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Ethics Of Waste In Health Care Essay

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There are large amounts of waste in terms of spending on interventions/therapies within the US healthcare system. Only a fraction of the waste (or "abuse") is deliberate; most of the waste of our limited resources is due to the continuous use of diagnostic testing and therapies that offer no benefits (Brody, 2012). From my own experience in the employment of a hospital, I have seen (and heard about) patients asking for all available treatments, no matter how small the benefits are, as well as health care professionals acting, partly, in self-interest. And Dr. Brody's (2012) article says as much, "We now realize that futile may be administered not solely because of patients' demand but also by physicians acting out of habit or financial self-interest or on the basis of flawed evidence. …show more content…
Brody's article (2012) on the ethics of waste avoidance does a great job at explaining and giving examples of wastes that occur in our health care system, through the use of treatments that do not work well or provide minimal benefits at high costs. (p. 1950) He uses chemotherapy as an example: just because people before you had success will this therapy form does not mean that the patient in front of you will also benefit. It is an offshoot of the ecological fallacy in epidemiology: to take population level data and assume that it applies to every individual within that group. So just because chemotherapy, to use the same example, is "effective" in the general population of Americans, shall we say, it does not mean that the patient in front of you will benefit from this study just because he/she has cancer and is American. "Few tests and treatments are futile across the broad; most help a few patients and become wasteful when applied beyond that population" (Brody, 2012, p. 1950). Dr. Brody continues (2012), "Given our patient-advocacy duties, it is better first to eliminate interventions for which we have the most solid and indisputable evidence of a lack of benefit” (p.

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