Health Care Provision and Distributive Justice: End Stage Renal Disease and the Elderly in Britain and America
Gill, Derek G.
Ingman, Stanley R.
Social Science and Medicine. 1991; 32(5): 565-577.
Considerations of distributive justice impacting upon the provision of geriatric care and the treatment of patients with end stage renal disease (ESRD) are compared and contrasted between the U.S. and the U.K. Comparisons are drawn from differing degrees of individualist and collectivist ideologies between the two countries and analysis is further developed through use of the concepts of equity, uniformity and public accountability. Notwithstanding the predominance of an individualist ideology in the United States the provision of ESRD services is based on a collectivist format. Geriatric care and other welfare services more directly reflect the differences between collectivist and individualist ideologies in the two countries.
Accountability; Aged; Biomedical Technologies; Common Good; Disease; Economics; Financial Support; Freedom; Government; Government Financing; Health; Health Care; Health Care Delivery; Health Facilities; Health Insurance; Insurance; International Aspects; Justice; Kidney Diseases; Kidneys; Medicine; Organ Transplantation; Patient Care; Patients; Political Systems; Politics; Private Sector; Proprietary Health Facilities; Public Policy; Public Sector; Renal Dialysis; Resource Allocation; Scarcity; Selection for Treatment; Socioeconomic Factors; State Medicine; Transplantation; Values;
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