Your discussion presents an interesting perspective on business principles. Managing financial needs of a hospital and patient’s satisfaction goes hand and hand in the hospital field. This also can create a negative impact when it comes to prescribing pain medication. An ethical dilemma arises for emergency room providers who in relation to new reimbursement tactics centered upon patient satisfaction scores (Kelly, Johnson, & Harbison, 2016) I feel that these doctors are feeling pressure to prescribe pain medications in order to increase patients scores and in return improve reimbursement for their units. This is contributing to the increase of opioid abuse that is already prevalent in this nation. This needs to be taken into consideration