EMTALA stands for Emergency Medical Treatment & Labor Act and was passed in 1986 to guarantee the public has access to emergency services irrespective of the ability to pay. The main reason for its implementation is section 1867 of the Social Security Act. This part imposes concise requirements on any Medicare-participating hospitals that provide MSE/emergency services. Before EMTALA, people were turned down for medical treatment if they could not pay, resulting in death and health complications.
The main reason for passing the law was healthcare dumping which was as previously mentioned, ridding the hospital of patients unable to pay for emergency care. The other two, lesser known reasons were "the impact of the 1983 Medicare prospective payment system" and "some hospitals were no longer obligated to provide indigent care under the Hill-Burton Act" (Fried, 2011). The act made treating low-income and uninsured people no longer mandatory for hospitals to receive funding. Therefore, the incentive for hospitals to take care of patients with no insurance or low-income was low. Coupled with the fear of Medicare not providing enough services, the United States government decided to act with one of the laws main proponents, Edward Kennedy arguing for its passing.
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PAS or
This is because it is an indirect way for a physician to help a patient take his or her life. However, because the patient needs to ask for a prescription, then take the prescription, theory suggests it may not be as unethical as believed. Utilitarian theory serves as the main theoretical framework from which to understand the possible ethical standpoint of PAS. Per utilitarian theory, it is ethically fitting for an individual to do the right action/act to yield the greatest good.
Right acts within the context of PAS, right actions result in a greater level of happiness instead of unhappiness. This means by relieving the suffering of the terminally ill patient, the physician is performing an ethical, right action. "...those who are ill and suffering, and wish to end their lives, will have their desires satisfied, and be able to end both their physical pain, and their psychological frustration and helplessness" (Smits, 2016, p. 146). The intention of ending someone's life then turns into an effort to maximize happiness and minimize suffering. Within this meaning, PAS is an ethical means of helping a patient who is suffering immensely.
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The Hispanic population has grown…
The working of the department leads to the overall success of the other programs and plans aimed by the country in delivering medical services to the country. Moreover, delivery of medical services to the marginalized and women involved approaches that consumed less amount of finances from the government and other support organs. Question 2: Important agencies at the federal level which impact on delivery of medical services to the Americans There
While this cannot be expected to work in the larger emergency department, in small institutions this method might prove productive. The pay is further calculated by units according to duties perfumed while the physician is on-call. (Physician Compensation Duties, 2001) V. EVALUATION of STRATEGIES The strategies reviewed in this work include on-call pay for emergency room physicians as well as punitive reduction of pay for refusal to take calls. The primary
Minor Consent to Medical Treatment In order to understand the issue of minors and medical practice, it is necessary to understand the position of minors in general law, and why the minor has been accorded special status and is handicapped in so far as consent is concerned. The original dictum in this regard comes from the common laws of England, which were then adopted and modified in each of the
From there, health care providers are becoming more assertive in denying services based on their religious beliefs (Friedman 2007). This debate has been going since a doctor refused medical treatment to a gay man. The dispute arose in 2000 after San Diego-area doctors Christine Brody and Douglas Fenton refused to artificially inseminate Benitez, a lesbian who lives with her partner, Joanne Clark, in Oceanside, north of San Diego (Parker
Another major change was the nature of the staff that ran hospitals. Often, these hospitals were still paid for by subscriptions of the wealthier members of society, yet how the money was being spent began to change. There were less volunteer and religious undertones as more and more specialization became a key evolution in the hospital's history. Thus, hospitals in this period saw the implementation of a highly skilled and
Hospital Readmissions In any profession today, quality control means the prevention of problems that were the aim of the business to solve in the first places. Recurrence of these problems means that the business has not been functioning optimally and a new strategy or focus is required. In the health care setting, such a challenges is presented by hospital readmissions. When a person is discharged from hospital after receiving treatment for
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