Maximum responsibilities

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nsue-social

Educación Salud y medicina

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Marràqueix, la ciutat d'argila: A la fi de la infinita planúria, emergeix la ciutat d’argila, amb les muralles amagant, des del mercadeig de la plaça, ones de crits, caos, fum i soroll, ordenats en secret pel laberint de carrers que perden el nom. Deambulem en desconcert entre objectes i colors, fortors i rostres bruns i secs, fornits de mans aspres pel treball. Hi deambulem perduts entre bronzes, pells i teixits, mentre alcem un mur de ferro forjat en les comoditats conegudes dels homes pròspers del nord, amb el poder inevitablement perdut a l’últim regateig. Però la flaire de l’herbolari, l‘aroma d’oli del fruit d’argan, el té i la menta, esquerden el teló de prejudicis d’acer. La veu del muetzí sobrevola les antenes com ulls al satèl·lit, en la babel de cultures i llengües; de genolls al carrer, els homes mostren la fe intacta i descalça i els ulls serens de les dones de rostres bells i bruns, ocults en una samfaina de colors de hiyabs, shailas i nikabs; l’hospitalitat humil de la mà de l’orgull bereber de ser qui són: la ciutat va penetrant, suau, els nostres sentits, ara oberts. I darrera el mur mut d’argila amb l’esquerda que no pot guardar més temps el secret, les simetries del guix i el marbre, el llaços d’alabastre i mosaic cusen delicades gelosies, pecats creuats a l’ombra dels tarongers. Allà tots els blancs són geometria, és l’enclavament on el temps arriba per rescatar del vapor del tintorer el color més dens, el blau cobalt, blau de blaus a una nit de llums a Marràqueix.

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As a result of the Affordable Care Act (ACA) and private insurance exchanges, there are fewer uninsured in the U.S. now compared to 2010. In 2022, the national uninsured rate reached a new low of only 8% of the population (HHS, 2022). In addition, under the ACA, 39 states have expanded Medicaid coverage to nearly all adults up to 138% of the Federal Poverty Level (Kaiser Family Foundation, 2022). Assume you are the administrator of a health care organization that accepts Medicaid as a payor, but in a state that has not expanded Medicaid coverage. Recent Medicaid policies and discounting have contributed to the organization’s failing bottom line. Many of your clients are on Medicaid or uninsured. You have been asked to prepare an executive summary to present to the board of directors detailing how Medicaid discounting causes hardships on your organization’s finances and the health populations you serve. Write a 700- to 1,050-word executive summary. Include the following in your executive summary: • Clearly identify the type of facility that you are leading. • Explain specific cuts that Medicaid has made in recent years. • Describe how Medicaid discounting causes hardships on your organization. • Evaluate the impact of federal or state health care policies are having on consumers’ costs. Explore both positive and negative effects. • Recommend changes you propose to help decrease the deficit from the perspective of your organization. • Recommend actions the organization can take to alleviate the negative effects of these changes but still meet the needs of various populations. Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality). Format your assignment according to APA guidelines. Part 2: Resource: Ch. 8 to 14 of The Spirit Catches You and You Fall Down. Respond to the following in a minimum of 175 words: • Define the term social contract. • Within this context, should cultures within the United States be expected to set aside some traditions or beliefs and integrate under a united social contract? • How does this impact or influence health care delivery within this country? Please include sources/references to support your perspective. Classmates response: respond to both in 50 words minimum. R1 To my understanding, a social contract is a living agreement (like a living document) among people in a society. This agreement is forever evolving in parallel with new technology, medical advancements, migration, etc. It is the invisible contract that sets expectations and common grounds that guides interactions between individuals. With that said, I don’t believe that cultures be forgotten. Nor do I believe that it is suitable for individuals never to assimilate. I think both can exist, and focusing on one or the other can lead to extremist ideologies. For example, the rules we have at home for ou.

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A Framework for Thinking Ethically This document is designed as an introduction to thinking ethically. We all have an image of our better selves-of how we are when we act ethically or are "at our best." We probably also have an image of what an ethical community, an ethical business, an ethical government, or an ethical society should be. Ethics really has to do with all these levels-acting ethically as individuals, creating ethical organizations and governments, and making our society as a whole ethical in the way it treats everyone.What is Ethics? Simply stated, ethics refers to standards of behavior that tell us how human beings ought to act in the many situations in which they find themselves-as friends, parents, children, citizens, businesspeople, teachers, professionals, and so on. It is helpful to identify what ethics is NOT: · Ethics is not the same as feelings. Feelings provide important information for our ethical choices. Some people have highly developed habits that make them feel bad when they do something wrong, but many people feel good even though they are doing something wrong. And often our feelings will tell us it is uncomfortable to do the right thing if it is hard. · Ethics is not religion. Many people are not religious, but ethics applies to everyone. Most religions do advocate high ethical standards but sometimes do not address all the types of problems we face. · Ethics is not following the law. A good system of law does incorporate many ethical standards, but law can deviate from what is ethical. Law can become ethically corrupt, as some totalitarian regimes have made it. Law can be a function of power alone and designed to serve the interests of narrow groups. Law may have a difficult time designing or enforcing standards in some important areas, and may be slow to address new problems. · Ethics is not following culturally accepted norms. Some cultures are quite ethical, but others become corrupt -or blind to certain ethical concerns (as the United States was to slavery before the Civil War). "When in Rome, do as the Romans do" is not a satisfactory ethical standard. · Ethics is not science. Social and natural science can provide important data to help us make better ethical choices. But science alone does not tell us what we ought to do. Science may provide an explanation for what humans are like. But ethics provides reasons for how humans ought to act. And just because something is scientifically or technologically possible, it may not be ethical to do it. Why Identifying Ethical Standards is Hard There are two fundamental problems in identifying the ethical standards we are to follow: 1. On what do we base our ethical standards? 2. How do those standards get applied to specific situations we face? If our ethics are not based on feelings, religion, law, accepted social practice, or science, what are they based on? Many philosophers and ethicists have helped us answer this critical question. They have suggested .

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Ethical Principles Ethics are guided by the core principles to which most of our society agree. The devil is in the details, however, as we will see in specific instances. Autonomy The principle of autonomy ties into patients' rights to self-determination, or the right to make their own fully informed choices about their care; treatments they may accept or reject; and the ultimate consequences of their choices. The freedom to choose our own course of action is highly cherished in our society. However, what if the choice involved taking a life, whether by suicide or homicide? What happens when one person's desires or choices bump up against another's? These gray areas are the turf on which ethical issues play out. An example of an ethical dilemma surrounding autonomy occurs when a patient denies a lifesaving medical treatment. What if the person refusing treatment is legally a child who refuses chemotherapy for a curable cancer, all because of religious beliefs? Does the child know that without treatment death is likely? Does the child understand death well enough to make the choice? What if the parents are making this choice on behalf of their child, which is often the case? Does the principle of autonomy extend to treatments that are curative and life-saving, yet conflict with deeply held religious or personal beliefs? What role should government play in order to protect its citizens, even from themselves? Autonomy can be a minefield of conflicting values, views, and actions. Beneficence The principle of beneficence requires that all actions taken on behalf of a patient are designed to provide good outcomes. Seem obvious? Focus on the question of what constitutes a "good outcome." A 76-year-old man has fallen on ice, struck his head, and has suffered severe brain damage from the resultant bleeding into the brain. He is still able to respond to painful stimuli, breathe on his own, and maintain blood pressure and other bodily functions. However, the cerebral cortex is permanently damaged. The family and the physician huddle to discuss what steps to take next. What is the beneficent approach? It is possible to sustain life in this patient since his brain stem is intact and he does not meet the criteria for brain death. Should he be given fluids and nutrition through tube feedings? If he develops pneumonia, should it be treated? Should he be left alone with minimal comfort measures to see what his body will do as the injury unfolds? Should all interventions be withheld? Would it do the patient more harm to continue all measures, or to stop all measures? What are the patient's wishes, as expressed by his surrogate, in a situation such as this? Beneficence can be a tricky concept, since what is helpful and indicated in one situation may be a terrible choice in another. The question of the definition of "good outcome" may be wildly different from various perspectives of the family, the physicians, the patient himself, and the hospital. Non-malfe ...

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