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A 50-year-old woman presented to the clinic reporting that one month ago she had found a lump in her breast. She was very upset about this because her sister had died of breast cancer a few years previously. The patient had Medicaid as insurance. The provider evaluating this woman called to schedule an urgent appointment for a mammogram, but the scheduler said that for Medicaid patients they only scheduled urgent appointments for patients who had discovered a lump within the previous 7 days. The next appointment after that was in three months. Benefit Healthcare for Patients with Medicaid Insurance Essay Example
Answer each separately, keeping the letters as given below. Write in full sentences, give a substantive answer for each.
Evaluate this situation in terms of:
A. Beneficence
B. Non-maleficence
C. Veracity
D. Justice
This scenario involves a 50-year-old woman who presented to a clinic with a breast lump, expressing concern due to her sister's history of breast cancer. The patient had Medicaid as insurance, and the provider who evaluated the lump recognized the need for an urgent mammogram. However, the scheduler informed the provider that Medicaid only allowed urgent appointments for patients who had discovered a lump within the previous 7 days. As a result, the next available appointment was in three months. This situation can be evaluated in terms of beneficence, non-maleficence, veracity, and justice. First, check out how the scenario can be evaluated with beneficence.
Explanation for step 1
A. Beneficence: Beneficence requires that healthcare providers act in the best interests of their patients and promote their well-being. In this case, the provider evaluating the woman's lump in her breast did act in her best interest by calling to schedule an urgent appointment for a mammogram. However, the policy of the scheduler not allowing urgent appointments for Medicaid patients who discovered a lump more than seven days ago could be seen as a violation of beneficence, as it may lead to delayed diagnosis and treatment of breast cancer. Benefit Healthcare for Patients with Medicaid Insurance Essay Example
Let's check out how the scenario can be evaluated with Non-maleficence.
B. Non-maleficence: Non-maleficence requires healthcare providers to avoid harm to their patients. The policy of the scheduler not allowing urgent appointments for Medicaid patients who discovered a lump more than seven days ago could be seen as a violation of non-maleficence since it may cause harm to the patient by delaying diagnosis and treatment of breast cancer, which could be life-threatening.
Let's check out how the scenario can be evaluated with Veracity.
C. Veracity: Veracity requires healthcare providers to be truthful with their patients. In this case, the provider evaluated the woman's breast lump and called to schedule an urgent appointment for a mammogram, which indicates that they were truthful in their evaluation of the patient's condition. However, the policy of the scheduler not allowing urgent appointments for Medicaid patients who discovered a lump more than seven days ago could be seen as a violation of veracity since it may prevent patients from receiving prompt and appropriate medical care, which they may not have been informed about before.
Let's check out how the scenario can be evaluated with Justice.
D. Justice: Justice requires that healthcare be distributed fairly and equitably. The policy of the scheduler not allowing urgent appointments for Medicaid patients who discovered a lump more than seven days ago may be seen as a violation of justice, as it may result in unequal access to healthcare services. This policy may disproportionately affect low-income individuals who rely on Medicaid for their healthcare coverage and may be unable to afford private medical care. It is important to ensure that all patients have equal access to medical care regardless of their financial status or insurance coverage.
In summary, the scenario highlights the ethical issues that can arise when providing healthcare for patients with limited access to resources, in this case, a patient with Medicaid insurance. The situation can be evaluated in terms of the ethical principles of beneficence, non-maleficence, veracity, and justice. The healthcare provider in this case acted in the best interest of the patient by recognizing the urgency of the situation and scheduling an urgent mammogram, but the policy of the scheduler raised concerns about the potential harm and delay in treatment for the patient. The situation underscores the importance of healthcare providers advocating for the best interest of their patients and addressing systemic issues that impact equitable access to healthcare.
Benefit Healthcare for Patients with Medicaid Insurance Essay Example
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