Cost and Care in the US
Kovner and Knickman (2011, p.280) suggested that health economist in the US used various methods to the measured value created by healthcare, the standard measure is the quality adjusted life years (QALY). The two factors whose product results in the QALY are 1) measure of the patient’s quality of life on a scale where 0.0 is essentially death, and the 1.0 is perfect health, and 2) the number of years the treatment …show more content…
The four principles that are relevant for health care are respect for persons, beneficence, nonmaleficence and justice (McAdams, n.d.). The government uses the principles of respect for a person, beneficence and justice in approving expensive treatments and medications. The US government gives their respect by performing their duty as the healthcare provider and having a goal of 21st health care excellence. It provides beneficence by being kind and providing healthcare programs to below the poverty population; on individual with a particular disability; on veterans and their family; and, on the ageing population. It practices justice by creating a law that healthcare facility/agency cannot deny a treatment in emergency setting; and by sharing the cost of …show more content…
If we base all our actions through the principles of ethics, all necessary treatments should be delivered in the health system of the government. All patients should receive interventions for the treatment of disease and to prolong life as they wish to be. That is the reason we have the POLST, the Advance Directives and the Informed Consent. The government’s role is to source funding from everywhere to meet the needs of the patients. Funds may come from the shares of cost, from the co-pay, from the deductible, from the out of pocket, from the stocks and bonds, from “sin “ taxes and other forms of taxes, and from other sources of investment for health funds. The government, at the same time, should regulate the companies or individuals that take advantage of the private, company and government insurance that demand a higher price of service or