David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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Journal of Law, Medicine & Ethics 40 (1):17-25 (2012)
Americans' appetite for life-prolonging therapies has led to unsustainable growth in health care costs. It is tempting to target older people for health care rationing based on their disproportionate use of health care resources and lifespan already lived, but aged-based rationing is unacceptable to many. Systems reforms can improve the efficiency of health care and may lessen pressure to ration services, but difficult choices still must be made to limit expensive, marginally beneficial interventions. In the absence of agreement on principles to govern health care resource allocation, a fair, open priority-setting process should be created to allow for reasonable disagreement on principles while being seen as legitimate by all stakeholders. At the patient-care level, careful discussions about the benefits and burdens of medical intervention and support for slow medicine — a gentle, family-centered care approach for frail elders — can do much to avoid harming these patients with aggressive yet unwanted medical care while reducing wasteful spending
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References found in this work BETA
Daniel Strech, Govind Persad, Georg Marckmann & Marion Danis (2009). Are Physicians Willing to Ration Health Care? Conflicting Findings in a Systematic Review of Survey Research. Health Policy 90 (2):113-124.
Simona Giordano (2005). Respect for Equality and the Treatment of the Elderly: Declarations of Human Rights and Age-Based Rationing. Cambridge Quarterly of Healthcare Ethics 14 (1):83-92.
Citations of this work BETA
Jasper Doomen (2013). Should Human Dignity Be Upheld at All Costs? American Journal of Bioethics 13 (8):24-25.
Robert M. Sade (2012). INTRODUCTION: The Graying of America: Challenges and Controversies. Journal of Law, Medicine & Ethics 40 (1):6-9.
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