Download or read book Reasonable Rationing written by Ham, Chris and published by McGraw-Hill Education (UK). This book was released on 2003-05-01 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care rationing is a reality in much of the world, and priority setting is an issue of increasing importance. Choices about the use of health care budgets are inescapable and difficult. This study look at priority setting in the health services of several countries.
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 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 Rationing Is Not a Four Letter Word written by Philip M. Rosoff and published by MIT Press. This book was released on 2014-07-03 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
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 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 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 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 Just Caring written by Leonard M. Fleck and published by Oxford University Press. This book was released on 2009 with total page 479 pages. Available in PDF, EPUB and Kindle. Book excerpt: What does it mean to be a "just" and "caring" society when we have only limited resources to meet unlimited health care needs? Do we believe that all lives are of equal value? Is human life priceless? Should a "just" and "caring" society refuse to put limits on health care spending? In Just Caring, Leonard Fleck reflects on the central moral and political challenges of health reform today. He cites the millions of Americans who go without health insurance, thousands of whom die prematurely, unable to afford the health care needed to save their lives. Fleck considers these deaths as contrary to our deepest social values, and makes a case for the necessity of health care rationing decisions. The core argument of this book is that no one has a moral right to impose rationing decisions on others if they are unwilling to impose those same rationing decisions on themselves in the same medical circumstances. Fleck argues we can make health care rationing fair, in ways that are mutually respectful, if we engage in honest rational democratic deliberation. Such civic engagement is rare in our society, but the alternative is endless destructive social controversy that is neither just nor caring.
Download or read book Congressional Record written by United States. Congress and published by . This book was released on 1944 with total page 1458 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Quo Vadis Medical Healing written by S. Elm and published by Springer Science & Business Media. This book was released on 2008-12-16 with total page 171 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical healing implies knowledge of the assumptions that underlie our understanding of "health," and, concomitantly, how we define well being and its opposites, illness and disease. Today, health, health care (business, wellness, recreation), and medicine (especially research-driven scientific medicine) have become separate entities with different institutions, budgets, marketing philosophies and "corporate cultures". Furthermore, healing is individual and subjective, yet at the same time also culturally determined. The present volume brings together papers on these topics in an unique interdisciplinary approach. The book provides an ethical framework for healthcare from a political perspective. It discusses definitions of the terminology of healing and health and their ethical and medical implications including their historical contexts. A separate section expands the theme of the cultural constructedness of healing by the concepts of traditional Chinese medicine and homeopathy. Modern medicine has a strong focus on acute care, which urgently needs to place greater emphasis on preventive medicine including the crucial importance of social factors on health and on the emergence of "public health". The point of view of Business Concepts, their potential and limitations are by no means neglected and the legal ramifications of genetic research and innovative medical strategies with regard to some of our most foundational notions are discussed.
Download or read book Fair Resource Allocation and Rationing at the Bedside written by Marion Danis and published by Oxford University Press, USA. This book was released on 2014-10-09 with total page 481 pages. Available in PDF, EPUB and Kindle. Book excerpt: Priority setting and rationing contribute significantly to affordable and fair healthcare and clinicians play an indispensable role in these processes. This book offers practical strategies for clinicians to allocate resources fairly, to teach about it to students, and to discuss rationing more explicitly in the public arena and the doctor's office.
Download or read book Three Realms of Managed Care written by Jack Glaser and published by Rowman & Littlefield. This book was released on 1997 with total page 286 pages. Available in PDF, EPUB and Kindle. Book excerpt: Glaser and Hamel offer readers an opportunity to step back from the ethical issues connected with modern health care and reflect on what we are doing, how we are doing it, and what impact our actions (and omissions) are having on the common good. While offering a new ethical paradigm that takes into account the three realms of ethical complexity (societal issues, institutional issues, and individual issues), this book offers articles for reflection and self-examination on various aspects of managed care, taking into account specific issues such as rationing, financial incentives, and full disclosure.
Download or read book EBOOK Health Care Coverage Determinations An International Comparative Study written by Timothy Jost and published by McGraw-Hill Education (UK). This book was released on 2004-12-16 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: "A ground breaking set of case studies about how [health care] coverage decisions are made" Robert A. Berenson M.D. Senior Fellow at the Urban Institute, Washington D.C. and former Director of the Center for Health Plans and Providers of the Medicare program Developed countries are facing rapidly rising health care costs and one of the major factors driving health care cost growth is the continual development and diffusion of new, generally more expensive, health care technologies. This book contains: * A description of the institutions, procedures and criteria used by eight countries for assessing technologies for public insurance coverage * An analysis of the role of interest groups, and of the public interest, in these decision making processes * An examination of how particular technologies are treated differently by different countries, and why Based upon research from Australia, Canada, Germany, The Netherlands, Spain, Switzerland, the United States of America and the United Kingdom, the contributors argue that although each of these countries is committed to evidence-based scientific assessment of technologies, in fact adoption of technologies is significantly affected by political considerations, and in particular by the influence of interest groups. Moreover, it offers recommendations as to how technology assessment for coverage policy can be improved to serve better the public interest. Health Care Coverage Determinations is essential reading for health policy makers, managers, researchers and students with an interest in health economics, health care provision and the politics affecting health care legislation. Contributors: Liliana Bulfone, Tanisha Carino, Peter C. Coyte, Anna García-Altés, Colleen M. Flood, Stefan Greß, Felix Gurtner, Anthony Harris, Timothy Stoltzfus Jost, Eric Nauenberg, Christopher Newdick, Dea Niebuhr, Guillaume Roduit, Heinz Rothgang, Frans F.H. Rutten, Dominique Sprumont, Juergen Wasem.
Download or read book Eating for Victory written by Amy Bentley and published by University of Illinois Press. This book was released on 1998 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mandatory food rationing during World War II significantly challenged the image of the United States as a land of plenty and collapsed the boundaries between women's public and private lives by declaring home production and consumption to be political activities. Examining the food-related propaganda surrounding rationing, Eating for Victory decodes the dual message purveyed by the government and the media: while mandatory rationing was necessary to provide food for U.S. and Allied troops overseas, women on the home front were also "required" to provide their families with nutritious food. Amy Bentley reveals the role of the Wartime Homemaker as a pivotal component not only of World War II but also of the development of the United States into a superpower.
Download or read book Fuel Oil Rationing Regulations Ration Order No 11 written by United States. Price Administration Office and published by . This book was released on 1942 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Any Way You Slice It written by Stan Cox and published by New Press, The. This book was released on 2013-05-07 with total page 338 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rationing: it's a word—and idea—that people often loathe and fear. Health care expert Henry Aaron has compared mentioning the possibility of rationing to “shouting an obscenity in church.” Yet societies in fact ration food, water, medical care, and fuel all the time, with those who can pay the most getting the most. As Nobel Prize–;winning economist Amartya Sen has said, the results can be “thoroughly unequal and nasty.” In Any Way You Slice It, Stan Cox shows that rationing is not just a quaint practice restricted to World War II memoirs and 1970s gas station lines. Instead, he persuasively argues that rationing is a vital concept for our fragile present, an era of dwindling resources and environmental crises. Any Way You Slice It takes us on a fascinating search for alternative ways of apportioning life's necessities, from the goal of “fair shares for all” during wartime in the 1940s to present-day water rationing in a Mumbai slum, from the bread shops of Cairo to the struggle for fairness in American medicine and carbon rationing on Norfolk Island in the Pacific. Cox's question: can we limit consumption while assuring everyone a fair share? The author of Losing Our Cool, the much debated and widely acclaimed examination of air-conditioning's many impacts, here turns his attention to the politically explosive topic of how we share our planet's resources., here turns his attention to the politically explosive topic of how we share our planet's resources.
