Cost-Effectiveness Analysis of Health Care Services, and Concepts of Distributive Justice
van der Wilt, Gert Jan
Health Care Analysis. 1994 Nov; 2(4): 296-305.
Two answers to the question 'how can we allocate health care resources fairly?' are introduced and discussed. Both utilitarian and egalitarian approaches are found relevant, but both exhibit considerable theoretical and practical difficulties. Neither seems capable of solving the problem on its own. It is suggested that, for practical purposes, a version of Rawl's famous thought experiment might provide at least some enlightenment about which theoretical approach should be used to address the question.
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