Justice

Question 1

what are the 4 definitions of justice (broad sense, legal, philosophical and ethical) ?

Answer 1

Broad sense: determining what someone or some group is owed/merits/entitled to
Legal sense: commit a crime – go to jail
Philosophical justice: rights and freedoms
Ethical sense: social justice, distributive justice

Question 2

what does distributive justice pertain to?

Answer 2

money - resource allocation

Question 3

what are the 5 principles of justice in the Canada Health Act?

Answer 3

1. comprehensive
2. universality
3. accessibility
4. portability
5. public administration

Question 4

what is the Utilitarian view on distributive justice

Answer 4

determining resource distributions that will produce the greatest amount of benefit for the greatest number of people

Question 5

regarding the Canada health Act and the 5 principles of justice: comprehensive

Answer 5

coverage (what is covered?)
everything that is medically NECESSARY

Question 6

only covering the costs of “medical necessities” and not other medical costs (e.g., dental care etc.) is an example of which theory? why?

Answer 6

utilitarian approach; everything being covered isn’t feasible but having the necessities covered is “best for all”

Question 7

regarding the Canada health Act and the 5 principles of justice: universality

Answer 7

who’s covered? - most Canadians but native/metis peoples have different coverage/health act

Question 8

regarding the Canada health Act and the 5 principles of justice: accessibility

Answer 8

can you get your coverage?
regards barriers to accessing healthcare
e.g. :
waitlists, geography/small town resources, lack of specialized care, low health literacy, disability [mobility]

Question 9

5 barriers to accessing health care in Canada

Answer 9

waitlists, geography/small town resources, lack of specialized care, low health literacy, disability [mobility]

Question 10

regarding the Canada health Act and the 5 principles of justice: portability

Answer 10

does your care travel with you? (travel within Canada)

Question 11

regarding the Canada health Act and the 5 principles of justice: public administration

Answer 11

who is responsible?
provincial/territorial administration

Question 12

describe the relationship between distributive justice and autonomy in healthcare

Answer 12

in a publicly funded healthcare system, the public is the ultimate source of authority, and therefore decisions regarding the allocation of resources should express the will of the public

Question 13

describe social justice in healthcare

Answer 13

The view that broad social change is necessary to reduce health inequalities

concerned with the distribution of social determinants that impact health status

Question 14

what are the 3 levels involved with healthcare resource allocation

Answer 14

1. societal level (government raises taxes - provides funding)
2. institutional level (access to available services)
3. individual level (RPNs getting involved - speaking up/being active in union)

Question 15

what is the “false dilemma” proposed by politicians who claim there isn’t enough money to increase healthcare funding? what do we call politicians who like to use this excuse?

Answer 15

we must raise taxes or cut services;

any politicians that like to say this, are “big fat dirty rotten lying rat bags”

Question 16

what are 3 ways RPNs can assist in managing healthcare funding available to them/their workplace

Answer 16

1. be active in your union
2. When you encounter waste in our healthcare system, report it and do what you can to reduce it – draw attention to unused supplies that aren’t being used but keep being ordered
3. Every time you are faced with a shortage of resources that directly impacts your patients – chart it (permanent record for evidence to “prove” to politicians we are not wrong about the medical shortages)