Rationing Health Care: new volume with chapter by Leonard Fleck

A new volume of contributions to the health care rationing debate has been published recently by Maklu Publishers:

Andre den Exter, Martin Buijsen, eds. Rationing Health Care: Hard Choices and Unavoidable Trade-offs.

Leonard Fleck, Professor in the Center for Ethics and Humanities in the Life Sciences has a chapter in the volume entitled, “Just Caring: In Defense of the Role of Democratic Deliberation in Health Care Rationing and Priority-setting.”

Description from the publisher:

One of the most controversial issues in many health care systems is health care rationing. In essence, rationing refers to the denial of – or delay in – access to scarce goods and services in health care, despite the existence of medical need. Scarcity of financial and medical resources confronts society with painful questions.

  • Who should decide which medicine or new treatment will be covered by social security and on which criteria such decisions must be based?
  • Can age, for example, be justified as a selection criterion?
  • Should decision-making be left to health care policymakers, hospital administrators, or rather, to treating physicians (‘bedside rationing’)?
  • Is there a role for individual patients?

These are difficult questions that suggest the need for transparent and democratic decision-making. In reality, however, the rationing debate occurs in a sub rosa world, based on imperfect information, distorted interpretations of effectiveness, and hidden cost concerns.

Available on Amazon.com.

About Michigan State Bioethics

Devoted to understanding and teaching the ethical, social and humanistic dimensions of illness and health care since 1977.
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