Rationing Health Care. Hard choices and unavoidable trade-offs.

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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?
  • Ca…

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    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’)?
  • Is there a role for
    individual patients?
  • These are 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 Tradeoffs’
    explores these and other questions from various perspectives
    (medicine, philosophy, ethics, economics and law)
    . Each of the
    authors’ contributions analyses the debate from a different angle
    in search of fair and just rationing decisions.

    André den Exter and Martin Buijsen are both academics affiliated
    with Erasmus University Rotterdam, the Netherlands and
    founders of the Erasmus Observatory on Health Law.

    Boek informatie

    ISBN 13
    9789046605257
    Aantal pagina's
    250
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