• Categorical Imperative

• Utilitarianism

• (Kant/Mill, etc)

• Traditions

• Beliefs

• Experiences

• Social Contracts & Laws

• Reciprocity

• Honesty

• Integrity

• Worth of persons

• Autonomy

• Beneficence

• Nonmaleficence

• Justice

Principles Values

Teleology &

Deontology

Cultural Norms

Decision

Making

Extrapolated Spokane Demographics

Private

Insurance

Medicare

Eligible for

Medicaid

Uninsured

42%17.7%

14%

26.3%

Hume, Solidarity7

1. Quick Review of principles and

values informing bioethics

2. Recognize which patients in

Spokane are affected by Medicare

& Medicaid

3. Discuss reasons Physicians opt-out

of Medicare and Medicaid

4. Raise awareness that there is an

access to care barrier for these

patients

Goals & Objectives

Bibliography

1. Holt, G. Richard. Paper Session (220): Civic Engagement, Presented at ASBH

14th Annual Meeting, Healthcare Providers Opting Out of, or Not Participating

in, Medicare—Who Represents the Elderly in this Ethical Dilemma?

University of Texas Health Science Center at San Antonio, San Antonio, TX

2. Beauchamp and Childress. Pricnciples of Biomedical Ethics. Oxford University

Press, New York, 2001.

3. Jonsen, et al. Clinical Ethics, 6th ed. McGraw-Hill, New York, 2006.

4. Nussbaum, Martha, Rawls, John, Hume, Greggory. Various articles, found in

Classics of Political and Moral Philosophy, ed. Steven M. Cain. Oxford University

Press, New York, 2002.

http://clientdata.rda.dshs.wa.gov/

Kaiser Family Foundation. http://www.statehealthfacts.org/

http://www.census.gov/compendia/statab/cats/health_nutrition/medicare_medicaid.

html

http://www.cdc.gov/nchs/hus/contents2011.htm#fig14

Rhodes, Battin, Silvers

2012, 2nd Ed.

Oxford University Press

Daniel Callahan

1998, Rutgers University

Press

Suggestions for Further Reading

Albert Jonsen 2006,

McGraw-Hill, 7th ed