The Ethics of Health Care Rationing

The Ethics of Health Care Rationing PDF

Author: Greg Bognar

Publisher: Routledge

Published: 2022-03-16

Total Pages: 187

ISBN-13: 1000541444

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The rationing of health care is universal and inevitable, taking place in both poor and affluent countries, in publicly funded and private health care systems. Someone must budget for as well as dispense health care whilst aging populations severely stretch the availability of resources. The Ethics of Health Care Rationing is a clear, timely, and much-needed introduction to this important topic. Substantially revised and updated, this second edition includes new chapters on disability discrimination and age discrimination, and on the price of drugs and medical therapies. Beginning with a helpful overview of why rationing is an ethical problem, the authors examine the following key topics: What sort of distributive principles should we rely on when thinking about health care rationing? What is the relation between ethics and cost-effectiveness in health care? How should we think about controversies surrounding discrimination over disability and age? How should we approach controversies surrounding rationing and the price of pharmaceutical drugs and medical therapies? Should patients be held responsible for their health? Why does the debate on responsibility for health lead to issues about socioeconomic status and social inequality? Throughout the book, examples from the United States, the United Kingdom, and other countries are used to illustrate the ethical issues at stake. Additional features such as chapter summaries, annotated further reading, and discussion questions have also been updated, making this an ideal starting point for students new to the subject, not only in philosophy but also in closely related fields such as politics, health economics, public health, medicine, nursing and social work.

The Ethics of Health Care Rationing: An Introduction

The Ethics of Health Care Rationing: An Introduction PDF

Author: Greg Bognar

Publisher: Routledge

Published: 2014-06-05

Total Pages: 183

ISBN-13: 1317695895

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Should organ transplants be given to patients who have waited the longest, or need it most urgently, or those whose survival prospects are the best? The rationing of health care is universal and inevitable, taking place in poor and affluent countries, in publicly funded and private health care systems. Someone must budget for as well as dispense health care whilst aging populations severely stretch the availability of resources. The Ethics of Health Care Rationing is a clear and much-needed introduction to this increasingly important topic, considering and assessing the major ethical problems and dilemmas about the allocation, scarcity and rationing of health care. Beginning with a helpful overview of why rationing is an ethical problem, the authors examine the following key topics: What is the value of health? How can it be measured? What does it mean that a treatment is "good value for money"? What sort of distributive principles - utilitarian, egalitarian or prioritarian - should we rely on when thinking about health care rationing? Does rationing health care unfairly discriminate against the elderly and people with disabilities? Should patients be held responsible for their health? Why does the debate on responsibility for health lead to issues about socioeconomic status and social inequality? Throughout the book, examples from the US, UK and other countries are used to illustrate the ethical issues at stake. Additional features such as chapter summaries, annotated further reading and discussion questions make this an ideal starting point for students new to the subject, not only in philosophy but also in closely related fields such as politics, health economics, public health, medicine, nursing and social work.

The Ethics of Health Care Rationing

The Ethics of Health Care Rationing PDF

Author: John Butler

Publisher: SAGE Publications Limited

Published: 1999

Total Pages: 264

ISBN-13:

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This volume explains why, and in what ways, health care is being rationed in the late-1990s health service. It examines the ethical questions which arise from this rationing and includes personal case studies, from surgeons to geriatric advisors.

Pricing Life

Pricing Life PDF

Author: Peter A. Ubel

Publisher: MIT Press

Published: 2000

Total Pages: 236

ISBN-13: 9780262710091

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A rational look at health care rationing, from ethical, economic, psychological, and clinical perspectives. Although managed health care is a hot topic, too few discussions focus on health care rationing--who lives and who dies, death versus dollars. In this book physician and bioethicist Peter A. Ubel argues that physicians, health insurance companies, managed care organizations, and governments need to consider the cost-effectiveness of many new health care technologies. In particular, they need to think about how best to ration health care. Ubel believes that standard medical training should provide physicians with the expertise to decide when to withhold health care from patients. He discusses the moral questions raised by this position, and by health care rationing in general. He incorporates ethical arguments about the appropriate role of cost-effectiveness analysis in health care rationing, empirical research about how the general public wants to ration care, and clinical insights based on his practice of general internal medicine. Straddling the fields of ethics, economics, research psychology, and clinical medicine, he moves the debate forward from whether to ration to how to ration. The discussion is enlivened by actual case studies.

Rationing in Health Care

Rationing in Health Care PDF

Author: Iestyn Williams

Publisher: Policy Press

Published: 2012

Total Pages: 169

ISBN-13: 184742774X

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A clearly written and well structured textbook, providing an introduction to decision making and priority setting, this title brings together theories, practice and evidence from a wide range of disciplines.

Rationing and Resource Allocation in Healthcare

Rationing and Resource Allocation in Healthcare PDF

Author: Ezekiel Emanuel

Publisher: Oxford University Press

Published: 2018

Total Pages: 569

ISBN-13: 0190200766

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Budgets of governments and private insurances are limited. Not all drugs and services that appear beneficial to patients or physicians can be covered. Is there a core set of benefits that everyone should be entitled to? If so, how should this set be determined? Are fair decisions just impossible, if we know from the outset than not all needs can be met? While early work in bioethics has focused on clinical issues and a narrow set of principles, in recent years there has been a marked shift towards addressing broader population-level issues, requiring consideration of more demanding theories in philosophy, political science, and economics. At the heart of bioethics' new orientation is the goal of clarity on a complex set of questions in rationing and resource allocation. Rationing and Resource Allocation in Healthcare: Essential Readings provides key excerpts from seminal and pertinent texts and case studies about these topics, contextualized by original introductions. The volume is divided into three broad sections: Conceptual Distinctions and Ethical Theory; Rationing; and Resource Allocation. Containing the most important and classic articles surrounding the theoretical and practical issues related to rationing and how to allocate scare medical resources, this collection aims to assist and inform those who wish to be a part of bioethics' 21st century shift including practitioners and policy-makers, and students and scholars in the health sciences, philosophy, law, and medical ethics.

With Justice for All ?

With Justice for All ? PDF

Author: Catholic Health Association of the United States

Publisher: Catholic Health Assn of the United

Published: 1991

Total Pages: 41

ISBN-13: 9780871252029

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Understanding Health Policy

Understanding Health Policy PDF

Author: Thomas Bodenheimer

Publisher: McGraw-Hill/Appleton & Lange

Published: 1998

Total Pages: 340

ISBN-13:

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Numerous case examples illustrate fundamental topics such as cost containment, health insurance, primary care, and physician and hospital payment. In addition, this book does a superior job linking policy issues to the practice of medicine. The second edition features a brand new chapter on payment in managed care.

Ethics in Health Services and Policy

Ethics in Health Services and Policy PDF

Author: Dean M. Harris

Publisher: John Wiley & Sons

Published: 2011-03-03

Total Pages: 326

ISBN-13: 0470940670

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This comprehensive textbook analyzes the ethical issues of health and health care in global perspective. Ideal for students of public health, medicine, nursing and allied health professions, public policy, and ethics, the book helps students in all these areas to develop important competencies in their chosen fields. Applying a comparative, or multicultural, approach, the book compares different perspectives on ethical issues in various countries and cultures, such as informed consent, withholding or withdrawing treatment, physician-assisted suicide, reproductive health issues, research with human subjects, the right to health care, rationing of limited resources, and health system reform. Applying a transnational, or cross-border, approach, the book analyzes ethical issues that arise from the movement of patients and health professionals across national borders, such as medical tourism and transplant tourism, ethical obligations to provide care for undocumented aliens, and the “brain drain” of health professionals from developing countries. Comprehensive in scope, the book includes selected readings which provide diverse perspectives of people from different countries and cultures in their own words. Each chapter contains an introductory section centered on a specific topic and explores the different ways in which the topic is viewed around the globe. Ethics in Health Services and Policy is designed to promote student participation and offers methods of activity-based learning, including factual scenarios for analysis and discussion of specific ethical issues.