The caring versus curing dichotomy, which fragments health care at the moment, creates moral dilemmas for health workers. The caring perspective deals with relationships and connections and the justice perspective has rules, rights and an impartial balancing of competing claims at its' base. Moral and ethical dilemmas are vulnerable to competing forces and to be a client advocate requires a high level of moral development and institutional congruence. Is conflict and change seen as an opportunity or a threat. Are problems and differences of ideology dealt with openly or smoothed over and ignored.
Social justice is a necessity.
Equity, access, co operation and participation in decision making are vital. We need to focus on outcomes and work together to create meaningful, rich rewarding lives. Ruth Lubic, a midwife and author visited Australia lasts November 1994 and spoke about instituting change and innovation in maternity services. Ms Lubic spoke about the barriers and conflicts she faced in establishing an Independent freestanding birth centre in New York City. Ms Lubic was truly inspirational as she outlined her steps for professional success.