Becky, strongly believes that these “medical tourists” are using resources that could be much better. Question
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Becky, strongly believes that these “medical tourists” are using resources that could be much better used for the underserved in the United States. She often expresses her opinion whenever the opportunity arises. She is on the hospital’s Policy and Procedure Committee. She has been insisting that these foreigners be required to provide proof of sufficient medical coverage and ability to pay before undergoing treatment in her hospital. She quotes many studies that show that the U.S. healthcare system has a difficult time providing adequate services to a large portion of its population. She stresses that even the Affordable Care Act has no provision for the care of noncitizens.
She also notes that there seems to be no one responsible for long-term care when these patients return to their country of origin. Often they live in poverty in their rural villages, where there is an underdeveloped healthcare system. Who will provide for Tom’s future care? What if he has a shunt placed to treat increased intracranial pressure, a common complication of the surgery, by draining the excess cerebrospinal fluid? Who in his village knows enough to provide care if the shunt becomes blocked? Small villages in the rural areas of Nigeria lack even basic sanitary conditions and qualified health care providers.
How do you feel about expending limited resources on those who are not U.S. citizens and live in other countries when they cannot afford their care? Do you agree with Becky or the other nurses? Why?
Should the hospital concentrate on allocating its resources to U.S. citizens, the population for which they are most responsible?
What ethical principles are involved in limiting care to foreign nationals without insurance? What if they did have insurance or a source of funding that could pay for their care?
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Becky, strongly believes that these “medical tourists” are using resources that could be much better
