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Your choice



This scenario was adapted from "Clinical Ethics Casebook" by Peter Horn, professor of philosophy at Capital University in Columbus. The situation is hypothetical, yet drawn from real experiences. What would you choose? The choices you make will reflect your personal value systems and ethical standards.

You have a private practice in endocrinology. As a private practitioner, you are free to accept or refuse anyone as a patient. You not only make sure that potential patients have medical needs that you can treat, but that they also can pay for your services.

Mr. Smith has a thyroid condition and should be assessed and treated by an endocrinologist. He works at a low-paying job that does not provide health insurance coverage. In Mr. Smith's geographical area, you are the only endocrinologist.

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In Their Own Words
Three parents speak out on how their child's situation affects various aspects of their lives. Hear their stories in their own words.
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Listen to these mothers' advice for other families:
Barb Steele
Debbie Martin
Melissa Hahn

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A Photographer's Journal
Enquirer photographer Michael Keating tells the story of these families through his own words and photos.

The Hahn Family
Melissa and Randy Hahn are dealing with a daughter that has extensive brain damage, epilepsy and a seizure condition.

Your Choice
These situations are hypothetical, yet drawn from real experiences. What would you choose?

You are a physician, free to accept or refuse anyone as a patient. Do you treat someone who has a low-paying job that does not proved health insurance coverage?
You make the choice.

How much care should your critically ill newborn receive?

How do you pay when your insurance runs out?

You're a legislator. Where do you spend the money?

Did You Know?
Ohio hasn't increased its payments to doctors seeing Medicaid patients in three years, but nursing homes get automatic increases every year. It's state law. Nursing home costs increased 31 percent in five years to $2.2 billion, making it the health care program's single biggest expense in 2001.