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Rationing health care: its impact and implications for hematology-oncology

Rationing of health care in the United States currently exists via the covert mechanism of restricting significant segments of medical care for many of those who cannot afford it. Provision of universal health care would necessitate explicit rationing of certain interventions and technologies, even...

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Published in:	The Yale journal of biology & medicine 1992-03, Vol.65 (2), p.75-82
Main Author:	Duffy, T P
Format:	Article
Language:	English
Subjects:	Bioethics Canada Health Care Rationing - economics Hematology - economics Internationality Medical Oncology - economics Oregon Patient Selection Practice Patterns, Physicians Resource Allocation Social Justice United Kingdom United States Withholding Treatment
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description	Rationing of health care in the United States currently exists via the covert mechanism of restricting significant segments of medical care for many of those who cannot afford it. Provision of universal health care would necessitate explicit rationing of certain interventions and technologies, even though an individual could afford them. The British and Canadian experiences provide lessons from which America can profit, and the Oregon health plan is an experiment in this direction. The progressive "graying" of America has raised the question of the need for intergenerational charity as a form of rationing. The implications of these rationing plans would result in a major restructuring of the practice of hematology-oncology.
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subjects	Bioethics Canada Health Care Rationing - economics Hematology - economics Internationality Medical Oncology - economics Oregon Patient Selection Practice Patterns, Physicians Resource Allocation Social Justice United Kingdom United States Withholding Treatment
title	Rationing health care: its impact and implications for hematology-oncology
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