Ethical Considerations In Health Care

A multitude of investigations were conducted in response to the 2014 VA Scandal with reports and audits showing manipulation of records, long wait times, delays in treatment and overwhelmed caseload by VA practitioners (Wikipedia, n.d., para. 3-7). There are also concerns about the VA’s lack of accountability once

They claimed Iraq and Afghanistan veteran polls have been taken, it shows that whatever improvements and actions being were taken were not enough. Fifty-nine percent of the people rated the job the government was doing to help was good, while fifty-six percent rated it as them doing poorly. In an article by CNN news nineteen veterans have died because of delays for medical treatments from the Veterans Affair. Those nineteen veterans were only a small proportion of that group. A number of eight-two veterans who have died because of delays for medical treatments like colonoscopies or endoscopies. Some people like my father (Jason McLain), who is a retired veteran, believes that some doctors have their own personal bias toward veterans. Jason McLain stated, “When I go to the VA they do not help me as soon as I need their help. Although when I go to any other civilian doctor’s office they help me right away with any of their help”. A website by the name of Free Grants Community stated that success and failures of the Departments of Veterans Affair are frequently the subjects of political promises and debates. There are many places that can help with benefits or homelessness, simply anything veteran(active/retired) need. A six-year veteran stated that there are places to help but emphasizes that you have to pursue yourself. After you are done with the military to go back to school and to keep getting educated. Besides the fact the regular ordinary citizens complain that veterans are not getting enough help, there have been complaints against all employers for discrimination has blames the economic crisis and ballooning deficits for the inability to provide for more

The VA System needs a complete over all we are doing a terrible disservices to our veteran’s.

According to the U.S. Department of Veteran Affairs, there are more than 1,500 locations to receive treatment and care across the country, which divides up to approximately 30 locations per state. The lack of locations may limit some veterans from receiving the care they desire. “Veterans who utilize VA services have worse health status that the general population” (Nelson, Taylor, Lurie, Escarce, McFarland, & Finn, 2011). This implies that the services offered are not sufficient enough to meet the needs of veterans. According to Jack Downing, President and CEO of Soldier On, “Seventy percent of veterans drive twenty-five miles or more to a VA facility.” These facts prove that we need more access for veterans so that they can get the

In the past few years there has been increasing discussion about how to provide adequate care for the increasing number of veterasn who are eligible for care through the Veterans’ healthcare administration (VHA). There are concerns is that the VHA is not providing the level of access, efficiency, and quality of care that veterans expect. Lee & Begley, (2016) suggest access to care for the veteran population may be resulting in poor health outcomes. In response to these concerns, the Veterans ' Access to Care through Choice, Accountability, and Transparency Act (VACAA) of 2014, also known as the Veterans Choice Act, was created to improve Veterans’ healthcare. The VACAA proposed to do this by expanding the number of options veterans have for receiving healthcare, by providing access for healthcare at non-VA care centers as well as providing for an increase in staffing at VA facilities (U. S. Department of Veterans Affairs, 2016).

Keywords: veterans, Veteran Access, Choice, and Accountability Act of 2014, H.R. 3230, Clay Hunt Suicide Prevention for American Veterans Act of 2014, Clay Hunt SAV Act, Justice as Fairness, vulnerable population, healthcare disparities, healthcare reform, social justice

The Department of Veteran’s Affairs (VA) has been tasked with providing support and benefits to Veterans after they have completed their service. However, many Veterans are reporting difficulty accessing care due to systematic barriers within the VA’s Veterans Health Administration (Oliver, 2007). Complex eligibility requirements, long wait lists and lack of providers are a few of the issues Veterans are faced with when trying to access health and mental health care. Additionally, studies indicate that veterans, predominantly those from the recent wars in Iran and Iraq, have disproportionately high amounts of mental illness (Shim & Rust, 2013). These same veterans are experiencing difficulty accessing mental health care due to issues around a backlog of healthcare eligibility applications and a shortage of mental health providers through the Veterans Health Administration (VHA), which operates the Nation’s largest, integrated health care delivery system (APA, 2014). In 2014, at the request of the Chairman of the U.S. House Committee on Veterans’ Affairs, the VA Office of Inspector General (OIG) evaluated the merit of the allegations of mismanagement at the Veterans Health Administration’s (VHA) and the Health Eligibility Center (HEC).

A philosophy of an organization helps differentiate themselves from their competitors and set a foundation for future success. It also helps shape an organization by presenting the goals they want to accomplish with specific activities. To improve this, many organizations understand the important of sharing values and goals and realize employee recognition. This helps staff from moving forward toward success of the organizations. Chapter 4 introduces “Codes of Ethics in Health Services.” Code of ethics is a guideline for healthcare professionals to accomplish and serve as a member of a society. Similar to other professions, managers have their own code of ethics in maintaining their duties and responsibilities. They also use the codes for ethical decision-making in dealing with ethical issues. Chapter 5 deals with “Organizational Responses to Ethical Issues.” It provides assistance for managers and organizations in their decision making. It is manager’s duty to figure out the problem and resolve it (Darr, 2011,

This is like a bomb waiting to go off: Family of veterans have to live with fear, hoping that their love one would recuperate, be happy, or simply a civilian again. The Veterans Affairs Department (VA) should put a better effort to better assist veterans, and their family with a better plan to reduce this preventable death. Many veterans find it difficult to admit, control, Post-Traumatic Stress Disorder (PTSD), let alone reaching for help; when they do so, they are considered just another number at the VA. At any moment, a veteran?s sacrifice for this country should end

Current funding for veteran healthcare care is low and insufficient because of the large number of veterans, who are being discharged from the military as the country transitions to a democratic President. According to Dr. Rachel Nardin in her article about veteran healthcare, “Soldiers get excellent acute care when injured on active duty, but as revelations of poor conditions for soldiers receiving ongoing outpatient care at the Walter Reed Army Medical Center highlighted, service members often have trouble getting the care they need once active duty ends” (Nardin 1)

One of the VA’s biggest issues right now is in regards to Quality of Care and Customer Satisfaction. Targeted media leaks and Congressional Testimony has shown how varied the opinion of care is. Some Veterans are happy with their care and statistics have borne out that of the senior population, Satisfaction with care has held at a stead 68% (Rachel Yehuda, 2015). These studies however are not taking into account those Veterans who

The acting Secretary of Veterans Affairs (SECVA) is currently Peter O'Rourke. Mr. O'Rourke serves as the interim SECVA following the departure of David Shulkin in early 2018. David Shulkin left the VA amidst an ethics violation, which will be expanded upon in the Leadership Challenges and Issues section. The Veterans Benefits Administration and its subordinate offices provide benefits and associated services to veterans or their surviving family members (Veterans Affairs, 2018). The Veterans Health Administration and its subordinate offices provide health care for the nation's veterans (Veterans Affairs, 2018). The National Cemetary Administration and its subordinate offices provide burial and memorial benefits and cemetery management to the nation's veterans (Veterans Affairs, 2018). This paper will focus mainly on the VA secretary's office and the Veterans Health

The United States Department of Veterans Affairs (VA) is a government-run military veteran benefit system that provides essential financial and medical assistance to veterans and their families that are located all over the world. (www.va.gov) As the country and the military’s needs change, the VA needs to continue to evolve and grow. With this thought in mind, it is necessary to understand how the department is coping with the many different challenges that they are currently facing to effectively address the current issues and policy pitfalls. The most critical issues presently facing the VA, is the concern over long increasing wait-times and backlogs for services, which have emerged since 9/11 and are primarily the result of the growing

In 1917, as the United States entered World War I, Congress established a system that addressed Veterans benefits which included programs for disability compensation, insurance for service members and Veterans as well as rehabilitative treatments for those that were disabled (www.va.gov). Three years later, 3 separate federal agencies: the Veterans Bureau, Bureau of Pensions of the Interior Department and National Home for Disabled Volunteer Soldiers were charged with administering these benefits and services (www.va.gov). Then, in 1930, President Herbert Hoover signed an Executive Order which consolidated these agencies to a federal administration level and created the Veterans Administration (www.va.gov). Almost seventy years later, in 1989, the Veterans Administration was then renamed the Department of Veterans Affairs (www.va.gov). The purpose for establishing the Department of Veterans Affairs (“VA”) has always been, since inception, and remains to this day, to provide a comprehensive system of assistance for Veterans (www.va.gov). As noble a purpose as the VA was intended, the VA could not escape the bureaucratic dysfunction that has rocked the very core of the military community, the nation and the Western allies with outrage and an immediate call for remedy.

Nurses are constantly challenged by changes which occur in their practice environment and are under the influence of internal or external factors. Due to the increased complexity of the health system, nowadays nurses are faced with ethical and legal decisions and often come across dilemmas regarding patient care. From this perspective a good question to be raised would be whether or not nurses have the necessary background, knowledge and skills to make appropriate legal and ethical decisions. Even though most nursing programs cover the ethical and moral issues in health care, it is questionable if new nurses have the depth of knowledge and understanding of these issues and apply them in their practice