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Revisiting ‘The Clinic’: ethical and policy challenges in US community health centers

Published online by Cambridge University Press:  20 May 2014

Nancy Berlinger ,
Michael K. Gusmano  and
Eva Turbiner
Nancy Berlinger
Affiliation:
Research Scholar, The Hastings Center, USA
Michael K. Gusmano*
Affiliation:
Research Scholar, The Hastings Center, USA
Eva Turbiner
Affiliation:
President & CEO, Zufall Health Center, USA
*
*Correspondence to: Michael Gusmano, 21 Malcolm Gordon Road, Garrison, NY 10524, USA. Email: gusmanom@thehastingscenter.org
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Abstract

Where do poor people in the United States (US) go when they get sick? Often, they go to Federally Qualified Health Centers (FQHCs) and hospital emergency departments. Even after the implementation of the Patient Protection and Affordable Care Act (ACA), these safety-net health care organizations will continue to play a crucial role in the US health care system. FQHCs have long grappled with some of the biggest questions facing the US health care system and their leaders and clinicians face ethical challenges in everyday practice. Ethical and policy challenges in the US health care safety-net are not usually ‘tragic choices’ involving the allocation of transplantable organs, or ventilators during a pandemic. They are everyday choices with a tragic dimension because, even with the adoption of the ACA, the US has not yet decided whether poor people deserve a ‘home’ or a ‘net’ when they are sick, and whether even a net should be in good repair.

Type
Perspective
Information
Health Economics, Policy and Law , Volume 9 , Issue 4 , October 2014 , pp. 425 - 434
Copyright
© Cambridge University Press 2014 

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