The paper must have these following components, but only include relevant information in each: 1. Introduction Identify and briefly define the major theme of the case (confidentiality and truthfulness, death and dying, maternal/fetal conflict or social justice) 2. Medical Indications should explore diagnosis, treatment goals, acute/chronic condition, possibilities of success, etc. 3. Patient Preferences should explore mental capacity, informed consent, advance directives, etc. 4. Quality of Life should elaborate on prospects for return to normal life, physical, mental, and social deficits, palliative care, etc. 5. Contextual Features should explore legal, cultural, religious, financial and familial issues 6. Conclusion: Please include references from the readings, links, other literature and/or personal experience to support the answers to the questions posed in the case study and your final decision/solution to the dilemma 7. References: In-text and Reference List: must be in APA format A debate erupts when a Community Hospita llocated in a poor and indigent black neighborhood announces that as a cost-saving measure, it will close its emergency department from 10:00 pm until 6:00 am. The hospital explains that it is in danger of going bankrupt, and its emergency department is a very expensive hospital department. Patients will still be able to receive emergency treatment at a State Hospital, seven miles away. Opponents argue that this will severely restrict indigent patients access to care. Granted that the Community Hospital is in danger of going bankrupt, is its decision ethical? Is the Community Hospital guilty of what is really a form of indirect dumping that is not covered by the law? How will the access of indigent patients to health care at the State Hospital be limited? Will the poor be unable to get there because they do not have cars and there is not public transportation? Will the State Hospitals emergency department be too small to handle the increased patient load? Assuming that the answer to the last two questions is yes, what should the health care community have done to make the general community solve the problem? Do health care professionals have an obligation to mobilize the community to remedy maldistribution? What are the limits of that obligation?
