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Published byDiane Young Modified over 9 years ago
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Health care rationing Inadequacy of theory? Dimensions of well-being approach 4 tests: substantial moral guidance Applied to age-rationing
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What does social justice have to say about health care rationing? Not much? But some theories are better than others Narrow theories are inadequate: 1. isolated, 2. singular
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6 dimensions: health, self-determination, reasoning, respect, attachment, personal security Multiple determinants Sufficiency at each dimension Levels of moral urgency Background justice
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Not comprehensive discussion Explicit age-based rationing: prioritises health care resources for younger over older because of age E.g. Age-weighted QALYs Narrow approach: singular notions, no unifying framework
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1. Sufficiency 2. Multiple determinants 3. Multiple dimensions 4. Levels of moral urgency Constant adjustment and evaluation in framework of background justice
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What does social justice have to say about health care rationing? More than we think? Disagreement at another level? Consensus?
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