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Ethical Situation: Welfare Recipient Drug Testing?



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No. 50
from 300g
Old Jul 05, 2009, 09:12 AM
Updated Jul 05, 2009 at 09:18 AM by 300g

Default re: Ethical Situation: Welfare Recipient Drug Testing?
Originally Posted by kythe View Post
A person kicked off welfare for drug use won't just disappear into oblivion, they may end up on the streets or in jail.
At least there would be a consequence for their actions. Receiving money while living that lifestyle is just rewarding the behavior.



The problem with saying people need to finish high school or get a GED first is how they will support themselves while going through school. You've got to start somewhere. What about teen parents who drop out of school to work to support their baby since their own families won't support them? How will they make enough to survive, especially if they have to finish school before being eligible for help?

There are millions of children on Medicaid who have no other health insurance, for a variety of reasons. It shouldn't be a requirement that these children's parents be high school graduates before their medical needs are met.
Children receive their own benefits, not their parents. Their medical needs are met the day they are born and admitted to my NICU because their mother didn't obtain (FREE) prenatal care while she was abusing drugs. Hence the (reinforced) need for birth control agreement required to receiving benefits.

In addition to the Depo Provera idea, I propose that all prisons should be self sufficient and self sustained to a large degree. The inmates should plant their own food, tend to their own livestock and sell any excess products to earn income that pays for their expenses. You don't work, you don't eat.
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No. 51
from kythe
Old Jul 05, 2009, 11:28 AM

Default re: Ethical Situation: Welfare Recipient Drug Testing?
Originally Posted by 300g View Post
At least there would be a consequence for their actions. Receiving money while living that lifestyle is just rewarding the behavior.
Not if they were required to go through some kind of rehab and job training if they test positive.

Children receive their own benefits, not their parents. Their medical needs are met the day they are born and admitted to my NICU because their mother didn't obtain (FREE) prenatal care while she was abusing drugs.
Yes, this can be an issue. It doesn't help the mother have any sense of responsibility when the baby is taken from her at birth and she never sees the consequences of what she has done. She isn't the one raising a disabled child, which makes it easier for her to deny how serious the problem is. However, many welfare recipients are not on drugs and many drug abusers do not seek prenatal care at all because they are afraid to go to a doctor and have their addiction discovered. These issues are not necessarily related.

Hence the (reinforced) need for birth control agreement required to receiving benefits.

In addition to the Depo Provera idea, I propose that all prisons should be self sufficient and self sustained to a large degree. The inmates should plant their own food, tend to their own livestock and sell any excess products to earn income that pays for their expenses. You don't work, you don't eat.
Your prison idea sounds good to me, to cut costs and increase responsibility for inmates, but I strongly disagree about birth control being required for receiving welfare benefits. Even convicted child abusers cannot be forced to use birth control since it is a violation of their human rights. Being poor is not a crime, nor are most poor people drug users.

Medicaid already provides all forms of birth control (except abortion) for free. Recipients can even be sterilized surgically without so much as a copay. But having birth control readily available to welfare recipients and forcing it on them are very different solutions.
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No. 52
from 300g
Old Jul 05, 2009, 12:25 PM

Default re: Ethical Situation: Welfare Recipient Drug Testing?
Originally Posted by kythe View Post
Not if they were required to go through some kind of rehab and job training if they test positive.
So you propose that tax payers are not only financially responsible for the current program... but we should add drug testing, rehab and job training to the tab...?


Yes, this can be an issue. It doesn't help the mother have any sense of responsibility when the baby is taken from her at birth and she never sees the consequences of what she has done.
This is a common misconception. VERY FEW children are "taken" from their mother. In fact, a lot of mothers in this situation simply never come to see their child... and Child Protective Services still sends the baby home with the mother.


However, many welfare recipients are not on drugs
Then they shouldn't have a problem with drug testing and they'll receive benefits.



Your prison idea sounds good to me, to cut costs and increase responsibility for inmates, but I strongly disagree about birth control being required for receiving welfare benefits. Even convicted child abusers cannot be forced to use birth control since it is a violation of their human rights. Being poor is not a crime, nor are most poor people drug users.
Thank you. OK, human rights... how about human responsibilities? If you can't care for yourself, you should be held responsible for not bringing another dependent into this world. If a welfare receipient wants another child, why should I be responsible to pay for it? What about my rights as a tax payer? Depo Provera is temporary birth control. They can have babies when they can care for them.


I'm a kind, caring and giving person. I'm happy to help a person in need. However, when that person knowingly and willingly compounds the problem and expects that I increase my support for them... they're taking advantage of me. That's not ok.
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No. 53
from kythe
Old Jul 05, 2009, 09:58 PM

Default re: Ethical Situation: Welfare Recipient Drug Testing?
Originally Posted by 300g View Post
So you propose that tax payers are not only financially responsible for the current program... but we should add drug testing, rehab and job training to the tab...?
If I start complaining about waste in government spending, it's not usually because they are spending money on people who need help or intervention for problems. If anything, I tend to think more money needs to go toward these types of causes. Drug users will cost us money regardless, but currently it is more in the form of increased homelessness/need for shelters, or prisons.

If you're really going to get into bills that taxpayers pick up, the cost of disability is far more than otherwise able-bodied people utilizing welfare. I have worked in group homes for the developmentally disabled and seen patients whose cost of care is entirely picked up by medicaid throughout their entire lives. These people seem "invisible" to the general public as compared with other welfare recipients, yet they are the most expensive. One example I know of is a 2 year old vent pt currently who had been born at 23 weeks to a mother who had received no prenatal care and after a while decided she didn't want her. As a baby she spent several months in NICU, had several major surgeries, and has spent the rest of her life since in group homes with 24 hr nursing care. The cost of her care has been estimated at a *million* dollars for her first year alone. Guess who picks up the bill - taxpayers. I'm not suggesting she isn't worth it, but I'm trying to put things into perspective. It might be possible to send 100 people to drug counseling to try to prevent problems like this, with the equivalent money used to keep one severely disabled child alive.


Thank you. OK, human rights... how about human responsibilities? If you can't care for yourself, you should be held responsible for not bringing another dependent into this world. If a welfare receipient wants another child, why should I be responsible to pay for it? What about my rights as a tax payer? Depo Provera is temporary birth control. They can have babies when they can care for them.
I tend to agree that it isn't responsible to have babies you can't afford, but I won't begin to conclude that I am in a position to make major life decisions for other people simply because I have more money than they do. This isn't really about responsibility, but about control.

Targeting those who concieve while impoverished only addresses a small part of the low income problem. What about people who already have children when they divorce, a spouse dies, or they become disabled and have trouble supporting their family? Then to add insult to injury, a random law based on assumptions about their ability to make responsible decisions for themselves would force these people to use birth control regardless of their lifestyle, personal or religious beliefs. Not everyone can physically handle hormonal birth control either. Depo Provera is strongly associated with bone density loss and contraindicated in some groups of people. It is not recommended for teens or anyone with family history of osteoporosis, and it is not recommended for more than two years at a time.

It is condescending at best to force birth control on others, especially when the decision is made not because of any evidence of their maturity or parenting ability, but only on how much income they have at the moment.
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No. 54
Old Jul 06, 2009, 07:24 AM

Default re: Ethical Situation: Welfare Recipient Drug Testing?
Really good topic OP. I am interested in all replies.
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No. 55
from 300g
Old Jul 06, 2009, 08:23 AM

Default re: Ethical Situation: Welfare Recipient Drug Testing?
kythe, although we disagree, I'm enjoying the conversation.

Originally Posted by kythe View Post
If I start complaining about waste in government spending, it's not usually because they are spending money on people who need help or intervention for problems. If anything, I tend to think more money needs to go toward these types of causes. Drug users will cost us money regardless, but currently it is more in the form of increased homelessness/need for shelters, or prisons.
OK, so they test positive for illegal drugs, they broke the law, they go to jail... impliment self sufficient prison systems. Problem solved. (I know it's not that simple)


If you're really going to get into bills that taxpayers pick up, the cost of disability is far more than otherwise able-bodied people utilizing welfare. I have worked in group homes for the developmentally disabled and seen patients whose cost of care is entirely picked up by medicaid throughout their entire lives. These people seem "invisible" to the general public as compared with other welfare recipients, yet they are the most expensive. One example I know of is a 2 year old vent pt currently who had been born at 23 weeks to a mother who had received no prenatal care and after a while decided she didn't want her. As a baby she spent several months in NICU, had several major surgeries, and has spent the rest of her life since in group homes with 24 hr nursing care. The cost of her care has been estimated at a *million* dollars for her first year alone. Guess who picks up the bill - taxpayers. I'm not suggesting she isn't worth it, but I'm trying to put things into perspective. It might be possible to send 100 people to drug counseling to try to prevent problems like this, with the equivalent money used to keep one severely disabled child alive.
You don't have to convince me about this... I see it everyday. You should see the bills for my patients - to include the helicopter transport, ECMO for a month, Nitric Oxide for 3 more months... because the baby was stressed in utero and passed meconium...


I tend to agree that it isn't responsible to have babies you can't afford, but I won't begin to conclude that I am in a position to make major life decisions for other people simply because I have more money than they do. This isn't really about responsibility, but about control.
I disagree. I don't think it's about money or control. My perspective is that a person applies for welfare because they need help, and if qualified, may accept benefits. It's a voluntary agreement for assistance. You don't have to agree to the terms.

You don't have to agree to drug testing.
You don't have to agree to birth control.


Targeting those who concieve while impoverished only addresses a small part of the low income problem. What about people who already have children when they divorce, a spouse dies, or they become disabled and have trouble supporting their family? Then to add insult to injury, a random law based on assumptions about their ability to make responsible decisions for themselves would force these people to use birth control regardless of their lifestyle, personal or religious beliefs. Not everyone can physically handle hormonal birth control either. Depo Provera is strongly associated with bone density loss and contraindicated in some groups of people. It is not recommended for teens or anyone with family history of osteoporosis, and it is not recommended for more than two years at a time.

It is condescending at best to force birth control on others, especially when the decision is made not because of any evidence of their maturity or parenting ability, but only on how much income they have at the moment.
Why would a responsible adult, who applies for welfare, decide to bring another dependent into their care? They don't... so that's not the population I'm targeting. FWIW, Depo Provera is simply an example.
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No. 56
from kythe
Old Jul 06, 2009, 09:04 AM

Default re: Ethical Situation: Welfare Recipient Drug Testing?
Originally Posted by 300g View Post
kythe, although we disagree, I'm enjoying the conversation.
Thank you. I always hate getting caught up in an "argument" with people. But intense discussions can be educational since we are exposed to perspectives and angles on the issue that we may not have thought of otherwise. That's how I like to see it.
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No. 57
from Castymiss
Old Jul 06, 2009, 05:11 PM

Default re: Ethical Situation: Welfare Recipient Drug Testing?
Actually welfare does NOT look like that. MOST are drug abusing people. Most are lazy and do NOT want to work. I know many many people who could work but refuse to even look for a job. Why should they??? They get food stamps, medical care, and money. So NO, most are not just single moms needing help. MOST are abusing the system. I have a few in my own family doing just that. Years and years on the dole and refusing to even look for a job. I agree there are a FEW who really need it and are looking to help themselves, but that is NOT the norm.
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No. 58
Old Jul 07, 2009, 07:29 AM

Default re: Ethical Situation: Welfare Recipient Drug Testing?
Originally Posted by Castymiss View Post
Actually welfare does NOT look like that. MOST are drug abusing people. Most are lazy and do NOT want to work. I know many many people who could work but refuse to even look for a job. Why should they??? They get food stamps, medical care, and money. So NO, most are not just single moms needing help. MOST are abusing the system. I have a few in my own family doing just that. Years and years on the dole and refusing to even look for a job. I agree there are a FEW who really need it and are looking to help themselves, but that is NOT the norm.
Just because most people you know abuse the system doesn't mean most people abuse the system, period. If that were the case, I could say (honestly) that most of the people I know on welfare work to support their kids, but just don't make enough to cut it, and therefore, most people are honest, but just down on their luck. I really dislike generalizations. If you're going to make that kind of statement, you should have a source to refer us to. Otherwise, it's like saying most of the people I know of such-and-such race are (insert negative trait here), therefore, most people of such-and-such race are (insert negative trait here).
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No. 59
from kythe
Old Jul 07, 2009, 01:55 PM

Default re: Ethical Situation: Welfare Recipient Drug Testing?
Originally Posted by Castymiss View Post
Actually welfare does NOT look like that. MOST are drug abusing people. Most are lazy and do NOT want to work. I know many many people who could work but refuse to even look for a job. Why should they??? They get food stamps, medical care, and money. So NO, most are not just single moms needing help. MOST are abusing the system. I have a few in my own family doing just that. Years and years on the dole and refusing to even look for a job. I agree there are a FEW who really need it and are looking to help themselves, but that is NOT the norm.
I once lived in a county where 20% of the population was on medicaid, and that's not including other welfare benefits. I don't think this is because 20% of the population was on drugs, lazy, or not wanting to work. I'll venture a guess that this was because it is a large rural county without any major employers within a 75 mile radius. There is a high population of farmers and ranchers, as well as small business owners and minimum wage employees who simply don't make enough money to afford health care and other living expenses.

Not to mention that most welfare recipients are children.
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