SCENARIO: Some projections of the future strongly suggest that once the cost of providing complex technology-dependent, home-based care exceeds the cost of providing the same cost in an institutional setting, such home-based care will either cease or be heavily rationed. Indeed, most individuals needing technology-dependent care will be forced into institutional settings. If that projection proves accurate, what are the ethical concerns and issues raised by each alternative?
Argue both sides of the issue, basing arguments on ethical theories/principles.
Please include the theories of autonomy, beneficence & justice.
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Although this scenario can be analyzed from an economic point of view, the central issue revolves around distributive justice, social benevolence and the individual's autonomy. Under social benevolence, a national system should have a fair distribution of burdens and benefits that provides an equitable level of health and access to health care (Beauchamp, 2008). This is reiterated by the Board of Health Care Services of the Institute Of Medicine special emphasis on quality of care balancing costs and accessibility of such care (Institute Of ...
The solution involves a discusion of the ethical concerns that are raised by the decision of providing technology-dependent care to individuales in need in an institutional setting. Cost efficienct institutional care vs. home-base care is argued from the autonomy, beneficience and justice theories/principles point of view.