... that cost is the major problem of current U.S. arrangements, and shows how most recent government policies have reinforced the corporate rationalization of health care, or at least proved neutral towards it. Yet it can be argued that it is precisely this “rationalization” which renders more difficult both...

...Mary Ann Baily This article describes an attempt to persuade the members of a presidential commission on ethics in medicine to open a public dialogue on the rationing of medical care. The need for limits on the health care individuals receive, and the reasons why the existing delivery system fails...

...Colleen M. Grogan; Adam Oliver Copyright © 2013 by Duke University Press 2013 The term rationing has been bandied about so frequently in polarized political settings in the United States that most of us on this side of the Atlantic cringe when we hear the word. We cringe because the term...

...Alan Maynard Abstract All public and private health care systems ration patient access to care. The private sector rations access to consumers who are willing and able to pay. The poor and disadvantaged have limited access to care and inadequate income protection. In public health systems, care...

...Ronald C. Lippincott Henry J. Aaron and William B. Schwartz, The Painful Prescription: Rationing Hospital Care (Washington, D.C.: The Brookings Institution, 1984), 161 pp., $22.95 Copyright © 1984 by the Department of Health Administration, Duke University 1984 Henry J. Aaron...

...Michael Reagan Robert H. Blank, Rationing Medicine (New York: Columbia University Press, 1988), 290 pp., $25.00. Daniel Callahan, Setting Limits: Medical Goals in an Aging Society (New York: Touchstone/Simon & Schuster, 1987), 256 pp. Larry R. Churchill, Rationing Health Care...

...Timothy Stoltzfus Jost Books Mark A. Hall. Making Medical Spending Decisions: The Law, Ethics, and Economics of Rationing Mechanisms. New York: Oxford Uni- versity Press, 1997. 300 pp. $35.00 cloth. Mark Hall’s book, Making Medical...

...Rudolf Klein Henry J. Aaron and William B. Schwartz, with Melissa Cox. Can We Say No? The Challenge of Rationing Health Care. Washington, DC: Brookings Institution, 2005. 212 pp. $44.95 cloth; $18.95 paper. Duke University Press 2007...

... been argued that the role which the institute plays in appraising cost effectiveness,especially of expensive new health technologies, constitutes explicit,national rationing. Although the employment of scientific and evidence-based criteria as the basis of decisions might have been expected to secure...

... Science Quarterly 42 : 366 -394. Reason, Rationalization, and Professionalism in the Era of Managed Care William D. White Cornell...

... some of the tensions and challenges that currently define patient safety oversight, and suggests strategies for more rational and responsive regulation. © 2005 by Duke University Press 2005 Fostering Rational Regulation of Patient...

...Allen Buchanan Three ethical criticisms of managed care are often voiced: (1) by “skimming the cream” of the patient population, managed care organizations fail to discharge their obligations to improve access, or at least, to not worsen it; (2) managed care organizations engage in rationing...

...Howard M. Leichter In 1994 Oregon began rationing health care for its Medicaid population, offering health policy makers and analysts around the country a view of one alternative future for health care delivery. The question now, four years after the experiment began, is what does that future look...

...Lawrence Jacobs; Theodore Marmor; Jonathan Oberlander The article proceeds in three sections. First, we very briefly review the original proposalsand ensuing (and misleading) debate over rationing in Oregon. Next, we explore how the politics of rationing unfolded in Oregon from the enactment of OHP...

...Mita K. Giacomini To rationalize and restrict health care spending, policy makers in many jurisdictions have withdrawn insurance or funding for selected health care technologies. Numerous analytic frameworks and applied exercises have emerged to guide decisions about “which” services to cut...

...Candace Johnson Redden This article examines the theoretical and practical logics of community engagement exercises in health care rationing. To evaluate such exercises in Canada, it is necessary to compare suspected rationing exercises (such as those in Nova Scotia and Saskatchewan) with clear...

...Robert Rhodes Leonard M. Fleck. Just Caring: Health Care Rationing and Democratic Deliberation. New York: Oxford University Press, 2009. 460 pp. $49.95 cloth. © 2010 by Duke University Press 2010 Calabresi, G., and P. Bobbitt. 1978 . Tragic Choices . New York: W. W. Norton...

...Susan D. Goold Assuming that rationing health care is unavoidable, and that it requires moral reasoning, how should we allocate limited health care resources? This question is difficult because our pluralistic, liberal society has no consensus on a conception of distributive justice...

... of the single-payer model is that it can lead to excessive health care rationing, particularly in terms of waiting times, although it is argued here that long waits are probably caused by insufficient funding rather than by the single-payer model per se. Moreover, rationing of one form or another occurs in all...

...-value treatments, but many conservatives and industry groups feared PCORI would ration care and threaten physicians' autonomy. PCORI faced three challenges during its first decade of operation: overcoming the controversy of its birth and escaping early termination, shaping medical practice, and building...