The community to remedy maldistribution

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Reference no: EM132254063

A debate erupts when Community Hospital announces that as a cost saving measure it will close its emergency room from 10:00 P.M. until 6:00 A.M. The hospital explains that it is in danger of going bankrupt, and its emergency room is a very expensive hospital department. Patients will still be able to receive emergency treatment at the State Hospital 7 miles away. Opponents argue that this will severely restrict indigent patients' access to care.

Granted that Community Hospital is in danger of going bankrupt, is its decision ethical? Is Community Hospital guilty of what is really a form of indirect "dumping" that is not covered by the law? How will the access of indigent patients to health care at State Hospital be limited? Will the poor be unable to get there because they do not have cars and there is no public transportation? Will State Hospital's emergency room be too small to handle the increased patient load? Assuming that the answers to the last two questions are yes, what should the health care community have done to make the general community solve the problem? Do health care professionals have any obligation to mobilize the community to remedy maldistribution? What are the limits of that obligation?

Reference no: EM132254063

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