Just looking for some insight to further understand the assignment. Analyzing an ethical dilemma. You are transplant nur

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Just looking for some insight to further understand the
assignment.
Analyzing an ethical dilemma.
You are transplant nurse coordinator, thinking about two
patients who are being evaluated for placement on the kidney
transplant waiting list. One patient is a 40-yr-old African
American schoolteacher. She is married and has two children. The
other patient is a 22-yr-old unemployed white man. He misses three
or four dialysis treatments per month and does not take his
antihypertensive medications consistently.
Points to consider:
• The foundation of this conflict resides in the
Constitution, in which the founders made education a free public
resource and ignored health care as a right. Health care then
became a privilege, a resource to be obtained by persons with the
funds to pay for it.
• It took almost 200 years for health entitlement programs
to be developed. Medicare is a federally administrated program.
Individuals covered by Medicare are protected by Constitutional
laws prohibiting discrimination based on race, gender, religion,
and ethnic background.
• Medicaid is a federally sponsored program jointly
administered by the various states. The states have the right to
set coverage eligibility and limits but may not violate an
individual's constitutionally protected rights against
discrimination.
• It is highly unlikely that the standard prohibitions
against discrimination will change, but it is possible that
definitions of unhealthy behavior such as substance abuse,
alcoholism, smoking, and obesity may be used to screen out
candidates.
• Nurses are concerned about social justice because of
their health advocacy role. Today the situation is immensely more
complex because of the cost and availability of care.
Address the questions below: