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Setting Health-Care Priorities - What Ethical Theories Tell Us (Hardcover)
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Setting Health-Care Priorities - What Ethical Theories Tell Us (Hardcover)
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With much of the world's population facing restricted access to
adequate medical care, how to allocate scarce health-care resources
is a pressing question for governments, hospitals, and individuals.
How do we decide where funding for health-care programs should go?
Tannsjo here approaches the subject from a philosophical
perspective, balancing theoretical treatments of distributive
ethics with real-world examples of how health-care is administered
around the world today. Tannsjo begins by laying out several
popular ethical theories-utilitarianism, which recommends
maximizing the best overall outcome; egalitarianism, which
recommends smoothing out the differences between people as much as
possible; and the maximin/leximin theory, which urges people to
give absolute priority to those who are worst off. Tannsjo shows
how, in abstract thought experiments, these theories come into
conflict with each other and reveal puzzling implications. He goes
on to argue, however, that when we consider health-care in the
real-world, these theories all agree on a central point: in a
well-ordered welfare state, more resources should be directed to
the care and cure of people suffering from mental illness, and less
to the marginal life extension of elderly patients. Tannsjo's book
thus recommends a shift in spending to increase fairness and
overall utility-while also recognizing that this kind of
dispassionate suggestion, with its purely economic foundation, is
unlikely to take hold in policy. Tannsjo's analysis is a case study
in how ethical theories can sometimes lead to rational conclusions
and recommendations that we are not prepared to accept.
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