Cookson, Richard and Dolan, Paul (2000) Principles of justice in health care rationing. Journal of medical ethics, 26 (5). pp. 323-329. ISSN 0306-6800
This paper compares and contrasts three different substantive (as opposed to procedural) principles of justice for making health care priority-setting or “rationing” decisions: need principles, maximising principles and egalitarian principles. The principles are compared by tracing out their implications for a hypothetical rationing decision involving four identified patients. This decision has been the subject of an empirical study of public opinion based on small-group discussions, which found that the public seem to support a pluralistic combination of all three kinds of rationing principle. In conclusion, it is suggested that there is room for further work by philosophers and others on the development of a coherent and pluralistic theory of health care rationing which accords with public opinions.
|Additional Information:||© 2000 by the BMJ Publishing Group Ltd & Institute of Medical Ethics.|
|Uncontrolled Keywords:||health care, rationing, medical ethics, justice, need|
|Library of Congress subject classification:||R Medicine > RA Public aspects of medicine|
|Sets:||Departments > Social Policy|
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