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You are presented with a 52-year-old female patient. She is experiencing acute discomfort from gall stone symptoms for the fourth time in 8 years. The condition has responded to nonsurgical treatment in the past, but each subsequent time is a slower and more painful recovery. She is underinsured, and the cost of a surgery would be beyond her means without some sort of write-off or assistance. However, her family makes too much to qualify for Arizona Health Care Cost Containment System (AHCCCS).
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Examine this case, using each of the following principles in turn as a possible guide to your actions:
- The principle of utility: Bring about the greatest good with the least harm.
- The principle of equality: Everything is distributed equally.
- The principle of need: Those with greatest need get the greatest share.
- The principle of contribution: Everyone receives in proportion to what they put in.
- The principle of effort: Those who work hardest get the most.
- The principle of autonomy: Rational individuals are self-determining, and nothing is forced or coercive.
APA format is not required, but solid academic writing is expected. One to two paragraphs per principle.
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