13. • Autonomy • Reciprocity
• Beneficence • Honesty
• Nonmaleficence • Integrity
• Justice • Worth of
persons
Principles Values
Decision
Making
Teleology
Cultural
&
Norms
Deontology
• Traditions • Categorical
• Beliefs Imperative
• Experiences • Utilitarianism
• Social Contracts & • (Kant/Mill, etc)
Laws

15. Extrapolated Spokane Demographics
17.7% Private
Insurance
42% Medicare
Eligible for
26.3% Medicaid
Uninsured
14%

22. Hume, Solidarity7

32. Goals & Objectives
1. Quick Review of principles and
values informing bioethics
2. Recognize which patients in
Spokane are affected by Medicare
& Medicaid
3. Discuss reasons Physicians opt-out
of Medicare and Medicaid
4. Raise awareness that there is an
access to care barrier for these
patients

34. Bibliography
1. Holt, G. Richard. Paper Session (220): Civic Engagement, Presented at ASBH
14th Annual Meeting, Healthcare Providers Opting Out of, or Not Participating
in, Medicare—Who Represents the Elderly in this Ethical Dilemma?
University of Texas Health Science Center at San Antonio, San Antonio, TX
2. Beauchamp and Childress. Pricnciples of Biomedical Ethics. Oxford University
Press, New York, 2001.
3. Jonsen, et al. Clinical Ethics, 6th ed. McGraw-Hill, New York, 2006.
4. Nussbaum, Martha, Rawls, John, Hume, Greggory. Various articles, found in
Classics of Political and Moral Philosophy, ed. Steven M. Cain. Oxford University
Press, New York, 2002.
http://clientdata.rda.dshs.wa.gov/
Kaiser Family Foundation. http://www.statehealthfacts.org/
http://www.census.gov/compendia/statab/cats/health_nutrition/medicare_medicaid.
html
http://www.cdc.gov/nchs/hus/contents2011.htm#fig14

35. Rhodes, Battin, Silvers Daniel Callahan
Albert Jonsen 2006,
2012, 2nd Ed. 1998, Rutgers University
McGraw-Hill, 7th ed
Oxford University Press Press
Suggestions for Further Reading