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Healthcare Agencies II

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Healthcare Rationing Cutoffs and Sorites Indeterminacy.

Philip M Rosoff¹

¹Duke University School of Medicine, Durham, North Carolina, USA.

The Journal of Medicine and Philosophy

|July 30, 2019

Summary

Healthcare rationing faces challenges with vague terms like "beneficial" or "futile." This study likens the problem to the sorites paradox, suggesting a novel approach for practical decision-making in resource allocation.

Area of Science:

Health Economics
Medical Ethics
Philosophy of Science

Background:

Healthcare costs necessitate rationing mechanisms.
Defining eligibility for care involves setting cutoff points.
Vague terminology like 'beneficial' or 'futile' complicates ethical and medical boundary-setting.

Purpose of the Study:

To explore the philosophical underpinnings of healthcare rationing dilemmas.
To draw a parallel between healthcare rationing and the sorites paradox.
To propose a practical approach for resolving healthcare resource allocation decisions.

Main Methods:

Philosophical analysis drawing parallels with the sorites paradox.
Examination of logical challenges in defining indeterminate terms.

Keywords:

cutoffs rationing sorites paradoxes

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Development of an alternative framework for practical decision-making.

Main Results:

The problem of defining cutoffs in healthcare rationing mirrors the sorites paradox.
Conventional logical analysis is insufficient to solve these dilemmas.
A new approach offers a potential practical solution for real-world rationing decisions.

Conclusions:

Healthcare rationing, particularly with indeterminate terms, presents unsolvable logical paradoxes.
A novel, practical approach is proposed to address these challenges in resource allocation.
This framework may aid in making ethically and medically sound decisions in healthcare rationing.