David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
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Journal of Law, Medicine & Ethics 39 (2):130-139 (2011)
There are in two assumptions inherent in this issue's theme, both inimical to the traditional goals of medicine and to the standards of care it proposed. First, the idea that treatment must be limited for some (but not others) on the basis of cost was born in the early literature of bioethics. Second, that there is a quantifiable and diagnostically predictable period at the “end-of-life” where treatment is “futile,” and therefore not worth supporting in a context of scarcity grew out of bioethics's construction of allocative protocols in the 1990s. This paper traces the history of these ideas as constructs grounded in neither natural scarcity nor in firm diagnostic categories. Their relation to issues of care is therefore suspect
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References found in this work BETA
Bruce Jennings (2009). Public Health and Liberty: Beyond the Millian Paradigm. Public Health Ethics 2 (2):123-134.
Daniel Callahan & Norman Daniels (1989). Setting Limits: Medical Goals in an Aging Society. Ethics 100 (1):169-176.
Anson Rabinbach (1992). The Human Motor: Energy, Fatigue, and the Origins of Modernity. University of California Press.
J. Harris (1987). QALYfying the Value of Life. Journal of Medical Ethics 13 (3):117-123.
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