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Rationing health care : hard choices and unavoidable trade-offs

Author: André den Exter; M A J M Buijsen
Publisher: Antwerpen : Maklu, Portland, OR : [Distributed in the] USA & Canada [by] International Specialized Book Services 2012. ©2012
Edition/Format:   Print book : English : Druk 1View all editions and formats
Database:WorldCat
Summary:
"One of the most controversial issues in many health care systems is health care rationing. In essence, rationing refers to the denial of - or delay in - access to scarce goods and services in health care, despite the existence of medical need. Scarcity of financial and medical resources confronts society with painful questions. Who should decide which medicine or new treatment will be covered by social security and  Read more...
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Document Type: Book
All Authors / Contributors: André den Exter; M A J M Buijsen
ISBN: 9789046605257 9046605256
OCLC Number: 827926558
Description: 250 pages : illustrations ; 24 cm
Contents: Accountability for reasonable priority setting / Norman Daniels and James Sabin --
Just caring : in defense of the role of democratic deliberation in health care rationing and priority-setting / Leonard M. Fleck --
Rationing and the disabled : several proposals / Frances M. Kamm --
What do theories of social justice have to say about health care rationing? : Well-being, sufficiency and explicit age-rationing / Carina Fourie --
Organ procurement and allocation : tragic choices and utilitarian redefinitions of death / Jean-Marc Piret --
Reproducing justice : is there a good justification for equal access to fertility care? / Daniel Sperling --
NICE and the problem of 'postcode prescribing' in the English National Health Service / Keith Syrett --
Re-balancing the rationing debate : tackling the tensions between individual and community rights / Christopher Newdick --
Setting limits on health care : challenges in and out of the courtroom in Canada and down-under / Colleen M. Flood and Insiya Essajee --
The special moral status of health care : on market forces, equal treatment, and having a say / Martin Buijsen --
Rationing health care : an economic perspective / Alan Maynard and Karen Bloor --
Rationing health care : balancing equity and efficiency / Werner B.F. Brouwer and Frans F.H. Rutten.
Responsibility: André den Exter and Martin Buijsen (eds.).

Abstract:

"One of the most controversial issues in many health care systems is health care rationing. In essence, rationing refers to the denial of - or delay in - access to scarce goods and services in health care, despite the existence of medical need. Scarcity of financial and medical resources confronts society with painful questions. Who should decide which medicine or new treatment will be covered by social security and on which criteria such decisions must be based? Can age, for example, be justified as a selection criterion? Should decision-making be left to health care policymakers, hospital administrators, or rather, to treating physicians ('bedside rationing')? And finally: is there a role for individual patients? There are the difficult questions that suggest the need for transparent and democratic decision-making. In reality, however, the rationing debate occurs in a sub rosa world, based on imperfect information, distorted interpretations of effectiveness, and hidden cost concerns. Rationing Health Care : Hard Choices and Unavoidable Trade-offs explores these and other questions from various perspectives (medicine, philosophy, ethics, economics and law)--P. [4] of cover.

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