Pricing Life: Why It's Time for Health Care Rationing

Pricing Life: Why It's Time for Health Care Rationing

by Peter A. Ubel
     
 

ISBN-10: 0262710099

ISBN-13: 9780262710091

Pub. Date: 10/01/2001

Publisher: MIT Press

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

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Overview

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.

The MIT Press

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Product Details

ISBN-13:
9780262710091
Publisher:
MIT Press
Publication date:
10/01/2001
Series:
Basic Bioethics
Edition description:
Reprint
Pages:
264
Product dimensions:
6.00(w) x 9.00(h) x 0.50(d)
Age Range:
18 Years

Table of Contents

Series Forewordix
Acknowledgmentsxi
Introductionxiii
ICost-Effectiveness and the Controversial Necessity of Health Care Rationing1
1Rationing According to Cost-Effectiveness: Explicit, Quantifiable, and Unacceptable?3
2The Politics of Defining Health Care Rationing11
3The Necessity of Rationing Health Care31
4The Challenge of Measuring Community Values in Ways Appropriate for Making Rationing Decisions47
5How Do People Want to Ration Health Care? Balancing Cost-Effectiveness and Fairness67
IICost-Effectiveness and Bedside Rationing: Do Two Wrongs Make a Right?97
6The Case Against Bedside Rationing99
7Recognizing Bedside Rationing111
8Linguistic Confusion about Bedside Rationing125
9The Unbearable Rightness of Bedside Rationing137
IIIThe Future of Cost-Effectiveness Analysis and Health Care Rationing153
10Future Possibilities for Improving How Cost-Effectiveness Analysis Incorporates Public Rationing Preferences155
11The Future of Cost-Effectiveness Analysis and Health Care Rationing173
References185
Index199

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