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Just Caring: Health Reform and Health Care Rationing
Oleh:
Fleck, Leonard M.
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
The Journal of Medicine and Philosophy vol. 19 no. 5 (Oct. 1994)
,
page 435-444.
Topik:
Justice
;
Health Care Rationing
;
Health Reform
;
Democratic Decision-Making
Ketersediaan
Perpustakaan Pusat (Semanggi)
Nomor Panggil:
MM80.3
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
Health reform must include heath care rationing, both for reasons of fairness and efficiency. Few politicians are willing to accept this cliam, including the Clinton Administration. Brown and others have argued that enormous waste and inefficiency must be wrung out of our health care system before morally problematic cost constraining optons, such as rationing , can be justifiably adopted. However, I argue that most of the policies and practices that would diminish waste and inefficiency include implicit (and therefore morally problematic) rationing see as its most morally and psychologically troubling feature than an indentified individual is denied potentially beneficial care. That psychic anguish may not be eliminable, and perhaps ought not be eliminated. But if rationing protocols are fairly adopted through a process of free and informed rational democratic deliberation to which all have acess, the moral objections are largely overcome. Such a process is possible only if implicit rationing is recognized and rejected.
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