CHP 480: Reflective Topic
The Affordable Care Act (ACA) Task Force recommended that the decision about the initial timing and frequency of breast cancer screenings should be made “by the patient and her physician.” This seems to mirror the same rationale made by the U.S. Supreme Court in Roe v. Wade (1973) regarding abortion. In the Roe decision, the Court reasoned a woman’s decision whether to have an abortion (at least in the first two trimesters) is protected under a Constitutional as a “right of privacy” and it should be an informed decision made after a discussion between the woman and her doctor. In its recent Dobbs decision, the U.S. Supreme Court held that while there was no federally protected right to an abortion medical procedure, the provision of such a right, along with any other patient rights concerning medical treatment, is a matter of state law.
1. Question: Does the government, which may be directly or indirectly paying for the medical care, have a valid interest, right, and authority to mandate early screenings and regulatory scheduled follow-up screenings to help reduce long-term medical health care costs? Why or why not? Who should decide – the patient, doctor, or both?
2. Identify, describe, and apply three Universal Values in Ethical Decision-Making relevant to this issue and why.
3. Identify, describe, and apply one ethical decision-making model to this situation to objectively justify your answer. Be specific, ensure you fully identify the model’s framework steps, analyze each individual step, address both sides of the issue, and come to an objective conclusion.
Ensure you completely address and answer all the above discussion requirements and include a copy of the question/issue in your response.
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