Rationing Health Care: The Choice Before Us
Schwartz, William B.
Science. 1990 Jan 26; 247(4941): 418-422.
Rapid technological advances and upward pressure on wages of hospital personnel are leading to a steady increase in health care spending that is absorbing an ever larger fraction of gross national product. Eliminating inefficiencies in the system can provide brief fiscal relief, but rationing of beneficial services, even to the well insured, offers the only prospect for sustained reduction in the growth of health care spending. The United States, which has negligible direct experience with rationing, can learn about choices it will face from the experience of Great Britain where health care has been rationed explicitly for many years.
Age Factors; Biomedical Technologies; Costs and Benefits; Diagnosis; Economics; Federal Government; Financial Support; Government; Government Regulation; Health; Health Care; Health Care Delivery; Health Insurance; Hospitals; Insurance; International Aspects; Medicine; Organ Transplantation; Physician's Role; Physicians; Public Policy; Regulation; Remuneration; Renal Dialysis; Resource Allocation; Selection for Treatment; State Government; State Medicine; Technology; Technology Assessment; Transplantation; Values;