Setting Limits Fairly: Can We Learn to Share Medical Resources?

Hardcover | March 15, 2002

byNorman Daniels, James Sabin

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The central idea for this book is that we lack consensus on principles for allocating resources and in the absence of such a consensus we must rely on a fair decision-making process for setting limits on health care. The authors characterize key elements of this process in a variety of healthcare contexts where such decisions are made- decisions about insurance coverage for new technologies, pharmacy benefit management, the design of physician incentives, contracting for mental health care by public agencies, etc.- and they connect the problem in the U.S. with the same problem in othercountries. They provide a cogent analysis of the current situation, lucidly review the usual candidate solutions, and describe their own approach, which represents a clear advance in thinking. Their intended audience is international since the problem of limits cuts across types of health caresystems whether or not they have universal coverage.

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The central idea for this book is that we lack consensus on principles for allocating resources and in the absence of such a consensus we must rely on a fair decision-making process for setting limits on health care. The authors characterize key elements of this process in a variety of healthcare contexts where such decisions are made...

Norman Daniels is at Tufts University. James Sabin is at Harvard Medical School.

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Format:HardcoverDimensions:208 pages, 6.18 × 9.41 × 0.98 inPublished:March 15, 2002Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:019514936X

ISBN - 13:9780195149364

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Table of Contents

1. Our Lives in Whose Hands?2. Justice, Scarcity, and Public Accountability for Limits3. The Legitimacy Problem and Fair Process4. Accountability for Reasonableness5. Managing Last Chance Therapies6. Lung Volume Reduction Surgery: A Case Study7. Making Pharmacy Benefits Accountable for Reasonableness8. Indirect Limit Setting: Accountability for Physician Incentives9. Accountability for Reasonableness in Action: Public Sector Contracting for Mental Health Care10. An International Learning Curve11. Learning to Share Medical Resources

Editorial Reviews

"...offers a detailed procedural approach to limit setting where primarily the question of legitimacy is settled."--Nursing Ethics