Administrative Ethics Paper Essay Example for Free

Administrative Ethics Paper Essay Biomedical ethical issues are seen frequently in the news and are in constant scrutiny. The demand for social responsibility is high and available resources are limited. Health care leaders are faced with numerous administrative issues regarding patient privacy, research, confidentiality, and terminal illness. Much debate has surrounded medical spending on the terminally ill, such as the cost and allocation of resources toward end-of-life care. Choosing between prolonged life and quality of life are two difficult decisions to make. Nonetheless, it is difficult to base one’s opinion until cancer has taken over one’s life. A close look at administrative issues surrounding end-of-life care will demonstrate the impact on a population, ethical, and legal implications, potential solutions to the problem, and managerial responsibilities. The Northern Mariana Islands (NMI) is a part of the United States territory because it’s establishment of commonwealth in political union and is home to approximately 44,000 people (Central Intelligence Agency, 2012). Because of the increase in chronic diseases and lack of available resources, several residents are referred to go off the island to seek health care in Guam and Hawaii (Doty, 2012). However, the medical referral program has a crucial problem with financing because of the large amount already owed (Doty, 2012). Although a budget of $2. 5 million is allotted for health care expenses for the medical referral program, it only covers half of the costs incurred in 2011 (Doty, 2012). Therefore, officials viewed rationing of medical services necessary to keep costs at bay. Among the rationing of medical services is the allocation of resources to terminally ill patients. According to Doty (2012), a medical provider states, â€Å"As a community, we must address the reality of spending precious resources on end-stage patients who will die within a short amount of time with or without medical treatment. † The method of triage rationing raises ethical concerns because patients are treated as if they were soldiers out on a battlefield where only those with a higher chance of survival are saved. Although unspoken, the practice of rationing services is common in the NMI. The population is negatively impacted by the health care crisis and the lack of hospice care. Family members of ailing patients are seen holding signs requesting for donations so their loved one may receive off-island treatment (Doty, 2012, para. 33). Cost and allocation of resources are clearly administrative issues that need ethical evaluation. A senior administrator of the NMI seems lost at finding a solution and reminisces of the time when people accepted their fate and lived on the principle, â€Å"we live and die on our islands† (Doty, 2012). The ethical and legal implications of rationing health services have many facets. Generosity and independence are among the ethical principles associated with allocating health resources; however, that is not the case when resources are scarce and funding is limited. As demonstrated in the NMI, mainly the poor and middle class are subjected to health care rationing. Aside from the poor, people most affected by health care rationing are the elderly and disabled persons (Peters, 1995). It is unethical of those with tremendous discretionary power to favor the prestigious over the poor or disabled. However, rationing based on the ability to pay already exists and is completely legal, such as rationing care of Medicaid patients or rationing by insurance companies (Fremgen, 2009). Although some people may believe rationing health care is unethical, it is economically inevitable as the demand for scarce health care resources increase. Therefore, it requires ethical consideration when allocating health resources. According to the article, the proposed solution is a policy on medical care rationing (Doty, 2012). However, some politicians claim the unnamed policy is already put into practice. Furthermore, the administration proposes a tighter budget for the 2012 fiscal year but does not elaborate on how it will be accomplished (Doty, 2012). The manager of the medical referral services suggested to administration that the program be suspended and only used for emergency cases (Doty, 2012). However, no action has been taken to suspend the program. Another suggested solution is to place high emphasis on prevention and primary care to avoid excessive referrals during critical stages. Furthermore, hospice care is not available to everyone on the NMI, which if made an option, may minimize the health crisis by decreasing the demand of health care resources. Nonetheless, evaluating the effectiveness of treatment and cost is essential in allocating resources. Managers are responsible for implementing cost/benefit analysis to best use the institution’s resources. Peters (1995) states, â€Å"Cost-effectiveness calculations have the appeal of incorporating outcomes research, patient preferences, and expected costs into a rational and potentially sophisticated scheme for maximizing health care outcomes from the available resources. † However, cost/benefit analysis alone should not be the primary basis for allocating resources. Managers must also ensure health resources are distributed equitably. Nevertheless, a solid solution has not yet to develop as the situation worsens in the NMI. A leader’s responsibility and accountability for appropriately rationing healthcare is tremendous. Because resources are limited, leaders must diligently follow eligibility criteria that satisfy legal and social standards. However, the approach is not easy and frequent subject of debate. Some consider health resource allocation is necessary but others find it morally repugnant. Therefore, the manager’s responsibility toward allocation decisions requires evaluation of distributive justice principles for ethical dilemmas. For example, need, equity, contribution, ability to pay, patient effort, and merit are principles useful in determining resources allocation (Armstrong, 1998). Each patient situation has unique circumstances that require healthcare leaders to view subjectively. Nonetheless, leader’s responsibility is to set clear guidelines for allocating resources so health care providers can remain advocates for their patients. Allocation of medical services in poverty stricken NMI indeed has ethical and legal implications with no easy solution. The population is in dire need of distributive justice. Administrators are at a loss with the health care crisis of financial burden and limited resources. Nonetheless, health care leaders must fulfill their obligations to their organization and community by using ethical principles to guide them in making difficult decisions. Nevertheless, perhaps proposed solutions turned into policy may minimize the need for off-island medical referrals. Administrative issues surrounding end-of-life care demonstrated the impact on a population, ethical, and legal implications, potential solutions to the problem, and managerial responsibilities. Administration indeed has tremendous social responsibility.

Essay --

The ONE Fighting Championship event will roll this coming Friday, December 6, 2013, 7 in the evening at the Mall Of Asia Arena in Pasay City, with the theme â€Å"ONE FC: Moment of Truth.† Moment of Truth consists of ten sets of clashes, as seven Filipino fighters will slug it out with 13 foreigner counterparts, with the titles such as ONE FC Featherweighton the line. Highlighting the night of battles will be the rematch between HonorioBanario and Koji Oishi. For Banario, a win against Oishi is a must. The Filipino striker is on the verge of avenging his loss against the Japanese tormentor whom also took the title away from him following the defeat. Oishi has only lost once in his 14 ONE FC fights, and one of the victories he garnered came at the expense of Team Lakay’s â€Å"The Rock† last May. Also headlining the main event was the battle between Kevin Belingon, and David ArandaSantacana for the bantamweight title. Another Team Lakay fighter, Belingion, tagged as â€Å"The Silencer,† will also avenge his loss last May as he faced the undefeated Spaniard, whom have also won the majority of hi... Essay -- The ONE Fighting Championship event will roll this coming Friday, December 6, 2013, 7 in the evening at the Mall Of Asia Arena in Pasay City, with the theme â€Å"ONE FC: Moment of Truth.† Moment of Truth consists of ten sets of clashes, as seven Filipino fighters will slug it out with 13 foreigner counterparts, with the titles such as ONE FC Featherweighton the line. Highlighting the night of battles will be the rematch between HonorioBanario and Koji Oishi. For Banario, a win against Oishi is a must. The Filipino striker is on the verge of avenging his loss against the Japanese tormentor whom also took the title away from him following the defeat. Oishi has only lost once in his 14 ONE FC fights, and one of the victories he garnered came at the expense of Team Lakay’s â€Å"The Rock† last May. Also headlining the main event was the battle between Kevin Belingon, and David ArandaSantacana for the bantamweight title. Another Team Lakay fighter, Belingion, tagged as â€Å"The Silencer,† will also avenge his loss last May as he faced the undefeated Spaniard, whom have also won the majority of hi...

America’s economy after the Civil war Essay

After the Civil war in the United States, Corporations grew significantly in number, size, and influence between the 1870s and 1900s. Big business impacted America’s economy, politics and as well as the Americans responses to these changes. Big business began when entrepreneurs in search for wealth and success combined their business into massive corporations. Vertical and horizontal integration were tactics used to make business grow faster. Vertical integration is the acquiring of material from the bottom up for means of production, for example Carnegie used this strategy. Horizontal integration is the controlling of other companies that produce the same product, which Rockefeller used. The corporations were so large that they could and some did, force out the competition which resulted them in gaining control of that particular market. This allowed corporations to set the prices they desired, which affected the consumers pocket as that was the only place they could obtain the product or good from. Business men who ran these large industries became extremely wealthy, powerful and influential, often at the expense of many poor workers, and much of the public saw them as robber barons who exploited workers, in order to accumulate immense fortunes. For example, in 1882 Rockefeller solidifies his control by establishing a monopoly or trust, which centralized control of a number of oil related companies under one board of trustee. By 1879, Rockefeller controlled 90% of the county’s oil capacity. As a result of this, companies in other industries quickly imitated this trust model and used their broad market control to raise prices. Also in document A, statistics are shown of the index prices to the average prices during a certain period of time and it is evident that as the years progressed, the cost for food, fuel and lighting decreased significantly but the cost of living of also decreased but not to the degree of the above mentioned. Trusts were a common way to force out the competition and control a market in the 1800s. Big business also impacted America politically as seen on document D. This political cartoon shows wealthy industrial owners, which are taking up most of the space in the US senate and are coming in from a door that is labeled â€Å"Entrance for monopolist† and all the trusts are lines up to enter. Also, in the left corner there is a door labeled â€Å"People’s entrance† that had a â€Å"closed† hanging from it, which clearly shows that the people do not have a say in the senate. This means that industries have a great amount of power in the senate as well as a big impact politically. Also in document B, from George E. McNeill, a labor leader, is a short passage about â€Å"The problem of today† in 1887. He starts out explains how the railroad president holds so much power that it is almost as if he were the king of the railroad. The article states that the railroad king collects his tithes, which is the 1/10th annual income given to clergy and to support the church, by lowering the worker’s wages. He also has the power to fire anyone, take away their income, delay trial on a suit at law, and postpone judgment indefinitely. This shows the amount of power in his hands, and how he has a say in politics and court. At the end, McNeill states, â€Å"In his right hand he holds the government; in his left hand, the people† to show the sense of control he has in both areas and the degree of his influence on both, the people, and his government. American’s responses to the growing corporations were evident in document C. In this document David A. Wells claims that individualism or independence of the producer in manufacturing has been in great degree destroyed as well as the pride workmen took in their work. Also, he says modern manufacturing systems have been brought into a condition similar of that of a military organization. This shows the rigidness of the bosses and the demand for their work to be perfect. It is also mentioned in this document that as a rule, workers are only good for one thing, and then are useless once there is no more work of that kind. Lastly, the works are no longer independent. But depend and have to obey rules to keep progressing. In document E, by Andrew Carnegie, he states that to set an example of modest he has to provide to those who depend on him. Andrew Carnegie of the steel industry donated much of his wealth to building libraries, schools, and universities to support the less fortunate or poor. The growth of corporations evidently impacted the economy and politics, as well as the American responses to these changes, in 1870-1900.

The Spanish American War of 1898 Essay - 1316 Words

The Spanish American War of 1898 One hundred years ago, in 1898, the United States was fighting the Spanish-American War. The victory over Spain made the United States a colonial power. The Spanish colonies of Cuba, Puerto Rico, Guam, and the Philippines, as well as the formerly independent nation of Hawaii, became American possessions. The excuse for entering the war was the rebellion by the Cubans against Spanish rule and the explosion of an American battleship U.S.S. Maine. The Spanish colonies in mainland North and South America became independent in the early 1800s, but Cuba and Puerto Rico remained Spanish. Many Americans in the U.S. sympathized with Cuba, which began in 1895, and also, maybe more importantly, U.S. citizens†¦show more content†¦Before dawn on May 1, 1898, Commodore George Deweys flagship Olympia led seven U.S. Navy cruisers and gunboats into Manila Bay. By 8 AM that morning Deweys squadron had located and destroyed virtually the entire Spanish naval forces in the Philippines. Damage to the American ships was very little, and their crews suffered no fatalities and few injuries. The Battle of Manila Bay was a singular demonstration of the daring and decisive application of sea power. In a few hours, Dewey had eliminated any threat that the Spanish Navy might pose to U.S. Far Eastern commerce and placed Spains centuries-long rule of the Philippines in great jeopardy. A few days later, with the capture of Cavite arsenal, he also gained a repair and refueling base, essential for maintaining his squadron under wartime conditions thousands of miles from home. On May 15, Theodore Roosevelt began training the famous Rough Riders for battles in Cuba, which brought him the fame that made him vice president in 1901 and then president on September 13 . In Washington, President McKinley received the news of the great battle. However, the battle of Manila did not end the war. 100 miles off the US coast is where Spanish held Cuba, by a substantial army, and hostile to Americ an interests there. No naval force could impose on Cuba, and in order to force the Spanish out, a full scale invasion would have to be mounted. In 1897, TheodoreShow MoreRelatedThe Spanish American War in 18981256 Words   |  5 Pages The quote A Splendid little war by Secretary of State John Hay summarizes the Spanish American War in 1898. While this war could be seen as an act of aggression by the 20th century standards this war was beneficial to the United States of America while being deviating to the Kingdom of Spain for many reasons. There were many causes for the Spanish American War. The first long term cause was the Wilson Gordon Tariff. This tariff ultimately decreased tariff rates for may Europeans nations excludingRead MoreEssay on The Cause And Effect Of The Spanish American War953 Words   |  4 PagesAmerican imperialism in 1898 was not a sudden abandonment of anti-colonial tradition but was a logical extension of commercial expansion, something the US had been doing throughout its history (SparkNotes: The Spanish American War, 1898-1901,: Effects of the Treaty). President McKinley was not interested in wars of conquest or of territorial aggression. 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Use correct spelling, grammar, and punctuati on in your report. On April 25, 1898 the United States declared war on Spain following the sinking of the Battleship Maine in Havana harbor on February 15, 1898. The war ended with the signingRead MoreThe Imperial Republic1299 Words   |  6 Pagesthe reconstruction a waste of $7.2 million seemed too superfluous but the US president thought it would be a good way to control the western hemisphere. III. Pan-American Union Was an organization of American nations that was created to provide information of the other countries and to offer cooperation and support among the American Nations. Despite its noble concept the US was seen as an imperial power and the US was greedy. IV. Venezuelan Dispute - 1895 A border dispute between Great BritainRead MoreImpact Of War On Society And The Economy899 Words   |  4 PagesThe Impact of War As soon as there were men, there was war. The history of warfare can be traced all the way back to one of the earliest known civilizations, Mesopotamia. Since the development of organized city-states, warfare has been used to settle disputes, including disagreements over land, resources, and religious beliefs. The United States has a long history of warfare in its 224-year history, starting with its fight for independence. Each war fought has had a profound impact on the course