According to the CDC, “in the United States, the proportion of the population aged >65 years is projected to increase from 12.4% in 2000 to 19.6% in 2030,” (CDC, 2003, para. 2). Caring for this aging population is going to be one of the greatest challenges facing the health care industry. Not only will the number of individuals requiring care rise, but so will the cost. As poignantly stated by Crippen and Barnato, “unless we change the practice of medicine and reduce future costs, and explicitly address the ethical dilemmas we face, there may come a time when our kids simply cannot afford us” (2011, p. 128).
In this Discussion, you will examine the ethical issues that the United States and other nations must address when faced with the health care challenges of an aging population.
Consider the ethical aspects of health care and health policy for an aging population.
Review the Hayutin, Dietz, and Mitchell report presented in the Learning Resources. The authors pose the question, “What are the economic consequences, now and for future generations of taxpayers if we fail to adapt our policies to the changing reality of an older population?” (p. 21). Consider how you would respond to this question. In addition, reflect on the ethical decisions that arise when dispersing limited funds.
Contemplate the impact of failing to adjust policy in accordance with the changing reality of an older population.
Reflect on the ethical dilemmas that arise when determining expenditures on end-of-life health care.
Ask a probing question, substantiated with additional background information, evidence, or research using an in-text citation in APA format.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
Aging Ethical Aspect of Health Care
Ethics always plays a significant role in caring for our clients, but with the increasingly aging population, our focus on ethics and nursing must adapt to take this into consideration
As health promotion, education and technology advances, the life expectancy for Americans have also risen. According to the Stanford Center on Longevity, over the next 30 years the population of Americans over the age of 65, will at least double to 80 million (Hayutin, Dietz & Mitchell, 2010). However, with this aging population, it increases the individual’s risk to chronic diseases like obesity, arthritis, diabetes, dementia and hypertension. Therefore, as a nation now face new challenges such as increasing healthcare costs, more retired citizens than those currently working within the workforce and greater financial burden on the individual for their retirement (Farrelly, 2010).
Code of Ethics
Looking at the Code of Ethics for Nurses by the America Nurses Association (ANA), nothing changes just because the person is elderly. Provision one, two and three of the Code of Ethics for Nurses, looks at the nurse promoting good, being an advocate, and fighting for patients’ rights, healthcare and self-worth (Fowler & ANA, 2008). Everyone is a unique, and we must treat them as such. However, provision four, five and six, looks at promoting health, making decisions and ensuring the safety of our clients (Fowler & ANA, 2008). While, provision seven, eight and nine, look at maintaining integrity, working with other health care professionals and promoting a scholarly mind, so advancing knowledge and skills through evidence-based research (Fowler & ANA, 2008). At no point, does age play a part of the Code of Ethics. Throughout my nursing career, I have met senior citizens who are independent, have better health than people a lot younger than themselves and can make their own decisions about their healthcare.
With the changing and increasing aging population, nurses need to continue to advocate for our clients’ needs. Under provision two of the Code of Ethics, the nurse’s primary commitment is to the patient. However, older people often need more medical care, due to chronic illness and the taking of multiple medications. Also with the elderly nearing the end of their lifespan, it can be thought that investing time and money may be of little benefit in comparison to the younger generation, who have a longer to live (Bognar, 2015). Thankfully, the federal government prohibits consideration of this factor or the use of age as a factor in cost-benefit analysis (Bognar, 2015). Under provision eight of the Code of Ethics, “Health is a Universal Right” (pg. 31), so available to everyone indiscriminate of their age (Fowler & ANA, 2010)