Financial Constraints as Grave Ethical

Health is the fundamental human right of every individual around the globe. At present than ever before, maximum people possess accessibility to essential health services even then, nearly 50% of the world’s population still lacks it. Recently, the national statistics revealed a massive burden on the health taskforce that is only 0.82 physicians and 0.57 nurses are allocated for every 1000 people in the country. Unfortunately, financial constraints contribute to becoming a barrier in approaching health services in lower-income and middle-income countries (LMICs). Additionally, according to an estimation drawn by World Health Organization, Pakistan spends only 2.8% of its Gross Domestic Product (GDP) on health. Out of which, the government is accountable for its 36.8% whereas, 55% is contributed by households through out-of-pocket payments. The report also revealed that annually, around 100 million people are driven into extreme poverty worldwide, due to out-of-pocket expenditure on health. Even though general taxation is the highest source of a nation's finances for health expenditure, however, the public cannot access the health services in Pakistan. Therefore, it becomes challenging for the low socioeconomic population to access health facilities when there is a limited number of healthcare professionals (HCP) with extremely expensive services at the same time. The literature endorses that poor health outcomes are accountable for financial constraints such as lack of health insurance, non-governmental financial support, and high transportation costs to reach healthcare facilities. The key ethical challenge is encountered in the healthcare setting when the treatment decision lies upon the patient’s incapacity to pay the hospital bills versus his survival chances. Hence, this paper aims to illuminate the ethical conflict by harnessing various ethical principles and concepts in a scenario where a patient lost his life due to the lack of financial support.
Health is a preliminary right of an individual despite financial constraints. The medical community often encounter an ethical dilemma in hospitals while providing care to patients with intense financial constraints. Hospitals also have their social and moral responsibility towards other members of the society who require health treatments with acute and chronic conditions. However, the ultimate responsibility of providing health services to its citizen lies upon the state by offering taking mitigating measures to their citizens. Manifold recommendations could be implemented at all levels including organizational, communal, and state levels to help achieve UN resolution.
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