The Major Ethical Dilemma With The Affordable Care Act

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In 2010, Obama signed the Affordable Care Act into law. The healthcare reform law was supposed to expand and improve access to care and curb spending through regulations and taxes. Its main focus was to extend healthy insurance to some of the estimated 15% of the population in the US who did not have it and improve the quality of health care. By regulating the health care industry, the law was aiming to reduce health care spending in the US. ObamaCare in theory is a great thing, but at the same time it creates financial ethical conflicts for physicians treating their patients under the new law because it creates an incentive for physicians to undertreat their patients.
There are a lot of positive aspects of the Affordable Care Act. The law
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They have said that it is an intrusion into the matters of private businesses and people. Insurance companies are backing out of participating in ObamaCare because fewer people are signing up than anticipated. This raises insurance costs for everyone, which then drives down participation further. The major ethical dilemma with the Affordable Care Act I believe is that doctors will face incentives for undertreating their patients. Most patients assume that their physician is working in their best interest whenever they treat them. And the vast majority of doctors do take their ethical responsibilities very seriously. Before ObamaCare, few physicians have compromised their professional ethics to gain financially. But the Affordable Care Act creates new ethical conflicts for …show more content…
Doctors have taken an oath to treat patients to the best of their ability and to do no harm, but they will not want to spend their own money on their patient’s care when any extra treatments will cost them more. Treating patients to the best of their ability and the ACA contradict each other because a doctor may feel that it is not worth it to give a patient the best treatment possible if they are the one who will have to pay for it. An ethical physician will do whatever it takes to help their patients, but the Affordable Care Act makes this difficult. There is a board of directors named the HTAC (Health Technology Assessment Commission) that meets to decide which healthcare treatments they will approve and which they will deem unnecessary. Many of the treatments that are not approved can sill be medically effective but might be considered too expensive. Physicians are then expected to use the approved procedures and not use the others. But if a doctor has a patient who needs an unauthorized treatment, the patient has to pay out of pocket. For example the British National Health Service ruled that kidney dialysis over the age of 55 years old is not cost effective. If the HTAC did the same, then what are physicians supposed to do under ObamaCare if they are treating a patient who goes into kidney failure who could be

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