JUst Caring: Oregon, Health Care Rationing, and Informed Democratic Deliberation  

Oleh:

Fleck, Leonard M.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The Journal of Medicine and Philosophy vol. 19 no. 4 (Aug. 1994), page 367-388.
Topik: Cost Contaiment; Democratic Deliberation; Fairness; Justice; Rationing

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: MM80.3 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

This essay argues that our national efforts at health reform ought to be informed by eleven key lessons from Oregon. Specifically, we must learn that the need for health care rationing is inescapable, that any rationing process must be public and visible, and that fair rationing protocols must be self-imposed through a process of rationing is a ubiquitos feature our health care system at present, but it is mostly hidden rationing, which is presumptively unjust. Part II argues that the need for health care rationing, it gives us worthy moral lessons for health reform at the national level, which I analyze and defend in Part III. The most significant of these lessons is the importance of rational democratic deliberation in articulating fair rationing protocols for a community. In Part IV I sketch the philosophic justification for this approach and respond to some important criticism from Daniels.

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