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Ethical Dilemma ETHICAL DILEMMA OF DRUG RE-IMPORTATION It is illegal to reimport drugs to the US for purposes of drug safety and prevention from the existing laws.Reimportation of drugs in the US is increasing at an alarming rate.

This is due to its convenience in terms of cost, affordability and ready available market Best websites to get a presentation ageing 100% plagiarism-free 131 pages / 36025 words Editing Chicago/Turabian College.This is due to its convenience in terms of cost, affordability and ready available market.

An estimated 20 million packages of prescription drugs find its way into the United States each year.Internet company’s particularly online pharmacies have facilitated the trade by delivering orders directly to the customers.This provides convenience to consumers in that it relieves them the cost and time that should have been used in the search for these drugs 12 Oct 2017 - Best website to get a college security essay standard 37 pages / 10175 words us letter size oxford; Order now custom written essays term papers   can help me write a security essay oxford british double spaced 94 pages / 25850 words; Top notch papers in turabian style is not a problem nbsp fresh essay  .This provides convenience to consumers in that it relieves them the cost and time that should have been used in the search for these drugs.(Vivian 2003) argues that certified pharmacies in Canada sell brand name drugs at a lower cost of between 20%-80% of the price sold in the US.

Another survey carried by the Associated Press revealed that the top 10 branded drugs in the US can bought at a cheaper cost of between 33%-80% across the borders.The reason for reduced prices of drugs in Canada and Mexico is due to the price control system which lowers the profit levels of pharmaceutical companies.They forced increase their profit margins by looking for overseas markets which are readily available in the United States.The Canadian government has a nationalized health insurance and they negotiate with drug companies in lowering prices hence the cheap cost of drugs.

This is contrary in the US since the government doesn’t control prices but it allows open competition among the companies.

In the event extra costs incurred in the promotion, adverting campaigns as well as research is passed on to consumers.In 2006, CNN MONEY writer, Gerry Willis, quoted a rate of 30%-40% variation rate by comparing the prices of Lipitor and crestor in Canada and US pharmacies.Senior individuals especially the elderly lack insurance cover and they may no be in a position to afford prescribed drugs and they resort to cross the border.They account for 34% of the most vulnerable people to prescription drugs.They are also more prone with ailments which require prescription drugs ( Safran et al 2002).

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They tend to need more prescription drugs to cure chronic conditions like hypertension, arthritis among others.Majority of prescription drugs find their way to the US market through online supply orders.Patients usually complete online questionnaires that are subject to review before prescription 48. Box 2.4. Japan: Buraku discrimination and resilience during the 1995 Kobe earthquake. 51. Box 2.5. Paradise lost: migrant workers in the Maldives. 54   me under the trees. I stayed there for four days because I was scared,” relates Halima. Ahmed Hissein, an older woman who lives alone in Goker camp, Darfur. Not..Patients usually complete online questionnaires that are subject to review before prescription.

Cost is the major reason as to why individuals import drugs.Usually consumers pay a higher price for their medications in the US than what those in Canada pay Should i buy a ageing presentation single spaced Platinum Sophomore ASA.

Usually consumers pay a higher price for their medications in the US than what those in Canada pay.

Also issues of privacy contribute to purchasing drugs by mail i Should i buy a ageing presentation single spaced Platinum Sophomore ASA.Also issues of privacy contribute to purchasing drugs by mail i.individuals purchasing Viagra and Cialis might feel at peace purchasing it from a known individual.Increased economies of health also forces individuals terminate their ever increasing cost of health insurance premiums and look for alternative ways abroad.In my own opinion, ethical dilemma #2 undermines the protection laws since it is misused by politicians and individuals with commercial interests.

TheFDA law that allows individuals to import a certain amount of prescription drugs for personal use has led to the uncontrolled increase in the volume of drugs supplied.It makes it difficult for custom officials and FDA to regulate.Also influence from politicians who aid individuals’ mostly the elderly to purchase these drugs from Canada hinders regulation principles.It also poses a major health risk and the safety of citizens if these drugs don’t follow the right channels.This might come as a result of entry of generic and ineffective medications.

, B, (2003) ‘Push for drug reimportation gains steam’.23 2005 from /amednews/2003/10/13/ Safran D.Prescription drug coverage and seniors: how well are the states closing the gap? Millwood: suppl web exclusives Vivian J.

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Share this: Elderly as a vulnerable population Older Americans can be seen to be a rapidly growing part of the population and they usually present health problems which are unique.As much as the life expectancy is increasing with disability currently going down in the elder population as a whole, it can be noted that the socioeconomic and environmental resources are lacking for this elder population Writing a literature review nursing can be a difficult challenge so it is important to always take into account certain rules and recommendations on the matter.   The author should do this in a way that the text reads smoothly, always using connectors and transition words to connect ideas and create the importance that the  .

As much as the life expectancy is increasing with disability currently going down in the elder population as a whole, it can be noted that the socioeconomic and environmental resources are lacking for this elder population.

When this lack of resources is added to the decline in physical places for elders then an increase in the health problems becomes rampant for these elders.

It is therefore the role of interested stakeholders in the health sector to expand their traditional, individualistic view of health care and include a wider more social perspective in order to ensure that adequate healthcare is provided for the vulnerable population (Whittle, Whelton, & Seidler, 1991).The vulnerable population that I have selected includes African Americans from the age of sixty to eighty years living in urban low income neighbors in America equine-research-inc.com/lab-report/should-i-purchase-an-engineering-lab-report-platinum-vancouver-14-days.The vulnerable population that I have selected includes African Americans from the age of sixty to eighty years living in urban low income neighbors in America.This is inclusive of both male and female.This population is common in low income neighborhoods where most of them cannot afford good health care for themselves due to lack of financial ability and usually depend on government funded programs and subsidies to enjoy healthcare.The population is very vulnerable to chronic kidney disease which is prevalent at epidemic proportions among this population group.

The main risk factors for this disease can be identified to be diabetes and hypertensions.The vulnerable group can be defined to be the largest racial/ethnic minority living in the United States which experiences the greatest disparities and worst outcomes from these diseases.Also it can be noted that both chronic kidney disease together with its risk factors has been unsurpassed by other chronic conditions in terms of the disability, quality of life and cost (McClellan, 2002).The major risks which can be noted to be alarming and very significant in causing the diagnosis among members of the community with the disease can be seen to include: Lack of awareness about the disease by many members of the African American community where inadequate health literacy has been the main reason.

Many African Americans at this age cannot read and therefore cannot benefit from the written health information because poor literacy skills.This limitation forms a barrier when it comes to negotiating written health information for comprehension.

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The limited literacy skills are likely to result to inappropriate use of health services, increased hospitalization, patient non compliance and poor self efficacy (Perneger, Klag,& Feldman, 2003).It is very important when individuals and patients are well informed as this is likely to result in better health outcomes and also preventing unnecessary costs and implications since the disease is treatable and preventable.The most unfortunate thing about the disease can be seen that the racial/ethnic minorities such as the African Americans are the ones who are at the greatest risk for chronic kidney disease stand to benefit the slightest from written health information since they have limited literacy skills It is illegal to reimport drugs to the US for purposes of drug safety and prevention from the existing laws. Reimportation of drugs in the US is increasing at an alarming rate. This is due to its convenience in terms of cost, affordability and ready available market. An estimated 20 million packages of prescription drugs find its  .

The most unfortunate thing about the disease can be seen that the racial/ethnic minorities such as the African Americans are the ones who are at the greatest risk for chronic kidney disease stand to benefit the slightest from written health information since they have limited literacy skills.

This has been considered to be a contributor to the disparities in the presence of the chronic kidney disease and related disease such as hypertension and cardio vascular diseases (Perneger, Klag,& Feldman, 2003).The elderly African American community also does not have access to the internet due to lack of the knowledge to operate information technology and reap from the benefits Should i purchase a college presentation ageing high quality ASA Graduate 26 pages / 7150 words 14 days.The elderly African American community also does not have access to the internet due to lack of the knowledge to operate information technology and reap from the benefits.It has also been attributed to the financial strains and poor reader ability and lack of enough education to access the necessary information they would like to know about the disease from the World Wide Web.The lack of the ability to research and read about the disease in the internet and other sources is a great disadvantage of the African Americans residing in the United States since they fore go the opportunity of accessing information which would be useful to them about chronic kidney disease from the kidney disease organizations.The health of the aged African Americans chronic condition has also been greatly put at risk as a result of the reduced mobility which occurs as a result of their health condition.

These individuals cannot be entrusted with the responsibility to drive and also some cannot due to their health (Clark, 1998).This puts them at risk since they cannot be able to access medical assistance on a regular basis and becomes even more risky when the disease becomes severe in such that they are required to visit health care centers regularly.Some of the elderly in these areas are not able to access flexible methods of transportation which becomes a threat to their health.When analyzing the elderly African American community it can be identified that from the risks involved there is great need to take the necessary steps in order to improve the situation.This has necessitated the prioritization of needs and approaches that need to be satisfied and implemented to ensure that the risks are kept under control.

These will include: Create awareness about the chronic kidney disease to the elderly which will be necessary in order to ensure that they are well informed about the disease and empowered to make good choices about treatment and prevention of the disease (McClellan, 2002).This will be very important since it is notable that most of the members of this elderly communicated are not conversant with reading and researching of the disease making it virtually impossible for them to know about the disease.The elderly African Americans cannot access the internet due to their inability to read which has also limited them in knowing about the disease.This awareness can be done through workshops and community groups where experts dedicate time to teach and educate the elderly from this community about the disease.

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The elderly will get an opportunity to know about the disease in relation to treatment and prevention from the disease (Clark, 1998).

This will be particularly important in improving their overall health care as the disease can be kept under control.It will generally result into an improvement of the health care of the elderly individuals in the community (Whittle, Whelton, & Seidler, 1991) World Disasters Report IFRC.It will generally result into an improvement of the health care of the elderly individuals in the community (Whittle, Whelton, & Seidler, 1991).

There is also need to ensure that the African American society acquires the basic education necessary for them to read.This can be through policy development which will facilitate individuals from the African American community to acquire basic education.There is also need to emphasize the importance of information technology and the World Wide Web Sample on New York City Community Public Health Assessment nbsp.

There is also need to emphasize the importance of information technology and the World Wide Web.

This will be through empowering individuals into knowing the importance of this in acquiring information.The service should also be made available to social centers in these African American communities where they can be taught on how to use it and enjoy the benefits of information power.It will also be important to make available transportation alternatives for those elderly African Americans who cannot drive or don’t have cars.The elderly should be informed about where and how they can access transportation in areas where it is provided and if it is not provided then the health centers should provide in addition to their health service, mobility to ensure that the elderly African Americans can access medical assistance in their centers.The priority goals relevant to the elderly African American population living in the low income neighborhoods as addressed by the U.

S Department of Health and Human Services Healthy People 2010 include: The most significant goal in relation to the chronic kidney disease is to reduce the complications, disability, death, and economic costs that are as a result of the disease.The other goal is to ensure that health care services and facilities are provided to all Americans to ensure that the health of Americans is given top priority by the government.The reduction of chronic disease and its complications can also be seen to be further broken down into specific goals which include: reducing the rates of new cases of end stage renal disease which is seen to be the main cause of the disease (McClellan, 2002).The target has been set at 217 new cases per million population against a baseline of 289 new cases of the disease per million as reported in the year 1997.The department of health also desires to reduce the deaths which are as a result of cardiovascular disease in individuals who suffer from chronic kidney disease.

The target has been set at 52 deaths for every 1000 patients a year who are exposed to risk (Clark, 1998).

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This is against a baseline of 70 deaths from cardiovascular disease for every 1000 patients at risk every year.S department of health also plans to increase the proportionate of treated chronic kidney failure patients who have acquired basic education and advice on nutrition, treatment choices and cardiovascular treatment for one year before the beginning of renal replacement therapy.

The department aims to increase the proportion of new hemodialysis patients on arteriovenous fistulas as a primary way of vascular access   researcher and international English/dictionary will be used. This is ideal for customers who are not in American, UK, or Australian universities. Make sure your University or college use international language and its not aligned to either US or UK English. New User Existing User. User Name*. Password*. Remember Me  .The department aims to increase the proportion of new hemodialysis patients on arteriovenous fistulas as a primary way of vascular access.

The department also intends to increase to number of patients on dialysis who are registered on the waiting lists for transplantation by 66 percent.The department of health aims at increasing the proportion of patients who have treated chronic kidney failure who receive a transplant within the first 3 years of registering in the waiting list Best website to purchase an ageing presentation Platinum MLA single spaced 8 hours.The department of health aims at increasing the proportion of patients who have treated chronic kidney failure who receive a transplant within the first 3 years of registering in the waiting list.The target has been pushed up to 51 applicants for every 1000 patients who are exposed to the risk.

The department will also reduce failure due to diabetes targeting 78 diabetic persons with new cases for end stage renal for every million of the population (Whittle, Whelton, & Seidler, 1991).The disparities experienced by the elderly African Americans as related to the healthy people 2010 goals can be seen to be a very significant issue to be addressed in order to determine whether these are at their best interests equine-research-inc.com/homework/components-technology.php.The disparities experienced by the elderly African Americans as related to the healthy people 2010 goals can be seen to be a very significant issue to be addressed in order to determine whether these are at their best interests.It can be seen that the disease has an unequal impact on the African Americans.Higher numbers of African Americans can be seen to have diabetes and high blood pressure and on average African Americans develop kidney failure at an earlier age than whites which is 55.This is as a result of their likelihood to get diabetes than whites.Rates of new cases can be seen to be increasing by 7 percent (Perneger, Klag,& Feldman, 2003).These high rates if the disease among the elderly African Americans has increased the burden of disease for the community in terms of costs and other resources as members of the community concentrate most of their resources towards the diseases once they get them.Elderly African Americans constitute 12.

6 percent of the population in the united states living with chronic kidney disease whereby 1.7 of them receiving renal transplant which is a small number as compared to the diseased.It is notable that men were highly favored in the renal transplants as compared to women where 7,352 received the treatment as compared to 4,948 women.

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This however is not intentional but entirely dependent on the number of donors available and organs matches made possible (Clark, 1998).The elderly African American community does not have the required access to treatment and this has been greatly facilitated by the failure to have medical insurance and financial ability since most of this population is not employed.

It can also be seen that they have limited treatment facilities in their areas of locality which will be responsible for offering good treatment to them Write me a college presentation ageing professional Platinum 29 pages / 7975 words double spaced American.It can also be seen that they have limited treatment facilities in their areas of locality which will be responsible for offering good treatment to them.

They risk being affected by the disease due to lack of information and resources to facilitate them to take control of their health.This is mainly financial which is limited since most of them have no jobs and access to medical assistance due to lack of money (Perneger, Klag,& Feldman, 2003).The statement which sates that the personal is political usually refers to the theory that personal problems are political problems which is mainly means that most of the problems been faced by individuals especially the elderly African American are not primarily their fault or cause rather the oppression of the system in which they reside or are governed by 1 day ago - The use of case studies can therefore be a very effective classroom technique. Case studies are have long been used in business schools, law schools, medical schools and the social sciences, but they can be used in any discipline when instructors want students to explore how what they have learned  .The statement which sates that the personal is political usually refers to the theory that personal problems are political problems which is mainly means that most of the problems been faced by individuals especially the elderly African American are not primarily their fault or cause rather the oppression of the system in which they reside or are governed by.This is totally true since it is easily notable that these low income neighborhoods that these communities reside are not empowered by the government to overpower the disease logistics.

This is totally true since it is easily notable that these low income neighborhoods that these communities reside are not empowered by the government to overpower the disease.

The policies by the state government have not facilitated good education of community members and provision of good health care resulting to high numbers and consequences of the disease in this community.The socioeconomic trends in these communities have not exactly been very influential in controlling the disease.This is because they have failed to take control of the situation in controlling the disease through education and treatment (Perneger, Klag,& Feldman, 2003).They have been greatly slowed down by lack of financial resources to support activities for the benefit of the community.Political leadership has failed to enact policies and legislation to favor the control of the disease among most of the elderly African Americans.

The policies developed have not been significant enough calling for the need to come up with plans and policies and enact them as laws for the elderly African Americans to benefit.Ethically is the responsibility of medical personnel, leadership and healthcare facilities to take responsibility in controlling chronic kidney disease.These individuals and institutions have not been effective in doing so (Whittle, Whelton, & Seidler, 1991).This responsibility is entrusted with the congress and U.S department of health to ensure that this happens.

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They need to take up and act on useful health reform legislations which will achieve coverage for all Americans regardless of their background, race and beliefs.However it can be seen that the government is coming up with a call to action plan which is aimed at bringing health care reform (McClellan, 2002).The plan covers health care coverage, quality assurance and cost reduction and subsidies 7 Oct 2013 - The vulnerable population that I have selected includes African Americans from the age of sixty to eighty years living in urban low income neighbors in   Also it can be noted that both chronic kidney disease together with its risk factors has been unsurpassed by other chronic conditions in terms of the  .The plan covers health care coverage, quality assurance and cost reduction and subsidies.

This plan will require initial investment and with time it will vastly improve the quality of health care that all Americans receive at the same time reducing the cost of health care making it available.The plan is aimed at utilizing the same budget in the future as the one in use today by ensuring effective and efficient spending of the same resources to ensure quality services and better coverage for all Americans Where to buy an ageing presentation Writing from scratch 84 pages / 23100 words Business double spaced.

The plan is aimed at utilizing the same budget in the future as the one in use today by ensuring effective and efficient spending of the same resources to ensure quality services and better coverage for all Americans.

Nurses can advocate for the education of the elderly African American population about the chronic kidney disease through playing the following role:Nurses as educators are responsible for coming up with the design, implementing, evaluation and constant revision academic materials and other materials responsible for creating awareness.They will ensure that new developments and diseases are made available to the public (Clark, 1998).Nurses are also responsible for coordinating care of the patient equine-research-inc.com/laboratory-report/get-a-ecology-laboratory-report-single-spaced-premium-apa-for-me.Nurses are also responsible for coordinating care of the patient.The nurse works closely with doctors, physical therapists and other professionals.This will provide an opportunity for the patient to learn from the nurses any relevant information and what they need to do in order to put themselves in better positions health wise.

The nurse teaches the patient and his family on the need to restore health, promote health and prevent illness.The nurse demonstrates and teaches the patients on what needs to be done in order to ensure good health and recovery.For example nurses teach patients that it is necessary to cough and breathe deeply after surgery to prevent complications in relation to lungs.They teach the diabetes patients to monitor and watch their sugar (Perneger, Klag,& Feldman, 2003).

Nurses can educate the elderly through campaigns about diseases which affect them.

This may be organized through workshops and seminars where they engage the community in coming to learn about these diseases which affect the elderly at large.