David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Law, Medicine and 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
|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
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
Robert M. Sade (2012). INTRODUCTION: The Graying of America: Challenges and Controversies. Journal of Law, Medicine and Ethics 40 (1):6-9.
Jasper Doomen (2013). Should Human Dignity Be Upheld at All Costs? American Journal of Bioethics 13 (8):24-25.
Similar books and articles
Robert A. Pearlman (1992). An Ethical Framework for Rationing Health Care. Journal of Medicine and Philosophy 17 (1):79-96.
Daniel Callahan (2012). Must We Ration Health Care for the Elderly? Journal of Law, Medicine and Ethics 40 (1):10-16.
Alberto Infante (1995). Setting Priorities in the Spanish Health Care System. Journal of Medicine and Philosophy 20 (6):595-606.
Erik Gustavsson (2013). From Needs to Health Care Needs. Health Care Analysis (1):1-14.
Leonard M. Fleck (1994). Just Caring: Health Reform and Health Care Rationing. Journal of Medicine and Philosophy 19 (5):435-443.
Lawrence J. Schneiderman (2011). Rationing Just Medical Care. American Journal of Bioethics 11 (7):7 - 14.
Leonard M. Fleck (1994). Just Caring: Oregon, Health Care Rationing, and Informed Democratic Deliberation. Journal of Medicine and Philosophy 19 (4):367-388.
Richard D. Lamm (1994). Rationing and the Clinton Health Plan. Journal of Medicine and Philosophy 19 (5):445-454.
Norman Daniels (1994). The Articulation of Values and Principles Involved in Health Care Reform. Journal of Medicine and Philosophy 19 (5):425-433.
Leonard M. Fleck (2011). Just Caring: Health Care Rationing, Terminal Illness, and the Medically Least Well Off. Journal of Law, Medicine and Ethics 39 (2):156-171.
Søren Holm (1995). "Socialized Medicine", Resource Allocation and Two-Tiered Health Care – the Danish Experience. Journal of Medicine and Philosophy 20 (6):631-637.
Aaron L. Mackler (2001). Jewish and Roman Catholic Approaches to Access to Health Care and Rationing. Kennedy Institute of Ethics Journal 11 (4):317-336.
Theresa Drought (1992). Justice and the Moral Acceptability of Rationing Medical Care: The Oregon Experiment. Journal of Medicine and Philosophy 17 (1):97-117.
Added to index2012-03-28
Total downloads11 ( #136,262 of 1,100,860 )
Recent downloads (6 months)3 ( #115,533 of 1,100,860 )
How can I increase my downloads?