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John Q: an Ethical Analys and Review

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John Q: an Ethical Analys and Review
John Q: An Ethical Analysis and Review.

NURS 360
Dr. Schantz
March 8, 2011

Abstract
The film John Q provides a model for the analysis and demonstration of ethical principles of distributive justice as they pertain to healthcare and, more specifically, organ allocation in the face of scarcity. The film portrays the shortcomings of a managed care system as well as the pitfalls of a libertarian approach to allocation. Here discussed are the ethical approaches of Eglitarianism, Prioritarianisn, Utilitarianism, and Libertarianism to organ allocation as they pertain to the film as well as the situational change in the plot if these approaches were considered. The topics of hopelessness and helplessness experienced by the patient and family in a dire circumstances as observed in John Q is confronted in the context of the picture . Also provided is a brief ethical critique of the movie and a personal reaction to the topics addressed in the film

Introduction
When dealing with the issue of scarcity and allocation of resources, the health care industry provides a controversial and ethically challenging model for working though dilemma scenarios such as making distributive decisions with respect to donor organs to the most appropriate recipient. Scarcity is defined as a condition in which the demand for a resource greatly exceeds the supply of the resource, and the fact of the matter is there are many more people that need transplant organs than there are organs to be allocated. This circumstance is well presented in the movie John Q, written by James Kearns. The main point made throughout the film seems to be that the process of organ procurement is not only difficult and trying on the patient and family, but can also be fraught with the dilemmas of resource allocation and providing healthcare using a Libertarian allocation approach that need be addressed by healthcare administrators. Focusing on the theme of distributive justice, the film comes across to imply



References: Emanuel, E. Persad, G., Werthiemer, A. (2009). Principals for Allocation of Scarce Medical Interventions. The Lancet. 373. Retrieved from: http://www.econopundit.com/ezekiel_emmauel.pdf Ethics of Organ Transplantation. (2004). University of Minnesota Center for Bioethics. Retrieved from: http://www.ahc.umn.edu/img/assets/26104/Organ_Transplantation.pdf Donaldson, C., Mitton, C. Healthcare Priority Setting: Principles, Practice, and Challenges. (2004). Biomed Central. Retrieved from: http://www.resource-allocation.com/content/pdf/1478-7547-2-3.pdf

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