Fair Rationing Is Essentially Local: An Argument for Postcode Prescribing
Ashcroft, Richard E.
Health Care Analysis: An International Journal of Health Philosophy and Policy 2006 September; 14(3): 135-144
In this paper I argue that resource allocation in publicly funded medical systems cannot be done using a purely substantive theory of justice, but must also involve procedural justice. I argue further that procedural justice requires institutions and that these must be "local" in a specific sense which I define. The argument rests on the informational constraints on any non-market method for allocating scarce resources among competing claims of need. However, I resist the identification of this normative account of local justice with the actual approach to local decision-making taken within the UK National Health Service. I illustrate my argument with reference to the case of provision of In Vitro Fertilisation within the UK NHS.
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Perna, M.A. (2006-08)This article sets out to counteract HM Evans's "fair's fair argument" in support of abolishing veto to research participation. Evans's argument attempts to assimilate ordinary clinical practice to clinical research. I shall ...