Ross`s Prima Facie Duties and the Affordable Care Act

Ross`sPrima Facie Duties and the Affordable Care Act

Ross`sPrima Facie Duties and the Affordable Care Act

Rossis of the view that Prima facie duties can be utilized to determinewhat an individual or individual should do. These duties areobligatory unless they are overridden by other duties. Prima facieduties are slightly different from the actual duties that peopleshould do in that the actual duties requires one to perform them in acertain situation they found themselves. Some of the duties that Rossmentions include reparation, fidelity, non-injury, gratitude,self-improvement, beneficence, harm prevention and justice. Theaffordable care act fulfills a number of these duties.

TheAffordable Care Act aims at bringing about significant changes in thehealth sector, some of which have been realized. One of thesignificant provisions that in the affordable care act that fulfillsa prima facie duty is the guaranteed issues provisions which disallowinsurance providers from refusing to grant coverage to applicants asa result of pre-existing conditions. Through this duty, theAffordable care act fulfills the duty of justice which requires thatbenefits and justice are distributed fairly. The duty is furtherenhanced through the partial community rating provision whichrequires the same premium prices to be offered by insurers to allapplicants from the same region and age, without putting intoconsideration their age and gender differences. Additionally, the actfulfills the prima facie duty of harm prevention. By requiringeveryone to get a health insurance cover and requiring businessesthat employ more than 50 employees to provide insurance coverage forthe permanent employees, the act ensures that harm to individuals andothers is prevented. The provision that requires businesses thatemploy more than 50 people to provide health insurance to theiremployee makes the act to fulfill the non-injury duty which basicallyentails the duty not to harm others either psychologically orphysically.

Thereis no doubt that health reforms always bring forth many ethicalissues. The Affordable care act and the reforms it aims to bring by2020 has raised a number of ethical questions with some punditsasking about the general involvement of the government in the wholeprocess and the implication the reforms will have on health providersas well as foreigners and other groups of people who might be not beinsured. Some of the reforms the affordable care act aims at bringingabout by 2020 include expanding the eligibility of Medicaid,subsidizing the insurance premiums and providing incentives thatwould allow small businesses to provide health care benefits to theiremployees.

Theact aims at ensuring the healthcare is affordable to every citizenaround the country. It is also tailored in such a way thatexploitation by the insurance providers is minimized. However, therequirement for individual purchase of health insurance has been asubject of intense debate as a result of its constitutionality. Asmuch as the act aims at ensuring that people get access to qualityand affordable health care, the requirement for citizens to purchasehealth insurance restricts their individual liberty. Additionally,the act undermines the individual control over healthcare decisions.However, the fact that it makes healthcare affordable means that morepeople will be able to access healthcare. I believe that the act isan ethical rule but efforts should be made to ensure that the currentand future workforce should be able meet the influx of patients inthe health system.

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