Should Alcoholics Compete Equally for Liver Transplantation?
Moss, Alvin H.
JAMA. 1991 Mar 13; 265(10): 1295-1298.
In 1990, the Health Care Financing Administration recommended that Medicare coverage for liver transplantation be offered to patients with alcoholic cirrhosis who are abstinent, and that the same eligibility criteria be used for patients with alcohol-related end-stage liver disease (ARESLD) as for patients with other causes of end-stage liver disease (ESLD). Moss and Siegler argue against this policy, proposing that patients who develop ESLD through no fault of their own have a higher priority for receiving a transplant than patients whose ESLD results from a failure to obtain treatment for alcoholism. They base their proposal on considerations of fairness and on whether public support for liver transplantation can be maintained if over half the available donor livers, which are in scarce supply, go to patients with ARESLD. (KIE abstract)
Alcohol Abuse; Behavior Control; Costs and Benefits; Disease; Discrimination; Economics; Financial Support; Health; Health Care; Illness; Justice; Kidney Diseases; Livers; Liver Transplantation; Moral Policy; Patients; Policy Analysis; Prognosis; Public Opinion; Public Policy; Resource Allocation; Scarcity; Selection for Treatment; Social Discrimination; Standards; Tissue Transplantation; Transplantation; Values;
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