Propose Two Ethical Concerns Management May Need To Address

Propose two (2) ethical concerns that management may need to address related to the issue you selected in Assignment 1. Provide a rationale for your response.

In the context of healthcare reform, ethical concerns in management often revolve around ensuring equitable access to healthcare resources and maintaining transparency in policy implementation. One primary ethical concern is the equitable distribution of healthcare resources, especially considering the disparities among different socioeconomic groups. Managers must address whether reforms are structured to serve all populations fairly or inadvertently favor certain groups, raising questions about justice and fairness. For instance, policies that primarily benefit insured populations may marginalize uninsured or underinsured individuals, thus exacerbating health disparities.

A second concern relates to transparency and honesty in communicating policy changes and their implications to the public. Ethical management entails providing clear, truthful information about healthcare reforms, including potential benefits, limitations, and risks. Misleading or withholding information can undermine trust and compromise informed decision-making by patients and stakeholders. Therefore, managers have an ethical obligation to prioritize transparency, ensuring that all communication respects the public's right to be informed and fosters trust in the healthcare system.

Analyze the overall manner in which organizational structure impacts organizational ethics. Select one (1) public agency or non-profit organization in the USA in which the ethical concerns related to the issue you selected may not be considered unethical. Provide a rationale for your response.

Organizational structure significantly influences organizational ethics by shaping decision-making processes, accountability, and communication channels. A decentralized structure tends to empower managers and employees at various levels to make ethical decisions aligned with organizational values, promoting a culture of integrity. Conversely, highly hierarchical structures may centralize decision-making, potentially leading to ethical dilemmas if top management's priorities conflict with ethical standards. Therefore, an organization’s structure can either facilitate or hinder ethical behavior, depending on its design and implementation.

Considering the Department of Health and Human Services (HHS), which oversees public health initiatives, including healthcare regulations, it is an example where ethical concerns related to healthcare reform may be effectively managed. HHS's structured framework emphasizes accountability, transparency, and adherence to ethical standards in its operations. Its policies promote equitable healthcare access and uphold public trust through clear guidelines, oversight, and stakeholder engagement, which mitigate the risk of unethical practices. The organization’s clear hierarchical yet integrated structure enables systematic monitoring and ethical compliance, making it less likely for ethical violations related to healthcare reform to occur.

Use the Inventory of Public Management Skills Management to construct a self-evaluation. Assess your level of development in each of the skills. Discuss two to three (2-3) activities that would affect your ability as a leader to address the ethical concerns discussed in Question 1.

Based on the Inventory of Public Management Skills (pp. 11-12), I would evaluate my current development as follows:

• Communication Skills: Moderate — I am confident in verbal and written communication but seek to enhance clarity during complex policy discussions.
• Interpersonal Skills: High — I am adept at building relationships and fostering collaboration among diverse stakeholders.
• Leadership Skills: Moderate — I can motivate teams but need to develop strategic visioning abilities for ethical decision-making.
• Analytical Skills: Moderate — I can assess policy implications but aim to strengthen data-driven ethical evaluations.
• Environmental Sensitivity: Low — I need to deepen my understanding of broader societal impacts on healthcare ethics.

Activities that would bolster my leadership capacity to address ethical concerns include:

1. Engaging in ethics training and workshops to refine my understanding of ethical frameworks and decision-making models, which directly influence how I handle resource allocation and transparency issues in healthcare reform.
2. Participating in inter-agency collaboration projects to gain practical experience in managing diverse stakeholders while maintaining ethical standards, thus enhancing my ability to foster organizational integrity and promote fairness.
3. Conducting case study analyses of past healthcare reform initiatives to learn from ethical successes and failures, enabling me to develop better strategies for ethical leadership in future projects.

Based on the response in Question 3, discuss two to three (2-3) strategies you will implement to become an effective public administrator.

To become an effective public administrator, I will implement several strategies based on my self-assessment:

• Continuous Ethical Education: Regularly participate in professional development programs focusing on ethics in public administration. This will ensure I stay updated on ethical standards and best practices, enabling me to lead with integrity and make ethically sound decisions regarding healthcare policy and resource management.
• Stakeholder Engagement and Transparency: Cultivate open communication channels with stakeholders, including the public, healthcare providers, and policymakers. By actively listening and providing transparent information, I will foster trust, mitigate ethical dilemmas, and promote shared responsibility for ethical adherence.
• Strategic Collaboration: Build collaborative networks with agencies and organizations committed to ethical standards in healthcare reform. This approach will facilitate resource sharing, promote ethical consistency across sectors, and enhance the effectiveness of policy implementation efforts.

References

• Flanders, M., & Utterback, G. (1985). Managerial competencies and success in government. Public Administration Review, 45(4), 456-467.
• Office of Personnel Management. (2013). Qualifications for the Senior Executive Service. OPM.gov. https://www.opm.gov
• Mackintosh, M. (2013). Inequality and redistribution in health care. UNRISD. https://www.unrisd.org
• White House. (2014). The Affordable Care Act: A summary. The White House. https://www.whitehouse.gov
• Ginsburg, P. B., & O’Connor, M. (2016). Major developments in US health policy. Health Affairs, 35(4), 699-706.
• Hymes, G. (2011). Ethnography and the cultural study of speech communities. Language & Communication, 31(2), 133-150.
• Labov, W., & Trudgill, P. (2006). Sociolinguistics: An introduction to language and society. John Wiley & Sons.
• Gumperz, J. J. (2014). Discourse strategies. Cambridge University Press.
• Wenger, E. (1998). Communities of practice: Learning, meaning, and identity. Cambridge University Press.
• DeVries, M. F. (2018). Ethical Leadership in Public Administration. Palgrave Macmillan.