully transplant brain tissue? The government should fund programs for extensive research on organ transplants so that in the future people who suffer from organ failure can benefit from the research conducted.
According to United Network for Organ Sharing (2017), “Over 118,440 people are waiting for an organ transplant in the United States, a number on the rise over the last decade.” In fact, “Every day more than one person is added to the national transplant waiting list, and many people die every day waiting for a heart, liver, kidney or another vital organ” (UNOS, 2017). As the transplant list continues to increase in the United States, the demand for registered organ donors is significantly high. However, one single donor can significantly decrease the number of people waiting on the transplant list. For instance, Moritsugu (2013) describes the case of Donna Lee Jones, whose organs were donated after her death. Jones organs provided others with a new opportunity of life, as a matter of fact a man in Florida received her heart, a teenage boy in Washington DC, received a kidney and a pancreas, a hospital custodian received her other kidney, a woman in Pennsylvania received her liver, and one of her corneas went to a young lady in Baltimore, and the other one to a government worker (p. 245). By donating her organs, Jones was able to save and improve six people’s lives and gave them a second chance. This is a perfect example of how being a registered organ donor and donating your organs can significantly help and save
The end of an organism’s existence is marked by its death where the organism ceases to exhibit associated behaviors. Interpretation of this term varies among individuals and highly depends on personal believes and views on life and death. Biblically, a person’s death is said to be good or bad depending on the king of life lived by the person before death meaning good deaths are for those who lived good lives on earth while bad deaths are for those who lived wicked lives. The Christians believe that those who die being righteous have wonderful lives after physical death in the next world, will rejoice and share the glory of God in their next life in paradise while those dying in sins will perish in eternal fire. It can however not be classified as cruel for somebody who lived a
Life After Death All of the major religions believe in life after death. However the ideas from religion to religion can vary greatly. I am going to look at Hinduism and Christianity, two religions that I have been surrounded by all my life, and the different perceptions they have of life after death, and then I will give my own view. "For certain is death for the born and certain is birth for the dead; therefore, over the inevitable thou shouldst not grieve.
While many critics contest the idea of medical advancements due to ethical discrepancies, physicians require specific actions to take place to avoid any issues with the patient and family regarding the procedure. For instance, living organ donor procedures can cause both physical and psychological problems with the donor and receiver. Doctors make it essential that both patients recognize the issues. “To minimize the potential psychological, social, and economic ramifications for both donor and recipient, many transplant centers are now requiring thorough psychological assessments as part of