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Prevention vs. Treatment - What's the Right Balance? (Hardcover)
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Prevention vs. Treatment - What's the Right Balance? (Hardcover)
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Everyone knows the old adage, "an ounce of prevention is worth a
pound of cure," but we seem not to live by it. In the Western
world's health care it is commonly observed that prevention is
underfunded while treatment attracts greater overall priority. This
book explores this observation by examining the actual spending on
prevention, the history of health policies and structural features
that affect prevention's apparent relative lack of emphasis, the
values that may justify priority for treatment or for prevention,
and the religious and cultural traditions that have shaped the
moral relationship between these two types of care.
Economists, scholars of public health and preventive medicine,
philosophers, lawyers, and religious ethicists contribute specific
sophisticated discussions. Their descriptions and claims lean in
various directions and are often surprising. For example, the
imbalance between prevention and treatment may not be as great as
is often thought, and we may be spending excessively on many
preventive measures just as we do on treatments compelled by the
felt demands of rescue. A standard practice in health economics
that disadvantages prevention, "discounting" the value of future
lives, may rest on weak empirical and moral grounds. And it is an
"apocalyptic" religious tradition (Seventh-day Adventism) whose
members have put some of the strongest and most effective priority
on long-term prevention.
Prevention vs. Treatment is distinctive in carefully clarifying the
nature of the empirical and moral debates about the proper balance
of prevention and treatment; the book pursues those debates from a
wide range of perspectives, many not often heard from in health
policy.
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