Just Caring: Health Reform and Health Care Rationing
Fleck, Leonard M.
Journal of Medicine and Philosophy. 1994 Oct; 19(5): 435-443.
Health reform must include health care rationing, both for reasons of fairness and efficiency. Few politicans are willing to accept this claim, including the Clinton Administration. Brown and others have argued that enormous waste and inefficiency must be wrung out of our health care system before morally problematic cost constraining options, such as rationing, can be justifiably adopted. However, I argue that most of the policies and practices that would diminish waste and inefficiency include implicit (and therefore morally problematic) rationing. Critics of rationing see as its most morally and psychologically troubling feature that an
Accountability; Advisory Committees; Aged; Allowing to Die; Biomedical Technologies; Caring; Costs and Benefits; Decision Making; Democracy; Drugs; Economics; Ethics; Federal Government; Freedom; Government; Government Financing; Health; Health Care; Health Care Reform; Health Care Rationing; Indigents; Intensive Care Units; International Aspects; Justice; Physicians; Public Policy; Resource Allocation; Selection for Treatment; Withholding Treatment;
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