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Review
. 2011 Dec;140(6):1625-1632.
doi: 10.1378/chest.11-0622.

The ethics and reality of rationing in medicine

Leslie P Scheunemann  1 , Douglas B White  2
Affiliations
Review

The ethics and reality of rationing in medicine

Leslie P Scheunemann et al. Chest. 2011 Dec.

Abstract

Rationing is the allocation of scarce resources, which in health care necessarily entails withholding potentially beneficial treatments from some individuals. Rationing is unavoidable because need is limitless and resources are not. How rationing occurs is important because it not only affects individual lives but also expresses society's most important values. This article discusses the following topics: (1) the inevitability of rationing of social goods, including medical care; (2) types of rationing; (3) ethical principles and procedures for fair allocation; and (4) whether rationing ICU care to those near the end of life would result in substantial cost savings.

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References

    1. Holtz-Eakin D. All’s not fair in health reform bills. The Boston Globe. December 10, 2009. http://www.boston.com/bostonglobe/editorial_opinion/oped/articles/2009/1.... Accessed December 28, 2010.
    1. Singer P. Why we must ration healthcare. The New York Times. July 15, 2009. www.nytimes.com/2009/07/19/magazine/19healthcare-t.html. Accessed December 28, 2010.
    1. Levinsky NG. The doctor’s master. N Engl J Med. 1984;311(24):1573–1575. - PubMed
    1. Strech D, Persad G, Marckmann G, Danis M. Are physicians willing to ration health care? Conflicting findings in a systematic review of survey research. Health Policy. 2009;90(2-3):113–124. - PMC - PubMed
    1. Strech D, Synofzik M, Marckmann G. How physicians allocate scarce resources at the bedside: a systematic review of qualitative studies. J Med Philos. 2008;33(1):80–99. - PubMed

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