Rationing Cancer Care: A United States View

  • Eli Ginzberg
Chapter

Abstract

The conventional wisdom in the USA is that health care is not rationed. But all economies — communist, socialist, welfare, and capitalist — must ration. They differ only in the instruments which they employ to accomplish their objective of allocating scarce resources among competing needs. A capitalist society such as the USA which relies heavily on ‘the market’ to perform the rationing, is restrained from doing so in the case of health services because of the prevailing social ethic that holds that all individuals, irrespective of their ability to pay, must have access to essential care. Therefore, approximately 70 percent of all health care expenditure in the USA is provided by government and insurance, which contribute roughly 40 percent and 30 percent respectively.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. [1]
    American Cancer Society (1986) 1986 Cancer Facts & Figures, New YorkGoogle Scholar
  2. [2]
    Eddy, D. M. (1985) Screening for cancer in adults. In: Ciba Foundation Symposium 110, The Value of Preventive Medicine, Pitman, LondonGoogle Scholar
  3. [3]
    Lind, Stuart E. (1986) Fee-for-service research. New Engl. J. Med., 314, 312CrossRefGoogle Scholar
  4. [4]
    National Center for Health Statistics (1986) National Medical Care and Expenditure Survey, 1980. In: Costs of Illness, United States, 1980. DHHS Pub. No. 86-20403. Office of Health Research, Statistics and Technology, WashingtonGoogle Scholar
  5. [5]
    Stoll, B. A. (1985) Screening and Monitoring of Cancer, John Wiley, New York, pp. 135–152Google Scholar

Copyright information

© The Editor and the Contributors 1988

Authors and Affiliations

  • Eli Ginzberg

There are no affiliations available

Personalised recommendations