Library Header Image
LSE Research Online LSE Library Services

Principles of justice in health care rationing

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

Full text not available from this repository.
Identification Number: 10.1136/jme.26.5.323


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.

Item Type: Article
Official URL:
Additional Information: © 2000 by the BMJ Publishing Group Ltd & Institute of Medical Ethics.
Divisions: Social Policy
Subjects: R Medicine > RA Public aspects of medicine
Date Deposited: 02 Mar 2011 16:39
Last Modified: 20 Oct 2021 00:41

Actions (login required)

View Item View Item