Organizational Impact of Rationing Healthcare


The passage and implementation of the PPACA expanded health insurance coverage to many who did not previously have health coverage, and mandated that health services organizations promote the uptake of strategies to foster health and well-being that is accessible, affordable, and effective for all who carry health insurance coverage. However, while the main goal and mission of a health services organization is to deliver effective health services, it, too, must operate as a business and perform competitively within the healthcare delivery system. To that end, it may come as no surprise that some limitations and caps are placed on certain procedures, treatments, or health services depending on health insurance coverage type or subscription. In essence, such “rationing” of healthcare is commonplace and may present an ethical dilemma for the healthcare administration leader.
As a current or future healthcare administration leader, how might you rationalize the aims of promoting effective healthcare delivery for all who now have coverage extended due to the mandates of PPACA, while minimizing increased costs to deliver services to all and still remaining competitive in the healthcare delivery system? Identify a current strategy that the government uses to ration healthcare. Then, describe how this policy may influence your health services organization and explain how this policy impacts healthcare cost and access. Be specific and provide examples.

Sample Solution

Dickens suggests that love is stronger than hate because through love people are united and “recalled to life” and through hate not much is accomplished. The strongest relationship in the novel is between Lucie and her father, “If, when I hint to you of a Home that is before us, where I will be true to you with all my duty and with all my faithful service, I bring back the remembrance of a Home long desolate, while your poor heart pined away, weep for it, weep for it!” (48). Lucie appears to express love to her father which she has never met. Their bond is very strong very soon. Lucie’s father, Dr. Manette is imprisoned unjustly for many years and therefore feels institutionalized. Even though he is physically out of the prison he mentally feels imprisoned. Through Lucie’s love he is able to be “recalled to life”. Another character in the story that expresses hate and anger is the Monseigneur who was the uncle of Charles. One particular scene of him shows how selfish and malicious he is, “He threw out a gold coin for the valet to pick up, and all the heads craned forward that all the eyes might look down at it as it fell. The tall man called out again with a most unearthly cry, “Dead!” (115). Later on this man gets killed because of his actions based on hate. Madame Defarge also doesn’t have a great ending. When she goes over to the Manette house to kill the family she gets stopped by Miss Pross who very unselfish similar to Sydney. These two women fight, Madame Defarge is fighting to get to the Manattes so she can kill them and Miss Pross is fighting to protect Manettes. In this battle Madam Defarge gets shot and dies. If she simply wouldn’t of went to the Manette house she would of still been alive. In conclusion, those characters who acted on hate had a unhappy ending or never accomplished their goal as opposed to those who acted on love who were happily ever after.