Infinite Needs -- Finite Resources: The Future of Healthcare
Lamm, Richard D.
Cambridge Quarterly of Healthcare Ethics. 1994 Winter; 3(1): 83-98.
Healthcare reform is on everyone's mind. Yet we must know better where the waste and inefficiencies are in the system so we know what to reform. Healthcare reform has evaded many a conscientious scholar and reformer in part because we have approached problems in isolation from one another. An economically sound healthcare system must have six elements: 1) universal coverage or universal access to a base level of healthcare; 2) a means of limiting the use of procedures that are ineffective or marginally effective and limiting some procedures that are effective but too expensive; 3) some consensus on healthcare priorities, both social and individual; 4) limitations on malpractice suits; 5) control of bureaucracy; and 6) some limitation on the supply side of healthcare -- either competition or regulation must reduce the excess of medical technology, hospital beds, doctors, specialists, etc.
Accountability; Biomedical Technologies; Consensus; Costs and Benefits; Consultation; Doctors; Economics; Futility; Health; Health Care; Health Care Delivery; Health Care Reform; Health Insurance; Hospitals; Insurance; Intensive Care Units; International Aspects; Malpractice; Medical Specialties; Obligations to Society; Physicians; Policy Analysis; Primary Health Care; Referral and Consultation; Regulation; Remuneration; Resource Allocation; Technology; Terminally Ill; Withholding Treatment;
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