Resource Allocation: A Plea for a Touch of Realism
Journal of Medical Ethics. 1990 Sep; 16(3): 129-131.
The problem of resource allocation in health has stimulated much thought and research, in attempts to provide objective, rational methods by which necessary choices can be made. One such method was proposed in a paper in this journal. The authors argued for a utilitarian approach, which they claimed to demonstrate was acceptable to society at large. This paper argues that the evidence supporting such a claim was flawed; such a utilitarian approach is not socially acceptable, and is therefore not relevant. Rather more relevant directions for research are discussed, based on the assertion that a degree of realism is essential when considering the problems of resource allocation.
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Lewis, Peter A. (1990-09)Using data from the Cardiff [Wales] Health Survey, Lewis and M. Charny authored a paper on the use of public opinion surveys to help make resource allocation decisions in health care (
Goodman, Neville W. (1991-12)Lewis and Charny have come under siege for suggesting remote questioning to decide appropriate medical care. While the criticisms are theoretically valid, the idea is so important practically that Lewis and Charny should ...