You have provided an accurate and elaborative analogy on the lack of insurance among different populations in the United States of America. It is true that there still exist a large number of people who do not have health insurance and this indeed result from lack of awareness and extreme poverty characterized by inadequate income among some population. With the large number of uninsured people both the private and public hospitals continue to lose revenues especially when it comes to admitting and treating patients in emergency situations. In most cases, individuals who are insured tend to get worse care as compared the people with insurance coverage (Mulligan & Castañeda, 2017). With lack of jobs and extreme poverty in the low income areas, people do not enroll in the healthcare insurance plan even with the option of least monthly payment.
Lack of healthcare insurance among some patients may interfere with the ethical principles in a given healthcare setting. On other words, caregivers may sometimes ignore the requirements in terms of payment with the aim of helping the patients, especially the ones who are critical conditions (Mulligan & Castañeda, 2017). Doctors, physicians and nurses may fail to consider their level of professionalism in an attempt to achieve equality in healthcare delivery.
If the trend of lack of insurance continues, the hospitals may respond through formulating new strategies in line with the government policies to introduce free medical care which is then paid by the government from taxes (Reich, 2016). On the other hand private hospitals may limit the number of patients and only allow patients with health insurance coverage to obtain treatment. However, this may lead to unethical practices where patients are denied care when they are in need of it.
Mulligan, J. M., & Castañeda, H. (Eds.). (2017). Unequal coverage: The experience of health care reform in the United States (Vol. 2). NYU Press.
Reich, A. D. (2016). Selling our souls: The commodification of hospital care in the United States. Princeton University Press.