Dilemma #7
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Dilemma #7 Presentation Transcript

  • 1. Dilemma #7
    Amie Starks
  • 2. Ethical Principles to be covered
    Honesty
    Fairness
    Fidelity
  • 3. Honesty
    According to Dictionary.com, honesty is defined as truthfulness, sincerity, or frankness; freedom from deceit or fraud.
    If Lorraine is honest with the customers, will she lose her job?
    Should she be honest, and tell the customers because it’s the right thing to do?
    “Integrity is telling myself the truth. And honesty is telling the truth to other people.”-Spencer Johnson
    http://thinkexist.com/quotations/honesty/
  • 4. On the Other hand…..
    What if Lorraine withheld the information from the customers, would she be included/blamed in the “deceit” should an investigation occur?
    If Lorraine turns in her boss, will it be harder for her to find a job later? Ex: being blamed for the errors, or being accused of framing her boss
    Should an investigation occur, would Lorraine’s boss pin the blame on her, and take the high road?
    “Who lies for you will lie against you.”  ~Bosnian Proverbhttp://www.quotegarden.com/honesty.html
  • 5. Fairness
    According to FreeDictionary.com fairness is defined as having or exhibiting a disposition that is free of favoritism or bias; impartial: a fair mediator; just to all parties; equitable: a compromise that is fair to both factions; being in accordance with relative merit or significance; consistent with rules, logic, or ethics: a fair tactic.
    Is it fair to the customers to be shorted out of their medications, even three at a time?
    Is it fair to the taxpayers, Medicaid and Medicare systems, and insurance companies that the customers be shorted some of their meds?
  • 6. Medicaid/Medicare Fraud
    Medicaid/Medicare fraud can be done many different ways, but I thought these examples were applicable…
    Billing for medical services not actually performed, known as phantom billing
    Dispensing generic drugs and billing for brand-name drugs
    False cost reports (Ex: charging for meds the customers never received)
    In order to report Medicaid/Medicare fraud:
    You must be the original source of information, meaning the information must not be already known to the government or public
    You must not have planned, initiated or participated in the fraud being reported
    **Lorraine was the original source, so she could report her boss for the previous violations.
    http://ago.mo.gov/divisions/medicaid-fraud-control-unit-faqs.htm#header2
  • 7. Fidelity
    According to Wikipedia.com fidelity is defined as the quality of being faithful or loyal.
    Should Lorraine’s loyalty lie with her boss? After all, he provides her paycheck, and has the potential to ruin her career if he spreads lies and blames her for the pill shortage.
    Should Lorraine’s loyalty lie with her customers? She did take an oath to protect her customers via the Pharmacist’s Oath.
    If she tells, is she compromising her personal loyalty to her colleague?
    If she doesn’t tell, is she putting her customers at risk, being left in the hands of a dishonest pharmacist?
    Is this the ONLY dishonest act that Glenn has done?
  • 8. Pharmacist Code of Ethics
    IV. A pharmacist acts with honesty and integrity in professional relationships.
    A pharmacist has a duty to tell the truth and to act with conviction of conscience. A pharmacist avoids discriminatory practices, behavior or work conditions that impair professional judgment, and actions that compromise dedication to the best interests of patients.
    http://www.uspharmd.com/pharmacist/pharmacist_oath_and_code_of_ethics/
  • 9. Pharmacy Oath
    I will apply my knowledge, experience, and skills to the best of my ability to assure optimal drug therapy outcomes for the patients I serve.
    I will take these vows voluntarily with the full realization of the responsibility with which I am entrusted by the public.
    http://www.uspharmd.com/pharmacist/pharmacist_oath_and_code_of_ethics/
  • 10. What is the right thing to do?
    If Lorraine reports her boss, is she putting herself and her customers at risk? (I’m sure Glenn will fire Lorraine as soon as he finds out she reported him)
    If Lorraine doesn’t report her boss, is she saying that it’s okay to be dishonest, and advocating Medicare/Medicaid fraud?
    If Lorraine waits and tries to counsel her boss on the ramifications of his actions, is she contributing to his web of deceit?
    Her decision will be a difficult one.