What will have a greater effect on the future cost of health care in the United States: political and social changes or medicinal and technological advances? Support your response

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  1. Who pays? Should health care be a privilege and each individual’s responsibility? Should you be allowed to decide if you want to spend your money on some form of health care insurance or use it for other purchases? Should you be allowed to decide that you live a healthy lifestyle, and you will pay out of pocket for your needs? If you get into a situation that is beyond your ability to pay, should you have to suffer the consequences? Should those consequences include permanent damage or death?

Is illness and infirmity a burden on society and health care for every citizen a right? Think of other rights extended to American citizens. We are entitled to free primary education, a safe food and water supply, public health surveillance for communicable diseases, and police and fire protection. These are all funded by public money, which comes from taxes. Should health care join that list? Is the average taxpayer willing to assume that burden?

If a public health care system is selected, who should be the administrator? Should the same people who run Medicare run a national health system? Is the Medicare system running well enough to be expanded to everyone? If a public option is selected, what happens to the current health care insurance industry? How would the transition from private to public be orchestrated?

The issues of how much and to whom is further complicated by the aging of the population and the rapid advance in health care technology. Both factors have contributed to marked increases in health care costs. How will anyone predict costs in the future? Is rationing health care the only solution? 200 words

  1. It is a scary trend especially, that we have the opportunity to model other healthcare systems that are in place and functional.  We also have the option to create a system that works for the American people.  Where do we fail?  How does a European system of healthcare compare with technology, cost structures, reimbursement, etc… ?  150 words
  2. What is your opinion about this article: The constitutionality of current legal barriers to telemedicine in the United States: analysis and future directions of its relationship to national and international health care reform.  150 words

 

  1. What is your opinion about this article: The key to real health care reform is tackling barriers standing in way of clinical integration.
  1. What is your opinion about this article: Challenges ahead of health care finance:150 words 

 

  1. What will have a greater effect on the future cost of health care in the United States: political and social changes or medicinal and technological advances? Support your response. Your response should be 200-300 words.  Please ensure to substantiate your response with scholarly sources or a personal account of your own experience in the work place.

 

  1. Crystal: I am thinking that medical and technological advances will have a greater effect on future cost of health care in the United States rather political and social changes.  The world already relies on technology for everything.  Look at today versus the early 1900’s.  House phones and pagers to cell phones, dial-up internet to now broad band.  Social networking sites like, facebook, linkedln, twitter and more many utilize for conversing, advertising, word of mouth, job search and more.  That does not even include some if the latest technology in health care.  Beginning with electronic health records, mHealth, telemedicine and teleheath, e-prescribing, to self-service kiosks.  More of the latest technology is still yet to come with the 2015 microchip modeling clinical trials that aim to replace the use of animals in clinical trials to more accurately test the safety and efficacy of treatment for human patients and spare the lives of countless animals typically used in testing, and Google Glass that connects to your smart phone and allows for video and images.  Soon the health care robots will be in all health care facilities.  Technology is only getting more better as the years go by. Do you agree or disagree with Crystal? Why or why not? 150 words

 

  1. The emergence of new disease may be another area of concern.  I would venture to say that in general, the cost of health care is not only what we see at face value, but also what goes on behind the scene.  The impact will exponentially come from all sectors not only social, but also technologically, in both the private and public sector.  Another area of great concern about the rise of health care is the baby boomer impact on health care in general and the social structure.  Do you think this is a problem that will cause great change? 150 words

Violation of Pharmacist Guideline

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Part I: Violation of Pharmacist Guideline

“Most Medicare Prescription Drug Plans have a coverage gap (which is also called the “donut hole”). This means there is a temporary limit on what the drug plan will cover for drugs.” Click here to review and analyze additional information on coverage gap.

Now, analyze the following scenario.

A pharmacist submits Medicare claims for brand name medication instead of following the guidelines to provide the patients with the less expensive, generic medicines.

Respond to the following:

  • Which law, if any, is violated by the pharmacist?
  • By using the Internet, research and provide a similar real-life example.

Justify your answers with appropriate research and reasoning by using examples and references from textbooks, the South University Online Library, and other acceptable references. Cite sources in the APA format. Further, comment on the postings of at least two peers.

Part II: Breach of Contract

A contract consists of a voluntary agreement that two parties enter into with the intent of benefitting each other (Fremgen, 2012). Something of value, which is termed consideration, is part of the agreement (Fremgen, 2012). A contract can be either expressed or implied. An express contract is an agreement that clearly states all the terms. It can be entered into orally or in writing (Fremgen, 2012).

A breach of contract occurs when either party fails to comply with the terms of the agreement (Fremgen, 2012). For example, if a physician refuses to perform a medical procedure he or she had agreed to perform, the physician has breached the contract (Fremgen, 2012). If a patient does not pay an agreed-upon fee, then the patient breached the contract with the physician (Fremgen, 2012).

Now, respond to the following questions:

  • Find out your state’s current court decisions for breach of contract and provide an example of breach of contract affecting a hospital.
  • Review and describe the state’s methodology for addressing issues pertaining to such a breach of contract.
  • Describe how legal procedures have evolved over time to help reduce such occurrences.
  • Describe how the breach of contract you identified could have been avoided.

Justify your answers with appropriate research and reasoning by using examples cite sources in your work please as well as on the apa reference page.

Discuss the importance of ambulatory care services as a part of the U.S. health care system today

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  • Identify the event in the history of medicine and health care delivery that you see as the most significant. Explain why you feel it is significant and what impact is has on health care today

 

  • Identify and explain two commonly attributed reasons for the unremitting rises we are experiencing with regards to health care costs.

 

  • Differentiate between the two methods for physician reimbursement: capitation and fee for service

 

  • Choose on health care profession that you learned about this quarter and briefly describe the profession. (Cancer Registrars)
  • Explain the intent of the Flexner Report. Identify the reports result on medical education.

 

  • Discuss the importance of ambulatory care services as a part of the U.S. health care system today.

 

  • Explain the role of the Board of Trustees and CEO/President in the hospital organization.

 

  • What is a long-term care and how is it different from other types of health services?Describe one type of long-term care facility. (Nursing Home)

 

  • Describe two types of mental health providers and the role that they play in the mental health sector.

 

  • Discuss three benefits of Electronic Health Record and how this has transformed health information technology.

Discuss applicable ethical theories and principles

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Littleton, V., Meemon, N., Breen, G-M., Seblega, B. et al. (2010, Spr.). An ethical analysis of professional codes in health and medical care. Ethics & Medicine, 26(1), 25-49.

Merril Pauls, Andrew McRae, Sam G Campbell, Paul Dungey. (2004). Ethics in the trenches: Part 2. Case studies of ethical challenges in emergency medicine. CJEM : Journal of the Canadian Association of Emergency Physicians, 6(5), 363-6.

Mitnick, S., Leffler, C., & Hood, V. L. (2010). Family caregivers, patients and physicians: Ethical guidance to optimize relationships. Journal of General Internal Medicine, 25(3), 255-60. doi

Nayeri, N. D., & Aghajani, M. (2010). Patients” privacy and satisfaction in the emergency department: A descriptive analytical study. Nursing Ethics, 17(2), 167-77. doi:

Sansom, D. (2013). Codes of ethics in health care: Virtues versus rules. Ethics & Medicine: An International Journal of Bioethics, 29(2), 95-108.

Windish, Donna M,M.D., M.P.H., & Ratanawongsa, N. (2008). Providers’ perceptions of relationships and professional roles when caring for patients who leave the hospital against medical advice. Journal of General Internal Medicine, 23(10), 1698-707. doi:

 

Privacy & Confidentiality

Privacy and Confidentiality issues arise in a wide range of contexts and scenarios. After reading the background materials and conducting individual research of the literature, discuss how health care workers can best reconcile their obligation to protect patient privacy and maintain confidentiality in light of criminal activity by the patient.

You may use the following as a springboard to further research:

Merril Pauls, Andrew McRae, Sam G Campbell, Paul Dungey. (2004). Ethics in the trenches: Part 2. Case studies of ethical challenges in emergency medicine. CJEM : Journal of the Canadian Association of Emergency Physicians, 6(5), 363-6.

Assignment Expectations

Tasks:

  1. Define the debate over the ethical issue of patient privacy and confidentiality including the role of competing rights held by the patient and by the community.
  2. Discuss applicable ethical theories and principles
  3. Limit your response to a maximum of three pages, not including title and reference pages.
  4. Please support your discussions with scholarly support (3-5 references). Be sure to properly cite all references.
  5. Be sure to apply citical thinking skills within your discussions and response to the case study assignment. I will grade your paper on your ability to address the assignment criteria listed above with depth and breadth of discussion. I will also critique your writing format (i.e. proper reference citations, spacing, etc.)