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dc.creatorCookson, R.en
dc.creatorMcCabe, C.en
dc.creatorTsuchiya, A.en
dc.date.accessioned2016-01-08T23:11:49Zen
dc.date.available2016-01-08T23:11:49Zen
dc.date.created2008-07en
dc.date.issued2008-07en
dc.identifierdoi:10.1136/jme.2007.021790en
dc.identifier.bibliographicCitationJournal of Medical Ethics 2008 July; 34(7): 540-544en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Public+healthcare+resource+allocation+and+the+Rule+of+Rescue&title=Journal+of+Medical+Ethics+&volume=34&issue=7&date=2008-07&au=Cookson,+R.;+McCabe,+C.;+Tsuchiya,+A.en
dc.identifier.urihttp://dx.doi.org/10.1136/jme.2007.021790en
dc.identifier.urihttp://hdl.handle.net/10822/956544en
dc.description.abstractIn healthcare, a tension sometimes arises between the injunction to do as much good as possible with scarce resources and the injunction to rescue identifiable individuals in immediate peril, regardless of cost (the "Rule of Rescue"). This tension can generate serious ethical and political difficulties for public policy makers faced with making explicit decisions about the public funding of controversial health technologies, such as costly new cancer drugs. In this paper we explore the appropriate role of the Rule of Rescue in public resource allocation decisions by health technology funding advisory bodies such as the National Institute for Health and Clinical Excellence. We consider practical approaches to operationalising the Rule of Rescue from Australia and the UK before examining the relevance of individual moral imperatives to public policy making. We conclude that whilst public policy makers in a humane society should facilitate exceptional departures from a cost effectiveness norm in clinical decisions about identified individuals, it is not so obvious that they should, as a matter of national public policy, exempt any one group of unidentified individuals within society from the rules of opportunity cost at the expense of all others.en
dc.formatArticleen
dc.languageenen
dc.sourceeweb:317425en
dc.subjectCanceren
dc.subjectDrugsen
dc.subjectHealthen
dc.subjectPolicy Makingen
dc.subjectPublic Policyen
dc.subjectResource Allocationen
dc.subjectTechnologyen
dc.subject.classificationPhilosophical Ethicsen
dc.subject.classificationAllocation of Health Care Resourcesen
dc.titlePublic Healthcare Resource Allocation and the Rule of Rescueen
dc.provenanceCitation prepared by the Library and Information Services group of the Kennedy Institute of Ethics, Georgetown University for the ETHXWeb database.en
dc.provenanceCitation migrated from OpenText LiveLink Discovery Server database named EWEB hosted by the Bioethics Research Library to the DSpace collection EthxWeb hosted by DigitalGeorgetown.en


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