How Health Care Can Be Cost-Effective and Fair

How Health Care Can Be Cost-Effective and Fair

 
Publisher: OUP USA
Date of Publication:
 
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Product details:

ISBN13:9780197656969
ISBN10:019765696X
Binding:Hardback
No. of pages:256 pages
Size:162x236x21 mm
Weight:1 g
Language:English
595
Category:
Short description:

How Health Care Can Be Cost-Effective and Fair considers how healthcare can be both cost-effective and ethical. Daniel M. Hausman defends a major role for cost-effective reasoning in healthcare distribution, while also recognizing its serious limitations.

Long description:
Methods designed to guide the allocation of healthcare so as to maximize population health have been criticized as fundamentally unfair. In a closer analysis of this ethical critique of the use of cost-effectiveness author Daniel M. Hausman responds to the main complaints about the unfairness of cost-effectiveness, while also recognizing that there should be other factors--especially in cases of discrimination--guiding health-related treatment.

Central to How Health Care Can Be Cost-Effective and Fair is whether cost-effective allocation of healthcare violates ethical constraints. Several commentators argue that using cost-effective reasoning to guide the distribution of healthcare is fundamentally unfair, not just because it does not take distribution into account, but because it fails to prioritize the severity of illness and fails to give everyone, and especially disabled people and those from historically underprivileged populations, a fair chance of being treated. While Hausman recognizes the complexity and shortcomings of cost-effective reasoning, he maintains that it should be a leading principle in the allocation of health-related resources. In Hausman's view, many values--such as compassion, freedom, respect, and solidarity should govern healthcare in addition to promoting well-being and treating individuals fairly. In its efforts to promote population health fairly, healthcare should respond to and respect individuals' values and choices.

A landmark theory of fairness and cost effectiveness in health care by a virtuoso of ethics and economics. Hausman's authoritative, comprehensive, and insightful analysis blends intricate philosophical argumentation with a firm grasp of economic reality
Table of Contents:
Introduction
Chapter 1: Measuring Health and the "Effectiveness" of Health Care
Chapter 2: Cost-Effectiveness, Well-Being, and Freedom
Chapter 3: Conceptual, Technical, and Ethical Problems with Cost Effectiveness
Chapter 4: Theories of Fair Distribution
Chapter 5: What Constitutes a Fair Allocation of Health Care?
Chapter 6: Fair Chances
Chapter 7: Does Cost-Effectiveness Fail to Give Sufficient Priority to Severity?
Chapter 8 To Aggregate or Not to Aggregate
Chapter 9: Discrimination
Chapter 10: Health Care: Respectful, Cost Effective, and Fair
Acknowledgments and Sources
References
Index