Discussion 9

Research no-fault compensation models in Sweden and New Zealand.  What would be the primary advantages if the U.S. adopted a no-fault system?  What would be the drawbacks?  Would you support such a change?  Why or why not?


Discussion 10

What is “shared decision-making”?  What are its intended benefits?  How does the Affordable Care Act encourage the use of shared decision-making?  What are some examples of state efforts to promote shared decision-making?  What are some of the key barriers to the use of shared decision-making?


Discussion 11

Read this court case very carefully: Bertha Siliezar v. East Jefferson General Hospital and Dr. Joseph Tamimie. No. 04-CA-939.  Decided: January 11, 2005.  (See: http://caselaw.findlaw.com/la-court-of-appeal/1094597.html).  What do you think about the court ruling regarding the adequacy of verbal consent prior to surgery?  Do you think that the clinicians in this case acted reasonably?  Ethically?  If the plaintiff was your family member how would you feel about this situation?


Discussion 12

Reflect upon the court opinion in the Iturralde v. Hilo Medical Center:  http://caselaw.findlaw.com/hi-intermediate-court-of-appeals/1597588.html.  Locate provisions in the applicable code of ethics that were violated by the physician and nurse(s).  How can the organization prevent similar incidents in the future?  What should be done to hold the physician and nurse(s) accountable to themselves and their patients?  If you were the CEO supervising the medical staff what consequence would you impose?  (See Week 8 for links to code of ethics)

Legal aspects in healthcare- court cases