Thanatology 2200 Lecture Notes - Lecture 8: Signify, Life Insurance, Intellectual Disability

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violetsardine906

1 Feb 2017

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Document Summary

The expert knowledge regarding medical practices and technology often overrides the expert experience of the patient as the person who is in need of this technology and access to care. Morality assesses human behavior in terms of right/wrong or good/evil, usually according to criteria shared by a cultural or religious group. When we look at the goals of health care providers, the goals of medicine are identified as: Harvard medical school criteria for the determination of death/law reform commission of cananda. Death could be inferred with the permanent loss of all brain functions (whole brain death), from brainstem to higher cortical functioning. individual is not considered dead until the entire brain ceases to function. Human tissue gift act (1996) stipulates that a donor must be brain dead and may not receive any compensation for the donation. The law in canada also stipulates that a potential donor"s signature on a donor card is binding.

Related Questions

One of your physicians storms into your office and says, "Can Ifire a patient because her daughter is driving menuts?"

He then explains that his patient is an 82-year-old woman withmultiple comorbidities, including diabetes, hypertension, and earlydementia. Her daughter brings her to appointments and is veryinvolved in her care. On this occasion, the daughter presented thedoctor with 10 printed pages of her mother's data, including bloodglucose readings and blood pressure checks three times a day forthe last 6 months, what her mother has eaten and amount of fluidsconsumed, what time she went to bed and awoke, when she took hermedications, bowel movements, and diary of her activities. Thedoctor had complimented the daughter on her exhaustive notes, andthe daughter stated she wanted these entered into her mother'smedical record.

After examining the mother and noting an increase in her bloodpressure, the doctor made the recommendation for increasing themetoprolol dosage, but the daughter refused, stating that she hadread on the Internet that metoprolol was harmful to older patients.The daughter wanted him to prescribe another medication she readabout, which the doctor did not think would work as well,particularly with the patient's limited renal function. Thedaughter was insistent on his prescribing the alternate medication.at which point the doctor terminated the visit, stating that hewould research the alternate medication and they could discuss itat the next appointment. In the meantime, he directed them to staywith the increased dosage of metoprolol until they could discussthis further. The daughter was angry and as they left, she justsaid "maybe".

What are some of the concerning issues in this interaction? Canthe doctor "fire the patient"? Can or should he include in thepatient's EHR the excruciating details from the patient-generatedhealth data the daughter brought? Do you have any suggestions forboth the doctor and the patient's daughter?

byzantiumfrog217

Facts:

Larry and Marcia Ricci are a married couple living in Californiawho file a joint tax return. For the past

several years, Larry worked full time as a CPA. This year, Larryspent 2,250 hours working in his CPA

position.

In addition to being a homemaker, Marcia worked part-time as areal estate agent at Brokerage Firm.

Although Marcia was licensed as a real estate agent applicablestate law; she was not a licensed as a

broker. Marcia worked for Brokerage under a contract statingthat she was an independent contractor,

not an employee of the brokerage firm. Consistent with Marciaâsindependent contractor status, the

Brokerage issued a Form 1099 to her. Brokerage did not pay her asalary; rather, she received

commissions. The contract also required Marcia to sell,exchange, lease, or rent properties and solicit

additional listings, clients, and customers diligently and withher best efforts. Marcia spent a total of

1,000 hours selling real estate this year.

During this year, Larry and Marcia owned two apartment rentalproperties. In addition to his

employment as a CPA, Larry spent approximately 80 hours managingProperty 1. Property 1 had a

resident who assisted Larry and the resident spent 100 hoursthis year managing it.

Marcia spent approximately 430 hours managing the Property 2during this year. She was the only

person who managed this property.

This year, Larryâs CPA salary is $300,000. Marcia will have realestate commissions from Brokerage of

$80,000 and related expenses of $25,000. Her Schedule C for herreal estate agent activity will, thus,

show net income of $55,000.

Property 1 collected $60,000 of rental income, but had $80,000of expense, for a net $20,000 loss.

Property 2 collected $75,000 of rental income, but had $90,000of expense for a net $15,000 loss.

The Riccis are concerned about whether the passive activity lossrules of Code section 469 may apply to

limit their ability to deduct losses related to theProperties.

Issues:

1) To what extent, if any, are the losses related to theProperties deductible this year?

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