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  1. Why bioethicists have nothing useful to say about health care rationing.D. Seedhouse - 1995 - Journal of Medical Ethics 21 (5):288-291.
    Bioethicists are increasingly commenting on health care resource allocation, and sometimes suggest ways to solve various rationing dilemmas ethically. I argue that both because of the assumptions bioethicists make about social reality, and because of the methods of argument they use, they cannot possibly make a useful contribution to the debate. Bioethicists who want to make a practical difference should either approach health care resource allocation as if the matter hinged upon tribal competition (which is essentially what it does), or (...)
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  • The Gulf Between; Surrogate Choices Physician Instructions, and Informal Network Respones.Tom Koch - 1995 - Cambridge Quarterly of Healthcare Ethics 4 (2):185.
    Healthcare Providers advising patient surrogates on the appropriateness of continued care for comatose patients have often been sharply criticized for coercive behavior toward patient surrogates; with failing to provide them with adequate information; and for a general failure to adequately cinsider the cimplex needs and hopes of patients, their surrogates, and caregivers. Because decisions on the continuation or withdrawal of care often need the legal approval of surrogates the failure of both medical personnel and patient families to understand each other's (...)
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  • Müssen alle etwas wollen sollen?!Michael Coors - 2020 - Ethik in der Medizin 32 (1):1-3.
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  • (1 other version)In defence of ageism.A. B. Shaw - 1994 - Journal of Medical Ethics 20 (3):188-194.
    Health care should be preferentially allocated to younger patients. This is just and is seen as just. Age is an objective factor in rationing decisions. The arguments against 'ageism' are answered. The effects of age on current methods of rationing are illustrated, and the practical applications of an age-related criterion are discussed. Ageist policies are in current use and open discussion of them is advocated.
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  • Older People's Reasoning About Age-Related Prioritization in Health Care.Elisabet Werntoft, Ingalill R. Hallberg & Anna-Karin Edberg - 2007 - Nursing Ethics 14 (3):399-412.
    The aim of this study was to describe the reasoning of people aged 60 years and over about prioritization in health care with regard to age and willingness to pay. Healthy people (n = 300) and people receiving continuous care and services (n = 146) who were between 60 and 101 years old were interviewed about their views on prioritization in health care. The transcribed interviews were analysed using manifest and latent qualitative content analysis. The participants' reasoning on prioritization embraced (...)
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  • The cost of refusing treatment and equality of outcome.J. Savulescu - 1998 - Journal of Medical Ethics 24 (4):231-236.
    Patients have a right to refuse medical treatment. But what should happen after a patient has refused recommended treatment? In many cases, patients receive alternative forms of treatment. These forms of care may be less cost-effective. Does respect for autonomy extend to providing these alternatives? How for does justice constrain autonomy? I begin by providing three arguments that such alternatives should not be offered to those who refuse treatment. I argue that the best argument which refusers can appeal to is (...)
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  • Healthcare Rationing Cutoffs and Sorites Indeterminacy.Philip M. Rosoff - 2019 - Journal of Medicine and Philosophy 44 (4):479-506.
    Rationing is an unavoidable mechanism for reining in healthcare costs. It entails establishing cutoff points that distinguish between what is and is not offered or available to patients. When the resource to be distributed is defined by vague and indeterminate terms such as “beneficial,” “effective,” or even “futile,” the ability to draw meaningful boundary lines that are both ethically and medically sound is problematic. In this article, I draw a parallel between the challenges posed by this problem and the ancient (...)
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  • What Does Empirical Research Contribute to Medical Ethics? - A Methodological Discussion Using Exemplary Studies.Stella Reiter-Theil - 2012 - Cambridge Quarterly of Healthcare Ethics 21 (4):425-435.
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  • Choosing Medical Care in Old Age: What Kind, How Much, When to Stop. Muriel R. Gillick. Cambridge, Massachusetts: Harvard University Press, 1994. [REVIEW]Nancy S. Jecker - 1995 - Cambridge Quarterly of Healthcare Ethics 4 (4):553.
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  • The Ethics of Decision Making for the Critically Ill Elderly.Madelyn Anne Iris - 1995 - Cambridge Quarterly of Healthcare Ethics 4 (2):135.
    The ethics of decision making for the critically ill elderly is an area of concern for all those involved in the decision-making process. The number of participants involved in decision making around end-of-life issues may be many: treatment and care decisions often bring together not only the patient and the physician, but the family, an extended medical care team, and impartial members of a hospital or institutional ethics committee. In addition, treatment and care decisions made at the end of life (...)
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  • The United States Bishops' Committee Statement on Nutrition and Hydration Commentary.Laurence J. O'Connell, Ronald E. Cranford, T. Patrick Hill & Roberta Springer Loewy - 1993 - Cambridge Quarterly of Healthcare Ethics 2 (3):341.
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  • Allocating Healthcare By QALYs: The Relevance of Age.John McKie, Helga Kuhse, Jeff Richardson & Peter Singer - 1996 - Cambridge Quarterly of Healthcare Ethics 5 (4):534.
    What proportion of available healthcare funds should be allocated to hip replacement operations and what proportion to psychiatric care? What proportion should go to cardiac patients and what to newborns in intensive care? What proportion should go to preventative medicine and what to treating existing conditions? In general, how should limited healthcare resources be distributed If not all demands can be met?
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  • African Conceptions of Age‐Based Moral Standing: Anchoring Values to Regional Realities.Nancy S. Jecker - 2020 - Hastings Center Report 50 (2):35-43.
    Is age discrimination ethically objectionable? One puzzle is that we sometimes assume that the target of both age discrimination and ageism must be older people, yet in poorer nations, older people are generally shown more respect. This article explores the ethical question. It looks first at ethical arguments favoring age discrimination toward younger people in low‐income, less industrialized countries of the global South, using sub‐Saharan Africa as an illustration. It contrasts these with arguments favoring age discrimination toward older people in (...)
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  • A critique of using age to ration health care.R. W. Hunt - 1993 - Journal of Medical Ethics 19 (1):19-27.
    Daniel Callahan has argued that economic and social benefits would result from a policy of withholding medical treatments which prolong life in persons over a certain age. He claims 'the real goal of medicine' is to conquer death and prolong life with the use of technology, regardless of the age and quality of life of the patient, and this has been responsible for the escalation of health care expenditure. Callahan's proposal is based on economic rationalism but there is little evidence (...)
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  • The “Elderly” in Medicine: Ethical Issues Surrounding This Outdated and Discriminatory Term.Javad Hekmat-Panah - 2019 - Inquiry: The Journal of Health Care Organization, Provision, and Financing 56:004695801985697.
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  • Rights, Duties, and Limits of Autonomy.H. E. Emson - 1995 - Cambridge Quarterly of Healthcare Ethics 4 (1):6.
    In the language of secular bioethics, autonomy is always accorded first place in the hierarchy of values that has come to be referred to as the “Georgetown mantra” A dictionary definition of mantra is “a verbal spell, ritualistic incantation, or mystic formula used devotionally,” and the value placed upon autonomy is largely of this nature: uncritical and uncriticised. That there should be and are limits to autonomy is obvious, but these boundaries are undefined, little discussed, and mostly unexplored. To use (...)
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  • In Memoriam. Dan Callahan: Writing a Life in Bioethics.Joseph J. Fins - 2020 - Cambridge Quarterly of Healthcare Ethics 29 (1):4-8.
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  • The Economic Attributes of Medical Care: Implications for Rationing Choices in the United States and United Kingdom.Dwayne A. Banks - 1996 - Cambridge Quarterly of Healthcare Ethics 5 (4):546.
    The healthcare systems of the United States and United Kingdom are vastly different. The former relies primarily on private sector incentives and market forces to allocate medical care services, while the latter is a centrally planned system funded almost entirely by the public sector. Therefore, each nation represents divergent views on the relative efficacy of the market or government in achieving social objectives in the area of medical care policy. Since its inception in 1948, the National Health Services of the (...)
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  • Lifespan extension and the doctrine of double effect.Laura Capitaine, Katrien Devolder & Guido Pennings - 2013 - Theoretical Medicine and Bioethics 34 (3):207-226.
    Recent developments in biogerontology—the study of the biology of ageing—suggest that it may eventually be possible to intervene in the human ageing process. This, in turn, offers the prospect of significantly postponing the onset of age-related diseases. The biogerontological project, however, has met with strong resistance, especially by deontologists. They consider the act of intervening in the ageing process impermissible on the grounds that it would (most probably) bring about an extended maximum lifespan—a state of affairs that they deem intrinsically (...)
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  • The value of longevity.Greg Bognar - 2020 - Politics, Philosophy and Economics 19 (3):229-247.
    Longevity is valuable. Most of us would agree that it’s bad to die when you could go on living, and death’s badness has to do with the value your life would have if it continued. Most of us would also agree that it’s bad if life expectancy in a country is low, it’s bad if there is high infant mortality and it’s bad if there is a wide mortality gap between different groups in a population. But how can we make (...)
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  • Making the Improbable Probable: Communication across Models of Medical Practice.Stephen Buetow - 2014 - Health Care Analysis 22 (2):160-173.
    Cooperation and conversation in the public sphere may overcome historical and other barriers to rational argumentation. As an alternative to evidence-based medicine (EBM) and patient-centered care (PCC), the recent development of a modern version of person-centered medicine (PCM) signals an opportunity for a conversational pluralogue to replace parallel monologues between EBM and its critics, and the calls to EBM to debate its critics. This article draws upon elements of Habermas’s theory of communicative action in order to suggest the kind of (...)
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  • First-Personal Moral Testimony: a Defence.David A. Borman - 2020 - Ethical Theory and Moral Practice 23 (1):163-179.
    Several authors have discussed and defended what is sometimes called the Asymmetry Thesis in social epistemology: that while reliance on testimony is essentially incontrovertible in epistemology, it is uniquely problematic for moral knowledge. This conclusion results, I argue, from considering the wrong sort of moral testimony: namely, ‘third-personal’ rather than ‘first-personal’ testimony. First-personal moral testimony is an inescapable part of the constitution of legitimate moral norms, and its role cannot be deflated as a form of mere information to be taken (...)
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