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Rationing health care: the choice before us.

H Aaron1, W B Schwartz

  • 1Brookings Institution, Washington, DC 20036.

Science (New York, N.Y.)
|January 26, 1990
PubMed
Summary
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Rising healthcare costs necessitate exploring healthcare rationing. Examining Great Britain

Area of Science:

  • Health economics
  • Healthcare policy
  • Public health

Background:

  • Healthcare spending is increasing due to technological advances and rising personnel wages.
  • This trend is consuming a larger portion of the gross national product.
  • Current cost-containment strategies offer only temporary relief.

Purpose of the Study:

  • To explore sustained reduction strategies for escalating healthcare expenditures.
  • To analyze the potential of healthcare rationing as a long-term solution.
  • To draw lessons from international experiences with healthcare rationing.

Main Methods:

  • Comparative analysis of healthcare spending trends.
  • Examination of the economic impact of technological advancements in healthcare.
Keywords:
Health Care and Public HealthMedicaidNational Health Service

Related Experiment Videos

  • Review of healthcare rationing policies and outcomes in Great Britain.

    • Main Results:

    • Inefficiency reduction provides only short-term fiscal relief.
    • Rationing of beneficial services, even for the well-insured, is presented as a viable long-term strategy.
    • Great Britain's experience offers insights into explicit healthcare rationing.

    Conclusions:

    • Sustained reduction in healthcare spending growth requires difficult choices.
    • Healthcare rationing, though controversial, may be necessary for fiscal sustainability.
    • The United States can benefit from studying Great Britain's long-standing rationing practices.