THE HEALTH CARE SYSTEM IN THE UNITED STATES HAS A NUMBER OF STAKEHOLDERS. THIS CHAPTER LOOKS AT THE VARIOUS STAKEHOLDERS AND EXAMINES THE TRENDS THAT ARE GOING TO AFFECT THE SYSTEM IN THE YEARS TO COME.

THE HEALTH CARE SYSTEM IN THE UNITED STATES HAS A NUMBER OF STAKEHOLDERS. THIS CHAPTER LOOKS AT THE VARIOUS STAKEHOLDERS AND EXAMINES THE TRENDS THAT ARE GOING TO AFFECT THE SYSTEM IN THE YEARS TO COME.

• COURSE TEXT: MEDICAL LAW, ETHICS, AND BIOETHICS FOR THE HEALTH PROFESSIONS O CHAPTER 13, “ALLOCATION OF SCARCE MEDICAL RESOURCES”

This interactive media activity asks a series of question to determine your beliefs, then gives you various situations that test your personal ethics.

Readings

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• Course Text: Judson, K., & Harrison, C. (2016). Law and ethics for the health professions. (7th ed.). New York: McGraw-Hill.
o Chapter 13, “Health Care Trends and Forecasts”

The health care system in the United States has a number of stakeholders. This chapter looks at the various stakeholders and examines the trends that are going to affect the system in the years to come.
• Course Text: Medical Law, Ethics, and Bioethics for the Health Professions
o Chapter 13, “Allocation of Scarce Medical Resources”

This chapter introduces the challenging issue of balancing multiples factors to appropriately allocate scarce medical resources.
• Article: Emanuel, E. J., Wendler, D., & Grady, C. (2000). What makes clinical research ethical? American Medical Association, 283, 2701-2711. Retrieved from the Walden Library databases.
Clinical research strives to advance the practice of medicine while maintaining stringent ethical guidelines. This article considers just what makes clinical research ethical.
• Article: Singer, P. (2009, July 19). Why we must ration health care. The New York Times Magazine, 38-43. Retrieved from the Walden Library databases.
Health care, like any resource, is in limited supply. This article explores the controversial issue of rationing scarce medical resources.
• Article: Nelson-Marten, P., & Rich, B. (1999). A historical perspective of informed consent in clinical practice and research. Seminars in Oncology Nursing, 15(2), 81-88. Retrieved from the Walden Library databases.
Informed consent forms one of the cornerstones of medical practice and research. This article considers informed consent’s role in medical practice and research.
• Article: McManus, J., Mehta, S. G., McClinton, A. R., De Lorenzo, R. A., & Baskin, T. W. (2005). Informed consent and ethical issues in military medical research. Academic Emergency Medicine, 12(11), 1120-6.
Informed Consent and Ethical Issues in Military Medical Research by McManus, J.; Mehta, S.; McClinton, A.; De Lorenzo, R.; Baskin, T., in Academic Emergency Medicine, Vol. 12/Issue 1. Copyright 2005 by John Wiley & Sons – Journals. Reprinted by permission of John Wiley & Sons – Journals via the Copyright Clearance Center.
This article considers the unique position military personnel can occupy, with regard to informed consent and other ethical issues, when involved in medical research.
• Article: National Institutes of Health. (n.d.). Medical research with animals (NIH Publication Number 08-6436). Retrieved from
http://grants.nih.gov/grants/policy/air/AnimalResearchFS06.pdf

This document, prepared by the National Institutes of Health, presents frequently asked questions regarding the ethics of medical research involving animals.

Optional Resources
Media
• Audio Podcast: Conan, N. (2009, November 23). It’s not whether we ration health care, but how [Audio podcast]. Retrieved from
http://www.npr.org/templates/story/story.php?storyId=120700353
• Audio Podcast: Conan, N. (2010, February 10). How the ethics of triage play out in Haiti [Audio podcast]. Retrieved from
http://www.npr.org/templates/story/story.php?storyId=123570227
Readings
• Article: Gluck, J., & Bell, J. (2003). Ethical issues in the use of animals in biomedical and psychopharmocological research. Psychopharmacology, 171(1), 6-12.

• Article: U.S. Department of Health, Education, and Welfare. (1979). The Belmont report: Ethical principles and guidelines for the protection of human subjects of research (DHEW Publication Number 78-0012). Retrieved from
http://videocast.nih.gov/pdf/ohrp_belmont_report.pdf

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