There are common ethical issues in health care. Almost all decisions made have implications in ethics for leaders of health care, sick people and people who provide care to the sick. According to the theory of Hellenism the purpose of human action is happiness and this happiness defines anything that is found in excellence towards performing its function. Among humans this is excellence of our rational faculties: the intellect and the will. The research by the health care briefings advised the experts to get the main ethical challenges that health care leaders face. The following are the main challenges that they face as current leaders of health care; First, giving quality and efficient care equally. Most of the problems that the system of health care face will be related to balancing quality and efficient care in future as the overall challenge. The question that emerges is whether the correct values are driving our aim in the system of our health care or if the driver should be efficiency. Second, improvement of care access whereby the issue of providing access to basic medical care is still a concern although the Act of Affordable Care (ACA) is not touched by the sequester. Lack of access to health care has become the biggest ethical issue in a country. It is a problem when people cannot access medical services as many ethicists have believes that it is a hallmark of a society that is civilized to access basic care.

The competing health needs for different populations along with the limited resources needed to meet these needs usually serve as an impetus for initiating advocacy efforts in order to improve community health. We must, therefore, consider the different perceptions that constitute a community as well as an approach to advocacy in matters such as the development of health advocacy campaigns, legal considerations, and ethical dilemmas.  In this discussion, we will focus on factors that affect health advocacy programs and a greater focus on the ethnically diverse women. It also links those interventions that have succeeded in today’s rules and laws that regulate impacts efforts of advocacy in breast cancer. Moreover, the ethical dilemmas that face this program will be discussed, connecting the dilemmas with American Nurses Association (ANA) ethical codes for a direct effective nursing.

Ethical dilemmas emerge when a hard problem does not have a solution that will satisfy all involved people. It might occur when a situation emerges that involves choosing between unsatisfactory alternatives that are equal. In ethical conflicts, there is a confrontation of many courses of action that have society morality, professional and personal respects to the people who make decisions, but when they make a decision on one action course, the other course will be negatively affected. Ethical dilemmas may include; when a family member is critically sick in the hospital, and the medical officers want you to make decisions on the behalf of the sick person and you have no idea on what to do and could use guidance.

Irrespective of the nature and design of ethical objectives for health promotion, the means of attaining the stipulated objectives may result in ethical challenges. More efforts are paramount in ensuring moral credibility in the health profession and specific areas of practice. Credibility in this sense is a factor of well-reasoned and articulated principles and. Therefore, the existence of ethical challenges must never be a reason for inaction. Ethical practices must thereby reflect and evaluate the best balance between the means and objectives of good health. However, many people attribute many diseases to being self-inflicted and resulting from one’s poor lifestyle and imprudent behaviors. Having such perception contributes towards a moralizing public discourse that bestows burdensome responsibilities on individuals. Therefore, ethics in health promotion engages application of critical gaze within a given program or policy. This could result in the deconstruction of complex scenarios that outlines the present values and interests though it may result in the simple and obvious solutions becoming complicated.

A development in health teaching to these women is required in order to increase a better understanding of processes of diseases, prognosis, and options for treatment.  The other one is that nurses are supposed to ensure that dollars of health care are used appropriately. Women who are in the ethical adverse background do not have capital, therefore, having no access to health insurance. (Garber, 2012) The diagnosis of breast cancer in the late stage is very expensive because an advanced medication is needed which will take a long time. When diagnosis occurs at a late stage in these women, they are at high risk of losing their lives compared to the Caucasian women. Certainly, there will be a debate on the cost and dollars spent on health care on the population.