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Strong Medicine - The Ethical Rationing of Health Care (Hardcover, New)
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Strong Medicine - The Ethical Rationing of Health Care (Hardcover, New)
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In one form or another, health care now gets rationed. Not
everything beneficial is done for every patient. For the individual
the consequences are sometimes tragic. Rationing decisions thus
raise a classic dilemma: how can we treat with dignity and genuine
respect the person who gets short-changed by an efficient policy
that seems best overall? Strong Medicine argues that we can, if
those policies represent the hard trade-off preferences of patients
controlling resources for their larger lives. Rationing is still
strong medicine to swallow, but then it becomes what patients as
well as the doctor ordered. Menzel develops this central idea and
applies it to major issues of health policy and economics: the
notion of pricing life, the long-run cost of prevention, measuring
quality of life, imperiled newborns, adequate care for the poor,
containing costs by market competition, malpractice suits,
procuring organs for transplant, and dying expensively in old age.
He provides a hard-hitting, critical philosophical discussion of
these issues, in non-technical language accessible to a wide range
of readers interested in policy questions the book takes up. The
issues are fascinating, the arguments are careful, and the results
often surprising.
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