Health Care Ethical Dilemmas

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Nurses face ethical dilemmas with culturally diverse patients. The cause can be associated with socioeconomic status, inequalities, and social injustice. The purpose of this post is to describe ethical dilemmas associated with the current state of population health and health disparities. I will discuss the cultural foundation supporting pros and cons of health care reform and the Affordable Care Act (ACA) in the United States. Finally, the principles of social justice and human rights protections reducing health disparities will also be discussed.
Practicing ethically as a nurse implies that we take the correct action for the patient regardless of the situation (Andrews & Boyle, 2016). Ethical practice is meant to allow for social justice
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The law created several pros for the culturally diverse people in our country. Options for health coverage where available online, insurance companies could no longer deny coverage for pre-existing conditions, and the ACA offered access to preventative care (Andrews & Boyle, 2016). Some of the cons that were created from the law include the small business owners who could not afford to offer coverage based on the mandate; therefore the employees’ work status would be changed to part time. This in turn created loss of income for an already struggling employee. Another con was associated with the options for coverage; many plans included very high deductibles that most people cannot afford. In my practice we offer a blood test for pregnant women for genetic screening. It is a great, non-invasive way to screen for chromosome abnormalities. Due to the deductibles patients were now affected by from the ACA, they could not afford the …show more content…
This is done by respecting cultural differences, and minimizing the negative outcomes because of these differences (Andrews & Boyle, 2016). Other fundamental principles of social justice and human rights are practicing beneficence, nonmaleficence, autonomy, and justice. These principles focus on patient safety, individual respect, and doing what is best for the patient. Nurses can also practice advocacy and maintain community partnership (Andrews & Boyle, 2016). These principles allow nurses create collaborative partnerships within the government and local communities to promote social justice and human

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