David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medical Ethics 34 (7):540-544 (2008)
In 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 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
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
No citations found.
Similar books and articles
J. Hughes & T. Walker (2009). The Rule of Rescue in Clinical Practice. Clinical Ethics 4 (1):50-54.
Louise M. Terry (2004). An Integrated Approach to Resource Allocation. Health Care Analysis 12 (2):171-180.
N. S. Jecker (2013). The Problem with Rescue Medicine. Journal of Medicine and Philosophy 38 (1):64-81.
N. Messer (2005). Healthcare Resource Allocation and the 'Recovery of Virtue'. Studies in Christian Ethics 18 (1):89-108.
Søren Holm (1995). "Socialized Medicine", Resource Allocation and Two-Tiered Health Care – the Danish Experience. Journal of Medicine and Philosophy 20 (6):631-637.
C. Foster (2007). Simple Rationality? The Law of Healthcare Resource Allocation in England. Journal of Medical Ethics 33 (7):404-407.
Margaret Keatings & Diana Dick (1989). Ethics and Politics of Resource Allocation: The Role of Nursing. [REVIEW] Journal of Business Ethics 8 (2-3):187 - 192.
S. Sinclair (2012). How to Avoid Unfair Discrimination Against Disabled Patients in Healthcare Resource Allocation. Journal of Medical Ethics 38 (3):158-162.
Anne Slowther & Tony Hope (2002). Resource Allocation Decisions in U.K. Healthcare: Do Ethics Committees Have a Role? [REVIEW] HEC Forum 14 (1):64-72.
Veronika Wirtz, Alan Cribb & Nick Barber (2003). Understanding the Role of “the Hidden Curriculum” in Resource Allocation—The Case of the UK NHS. Health Care Analysis 11 (4):295-300.
Santanu Gupta (2003). On the Relevance of the Median Voter to Resource Allocation Amongst Jurisdictions. Gokhale Institute of Politics and Economics.
M. J. Williams (2009). Resource Expenditure Not Resource Allocation: Response to McDougall on Cloning and Dignity. Journal of Medical Ethics 35 (5):330-334.
Helen Keasberry (1992). Equity and Solidarity: The Context of Health Care in the Netherlands. Journal of Medicine and Philosophy 17 (4):463-477.
Andrew Edgar (2013). The Dominance of Big Pharma: Power. [REVIEW] Medicine, Health Care and Philosophy 16 (2):295-304.
Added to index2010-09-13
Total downloads25 ( #73,966 of 1,101,810 )
Recent downloads (6 months)5 ( #68,160 of 1,101,810 )
How can I increase my downloads?