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Ethics and Critical Care Medicine (Hardcover, 1985 ed.)
Loot Price: R3,115
Discovery Miles 31 150
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Ethics and Critical Care Medicine (Hardcover, 1985 ed.)
Series: Philosophy and Medicine, 19
Expected to ship within 10 - 15 working days
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Total price: R3,135
Discovery Miles: 31 350
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The expense of critical care and emergency medicine, along with
widespread expectations for good care when the need arises, pose
hard moral and political problems. How should we spend our tax
d'ollars, and who should get help? The purpose of this volume is to
reflect upon our choices. The authors whose papers appear herein
identify major difficulties and offer various solutions to them.
Four topics are discussed throughout the volume: First, encounters
between patients and health professionals in critical situations in
general, and where scarcity makes rationing necessary; second,
allocation and social policy, including how much to spend on
preventive, chronic or critical care medicine, or for medicine in
general compared to other important social projects; third,
conflicts between or ranking of important goals and values; and
fourth, conceptual issues affecting the choices we make. Since
these topics are raised by the authors in almost every essay, we
did not divide the papers into separate sections within the volume.
Warren Reich begins the volume with a parable illustrating a key
problem for contemporary medicine and two very different approaches
to its solution. His story begins with the "delivery" of three
indigent, critically ill, foreign patients to the emergency room of
a large American private hospital. Although the hospital is legally
bound to care for these patients, providing long term, high cost
care for them and others soon becomes a major financial strain.
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