January 21, 2015
Professor Joseph Shin
Reporting Ethics Paper
Within the past few years there has been countless of fraud and abuse in the Medicare and Medicaid systems. Many false practices by doctors and health care staff to make the extra dollar. On the other hand there are health care providers who follow the right proto-call to stay honest with his or her patients and practice. As the health care system enters to the new century, there is a tidal wave effect within the system.
Studymode (2013),"With so many changes, such as the older generation are working and living longer the health care system has to change. Reorganizing the health care system over the past 10 years has changed completely the procedure of delivery and financing. Better future planning however has been a challenged for the health care system. There are several factors cost cutting, services continue to reduced, the growth of revenues and return on the investments.
Silva (2013), "Healthcare delivery systems, financial compensation, and ethical issues related to resource allocation are intertwined because resources are ultimately finite. Therefore, principled ethical methods for allocation of resources are needed at both the macro allocation population and groups and the micro allocation individual levels. When these preceding resources become scarce, rationing is also involved. The ethical tenets that best fit the relationships between scarce resource allocation and financial compensation are those derived from utilitarian ethical theory and from ethical principles of justice”.
Ironically, registered nurses are the greatest number in the American health care workforce but do not receive the highest financial compensation assuming such compensation would be a great good. Obviously, other factors besides large numbers are at work. I submit that one of the most significant factors influencing many nurses' lack of adequate financial compensation is nurses' real or perceived powerlessness. Silva (2013), "Nurses' powerlessness can occur easily in managed care or other health care organizations where thoughtless cost cutting and the maximization of organizational profits at any price are the priorities. Such priorities, however, usually produce undesirable or harmful consequences both to nurses and to the public they serve and, ultimately, violate the greatest good for the greatest number principle”.
Silva (2013), “When examining the traditional ethic for financial compensation for registered nurses, one or more of the preceding morally justified principles of material justice typically have applied. The nurse's financial compensation has been based on a cost of living increase for all, to each nurse an equal share, on quality work to each nurse according to merit, and/or on hard work to each nurse according to effort”. Silva (2013), “The goal of big business is profit. This lack of moral responsibility in health care organizations can lead to abuses such as charging for services never rendered, unwillingness to pay for legitimate benefit claims, financially penalizing consumers who use out-of-system providers, or financially penalizing providers who exceed capitation prepayments”.