Suchergebnisse

Joseph N. Cayer and Meghna Sabharwal, Public Personnel Administration: Managing Human Capital (6th edition). San Diego, CA: Birkdale Publishers, 2016, 348 pp. $50–$60 USD.

Public health issues can have devastating consequences on sub-groups of societies. But larger moral issues that face the entire society frequently frame these issues. Our deepest held moral values are frequently in conflict, and cannot withstand careful scrutiny, so we shield them by making them moral imperatives. This is how humans find themselves in moral dilemmas; torn regarding the right thing to do because we are unable to sacrifice sacred values that are in conflict (Tessman 2017).In this paper, we examine the ethical issues that have been inserted into the funding efforts taken to combat Zika in 2016, with some of the ethical dilemmas scientists and physicians have found themselves in through recent history serving as a comparison. We then examine the parallels (and inconsistencies) of public judgment passed on the choices made by these individuals and how these same stark judgments may be influencing public health outcomes today. The primary tool we use throughout this analysis is the "Ethics Triangle" as described by James Svara (2015). The goal of the paper is to examine how our sacred values can become ethical traps (or dilemmas) in moral decision-making. Basically, how do we minimize the moral remainder?

One of the most significant health care reforms since the implementation of Medicare and Medicaid, the Affordable Care Act (ACA) enacted into law in 2010, was met with widespread criticism. The expansion of Medicaid eligibility was a specific focus of these critiques as sceptics believed the long-term effects would be primarily negative for both the physical and fiscal health of the population. This article provides a brief history of the ACA along with the role of political and public opinion. This is followed with an analysis of initial criticisms and concerns surrounding the eligibility and expansion—with a brief discussion of the constitutionality of the law. Finally, while the long-term effects of the ACA upon health care access and service in the USA are yet to be seen, preliminary results indicate positive effects, contrary to the negatives originally assumed. The article concludes with a summary of current health care reform and a prospective on the future of health care reform in the USA.