Following the Governments health reforms in 1991 rationing has been
put firmly on the agenda. This book identifies and clarifies the
numerous political and ethical issues surrounding rationing in
healthcare. Drawing upon international examples it offers a
critical overview of the approaches to rationing and makes
practical proposals for its management.Desperately Seeking
Solutions challenges the assumption that all health services are
inherently subject to rationing as demand invariably outstrips
supply and examines this within a comparative framework. The author
critically evaluates the extent to which rationing has always
existed and should exist within the NHS, although until recently it
operated on an implicit rather than explicit basis and was bound up
with clinical judgements rather than purely financial
considerations. The author questions whether calls for explicit
rationing are actually desirable and potentially feasible.
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