There are “push” factors such as poor working conditions, substandard facilities, unsafe conditions, and low income that discourage health professionals trained in Indian medical schools from staying in country.
When a patient challenges the use of a reusable, stainless steel speculum rather than a plastic, throw-away one, the physician should educate her on the safety and environmental benefits of reusable medical devices.
Moral distress arises not only from organizational constraints on moral action but also from the environmental impacts of health care and climate change.
AMA J Ethics. 2017;19(6):617-628. doi:
10.1001/journalofethics.2017.19.6.mhst1-1706.
Climate is a primary determinant of whether a particular location has the environmental conditions suitable for the transmission of several vector-borne diseases, including dengue fever, St. Louis encephalitis, and West Nile virus.
Assuming rigid control over patients’ health care and subjecting them to strict regimens without offering them a choice in the matter is frank paternalism. Moreover, proceeding with an invasive test without obtaining proper informed consent is malpractice.
When the health care industry came under the environmental microscope, the daily work of treating patients was discovered to be highly wasteful of natural and financial resources.
Society values both the appropriate use of new technological and management innovations and the maintenance of a strong personal and therapeutic relationship between patients and physicians. The medical-home model may be able to accomplish both.
A major contributor to the lack of medicines in developing countries is an intellectual property regime that allows proprietary drug companies with intellectual property monopolies to charge high prices and maximize profit.