Allocating Scarce Resources in a Publicly Funded Health System: Ethical Considerations of a Canadian Managed Care Proposal
Nursing Ethics. 1999 May; 6(3): 240-249.
In the Canadian health care system, the Government is responsible for allocating scarce resources in a fair and equitable manner. A proposal to implement managed care as a method of reimbursing physicians in Alberta, Canada, needs careful ethical consideration, because physicians are not well prepared, and should not be asked, to make the resulting difficult allocation decisions. The Government must continue to be held responsible for ensuring that all citizens have equal access to necessary medical services, and we must find ways to encourage the public to become more involved in deciding how resources are best allocated. Health professionals other than physicians must take an interest and enter into this debate.
Conflict of Interest; Decision Making; Economics; Federal Government; Gatekeeping; Government; Government Financing; Health; Health Care; Health Care Delivery; Health Care Reform; Incentives; Justice; Managed Care Programs; Moral Obligations; Managed Care; Physicians; Public Participation; Public Policy; Remuneration; Resource Allocation; Rights;
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