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Consider the following topics. In many U.S. communities, low-income populations use the emergency room instead of going to a physician or mid-level provider’s office. They often do not pay the bill for their service, which shifts the cost of their care to other, paying patients at the hospital. This practice drives up the cost of health care, but what else can hospitals do? They have to have a certain amount of income to keep their doors open. Is this fair? What if these sick people remain untreated and infect others? Is this just? Do they deserve care so that they don’t infect others? We talk about a culture of poverty in this country. What does this mean to you? What about those people who seem to bilk or misuse the health care system? Do they deserve care? If so, who should pay for it? Shouldn’t everyone be forced to carry health insurance so that everyone has a pay source? Can we expect people to pull themselves up by their bootstraps?


· Stanhope, M., & Lancaster, J. (2020). 
Public health nursing: Population-centered health care in the community (10th ed.). Elsevier.

· Chapter 2, “History of Public Health and Public and Community Health Nursing” (pp. 22-44)

· Chapter 7, “Application of Ethics in the Community” (pp. 149-164)

Post your response to the following:

· What does social justice mean to you? Is social justice the same as socialized medicine or even communism?

· The notion of social justice is fairness so that everyone can achieve a certain level of health and wellness. After all, the Constitution guarantees everyone the right to pursue happiness. Is the health care system fair?

· If you could wave a magic wand and fix the health care system, what is the first thing you would notice indicating that it had changed? Or, in your opinion, do you think it needs to be changed at all?

Support your response with references from professional nursing literature.

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use 

evidenceLinks to an external site.
 from the readings and include 

in-text citationsLinks to an external site.
. Utilize 

essay-levelLinks to an external site.
 writing practice and skills, including the use of 

transitional materialLinks to an external site.

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