Drawing the Line: Healthcare Rationing and the Cutoff Problem

Hardcover | December 13, 2016

byPhilip M. Rosoff

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Unlike the rest of the advanced industrialized world, the United States does not have a national healthcare system that guarantees that all residents have access to medical services. Over the past century a number of unsuccessful attempts have been made to create and implement a unified,coordinated healthcare system. Piecemeal progress has been made, such as with the passage of Medicare, Medicaid, and the Affordable Care Act. However, the US still has the dubious distinction of possessing the most expensive healthcare in the world as well as health-related outcomes that areshameful for a wealthy country, mostly due to the number of people who lack decent care. The continuing escalation in medical costs is also threatening the financial stability of the nation. In his first book, Rationing is Not a Four-Letter Word, Philip M. Rosoff argued that the only way to control costs is to impose rationing, and the only way to do so fairly is to have it apply to all. The key to rationing is how it is accomplished. He outlined a general approach to making rationingdecisions that involved a comprehensive explication of procedural fairness and illustrated this with the real-life accepted system of solid organ allocation for transplantation. In this book, he discusses how to decide what should and should not be covered in a generous benefits plan for all. Heconsiders a variety of ways this might be done and concludes that the most just approach is to utilize a transparent process in which experts and lay people develop a consensus on what should be covered by focusing on both clinical evidence of need and the effective and appropriate means to addressthose needs. He also considers the various objections and impediments to this proposal and concludes that they are obstacles that can be successfully met.

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Unlike the rest of the advanced industrialized world, the United States does not have a national healthcare system that guarantees that all residents have access to medical services. Over the past century a number of unsuccessful attempts have been made to create and implement a unified,coordinated healthcare system. Piecemeal progre...

Dr. Philip M. Rosoff is Professor of Pediatrics and Medicine at Duke University Medical Center. He is a Resident Scholar of the School of Medicine's Trent Center for Bioethics, Humanities and History of Medicine. He chairs Duke Hospital's Ethics Committee. He has had a long-standing interest in the intersection between clinical ethi...

other books by Philip M. Rosoff

Rationing Is Not a Four-Letter Word: Setting Limits on Healthcare
Rationing Is Not a Four-Letter Word: Setting Limits on ...

Kobo ebook|Jul 18 2014

$36.39 online$47.23list price(save 22%)
Format:HardcoverDimensions:320 pagesPublished:December 13, 2016Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:019020656X

ISBN - 13:9780190206567

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