Regardless of the many uncertainties I think the proper decision by the hospital and staff would be to continue treatments and attempt at the bone marrow. Afterall, their job is to 1. prevent disease and injury 2. relieve pain and suffering 3. care and cure for the sick 4. avoid premature death . In response to question number 2 I dont think that society should be expected to should the expenses (if what it is asking is should they help pay for the medical expenses?). I do not believe it is the responsibilty of society to pay for a bill so expensive for someone who is not their relation and/or for someone whos chance of survival is minimal. I believe that it would be the parents first instinct to want to continue with agressive treatment to save thier kid at whatever cost. But I also think they would also want their kid to not suffer and try to come with terms that the outcome is not good regardless and start to prepare for the worst. Therefore, I think they have to the right to either accept or reject. I think this is a case which calls for an extremely tough decision.
I agree with Michelle with saying it is within the duty of the medical team to continue on with this treatment but the parents have the final say in this. They must take into consideration that this is basically an experiment for future infants because if successful the treatment will only eliminate one of the infant's problems. So I think the parents have the right to reject or insist on this procedure depending upon how progressive Bobbie's condition is getting. I do not believe society should be expected to help pay for this expense, insurance should cover a portion but I do not think it is the duty of society to have to help pay whether it is an infant, child or middle aged adult.
1. This is a topic i am very passionate about I love the NICU and hope to maybe work there one day. Now when it comes to the quesion of whether or not care should be continued I feel that until the parents say they want to withdrawal care it is the duty of the medical staff to continue doine whatever they can to try and save the child's life and if the next step is a bone marrow transplant then I feel that they should do it. Unless the parents tell them not to. 2. This question is one that many people struggle with but the same question could be asked about the elderly and about those patients who have no incurance. So in my opinion I feel that a person no matter how sick they are should not be used as a means of healthcare cost containment. 3. This is another question that is very complicated because we would all have our own opinion but the only people who can truly answer this question is the parents. now if I was in this situation and there was such a minimal chance of success I would not put my child through such a painful procedure tat is not garunteed to work. Like I have said I am a big supporter of Hosipice and since my child is so sick and there is such a slim chance of success I would want my child to be comfortable in the last few days of life.
I agree with the comments above. I definitely think that even though Bobbie has several issues, the hospital should continue to provide treatment and pursue solutions. It is the hospital's job to prevent death, not give in to it. I also don't think that it's fair that society pay for Bobbie's treatment. It's not right that the cost for a strangers treatment be placed on society. Regarding question 3, I absolutely think that the parents have the right to either refuse or insist on the treatment. It is their child, so they deserve to make the decision that will effect their child's fate.
1.) I agree with the comments above on this question. It ultimately comes down to the parents on the next decision. Doctors can only advise the next best step, but the parents have the final say. 2.) I am torn on how to stand on this issue. I agree with what Jacob saying it shouldn't be society's responsibility to pay for a medical bill for someone that we don't know. However, I was thinking of this situation as if it were me. Though I am a poor teacher, there would not be a point in the care of my child that I would say no to treatment simply due to money. Whatever I would need to do to make the best for the life of my child I would do. 7 jobs, borrowing huge amounts of cash, whatever it takes. I know people are faced with this decision everyday. I think I do feel that society should be responsible for this. To be so healthy and lucky as to not need the money you contribute each month to medical insurance is the least we can do to help the struggling life of another. 3.) I believe the parents do have the ultimate say in withdrawing or continuing care. Doctors can advise the best option, but the parents have the final word.
1. I definitely agree with the comments above I think that even though Bobbie has many problems, by continuing with treatment even though Bobbie has many problems it could alleviate many one of his problems, finally it is the decision of the parents not the medical professionals to decide his treatments
2. Society should not have to shoulder the burden of these bills but then again many times when people are seriously ill and cannot afford their bills government should be able to step in and help and it should not mean euthanasia or some other means, to cut costs.
3. Parents as guardians have the right to know when the most has been done for their child or when there still can be more done for their child.
1. This decision should be made by the parents. The doctors have come up with a high risk low benefit solution with the bone marrow transplant. This is an option for the parents if they wish to seek further treatment. No matter what their decision, I believe they should have the final say. 2. Many people would not be able to get the medical treatment they need to survive without the help of government programs such as Medicaid. Although it may not seem fair to people who have to/can pay for at least some on their own, parents in the situation in the case study I'm sure are grateful that their child is being given a chance. This would not have happened if they had to pay on their own. I know people abuse this system, however there are those out there who truly do need and appreciate it. 3. Yes, the parents do have the right to refuse or insist on further therapies. It is their child, their responsibility. Doctors may make suggestions however it is the final decision of the parents.
1) I agree with all comments above, I do believe the treatment should be given to Bobbie C. Even if it only helps one of his conditions, it will help him that much more. 2)I do believe treatment should be given despite the issue of money. I do believe that the parents of Bobbie should be trying to help pay for expenses, but at the same time it is not right to withhold treatment because they cannot afford it. 3)The parents should have the right to decide if the child undergoes further aggressive treatment. They have the best interest of their child in mind. Whether they want to end treatment or partake in all aggressive treatments available, it is their choice.
I think that the hospital should provide treatments to this baby if that is what the parents want. I think that it is the hospital's responsiblity to keep trying to fix this child even though the costs are great if the parents are willing to help stand by their child during these procedures. I think that society would be more than willing to help a child when they know it could mean life or death. I think think that it is important for treatments to be tried even with minimal success because there are slight chances things will work. I think that parents do have the right to decide if they want treatment or not. If the parents do not want to continue with treatment, they should not be obligated to since they are the caregivers for this child.
The hospital should do everything in their power to treat Bobbie C. If one disease is cured then that is one less Bobbie C and his family have to worry about now or in the future. Since the transplant is experimental I as a parent would want to know what the side-effects or long term possibilities are for Bobbie C. This is certainly a difficult situation. Society should in some way be expected to pay the cost. The fact that Bobbie C. is an infant should not make any difference, a life is a life whether the person is an infant or an adult. The parents have the right to choose whatever they feel is best for Bobbie. Their decsion should be respected either way. It may not be fair to make Bobbie's decsion, but it is right.
Medicaid is a joint federal/state program that provides health insurance for those who fall within certain categories (eg. low income, disability). Since Bobbie C's medical expenses were supported by Medicaid, they were paid for by society. If Bobbie C/his family qualify for Medicaid, they are obviously not in a position to afford his extensive medical care costs.
It seems to be a consensus that it is only ethical to allow Bobby C's parents to decide whether or not to pursue treatment, given that while chances of his recovery are minimal, it is possible. However, fronting over half a million dollars is not an option for this family. Thus, finding out if treatments will save the life of their son is not an option unless the society can contribute.
I, as well, agree with the comments above. I think the decision to do the bone marrow transplant should be up to the parents. And, as Patrick said, they should be aware of all of the side-effects that the baby is at risk for.
I think that treatment should be given no matter what. There are foundations and organizations out there that will help financial costs for children in these types of situations.
The parents do have a right to object further aggressive therapies, and also to insist them. It is natural for parents to do whatever they can to save their child, but it is also natural to not want to put their child through any more pain.
I agree with everyone else on this one. The proper treatment for Bobbie C is which ever treatment the parents believe is right. If it's the bone marrow transplant then they better get on with it then. If this prodecure is experimental then there is benefit of having the oppurtunity to do this procedure and get the extra practice of feedback that they may need. Even if it doesn't save the life of Bobbie C, preforming this treatment by give doctors the information they need to save another life. I think society should shold the responsiblity of caring for this infant. Some people might call this socialist thinking but we are all responsible for contributing to the common good. I don't know about you, but i would much rather save the life of a child by paying a little more in taxes than have that new pair of shoes i wanted. And i believe that the parents have the right to insist or refuse any treatment. If they feel like they have put their child through enough non benefical treatment and would like to make him comfortable or if they would like to persue more aggresive treatment, that is their progroative. Parents are responsible for doing what's right for their children.
I don’t think the parents should have the experimental surgery when it may only solve one of Bobbie C’s many problems. If they did decide to have the procedure it should also be paid for as well if all of the other procedures are paid for. This procedure may help the infant just like the other procedures, and should be held in the same regard as the previous procedures. The parents do have the right to decide to reject aggressive therapies if the procedures are not in the best interests of the child. However, if the procedure is in the best interest of the child, then the parents have the right to insist upon them.
Regardless of the many uncertainties I think the proper decision by the hospital and staff would be to continue treatments and attempt at the bone marrow. Afterall, their job is to 1. prevent disease and injury 2. relieve pain and suffering 3. care and cure for the sick 4. avoid premature death .
ReplyDeleteIn response to question number 2 I dont think that society should be expected to should the expenses (if what it is asking is should they help pay for the medical expenses?). I do not believe it is the responsibilty of society to pay for a bill so expensive for someone who is not their relation and/or for someone whos chance of survival is minimal.
I believe that it would be the parents first instinct to want to continue with agressive treatment to save thier kid at whatever cost. But I also think they would also want their kid to not suffer and try to come with terms that the outcome is not good regardless and start to prepare for the worst. Therefore, I think they have to the right to either accept or reject. I think this is a case which calls for an extremely tough decision.
I agree with Michelle with saying it is within the duty of the medical team to continue on with this treatment but the parents have the final say in this. They must take into consideration that this is basically an experiment for future infants because if successful the treatment will only eliminate one of the infant's problems. So I think the parents have the right to reject or insist on this procedure depending upon how progressive Bobbie's condition is getting. I do not believe society should be expected to help pay for this expense, insurance should cover a portion but I do not think it is the duty of society to have to help pay whether it is an infant, child or middle aged adult.
ReplyDelete1. This is a topic i am very passionate about I love the NICU and hope to maybe work there one day. Now when it comes to the quesion of whether or not care should be continued I feel that until the parents say they want to withdrawal care it is the duty of the medical staff to continue doine whatever they can to try and save the child's life and if the next step is a bone marrow transplant then I feel that they should do it. Unless the parents tell them not to.
ReplyDelete2. This question is one that many people struggle with but the same question could be asked about the elderly and about those patients who have no incurance. So in my opinion I feel that a person no matter how sick they are should not be used as a means of healthcare cost containment.
3. This is another question that is very complicated because we would all have our own opinion but the only people who can truly answer this question is the parents. now if I was in this situation and there was such a minimal chance of success I would not put my child through such a painful procedure tat is not garunteed to work. Like I have said I am a big supporter of Hosipice and since my child is so sick and there is such a slim chance of success I would want my child to be comfortable in the last few days of life.
I agree with the comments above. I definitely think that even though Bobbie has several issues, the hospital should continue to provide treatment and pursue solutions. It is the hospital's job to prevent death, not give in to it.
ReplyDeleteI also don't think that it's fair that society pay for Bobbie's treatment. It's not right that the cost for a strangers treatment be placed on society.
Regarding question 3, I absolutely think that the parents have the right to either refuse or insist on the treatment. It is their child, so they deserve to make the decision that will effect their child's fate.
1.) I agree with the comments above on this question. It ultimately comes down to the parents on the next decision. Doctors can only advise the next best step, but the parents have the final say.
ReplyDelete2.) I am torn on how to stand on this issue. I agree with what Jacob saying it shouldn't be society's responsibility to pay for a medical bill for someone that we don't know. However, I was thinking of this situation as if it were me. Though I am a poor teacher, there would not be a point in the care of my child that I would say no to treatment simply due to money. Whatever I would need to do to make the best for the life of my child I would do. 7 jobs, borrowing huge amounts of cash, whatever it takes. I know people are faced with this decision everyday. I think I do feel that society should be responsible for this. To be so healthy and lucky as to not need the money you contribute each month to medical insurance is the least we can do to help the struggling life of another.
3.) I believe the parents do have the ultimate say in withdrawing or continuing care. Doctors can advise the best option, but the parents have the final word.
1. I definitely agree with the comments above I think that even though Bobbie has many problems, by continuing with treatment even though Bobbie has many problems it could alleviate many one of his problems, finally it is the decision of the parents not the medical professionals to decide his treatments
ReplyDelete2. Society should not have to shoulder the burden of these bills but then again many times when people are seriously ill and cannot afford their bills government should be able to step in and help and it should not mean euthanasia or some other means, to cut costs.
3. Parents as guardians have the right to know when the most has been done for their child or when there still can be more done for their child.
1. This decision should be made by the parents. The doctors have come up with a high risk low benefit solution with the bone marrow transplant. This is an option for the parents if they wish to seek further treatment. No matter what their decision, I believe they should have the final say.
ReplyDelete2. Many people would not be able to get the medical treatment they need to survive without the help of government programs such as Medicaid. Although it may not seem fair to people who have to/can pay for at least some on their own, parents in the situation in the case study I'm sure are grateful that their child is being given a chance. This would not have happened if they had to pay on their own. I know people abuse this system, however there are those out there who truly do need and appreciate it.
3. Yes, the parents do have the right to refuse or insist on further therapies. It is their child, their responsibility. Doctors may make suggestions however it is the final decision of the parents.
1) I agree with all comments above, I do believe the treatment should be given to Bobbie C. Even if it only helps one of his conditions, it will help him that much more.
ReplyDelete2)I do believe treatment should be given despite the issue of money. I do believe that the parents of Bobbie should be trying to help pay for expenses, but at the same time it is not right to withhold treatment because they cannot afford it.
3)The parents should have the right to decide if the child undergoes further aggressive treatment. They have the best interest of their child in mind. Whether they want to end treatment or partake in all aggressive treatments available, it is their choice.
I think that the hospital should provide treatments to this baby if that is what the parents want. I think that it is the hospital's responsiblity to keep trying to fix this child even though the costs are great if the parents are willing to help stand by their child during these procedures. I think that society would be more than willing to help a child when they know it could mean life or death. I think think that it is important for treatments to be tried even with minimal success because there are slight chances things will work. I think that parents do have the right to decide if they want treatment or not. If the parents do not want to continue with treatment, they should not be obligated to since they are the caregivers for this child.
ReplyDeleteThis comment has been removed by a blog administrator.
ReplyDeleteThe hospital should do everything in their power to treat Bobbie C. If one disease is cured then that is one less Bobbie C and his family have to worry about now or in the future. Since the transplant is experimental I as a parent would want to know what the side-effects or long term possibilities are for Bobbie C.
ReplyDeleteThis is certainly a difficult situation. Society should in some way be expected to pay the cost. The fact that Bobbie C. is an infant should not make any difference, a life is a life whether the person is an infant or an adult.
The parents have the right to choose whatever they feel is best for Bobbie. Their decsion should be respected either way. It may not be fair to make Bobbie's decsion, but it is right.
Medicaid is a joint federal/state program that provides health insurance for those who fall within certain categories (eg. low income, disability). Since Bobbie C's medical expenses were supported by Medicaid, they were paid for by society. If Bobbie C/his family qualify for Medicaid, they are obviously not in a position to afford his extensive medical care costs.
ReplyDeleteIt seems to be a consensus that it is only ethical to allow Bobby C's parents to decide whether or not to pursue treatment, given that while chances of his recovery are minimal, it is possible. However, fronting over half a million dollars is not an option for this family. Thus, finding out if treatments will save the life of their son is not an option unless the society can contribute.
I, as well, agree with the comments above. I think the decision to do the bone marrow transplant should be up to the parents. And, as Patrick said, they should be aware of all of the side-effects that the baby is at risk for.
ReplyDeleteI think that treatment should be given no matter what. There are foundations and organizations out there that will help financial costs for children in these types of situations.
The parents do have a right to object further aggressive therapies, and also to insist them. It is natural for parents to do whatever they can to save their child, but it is also natural to not want to put their child through any more pain.
I agree with everyone else on this one. The proper treatment for Bobbie C is which ever treatment the parents believe is right. If it's the bone marrow transplant then they better get on with it then. If this prodecure is experimental then there is benefit of having the oppurtunity to do this procedure and get the extra practice of feedback that they may need. Even if it doesn't save the life of Bobbie C, preforming this treatment by give doctors the information they need to save another life. I think society should shold the responsiblity of caring for this infant. Some people might call this socialist thinking but we are all responsible for contributing to the common good. I don't know about you, but i would much rather save the life of a child by paying a little more in taxes than have that new pair of shoes i wanted. And i believe that the parents have the right to insist or refuse any treatment. If they feel like they have put their child through enough non benefical treatment and would like to make him comfortable or if they would like to persue more aggresive treatment, that is their progroative. Parents are responsible for doing what's right for their children.
ReplyDeleteI don’t think the parents should have the experimental surgery when it may only solve one of Bobbie C’s many problems. If they did decide to have the procedure it should also be paid for as well if all of the other procedures are paid for. This procedure may help the infant just like the other procedures, and should be held in the same regard as the previous procedures. The parents do have the right to decide to reject aggressive therapies if the procedures are not in the best interests of the child. However, if the procedure is in the best interest of the child, then the parents have the right to insist upon them.
ReplyDelete