Download or read book Health Care for Some written by Beatrix Hoffman and published by University of Chicago Press. This book was released on 2012-09-15 with total page 357 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2010 Affordable Care Act is a sweeping reform to the US health care system. Hoffman offers an engaging and in-depth look at America's long tradition of unequal access to health care. She argues that two main features have characterized the US health system: a refusal to adopt a right to care and a particularly American type of rationing. Unlike rationing in most countries, which is intended to keep costs down, rationing in the United States has actually led to increased costs, resulting in the most expensive health care system in the world.
Download or read book The Ethics of Health Care Rationing written by John Butler and published by SAGE Publications Limited. This book was released on 1999 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume explains why, and in what ways, health care is being rationed in the late-1990s health service. It examines the ethical questions which arise from this rationing and includes personal case studies, from surgeons to geriatric advisors.
Download or read book Pricing Life written by Peter A. Ubel and published by MIT Press. This book was released on 2000 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: A rational look at health care rationing, from ethical, economic, psychological, and clinical perspectives. Although managed health care is a hot topic, too few discussions focus on health care rationing--who lives and who dies, death versus dollars. In this book physician and bioethicist Peter A. Ubel argues that physicians, health insurance companies, managed care organizations, and governments need to consider the cost-effectiveness of many new health care technologies. In particular, they need to think about how best to ration health care. Ubel believes that standard medical training should provide physicians with the expertise to decide when to withhold health care from patients. He discusses the moral questions raised by this position, and by health care rationing in general. He incorporates ethical arguments about the appropriate role of cost-effectiveness analysis in health care rationing, empirical research about how the general public wants to ration care, and clinical insights based on his practice of general internal medicine. Straddling the fields of ethics, economics, research psychology, and clinical medicine, he moves the debate forward from whether to ration to how to ration. The discussion is enlivened by actual case studies.
Download or read book Rationing Is Not a Four Letter Word written by Philip M. Rosoff and published by MIT Press. This book was released on 2014-07-18 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: A provocative argument that the best way to deliver high-quality healthcare to Americans is to institute a comprehensive and fair system of rationing. Most people would agree that the healthcare system in the United States is a mess. Healthcare accounts for a larger percentage of gross domestic product in the United States than in any other industrialized nation, but health outcomes do not reflect this enormous investment. In this book, Philip Rosoff offers a provocative proposal for providing quality healthcare to all Americans and controlling the out-of-control costs that threaten the economy. He argues that rationing—often associated in the public's mind with such negatives as unplugging ventilators, death panels, and socialized medicine—is not a dirty word. A comprehensive, centralized, and fair system of rationing is the best way to distribute the benefits of modern medicine equitably while achieving significant cost savings. Rosoff points out that certain forms of rationing already exist when resources are scarce and demand high: the organ transplant system, for example, and the distribution of drugs during a shortage. He argues that if we incorporate certain key features from these systems, healthcare rationing would be fair—and acceptable politically. Rosoff considers such topics as fairness, decisions about which benefits should be subject to rationing, and whether to compensate those who are denied scarce resources. Finally, he offers a detailed discussion of what an effective and equitable healthcare rationing system would look like.
Download or read book Health Care for Some written by Beatrix Hoffman and published by University of Chicago Press. This book was released on 2012-09-28 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: “Skillfully chronicles America’s struggles to make health care a right from the Depression through Obamacare. . . . beautifully written [and] compelling.” —Jonathan Oberlander, author of The Political Life of Medicare Named by Choice as an Outstanding Academic Title In Health Care for Some, Beatrix Hoffman offers an engaging, in-depth look at America’s long tradition of unequal access to health care. She argues that two main features have characterized the US health system: a refusal to adopt a right to care and a particularly American approach to the rationing of care. Health Care for Some shows that the haphazard way the US system allocates medical services—using income, race, region, insurance coverage, and many other factors—is a disorganized, illogical, and powerful form of rationing. And unlike rationing in most countries, which is intended to keep costs down, rationing in the United States has actually led to increased costs, resulting in the most expensive health care system in the world. While most histories of US health care emphasize failed policy reforms, Health Care for Some looks at the system from the ground up in order to examine how rationing is experienced by ordinary Americans and how experiences of rationing have led to claims for a right to health care. By taking this approach, Hoffman puts a much-needed human face on a topic that is too often dominated by talking heads. “A well-researched, readable primer on the development of the complex, fragmented US medical system.” —Times Higher Education
Download or read book Unequal Treatment written by Institute of Medicine and published by National Academies Press. This book was released on 2009-02-06 with total page 781 pages. Available in PDF, EPUB and Kindle. Book excerpt: Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.
Download or read book Rationing Health Care written by André den Exter and published by Maklu. This book was released on 2012 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: 'Medical need' is a factor in health care access decision-making, but merit-considerations are becoming important too. In the shortening of waiting time, priority arrangements are considered and/or introduced, based on non-medical criteria. Simultaneously, in terms of financing, health status has become important due to payment arrangements, limited insurance package options, etc. At the same time, health status disparities, due to socioeconomic inequalities, seem to be increasing. Under these circumstances, confronted with increased health spending, it is expected that rationing will become more eminent. Due to this, the emerging relevant questions are: Who will be responsible for rationing (the market, governments, bureaucrats, physicians, or others)? * How does it function (explicit or implicit)? * What are relevant and acceptable selection criteria (QUALYs, DALYs, health status, sex, age, etc.)? * To what extent is current rationing just? * What can be done to make it more just? *
Download or read book Can We Say No written by Henry J. Aaron and published by Brookings Institution Press. This book was released on 2005 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Examines the use of rationing as a means to curb health care spending, using the experience of Great Britain to highlight the promises and pitfalls of this approach"--Provided by publisher.
Download or read book Drawing the Line written by Philip M. Rosoff and published by Oxford University Press. This book was released on 2017 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: American healthcare is neither efficient nor available to all, and is also the most expensive in the world. This book argues that rationing of healthcare could work and proposes an approach to ration fairly, effectively and generously.
Download or read book Rationing and Resource Allocation in Healthcare written by Ezekiel Emanuel and published by Oxford University Press. This book was released on 2018-05-10 with total page 569 pages. Available in PDF, EPUB and Kindle. Book excerpt: Budgets of governments and private insurances are limited. Not all drugs and services that appear beneficial to patients or physicians can be covered. Is there a core set of benefits that everyone should be entitled to? If so, how should this set be determined? Are fair decisions just impossible, if we know from the outset than not all needs can be met? While early work in bioethics has focused on clinical issues and a narrow set of principles, in recent years there has been a marked shift towards addressing broader population-level issues, requiring consideration of more demanding theories in philosophy, political science, and economics. At the heart of bioethics' new orientation is the goal of clarity on a complex set of questions in rationing and resource allocation. Rationing and Resource Allocation in Healthcare: Essential Readings provides key excerpts from seminal and pertinent texts and case studies about these topics, contextualized by original introductions. The volume is divided into three broad sections: Conceptual Distinctions and Ethical Theory; Rationing; and Resource Allocation. Containing the most important and classic articles surrounding the theoretical and practical issues related to rationing and how to allocate scare medical resources, this collection aims to assist and inform those who wish to be a part of bioethics' 21st century shift including practitioners and policy-makers, and students and scholars in the health sciences, philosophy, law, and medical ethics.
Download or read book Fair Resource Allocation and Rationing at the Bedside written by Marion Danis and published by Oxford University Press. This book was released on 2014-10-02 with total page 481 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health systems need to set priorities fairly. In one way or another, part of this important task will fall to physicians. How do they make judgments about resource stewardship, and how should they do so? How can they make such decisions in a manner that is compatible with their clinical duties to patients? In this book, philosophers, bioethicists, physicians, lawyers and health policy experts make the case that priority setting and rationing contribute significantly to the possibility of affordable and fair healthcare and that clinicians play an indispensable role in that process. The book depicts the results of a survey of European physicians about their experiences with rationing and other cost containment strategies, and their perception of scarcity and fairness in their health care systems. Responding to and complementing these findings, commentators discuss why resource allocation and bedside rationing is necessary and justifiable. The book explores how bedside rationing relates to clinical judgments about medical necessity and medical indications, marginal benefits, weak evidence based medicine, off-label use. The book highlights how comparative studies of health care systems can advance more effective and fair bedside rationing through learning from one another. From a practical standpoint, the book offers a number of strategies for health care systems and clinicians to work in tandem to allocate and ration resources as fairly as possible: how to foster more attention to fairness when rationing at the bedside, how to avoid exacerbating health disparities when allocating resources, how to teach about bedside rationing to students, how to discuss rationing more explicitly in the public arena and in the doctor's office.
Download or read book The Painful Prescription written by Henry J. Aaron and published by Brookings Institution Press. This book was released on 1984 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book Aaron and Schwartz examine how the British have made those choices and draw inferences about how Americans would respond should they undertake to sharply reduce growth of medical spending. After describing the British health care system, they examine ten important medical procedures, comparing the British and American levels of care.
Download or read book Rationing Health Care in America written by Larry R. Churchill and published by . This book was released on 1987 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Rationing in Medicine written by F. Breyer and published by Springer Science & Business Media. This book was released on 2013-03-09 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book series on the ethics of science and technology assessment edited by the Europ?ische Akademie is devoted to the publication of the work-reports of its project groups, works on the foundations of ethics, the philosophy science, and other issues related to the work of the Europ?ische Akademie. In addition, the series comprises the proceedings of conferences organized by the academy. The 13th volume documents the proceeding of the academy's spring symposium in 2000 on Rationing in Medicine which was held in Bad Neuenahr-Ahrweiler on March 23-25, 2000. An intense discussion on the future of health care in Europe has been stimulated by increasing difficulties of securing adequate and needs orientated medical care in the face of scarce resources and medical progress. Un fortunately, quite of ten a rational discussion of rationing is drowned out by the politic al talk of the day. But only an open and well-informed debate, if anything at ali, can lead to transparent and just rationing procedures which eventually might be acceptable to the public at large. For this debate much can be learnt from observing the experiences other countries have made with their health care arrangements. What kinds of mistakes should be avoided and what might be useful in the different states and perhaps also in the supra-national context of an emerging Europe are interesting and important issues.
Download or read book Rationing Medical Care on the Basis of Age written by Eric Matthews and published by CRC Press. This book was released on 2018-10-08 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Rationing Medical Care on the Basis of Age" explores this highly topical issue and presents a critical argument on the nature of the possible crisis. Its in-depth philosophical analysis of the main ethical positions adopts an interdisciplinary and international approach. This book is important reading for healthcare policy makers and shapers and healthcare managers. Academics in ethics, philosophy, economics, and all healthcare disciplines will find it useful, as will public health specialists, health economists, and social scientists with an interest in health and medicine. The authors of this book have opened up significant new perspectives on many important issues which in practice confront politicians, managers, professionals, patients and the public today. They have done this moreover in a way that is highly accessible to a non-specialist readership.
Download or read book What s Your Life Worth written by David Dranove and published by FT Press. This book was released on 2003 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the world's leading healthcare economists offers a hard-nosed analysisof the frightening reality of soaring healthcare costs--and shows how it willfeel to be at the mercy of a system that can't afford to cure anyone.
Download or read book Rationing Medicine written by Robert H. Blank and published by Columbia University Press. This book was released on 1989-11-17 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rationing Medicine
