Ethical Aspects-What are the choices and trade-offs, Dr. Solomon
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1. What are the choices and trade-offs, Dr. Solomon has to
make between medical care and his own financial survival?
2. Should he be concerned with his ‘duty’ to his patients as
a physician and the financial ‘consequences’ of his actions to himself and the
hospital, why or why not?
3. There was this patient that recieved a CABG. The
insurance company paid the hospital a flat fee for this surgery of $30,000. He
was discharged from the hospital in 72 hours. 4 days later he is admitted again
with a staph infection and is hosptalized for three more weeks because they had
to open his chest and clear up the infection. Who had to absorb the major part
of the cost of his additonal visit?
4. At Joslin , they say the mission of doctors and the
hospital is “to take care of the patient”. But it is felt that the
hospital may have to cut back on some of its mission and drop services. At
Joslin Clinic there was this diabetic pregnant women and she recieved optimal
care, doctors, nurses, dieticians, ultrasounds about 33 vistis to control the
mother’s glucose and bring the baby to term. The baby was born healthy and full
term with no complications. Would it be a good thing for Joslin Clinic to cut
back on its mission and reduce services to pregnant diabetic women? why or why
not? What might be the financial and health consequences for cutting back the
mission?
5. Do you think a patient that has a heart attack and is
very ill should stay in the hospital and run up $600,000? Who will pay for his
care? Who should pay for it and why? Should there be a limit to the care we
provide to patients like him?
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