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Putting Care Back Into "Health Care:" An Analysis Of The Place Of Community Health Workers Within The U.S. Health Care System, Megan Schowalter 2017 University of Puget Sound

Putting Care Back Into "Health Care:" An Analysis Of The Place Of Community Health Workers Within The U.S. Health Care System, Megan Schowalter

Honors Program Theses

This paper explores who a Community Health Worker (CHW) is and contextualizes the social, political, and historical factors that allowed for the growth of CHWs within the primary health care sector in the U.S. It analyzes how CHWs perceive their own roles and responsibilities within the U.S. health system as a means of highlighting the gap within health care services and the influence of Social Determinants of Health (SDH) on well-being. The second part of this paper relates CHWs to scholarship by medical anthropologist Paul Farmer and public health scholar Alicia Yamin concerning pathologies of power and the ...


Ethical Concerns For Assisted Reproductive Technologies, Olga Najera 2017 Abilene Christian University

Ethical Concerns For Assisted Reproductive Technologies, Olga Najera

Dialogue & Nexus

The development of assisted reproductive technologies has provided new options for infertile couples in their pursuit of parenthood. As a result of the successful implementation of in vitro fertilization (IVF), gestational surrogacy is now an alternative. Other technology, such as genetic enhancement, could potentially become available for human beings soon; however, numerous ethical concerns have been raised by the fact that it requires germline engineering. The concerns brought about by these new reproductive technologies will be addressed in light of the teachings of the Roman Catholic Church and of the following ethical theories: Kantian, evolutionary, utilitarian, and virtue ethics.


An Analysis Of Altruism, Sarah Siemens 2017 Abilene Christian University

An Analysis Of Altruism, Sarah Siemens

Dialogue & Nexus

Scientists, freethinkers, and philosophers have attempted to find an explanation of the role of altruism in a natural world that is compatible to the dominantly accepted Darwinian principle of natural selection. Many postulates have been developed in an attempt to explain how self-sacrificial behaviors are cohesive within the “survival of the fittest” ideology. This has caused many scientists to broaden the definition of altruism to understand its components in the physical world. In order to understand how absolute altruism is solely found through God’s love, it is necessary to examine each subset of scientific altruism to reveal their differences ...


The Problem Of Suffering: Universal Health Coverage As A Partial Solution, Christen Scaggs 2017 Abilene Christian University

The Problem Of Suffering: Universal Health Coverage As A Partial Solution, Christen Scaggs

Dialogue & Nexus

Universal Health Coverage is evaluated from a Christian Biblical perspective and found that it meets an appropriate standard of service to the poor. Christians should consider its benefits and drawbacks compared to doing nothing. The issue of diminished access to healthcare, burdensome medical costs, reduced coverage, and discrimination against impoverished individuals with specific regards to healthcare are all conquerable challenges.


End Of Life Care For The Incarcerated, Codie Robinson 2017 Abilene Christian University

End Of Life Care For The Incarcerated, Codie Robinson

Dialogue & Nexus

As the prison population ages, a new need has come to light – caring for those who are in the final stage of life. This paper will examine the current end of life services provided to those in prison throughout the United States. After a general awareness of the system is presented, a more complete discussion of end of life care for prisoners will be considered, in light of ethics, social justice, and the Christian perspective. The two care options presented, hospice care and compassionate release, are observed through these lenses. In order to make a decision on how to care ...


Volume 3 Editorial, Daniel Brannan 2017 Abilene Christian University

Volume 3 Editorial, Daniel Brannan

Dialogue & Nexus

No abstract provided.


Making Sex Work For The State : The Policing Of Sex Work In The United States., Madeline A Clabough 2017 University of Louisville

Making Sex Work For The State : The Policing Of Sex Work In The United States., Madeline A Clabough

College of Arts & Sciences Senior Honors Theses

This thesis analyzes the ways that sex work is regulated within the United States, and analyze the ways that regulation is shaped by contemporary feminist discourse. To do so, it analyzes the ways in which sex workers have been and pathologized since the 19th century, and address the ways that these conceptualizations have been incorporated into the legal regulation of sex workers. Finally, this thesis will look to contemporary practices in the state regulation of sex workers, and argue that the relationship between neoliberalism, the carceral state, and what has come to be termed “carceral feminism” operate in conjunction to ...


The Ethical Viability Of In Vitro Fertilization, Jack Hamilton 2017 Abilene Christian University, Abilene, TX

The Ethical Viability Of In Vitro Fertilization, Jack Hamilton

Dialogue & Nexus

In vitro fertilization is considered from multiple ethical positions and whether or not it is limited to disease prevention or used for genetic enhancement. The first can be in line with most ethical theories provided time and resources are allowed for the technology to be provided for all. The latter seems to devalue humans and remove compassion for the disenfranchised.


Passive Euthanasia, Jennifer Hulett, Madeline Peterson 2017 Abilene Christian University, Abilene, TX

Passive Euthanasia, Jennifer Hulett, Madeline Peterson

Dialogue & Nexus

The controversy of passive euthanasia (e.g. the withholding or withdrawing of life-sustaining treatments in patients that are either disabled or terminally ill) has been long-debated because, it has been argued, passive euthanasia violates the physician’s Hippocratic Oath to do no harm to the patient. This withholding or withdrawal can include one or more of the following: ventilators, feeding tubes, and life support. In this paper we will explore the major debate points of passive euthanasia in light of four ethical theories: utilitarianism, virtue ethics, Kantian, and evolutionary ethics.


Commentary: Care Is A Noun And A Verb, Peter G. Holub 2017 Nova Southeastern University

Commentary: Care Is A Noun And A Verb, Peter G. Holub

Internet Journal of Allied Health Sciences and Practice

Care is a living word that binds us to our patients and to each other. The desire to care for others is the motivation for everything we do. Whether healthcare system or health care provider or health-care reform, the singular mission is patient care. The motto for healthcare is Cum scientia caritas (Latin for scientific knowledge applied with care). The only challenge to this most rudimentary tenet for caring depends on how we define care.


The Unifying Power Of Education, Keagan Potts, Jenji Learn 2017 Western Michigan University

The Unifying Power Of Education, Keagan Potts, Jenji Learn

Center for the Study of Ethics in Society Papers

  • Without Expertise or Experience: Philosophizing When Your Students Know You Know Nothing
  • Segregated Students — Segregated Society: The Primacy of Education in Ending Hate
  • Combatting Emerging Resegregation: Teaching Those in Power to Empower


Application Of Default Rules To Address Financial Conflicts Of Interest In Academic Medical Centers, Joanna K. Sax 2017 California Western School of Law

Application Of Default Rules To Address Financial Conflicts Of Interest In Academic Medical Centers, Joanna K. Sax

Joanna K Sax

A recent report issued from the Institute of Medicine contains an extensive analysis of financial conflicts of interest (FCOIs) in biomedical science. In brief, an FCOI exists when a profit-seeking motive either unduly influences or appears to influence an academic scientist’s primary obligations. The cornerstone of current policy to address FCOIs at academic medical centers (AMCs) is disclosure; however, disclosure does not appear to appropriately regulate, manage, or eliminate FCOIs.

Although the relationships between intramural scientists and industry and extramural scientists and industry may be structurally different, they both can lead to FCOIs that threaten scientific integrity. Overall, the ...


Acknowledgements, Jessica Walter M.A. 2017 Oregon Health & Science University

Acknowledgements, Jessica Walter M.A.

Reflections on Healthcare Management

Acknowledgement of those involved with the set-up and creation of Reflections in Healthcare Management.


Welcome Message, Steve Kinder M.P.A. 2017 Oregon Health & Science University

Welcome Message, Steve Kinder M.P.A.

Reflections on Healthcare Management

Reflections on Healthcare Management's welcome message from OHSU School of Medicine Division of Management's Division Head, Steve Kinder, M.P.A.


Faculty Introduction: Genesis Of The Anthology & This Issue, David Pollack M.D. 2017 Oregon Health & Science University

Faculty Introduction: Genesis Of The Anthology & This Issue, David Pollack M.D.

Reflections on Healthcare Management

Faculty introduction representing the outstanding work from the most recent class to take the healthcare organizational ethics course in the OHSU-PSU Health Management MBA program.


Congratulatory Message, Joe Robertson M.D., M.B.A. 2017 Oregon Health & Science University

Congratulatory Message, Joe Robertson M.D., M.B.A.

Reflections on Healthcare Management

Congratulations message from OHSU President Joe Robertson to OHSU’s Division of Management for launching this new online anthology, Reflections on Healthcare Management.


Ethical Considerations In End-Of-Life Care: A Physician's Perspective, Nikhil Batra M.D. 2017 Oregon Health & Science University

Ethical Considerations In End-Of-Life Care: A Physician's Perspective, Nikhil Batra M.D.

Reflections on Healthcare Management

This article discusses ethical issues during end-of-life care in hospitals. The commonly used medical-ethics framework for ethical reasoning comprising of autonomy, beneficence, non-maleficence and justice is somewhat limited in guiding healthcare decisions. The continuing advancement in medical technology, current medico-legal environment, longer life-expectancies and increasing contextual awareness are some of the reasons why this ethical framework is limited. In addition to this, the high costs involved in end-of-life care make limit-setting decisions necessary. In order to be well received, these decisions need to meet the four conditions of accountability for reasonableness namely – publicity, relevancy, revision and appeal, and regulation. There ...


Introduction, David Barnard PH.D., J.D. 2017 Oregon Health & Science University

Introduction, David Barnard Ph.D., J.D.

Reflections on Healthcare Management

Introduction message about the essays collected from the “Ethics in Healthcare Organizations” course offered by the OHSU School of Medicine’s Division of Management as part of the Healthcare MBA Program. A course taught by Drs. David Pollack, Jeanne Enders, and Ruth Ann Tsukuda, which exposes students to several frameworks for the analysis of the ethical aspects of health policy and research, organizational behavior, and clinical care.


Bioethics Of Information Disclosure Across Cultures: "Don't Talk With Her About Her Condition", Christina Li 2017 Oregon Health & Science University

Bioethics Of Information Disclosure Across Cultures: "Don't Talk With Her About Her Condition", Christina Li

Reflections on Healthcare Management

Healthcare providers are routinely faced with the bioethical challenges of information disclosure across cultures. This paper analyzes the case study “Don’t Talk with Her about Her Condition” (Center for Ethics in Health Care at OHSU; See Appendix A). The impact of full, partial, or non-disclosure of information to a patient greatly varies in different cultural contexts. While information disclosure emphasizes patient autonomy and informed decision-making, it also can be controversial to improving patient safety. In some cultures, the disclosure of a negative diagnosis or prognosis can pose significant risk to the patient’s health, so the patient family takes ...


Ethical Issues In Cancer Clinical Trials, Rosemary Makar M.D. 2017 Oregon Health & Science University

Ethical Issues In Cancer Clinical Trials, Rosemary Makar M.D.

Reflections on Healthcare Management

Results from cancer clinical trials make valuable contributions to medical care for cancer patients. Two important ethical dilemmas in these trials are respect for individual autonomy and distributive justice. This paper explores the history of clinical trials and discusses these ethical dilemmas citing specific examples. Although there has been significant progress in these ethical issues, future review and legislation of the process will continue to improve and solidify ethical aspects of cancer clinical trials.


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