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Ethical Issues – Ella Foster
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The chosen policy statement provided by the ACHE.org is the, “Promise Making, Keeping and Rescinding”By 2021, all military hospitals and clinics will fall under the Defense Health Agency (DHA) and to halt care for military retirees, retiree families, and active-duty family members (Bushatz, 2020). Also, according to an article on the ConnectingVets.com, “A change was mandated in the 2017 defense spending bill passed by Congress and signed into law by then-President Barack Obama, DHA was directed to manage military hospital budgets, IT, administration, policies and procedures and construction. The changes also include, “the authority to convert military medical and dental positions to civilian positions,” with remaining staff in uniform focused mainly on operational medicine. DHA already manages Tricare” (2019, para. 10).The hospital that I am working for have not fully converted yet, but I can see the slow trickle of changes happening, and the dissatisfaction of patients (including their active-duty sponsors) are coming in much faster than the unfortunate change. These retired veterans served their time and was promised healthcare coverage after their service obligations. When this new change first broke, it was relayed to these patients that their MTF’s (military treatment facility) will ensure that there will be no disruption of care. However, there are many healthcare providers in our community not accepting new patients or their “first available appointment” is not until two months later.Last week, there was a patient that came to our hospital to speak to one of our providers (it so happens to be their previous primary care provider), stating that the medication injection that they’ve received before (at our hospital) and actually works is now being changed by their newly assigned primary care provider (PCP) to, “try what they have on hand.” The patient reiterated to their newly assigned PCP that this medication will not work and to speak to their previous PCP for further verification. The patient’s new PCP prevailed in having the patient to try it out and now, the patient is in pain with a swollen right leg. The patient tried to see their new PCP again to rectify this but did not have any availability for the next three weeks. The patient ended up going to an Urgent Care facility.Healthcare providers’ code of ethics is to, “advocate for quality and safety regardless of healthcare setting. They facilitate seamless transitions of care among providers and provider groups. They support approaches to care that promote the right intervention to the right person at the right time and in the right setting” (National Association for Healthcare Quality, 2018).All these consolidations, health care reforms, and other changes are not making it easier for certain patients.ReferenceBennett, A. (2019). Pentagon plan moves more retirees, family members out of military hospitals to civilian doctors. Retrieved from https://connectingvets.radio.com/articles/families-retirees-to-be-removed-from-military-hospitalsBushatz, A. (2020). Lost care and broken promises: Military retirees react to tricare changes. Retrieved from https://www.military.com/daily-news/2020/02/27/lost-care-and-broken-promises-military-retirees-react-tricare-changes.htmlNational Association for Healthcare Quality. (2018). NAHQ code of ethics for healthcare quality professionals and code of conduct. Retrieved from https://nahq.org/about/code-of-ethics1Unread1Replies4ViewsView profile card for Cordell Midgett-CrosbyLast post yesterday at 11:59 PM by Cordell Midgett-Crosby -
Week 5 Discussion – Heather Berry
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Health Information ConfidentialityPatients should have trust within their providers. To get the proper care a patient might have to tell their physician personal information. The physician must keep whatever the patient discloses to them, safe and confidential. “Protected health information (PHI) can be used or disclosed by covered entities and their business associates (subject to required Business Associate Agreements in place) for treatment, payment or healthcare operations activities and other limited purposes, and as a “permissive disclosure” as long as the patient has received a copy of the providers Notice of Privacy Practices, has signed acknowledgement of that Notice, the release does not involve Mental Health Records, and the disclosure is not otherwise prohibited under state law” (“Health Information Confidentiality”, 2016, para. 5). I don’t think this really differs from health care provider codes because everyone in health care has to follow HIPAA. Every facility has to have a HIPAA document that patients sign and the facility as well as the provider may only disclose information to the listed entities, other physicians, or third parties on the HIPAA form. Or if a patient would like their records released to someone else they must sign a record release form.Health Information Confidentiality. (2016, November 14). Retrieved from https://www.ache.org/about-ache/our-story/our-commitments/ethics/ache-code-of-ethics/health-information-confidentiality
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When it comes to sports participation and gender identity, there is a really uncomfortable conflict. On one hand you don’t want to deny talented athletes to play but there’s question on whether or not they are at an unfair advantage. For example, males are biologically born with more muscle mass then females. Someone transitioning from being biologically male into a transgendered woman would have an advantage whether they can help it or not. Fallon Fox is an openly transgender MMA fighter. She has received waves of backlash for “having an unfair advantage”. This brings me to my next point.In the Army, they are working on implementing a new way of testing physical fitness. Instead of having female and male standards, the scores are the same across the board and is based off of the intensity of your job. I think this should be applied in modern sports. When we were kids in school we had girls and boys playing on the courts and fields during PE. I believe it will do both the talented transgender athletes and the teams a service to have unisex sports. People are always going to speculate someone having an advantage whether it be, weight and mass or a football with less air. As sports today stand divided, i believe the fighting sports such as wrestling (Not WWE), MMA and boxing shouldn’t integrate transgender athletes until it is unisex. This is not to degrade their talent but for their safety. Sports like basketball, soccer, and baseball should start making its way to integrating transgender athletes.https://www.attacktheback.com/transgender-mma-fighter-fallon-fox-breaks-opponents-skull/3Unread3Replies7ViewsView profile card for Elsa LozaLast post Thu at 8:42 PMby Elsa Loza -
Week 5- Rebekah
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Wow! This class is full of controversial topics, but they really make you think. I for one, being an avid sports participant, think that people should be grouped according to biological sex, versus gender identity. I am not saying I am against those who choose to live the transgender life, but if you really think about having someone who is biologically a male playing in female sports.. they are going to be rockstars. The first example that comes to my mind is Olympic track and field. I used to run track and thought watching it on TV was very interesting, how fast and strong these individuals are. But when you compare the times, a male who runs a 200 meter dash versus the time it takes for a female to complete this race is just unfair. For the world record times, a male ran it in 19.19 seconds, whereas a female record is 21.34 seconds. You may think that it is only a two second difference, but two seconds can seem impossible to beat. And those are world records, not the average athletes times. I am not sexist or feminist, this is just a personal opinion, men are more athletic than females, as far as talent goes. Think of if someone who is good enough to play in the NBA, identifies as a female, and then plays in the WNBA. There is a certain point where people may get hurt when playing or participating in sports/activities. Think about MMA or boxing. If someone identifies as a female, and is now fighting a biological female, i do not think that there is a fair advantage. Biologically, men have more testosterone as well as muscle mass. When you think about female bodies compared to men, females are generally supposed to have a higher body fat percentage, based on where they store fat and in preparation for child bearing.Females are also very talented, and I know females that are more athletic than males, but on a professional level, there is a big difference. Do you think there would ever be a time where a man will identify as a female, just to be successful? Like if someone was unable to make it lets say, to college successfully on the mens basketball team, so they identify as a female to still be able to play? If we made a whole new league for these members, I think it could help if there was enough participation. I do, however, think that those who identify as transgender may not like this idea and feel like we are discriminating them or trying to segregate them. -
I think Agreeableness is an interesting trait to examine. A person who is low in agreeableness is probably more likely to be easily offended and hold a grudge. However, this person might be more likely than someone who is highly agreeable to stand up for what they believe in and do the thing that they think is right, even if it might upset others. My best friend Sara would probably score low in agreeableness, and though I can be frustrated when she can be stubborn and opinionated, I highly value the way she asserts herself and doesn’t let other people’s opinions bulldoze over hers. I score high in agreeableness, and I find that I sometimes have a hard time asserting myself for fear of coming off as difficult or uncooperative. I find that I have an easy time empathizing with other people and seeing things from other perspectives, though, which can be useful. Clearly, there are pros and cons to each end of the spectrum.Another trait that I find interesting is conscientiousness. I score low in conscientiousness, and though I am rather disorganized in my personal life, my employers have always considered me to be hard-working and responsible, which I guess means I’m good at hiding it. I live with people who are very conscientious; they neatly organize everything, like to make labels, lists and schedules, and are very careful with how they spend their money. Though I am careful with money out of necessity, I am not nearly as organized as they are.I think personality changes more over time than many of these theorists would like to believe. Even more so, I think personality changes from situation to situation, and I am much more inclined towards Mischel’s side of the person-situation debate. References:Diener, E; Lucas R.E (2014) Personality Traits https://content.umuc.edu/file/bad92e7c-5aae-4322-9052-0cdcd9ce0e85/1/PersonalityTraits.pdfView profile card for John HaleLast post yesterday at 3:50 PM by John Hale
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The first trait in the OCEAN personality traits is openness, which is how people feel about new ideas or experiences. A person who would identify on the low end of the openness trait would be someone who doesn’t appreciate different ways of thinking, or someone who does not want to try out something new, while someone who would identify on the high end would be someone who enjoys new experiences and is curious about other ways of thinking in the world. I would say that I am in the middle on this spectrum, because I do enjoy learning about how people from different ways of life think compared to my own, but at the same time I am often wary of trying new things out. The second trait would be conscientiousness, where someone who is low in it would prefer “playing it by ear” not going with a plan, and would not be very punctual whereas someone who is high in it would like to plan everything out to a t and is ALWAYS on time. I would say I identify on the low end of the conscientiousness trait, because I do not like locking myself into plans, and I also do struggle with being punctual from time to time despite trying to be early to avoid that. The E in the OCEAN personality traits acronym stands for extraversion, or the tendency to be talkative and easily sociable. Someone who would be low in extraversion would prefer a quiet night in while someone who would be high would prefer a night out on the town with friends and being the life of the party. This is another trait I think I would score in the middle with, I do enjoy going out with my friends and joking around having a good time, but if I am around people I do not know as well I will be way more reserved, and of course, I love a quiet night in just as much. The next trait is agreeableness, or the tendency to go along with others and not speak for yourself. Someone who identifies low on the agreeableness spectrum would be someone who quickly would voice their own opinions on what should happen and tend to be tough to work with, while someone who identifies high with agreeableness would quickly go along with others and tend to be easier to work with. I think that I am pretty high in agreeableness, I am easy to work with and I try to find ways to agree with people instead of disagreeing with them. The final trait is neuroticism, or the tendency to get angry or sad or experience other negative emotions. Someone who is low in neuroticism is someone who would be able to let little annoyances go, and staying calm through things, while someone who is high in neuroticism would be upset by small things and constantly worried about those small things and also insecure. I would say that I am very low in neuroticism, I am very calm and I always am trying to find ways to keep myself calmer, and I also do not let little things get to me.
