Equitable Rationing of Highly Specialised Health Care Services for Children: A Perspective From South Africa
Landman, Willem A.
Henley, Lesley D.
Journal of Medical Ethics. 1999 Jun; 25(3): 224-229.
The principles of equality and equity, respectively in the Bill of Rights and the white paper on health, provide the moral and legal foundations for future health care for children in South Africa. However, given extreme health care need and scarce resources, the government faces formidable obstacles if it hopes to achieve a just allocation of public health care resources, especially among children in need of highly specialised health care. In this regard, there is a dearth of moral analysis which is practically useful in the South African situation. We offer a set of moral considerations to guide the macro-allocation of highly specialised public health care services among South Africa's children. We also mention moral considerations which should inform micro-allocation.
Biomedical Technologies; Children; Chronically Ill; Cystic Fibrosis; Disease; Futility; Government; Government Financing; Health; Health Care; Health Care Delivery; Intensive Care Units; Justice; Leukemia; Methods; Moral Policy; Newborns; Organ Transplantation; Palliative Care; Prevalence; Primary Health Care; Prognosis; Public Health; Public Policy; Quality of Health Care; Random Selection; Resource Allocation; Rights; Scarcity; Selection for Treatment; Transplantation; Utilitarianism; Waiting Lists;
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Landman, Willem A.; Henley, Lesley D. (1998-08)The new South African constitution commits the government to guarantee "basic health services" for every child under 18. Primary health care for pregnant women and children under six and elements of essential primary ...