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FPPart1. extension .docx MMPA 6405 Final Project: Part 1: Ethical Dilemmas Master of Public Administration, Walden University MMPA 6405: Ethics and Social Justice Final Project: Part 1: Ethical Dilemmas According to the Maryland State Archives, the first known public health office was establi...
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MMPA 6405
Final Project: Part 1: Ethical Dilemmas
Master of Public Administration, Walden University
MMPA 6405: Ethics and Social Justice
Final Project: Part 1: Ethical Dilemmas
According to the Maryland State Archives, the first known public health office was
established in Baltimore in 1792 as a response to the yellow fever epidemic. Several years later,
the Baltimore City Health Department formed and provided healthcare services (vaccines,
registering births and deaths) and environmental health (cleaning streets, tending to sewers)
needs. The State of Maryland’s involvement in public health efforts came several years later after
a group of physicians created a Board, commissioned by the General Assembly in 1798. The
Board set out to stop the spread of misinformation regarding health to Maryland residents. In
1880, the Board was granted the power to create local boards to better handle emergencies
(Maryland State Archives, n.d.).
Consistent with its predecessor, Maryland Department of Health (MDH), formerly
Maryland Department of Health and Mental Hygiene (MDMH), uphold the principles of public
administration by guaranteeing access to public healthcare and information to citizens and
operates as a regulatory body to healthcare providers, facilities, and organizations, and manages
direct services to patients where appropriate (Maryland Department of Health, n.d.).
According to the Maryland Department of Health website, their mission states “We work
together to promote and improve the health and safety of all Marylanders through disease
prevention, access to care, quality management, and community engagement”. Furthermore, the
Maryland Department of Health vision states "the vision of MDH is lifelong health and wellness
for all Marylanders" (Maryland Department of Health, n.d.). To effectively serve the needs of
residents, the Department is divided into four divisions that manage various healthcare systems
and programs that promote health.
, According to the Maryland Code of Health, the Governor, with consent from the state
Senate, appoints the Secretary of Health (Code Health-General Article, sec. 2-102). The
Secretary reports directly to the Governor about all matters within the Department. The Secretary
must deliver health services that serve the interests of all Marylanders; sets and administers laws
relating to health issues; and adopts and revises a State health improvement plan. Concurrently,
the Secretary also advises numerous boards, commissions, and advisory groups (Code Health-
General Article, secs. 2-101-2-611). The Department must also abide by Maryland’s Public
Information Act which grants citizens access to public records regarding the agency's activities
(Maryland Attorney General, 2015). Organizational goals are set forth by people in positions of
authority. Each of the Divisions under the umbrella of MDH has its missions and values that they
employ to best serve the needs of the community. With 6,500 employees and a $12 million
budget, citizens depend on MDH to carry out operations that best serve them.
Public Health Services administers emergency responses to environmental health and
infectious diseases. The Behavioral Health Division provides mental health and substance abuse
services. Maryland Medicaid Administration serves low-income residents by providing free or
low-cost health insurance. Finally, the Developmental Disabilities Administration implements a
system of services for residents with developmental or intellectual disabilities. The Department
also has 20 boards that license and regulate healthcare professionals and various commissions
that issue grants and make recommendations on improvements in the healthcare system
(Maryland Department of Health, n.d.).
Ethical Dilemma
There is currently a limited supply of the vaccine leaving those in less vulnerable
populations waiting weeks to know when they will qualify to receive the vaccine (CDC, 2020).
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