Attached.

Chapter 10

: Distributive Justice Exercise

o Distributive

Justice Theories: Having Medicare

part A covering skilled nursing facility, inpatient hospital cover being covered
by the hospital insurance its application is based upon utilitarianism theory of
distributive justice. For instance its decisions are under budget reviews as well
as utilization such as while each particular patient financial resources are
factored right to their profile of identifiable medical treatment what is revealed
in bold relief is the unstable as well as the second level of distributive justice.

o Stakeholder Resource winner: Here the winner is
determined on how the new technology is adopted definitely
being the innovator whereby if advantages are offered by the
new treatment approach some will give minimal benefits.

o

Stakeholder Resource Loser: Some new approaches
have always been a fairly unscientific business which offer
insurers as well as patients minimal benefits thus been
regarded as the losers, since the new technology is usually
paid at higher prices.

o

Distributive Justice Theory: Having the Medicare part B
dealing with covers such as doctor services, outpatient care as
well as durable medical equipment covers whereby based on
the investigation by any standard of distributive justice its
framework is acquired on the nature of equitably. There have
emerged expected consequences coming from cuts of
Medicare reimbursements to physicians thus causing them not
to afford treating new Medicare patients.

o

Stakeholder Resource Winner: Here the physician is
much of the winner although reimbursement fees must be cut
by the federal government by 5.4% this is due to the health
care response to heavy medical treatments whose medical
technology is costly as well.

o

Stakeholder Resource Loser: Here there is a
catastrophic experience for the elderly since their individual
value system will be diminished concerning their medical
intervention.

o

Distributive Justice Theory: Having the Medicare part c
dealing with healthcare costs including the healthcare
expenditures its framework is based on the theory of equality
and fairness which is the nature of justice although it doesn’t
always have better patient outcomes.

o

Stakeholder Resource Winner: Here the winner is the
pharmaceutical agents who have enabled CMS (Centres for
Medicare & Medicaid Services) to be both a regulator as well
as purchaser.

o

Stakeholder Resource Loser: Here the stakeholder losers are
patients in general since there locations with sparser
concentrations of a given speciality group.

o

Distributive Justice Theory: With the additional Medicare Part
D dealing with benefit as well as outpatient drugs their
framework is based on the theory of utilitarianism of
distributive justice. Whereby CMS has hired hundreds of
experts as well as pharmacists in assisting them in
comprehending formulary issues as well as get the drug
benefit.

o

Stakeholder Resource Winner: Here the stakeholder winners
are pharmacy benefit managers who have the drug benefit
after being hired under the USP guidance.



Stakeholder Resource Loser: Here the stakeholder loser is the
Congress as well as plan sponsors (other stakeholders) since
their concern is formularies may have a biased against sicker
beneficiaries.

o

Distributive Justice Theory: Having the Medicaid funding
been reformed into a capitates managed care program from a
system of fee-for-service this is based on the theory of
prioritization as well as rationing both are set by a mechanism
that improves objectivity, public participatory process as well
as accountability.



Stakeholder Resource Winner: Here the Medicaid
stakeholder winners are State stakeholders since they are
involved more on the procurement requirements as well as
approach.

o

Stakeholder Resource Loser: Here the Medicaid stakeholder
loser are the county stake holders since they described the
process as short periods of extreme activity as well as
communication after which its accompanied with long periods
of non-communications from the State.

o

Distributive Justice Theory: Here the health system SCHIP
endorses redistribution interpreting is as the theory of fairness
where its only no more than 20% monthly in every family, the
insuring is enhanced through traditional means such as
community learning in applying for the program.

o

Stakeholder Resource Winner: Here the SCHIP stakeholder
winner is the children with the health insurance since lower
premiums were negotiated due to their non-utilization of high
cost benefits



Stakeholder resource loser: Here the SCHIP stakeholder
loser are the school grouping mechanisms such as
NSLP(National School Lunch Program) which received
income cut off such as reduced lunches.

o

Distributive Justice Theory: Having the EMTALA dealing
with homeless individuals with poor health regardless of their
ability to pay this framework is based on the theory of
entitlement in redistribution funding of the emergent medical
treatment is made available by the federal as well as local
assistance.

o

Stakeholder Resource Winner: Here the winners are the
hospitals participating in Medicare since individuals affected
will receive medical screening examination.

o

Stakeholder Resource Loser: Here th...