Nursing Essay on Business Demands Collide With the Provision of Care

Business Demands Collision with Provision of Care

Despite numerous efforts to carry out healthcare reforms, very little improvement has been made in the provision of care that benefits patients or the community. There is a tendency in healthcare organizations to advocate for policies that are favorable to them rather than those that are beneficial to the patients and the public. The big ethical concern is whether healthcare organizations can or will advocate effectively for positive changes that are compatible with patients needs (Morrison, 2010).

One of the legislations that have been passed in healthcare that raises many ethical concerns is the Affordable Care Act (ACA) that was enacted in 2010. According to an article from Academic Emergence Medicine the ACA aimed at bringing reforms to healthcare in US but increasing access to care and reduce emergency department overcrowding (Marco, et al., 2012). The act aimed at achieving this by increasing healthcare insurance, subsidizing health insurance premiums, expanding Medicaid eligibility and providing incentives for business to increase healthcare benefits. The Act has also enforced several requirements for insurance companies to extend their insurance coverage. It is estimated that in 2019, more than 32 million Americans will have insurance cover. The legislation enables ACA to make reductions in Medicare provider reimbursement, rise medical taxes on high-income citizens, and impose a new tax system on pharmaceutical and healthcare device manufacturers (Marco, et al., 2012).

Although the ACA aimed at provide reforms at US healthcare system, it has received a lot of critics by American since it does not address the priority of public. First, the legislation has increased the health cost to individuals through high insurance premiums. Americans are spending too much in healthcare and thus they have insufficient resource to do other things. The legislation also denies American freedom to choose when and where to access health care. The legislation requires insured Americans to seek medication from primary care physicians, which is against the American moral principle. The Act also denies healthcare to uninsured individuals, and this is against American health principle of affordable healthcare to all. The legislation also raises the question of healthcare resource allocation such as who should benefit of healthcare subsidies and who should endure the high cost of financing healthcare system (Marco, et al., 2012).

From the article, it is clear that the ACA legislation is biased and only benefits the healthcare organizations rather than the patients of the American society. Medical professionals advocated for the legislation and healthcare administrators with the aim of ensuring that healthcare organizations are reimbursed for offering their services. This is considered an unethical since it is against Emergency Physician (EP) ethic code that requires EP to provide quality care, affordable care, freedom of choice, and universal access to care to all Americans. The legislation has also made it difficult for undocumented immigrants in the US who are unable to acquire health insurance to access healthcare services (Morrison, 2009).

Thus, it can be concluded that there is collusion between health organization needs and provision of services in the healthcare system. The collision has made it difficult to carry out healthcare reforms that will ensure access to affordable and quality care to all the community. The health organization should follow the code of ethics to advocate policies that ensure positive changes that are compatible with patient needs (Morrison, 2010).


Marco, C. A., Moskop, J. C., Schears, R. M., Stankus, J. L. H., Bookman, K. J., Padela, A. I., … & Bryant, E. (2012). The ethics of healthcare reform: impact on emergency medicine. Academic Emergency Medicine, 19(4), 461-468.

Morrison, E. E. (2009). Healthcare ethics: Critical issues for the 21st century. Jones & Bartlett Publishers.

Morrison, E. E. (2010). Ethics in health administration: a practical approach for decision makers. Jones & Bartlett Publishers.