If the autonomy of the patient is not protected, the trust between physician and patient is affected. Or, is it the responsibility of the hospital to provide courses in instructing the medical personal in methods on being culturally sensitive. As often occurs in ethical issues, the responsibility for cultural sensitivity falls on the shoulders of all of the above. As a result of the United States becoming increasingly diversified, it would not be possible, or fair to ask the physicians to be solely responsible for the implementation of cultural sensitivity. To ensure just and accurate cultural sensitivity, there must be a partnership between the physician, patient, nurse, hospital and all medical personal.
Retributive justice focuses on blame and encouragement of competitive and individualistic values.
Restorative justice embraces the use of community and encouragement to attain a relationship. Obviously, restorative justice and its effects on cultural sensitivity and social responsibility will be focused on. Once again many factors influence the correlation of justice to cultural sensitivity. Health Maintanance Organizations Many of the people that are not receiving health care in the United States are the poor. A large percentage of the poor in the United States are those that are from other cultures.