Discussion Medical Establishment

Consider the multicultural perspective while reading this line from chapter 9: For many individuals, the medical establishment represents a place where they have little knowledge, no power or authority, or previous difficult experiences.

For this discussion, you are going to read a report from a study conducted by the CDC: Syphilis Study at Tuskegee. I have attached the study to my announcement of the week. But first, watch these videos to help you understand the study.

https://www.cdc.gov/tuskegee/about/index.html

After reading the study and watching these videos, answer the following: Your post should not be less than 500 words.

Understanding the Case

Briefly summarize the purpose of the Tuskegee Syphilis Study and what occurred during the study.

What role did government and medical professionals play in the outcomes for the participants?

Ethical Violations and Case Management Responsibility

Identify at least two ethical violations evident in the study (e.g., informed consent, deception, lack of beneficence).

From a case management perspective, how should these violations have been prevented?

Impact on Trust and Client Engagement

How has the Tuskegee Syphilis Study contributed to mistrust of healthcare and social service systems, particularly among marginalized communities?

Why is trust a critical component of effective case management?

Role of the Case Manager as Advocate

If a case manager had been involved with the participants, what advocacy responsibilities would they have had?

How can case managers serve as ethical safeguards when working within large systems or institutions?

Application to Modern Practice

Describe one way lessons from the Tuskegee Syphilis Study should inform current case management practice, particularly when working with vulnerable or historically oppressed populations.

How can case managers ensure informed consent, transparency, and client self-determination today?

Personal and Professional Reflection

What was the most troubling or impactful aspect of the video for you?

How will this case influence how you approach ethics, power, or client advocacy in your future professional role?