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Bioethics, (Funding) Priorities, and the Perpetuat. …
Bioethics, (Funding) Priorities, and the Perpetuat. Chapter 5: Health Law, Policy, and Ethics
Funding dictates the prioities of the medical field (private sectors)
This is an issue because the issues that affect the most people are often overlooked because they don't receive any funding
Social injustice is a main cause of issues that affect public health
health is not listed in the constitution as a right so it is under police power initially and the choices of influencial agencies
Powers and Faden’s health sufficiency model of social justice
factors that drive patterns of disadvantage should receive priority
Race, class, gender, disabilities
Bioethics: field that focuses on applying morals or values in potential areas of conflict
examples: stem cell research, new technologies, end of life care
Who has jursidiction in public health
The FDA and EPA can set national standards that overrule states
Authoratative decisions: decision made by an organization or individual who has the power to implement it
How are health policy priorities established (government sectors)
Spends a lot on healthcare but little on social services
Objectives of healthcare need to be measureable and supported by data
Health in all policies approach is being used to encourage private and public sectors to work together towards common goals
Social justice vs market justice approach
Social: equitable distributuion of health services
Market: emphasizes individual responsibility for health
Health justice: key foundation is the right to health care
US can't incorporate this until the right tohealthcare is added to the constitution
We currently have the "no-duty principle" which states that providers have no obligation to provide health services
Imposed vs self-imposed risk
imposed: out of the control of the person
self-imposed: brought on by a choice of the person
key steps in successful advocacy
carefully draft, and get feedback on the message
carefully choose the spokesperson to fit the audience
decide on the method for delivering the message
define what you want to accomplish
decide on the audience you want to reach
research and evaluate the impact
Institutional review boards
respect for the person
beneficence
justice
risks to subject are minimal and reasonable, selection of subjects is equitable, informed consent of subjects, research plan monitors safety of subjects, privacy and confidentiality, doesn't take advantage of the vulnerable
Public Health Emergency of National Concern
WHO makes reccomendations under this and receives data from countries on health-related data
International Health Regulations