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Healthcare- Rationing

by: Jocelyn Rossell

Healthcare- Rationing PoliSci 3450

Jocelyn Rossell
GPA 3.325

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About this Document

Notes from Daniels and Sabin on Healthcare Rationing from Oct 29
Ethics and Public Policy
Eric MacGilvray
Class Notes
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This 2 page Class Notes was uploaded by Jocelyn Rossell on Tuesday November 3, 2015. The Class Notes belongs to PoliSci 3450 at Ohio State University taught by Eric MacGilvray in Summer 2015. Since its upload, it has received 12 views. For similar materials see Ethics and Public Policy in Political Science at Ohio State University.


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Date Created: 11/03/15
Healthcare:  Rationing       • Indefinite amount we could spent on health care o No ceiling to what you can spend on healthcare • Modern medicine has become effective on curing new things • Rescue principal o If you can save a life, you should do whatever it takes to do so • No guidance to o Rationing of health care is necessary under modern services § Good life, utilitarianism o Still are scarce resources • Ability to pay • Walzer o Health care is a need, but also a special status o Long life is judged by what we do, how we organize society o Shift from care of souls to care of bodies • Lack: o Ability to pay o Lack of information o Special risks to you § If poor family health history, smoker, woman, than your insurance costs more- solely for expectation • If took those factors away, what insurance could/would you buy? • So what should we insure everybody against?     Normal  Daniels:  Just  Health     • Talks about difference between first half of 20 century and now o Practices and ethics o Doctors now rely on other things to provide care o Has become means of mass production o Hospital which now insures • Doctors have to be a very specialized profession, limited practice o License barrier o Autonomy to treat and refer o Autonomy about how to specialize o Autonomy to locate • Unrestrained ideal advocate o Lawyer is supposed to do that o But a doctor doing that isn’t ethical § Each person gets a time slot § Do whatever it takes no matter what • Ideal advocate o Does what’s best o Within constraint   Normal  Daniels  and  James  Sabin-­‐  “Limits  to  Health  Care”     • What should we do? • MCO- Manage Care Organizations o Make decisions about what doctors are and aren’t allowed to do • Publicity • Reasonable o Goal isn’t to make bigger profit o Perhaps most important aspect o Have to constrain and support reasonably o • Contestable o Be able to argue o Support why decision was made • Regulation o Have to enforce plan • Legitimacy and fairness o May not have authority  


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