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Rationing and Publicity

  • Gerald R. Winslow
Part of the Philosophy and Medicine book series (PHME, volume 21)

Abstract

Should it not seem strange that so much attention is now being given to the prospect of rationing medical care in the United States? After all, if by “rationing” we suggest that access to medical care is limited in various ways, or that some people do not get the best care or even the basic care they need, then surely medical care always has been “rationed” in the United States ([11], [19], [32]). Among the fundamental reasons for such limits to care is one that is unlikely to change: The human capacity to develop new, often costly, and sometimes very scarce therapies outstrips the human capacity to make all such therapies available to everyone in need. So some method of restricting access must be a permanent feature of any system of providing medical care. Why, then, the present stir about rationing?

Keywords

Medical Care Biliary Atresia Moral Rule Maintenance Hemodialysis Legitimate Expectation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Bibliography

  1. [1]
    Aaron, H. and Schwartz, W.: 1984, The Painful Prescription: Rationing Hospital Care, The Brookings Institution, Washington, D.C.Google Scholar
  2. [2]
    Alexander, S.: 1962, ‘They Decide Who Lives, who Dies: Medical Miracle Puts a Moral Burden on a Small Committee’, Life 9, 102ff.Google Scholar
  3. [3]
    Baier, K.: 1958, The Moral Point of View: A Rational Basis of Ethics, Cornell University Press, Ithaca.Google Scholar
  4. [4]
    Cahn, E.: 1949, The Sense of Injustice, Indiana University Press, Bloomington.Google Scholar
  5. [5]
    Calabresi, G. and Bobbitt, P.: 1978, Tragic Choices: The Conflicts Society Confronts in the Allocation of Tragically Scarce Resources, W. W. Norton and Company, New York.Google Scholar
  6. [6]
    Childress, J.: 1983, ‘Triage in Neonatal Intensive Care: The Limitations of Metaphor’, Virginia Law Review 69, 547–561.CrossRefGoogle Scholar
  7. [7]
    Dietch, R.: 1984, ‘Commentary: UK’s Poor Record in Treatment of Renal Failure’, Lancet 2, 53.CrossRefGoogle Scholar
  8. [8]
    ‘Due Process in the Allocation of Scarce Lifesaving Medical Resources’, 1975, The Yale Law Review 84, 1734–1749.Google Scholar
  9. [9]
    Fox, R. and Swazey, J.: 1974, The Courage to Fail: A Social View of Organ Transplants and Dialysis, University of Chicago Press, Chicago.Google Scholar
  10. [10]
    Fried, C.: 1976, ‘Equality and Rights in Medical Care’, The Hastings Center Report 6, 29–34.CrossRefGoogle Scholar
  11. [11]
    Fuchs, V.: 1984, ‘The “Rationing” of Medical Care’, The New England Journal of Medicine 311, 1572–1573.CrossRefGoogle Scholar
  12. [12]
    Gunby, P.: 1983, ‘Media-Abetted Liver Transplants Raise Questions of “Equity and Decency”’, JAMA 249, 1973–1982.CrossRefGoogle Scholar
  13. [13]
    Kant, I.: 1983, Perpetual Peace and Other Essays, T. Humphrey, tr., Hackett Publishing Company, Indianapolis.Google Scholar
  14. [14]
    Katz, A., and Proctor, D.: 1969, Social-Psychological Characteristics of Patients Receiving Hemodialysis Treatment for Chronic Renal Failure (mimeographed), Public Health Service, Kidney Disease Program, Rockville, Maryland.Google Scholar
  15. [15]
    Katz, J., and Capron, A.: 1975, Catastrophic Diseases: Who Decides What? Russell Sage Foundation, New York.Google Scholar
  16. [16]
    Kilner, J.: ‘Who Receives Scarce Resources? An Empirical and Ethical Study’, The Annual of the Society of Christian Ethics, in press.Google Scholar
  17. [17]
    Machiavelli, N.: 1975, The Discourses, L. J. Walker, tr., Routledge & Kegan Paul, Boston.Google Scholar
  18. [18]
    Margolis, J.: 1985, ‘Triage and Critical Care’, in L. Kopelman (ed.), Ethics and Critical Care Medicine, D. Reidel Publishing Company, Dordrecht, Holland.Google Scholar
  19. [19]
    Mechanic, D.: 1978, ‘Rationing Medical Care’, The Center Magazine 11, 22–31.Google Scholar
  20. [20]
    Menzel, P.: 1983, Medical Cost, Moral Choices: A Philosophy of Health Care Economics in America, Yale University Press, New Haven, Connecticut.Google Scholar
  21. [21]
    ‘Patient Selection for Artificial and Transplanted Organs’, 1969, Harvard Law Review 82, 1322–1342.Google Scholar
  22. [22]
    Pear, R.: April 16, 1985, ‘U.S. to Offer Consumers Access to Data on Health Care Quality’, The New York Times, p. 9.Google Scholar
  23. [23]
    Piaget, J.: 1965, The Moral Judgment of the Child, M. Gabain (tr.), The Free Press, New York.Google Scholar
  24. [24]
    Plato: 1968, The Republic, A. Bloom, tr., Basic Books, Inc., New York.Google Scholar
  25. [25]
    Rawls, J.: 1971, A Theory of Justice, Harvard University Press, Cambridge.Google Scholar
  26. [26]
    ‘Report of the Massachusetts Task Force on Organ Transplantation’: 1985, Law, Medicine and Health Care 13, 8–26.Google Scholar
  27. [27]
    Retting, R.: 1976, Health Care Technology: Lessons Learned from the End-Stage Renal Disease Experience, Rand Corporation, Santa Monica, California.Google Scholar
  28. [28]
    Rhoads, S.: 1980, ‘How Much Should We Spend to Save a Life?’ in S. Rhoads (ed.), Valuing Life: Public Policy Dilemmas, Westview Press, Boulder, Colorado.Google Scholar
  29. [29]
    Schwartz, H.: 1983, ‘Access, Equity, and Equality in American Medical Care’, in President’s Commission for the Study of Ethical Problems in Medicine and Bomedical and Behavioral Research, Securing Access to Health Care, Volume Two: Appendices: Sociocultural and Philosophical Studies, United States Government Printing Office, Washington, D.C., pp. 67–78.Google Scholar
  30. [30]
    Sidgwick, H.: 1966, The Methods of Ethics, Dover Publications, New York.Google Scholar
  31. [31]
    Starr, P.: 1983, ‘Medical Care and the Pursuit of Equality in America’, in President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research, Securing Access to Health Care, Volume Two: Appendices: Sociocultural and Philosophical Studies, United States Government Printing Office, Washington, D.C., pp. 3–22.Google Scholar
  32. [32]
    Wallis, C.: 1982, ‘Which Life Should be Saved?’, Time 120, 100–101.Google Scholar
  33. [33]
    Wildavsky, A.: 1977, ‘Doing Better and Feeling Worse: The Political Pathology of Health Policy’, in J. Knowles (ed.), Doing Better and Feeling Worse: Health in the United States, W. W. Norton Company, New York, pp. 105–123.Google Scholar
  34. [34]
    Winslow, G.: 1982, Triage and Justice: The Ethics of Rationing Life-Saving Medical Resources, University of California Press, Berkeley.Google Scholar

Copyright information

© D. Reidel Publishing Company 1986

Authors and Affiliations

  • Gerald R. Winslow
    • 1
  1. 1.Walla Walla CollegeCollege PlaceUSA

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