
Contents
-
-
-
-
-
-
“Doing T’ai Chi” and “Ducking The Arrow” “Doing T’ai Chi” and “Ducking The Arrow”
-
How Turfing And Workarounds Differ How Turfing And Workarounds Differ
-
Bending The Rules And Gaming The System Bending The Rules And Gaming The System
-
Bending the Rules and Breaking the Rules Bending the Rules and Breaking the Rules
-
-
The Ethics Of Advocacy The Ethics Of Advocacy
-
Undocumented Immigrants And Access To Health Care Undocumented Immigrants And Access To Health Care
-
Turfing Undocumented Patients Turfing Undocumented Patients
-
Bioethics, Human Rights, And Fairness In Health Care Systems Bioethics, Human Rights, And Fairness In Health Care Systems
-
Mann: Making the Right to Health Care Real in Flawed Systems Mann: Making the Right to Health Care Real in Flawed Systems
-
Appiah: Duties to Strangers and the Ethics of Professional Identity Appiah: Duties to Strangers and the Ethics of Professional Identity
-
Wolff and Farmer: Duties to Health and Duties to the Poor Wolff and Farmer: Duties to Health and Duties to the Poor
-
Sen: Access to Process Sen: Access to Process
-
Carens: The “Right to Stay” and Its Health Care Implications Carens: The “Right to Stay” and Its Health Care Implications
-
-
-
-
-
-
-
3 Turfing, Bending, and Gaming
Get access-
Published:December 2015
Cite
Abstract
“Turfing, Bending, and Gaming” (chapter 3) explores three types of workarounds that arise when health care professionals and organizations confront resource allocation problems. The chapter describes why “turfing” patients or unresolved problems to other institutions or less powerful colleagues is unethical. It also analyzes the ethical challenges arising when professionals consider whether it is appropriate to bend rules, exploit loopholes, or use other “creative” measures to direct resources toward some patients and, consequently, away from others. This chapter examines the challenges professionals face when caring for patients who remain uninsured. It argues that flawed policies create organizational inefficiencies as clinicians struggle to manage the consequences of policy problems and to treat patients fairly.It draws on empirical studies of safety-net health care, ethics and related health policy literature, and contemporary perspectives on health care access for low-income populations from Jonathan Wolff, Paul Farmer, Amartya Sen, Joseph Carens, and others.
Sign in
Personal account
- Sign in with email/username & password
- Get email alerts
- Save searches
- Purchase content
- Activate your purchase/trial code
- Add your ORCID iD
Purchase
Our books are available by subscription or purchase to libraries and institutions.
Purchasing informationMonth: | Total Views: |
---|---|
October 2022 | 1 |
June 2024 | 1 |
July 2024 | 1 |
February 2025 | 2 |
Get help with access
Institutional access
Access to content on Oxford Academic is often provided through institutional subscriptions and purchases. If you are a member of an institution with an active account, you may be able to access content in one of the following ways:
IP based access
Typically, access is provided across an institutional network to a range of IP addresses. This authentication occurs automatically, and it is not possible to sign out of an IP authenticated account.
Sign in through your institution
Choose this option to get remote access when outside your institution. Shibboleth/Open Athens technology is used to provide single sign-on between your institution’s website and Oxford Academic.
If your institution is not listed or you cannot sign in to your institution’s website, please contact your librarian or administrator.
Sign in with a library card
Enter your library card number to sign in. If you cannot sign in, please contact your librarian.
Society Members
Society member access to a journal is achieved in one of the following ways:
Sign in through society site
Many societies offer single sign-on between the society website and Oxford Academic. If you see ‘Sign in through society site’ in the sign in pane within a journal:
If you do not have a society account or have forgotten your username or password, please contact your society.
Sign in using a personal account
Some societies use Oxford Academic personal accounts to provide access to their members. See below.
Personal account
A personal account can be used to get email alerts, save searches, purchase content, and activate subscriptions.
Some societies use Oxford Academic personal accounts to provide access to their members.
Viewing your signed in accounts
Click the account icon in the top right to:
Signed in but can't access content
Oxford Academic is home to a wide variety of products. The institutional subscription may not cover the content that you are trying to access. If you believe you should have access to that content, please contact your librarian.
Institutional account management
For librarians and administrators, your personal account also provides access to institutional account management. Here you will find options to view and activate subscriptions, manage institutional settings and access options, access usage statistics, and more.