Allocating Health Care Resources by Governor Richard D. Lamm (auth.), James M. Humber, Robert F.

By Governor Richard D. Lamm (auth.), James M. Humber, Robert F. Almeder (eds.)

In ALLOCATING wellbeing and fitness CARE assets, best professionals and researchers divulge the elemental philosophical, moral, and fiscal concerns underlying the present healthiness care debate. The individuals strive against with such advanced matters as if it is moral to ration future health care, the morality of the global bias opposed to little ones in allocating well-being care assets, even if sin taxes may be defended morally, and the way to accomplish a simply healthiness care approach. The publication additionally contains an insightful research of the Clinton future health care reform plan.

ALLOCATING well-being CARE assets should be of curiosity to philosophers, wellbeing and fitness coverage specialists, scientific ethicists, overall healthiness execs, and anxious voters. It serves to explain and light up the common sense and rhetoric of wellbeing and fitness care reform, and to be able to support us all in achieving a good and equitable distribution of those priceless resources.

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Kaus has pointed out that the outraged tone used to describe the 14% of GNP spent on health care has a moralistic undercurrent that somehow implies that we are soft and headed down the path to decadence. 18 There is an assumption that there is something inherently wrong with spending 14% or more of GNP on health care. As we as a nation become wealthier, is there anything fundamentally wrong with spending more money to take care of our health? As Kaus puts it, "As nations grow richer, their citizens can afford to trade some of their affluence for Ionger lives.

M. (1989) Just health care (2): is equality too much? Theoretical Med. 10, 301-310. Levinsky, N. G. (1990) Age as a criterion for rationing health care. N. Engl. J. Med. 322, 1813-1815. 54 White and Waithe Macklin, R. (1987) Mortal Choices: Bioethics in Today's World, Pantheon, New York. Mechanic, D. (1976) Rationing health care: public policy and the medical marketplace. Hastings Center Report 1, 34-37. Reagan, M. D. (1988) Health care rationing; what does it mean? N. Engl. J. Med. 319, 1149-1151.

At present, as indicated above, bureaucratic costs are using the dollars being saved by managing the "medical" costs. This means that there are no real savings, merely cost shifting, and furthermore that some costs that are being cut are in fact medi- Ethics of Rationing 35 cally necessary. We must Iook at the cost of hospital marketing and advertising, as weil as other nonproductive items; we need to find some way to modify the culture of health care in which aggressive marketing of medical and surgical procedures directly to prospective patients is now the norm.

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