The Health Care Dilemma


Book Description

In an age of spiraling costs, it is no surprise that health care policy and health care systems are now among the most hotly debated and controversial topics in many countries of the world today. The issue is literally one of life-and-death, and affects millions across the globe as they struggle to answer the question of who pays for their health care. This book explores the health care systems of Denmark, Germany and Sweden, and compares them with the system in the United States through 30 first-hand case reports by advanced medical students taking part in an international exchange program. It also describes how these health care systems have developed and how they differ which are essential background reading for anyone making decisions on health care policy in these countries. The aim is to provide a resource for professors and students of public health policy, medicine, nursing, allied health professions, social sciences and other disciplines as they explore the social, political and cultural effects on health care and health care systems. The case studies are also interesting and provide ample food-for-thought for the general readership who are the end-users of health care and who are often able to influence public health policy.




For-Profit Enterprise in Health Care


Book Description

"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.




The Care Dilemma


Book Description

Family life has changed dramatically over the past 60 years. Increased opportunities for women, greater freedom and autonomy, and a more equal domestic sphere have brought great gains for human freedom. However, argues David Goodhart, there have been losses too: our greater freedoms have produced negative consequences in family breakdown, children's declining mental health, and the undervaluing of the traditionally female domains of care. Sharply falling birthrates also present major economic and social challenges. For many people, especially in the bottom half of the income spectrum, the costs now outweigh the benefits. The Care Dilemma argues that we need a new policy settlement that supports gender equality while also recognising the importance of stable families and community life, and that sees having children as a public as well as private good.




Care in Healthcare


Book Description

This book is open access under a CC BY 4.0 license. This book examines the concept of care and care practices in healthcare from the interdisciplinary perspectives of continental philosophy, care ethics, the social sciences, and anthropology. Areas addressed include dementia care, midwifery, diabetes care, psychiatry, and reproductive medicine. Special attention is paid to ambivalences and tensions within both the concept of care and care practices. Contributions in the first section of the book explore phenomenological and hermeneutic approaches to care and reveal historical precursors to care ethics. Empirical case studies and reflections on care in institutionalised and standardised settings form the second section of the book. The concluding chapter, jointly written by many of the contributors, points at recurring challenges of understanding and practicing care that open up the field for further research and discussion. This collection will be of great value to scholars and practitioners of medicine, ethics, philosophy, social science and history.




Code of Ethics for Nurses with Interpretive Statements


Book Description

Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making.




Ordered to Care


Book Description

An engaging study of the dilemmas faced by American nursing, which examines the ideology, practice, and efforts at reform of both trained and untrained nurses in the years between 1850 and 1945. Ordered to Care provides an overall history of nursing's development and places that growth within the context of topical questions raised by women's history and the social history of health care. Building upon extensive use of primary and quantitative data, the author creates a collective portrait of nursing, from the work of the individual nurse to the political efforts of its organizations. Dr Reverby contends that nursing's contemporary difficulties are caused by its historical obligation to care in a society that refuses to value caring. She examines the historical consequences of this critical dilemma and concludes with a discussion of why nursing will have to move beyond its obligation to care, and what the implications of this change would be for all of us.




Rethinking Health Care Ethics


Book Description

​The goal of this open access book is to develop an approach to clinical health care ethics that is more accessible to, and usable by, health professionals than the now-dominant approaches that focus, for example, on the application of ethical principles. The book elaborates the view that health professionals have the emotional and intellectual resources to discuss and address ethical issues in clinical health care without needing to rely on the expertise of bioethicists. The early chapters review the history of bioethics and explain how academics from outside health care came to dominate the field of health care ethics, both in professional schools and in clinical health care. The middle chapters elaborate a series of concepts, drawn from philosophy and the social sciences, that set the stage for developing a framework that builds upon the individual moral experience of health professionals, that explains the discontinuities between the demands of bioethics and the experience and perceptions of health professionals, and that enables the articulation of a full theory of clinical ethics with clinicians themselves as the foundation. Against that background, the first of three chapters on professional education presents a general framework for teaching clinical ethics; the second discusses how to integrate ethics into formal health care curricula; and the third addresses the opportunities for teaching available in clinical settings. The final chapter, "Empowering Clinicians", brings together the various dimensions of the argument and anticipates potential questions about the framework developed in earlier chapters.




Working Mothers and the Child Care Dilemma


Book Description

During the twentieth century, child care policy in British Columbia matured in the shadow of a political uneasiness with working motherhood. Working Mothers and the Child Care Dilemma examines how ideas about motherhood, paid work, and social welfare influenced universal child care discussions and consistently pushed access to child care to the margins of BC’s social policy agenda. Charting the growth of the child care movement in this province, Lisa Pasolli examines the arrival of Vancouver’s first crèche in 1912, the teetering steps forward during the debates of the interwar years, the development of provincial child care policy, the rebellious advancements of second-wave feminists in the 1960s and 1970s, and the maturation of provincial and national child care politics since the mid-70s. In addition to revealing much about historical attitudes toward women’s roles, Working Mothers and the Child Care Dilemma celebrates the efforts of mothers and advocates who, for decades, have lobbied for child care as a central part of women’s rights as workers, parents, and citizens.




Ethics, Conflict and Medical Treatment for Children E-Book


Book Description

What should happen when doctors and parents disagree about what would be best for a child? When should courts become involved? Should life support be stopped against parents' wishes? The case of Charlie Gard, reached global attention in 2017. It led to widespread debate about the ethics of disagreements between doctors and parents, about the place of the law in such disputes, and about the variation in approach between different parts of the world. In this book, medical ethicists Dominic Wilkinson and Julian Savulescu critically examine the ethical questions at the heart of disputes about medical treatment for children. They use the Gard case as a springboard to a wider discussion about the rights of parents, the harms of treatment, and the vital issue of limited resources. They discuss other prominent UK and international cases of disagreement and conflict. From opposite sides of the debate Wilkinson and Savulescu provocatively outline the strongest arguments in favour of and against treatment. They analyse some of the distinctive and challenging features of treatment disputes in the 21st century and argue that disagreement about controversial ethical questions is both inevitable and desirable. They outline a series of lessons from the Gard case and propose a radical new 'dissensus' framework for future cases of disagreement. - This new book critically examines the core ethical questions at the heart of disputes about medical treatment for children. - The contents review prominent cases of disagreement from the UK and internationally and analyse some of the distinctive and challenging features around treatment disputes in the 21st century. - The book proposes a radical new framework for future cases of disagreement around the care of gravely ill people.




Ethical Dilemmas at the End of Life


Book Description

Explores a range of issues--including pediatric hospice, historical, religious, spiritual and cultural perspectives on the end of life, hospice in nursing homes, surrogate decision making, physician assisted suicide, organ donation, and our society's legal tenants of end-of-life care. Includes an index.