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"Rationing" and American health policy.

M A Baily

    Journal of Health Politics, Policy and Law
    |January 1, 1984
    PubMed
    Summary
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    This study highlights the ethical necessity of discussing healthcare limits, also known as rationing. However, the commission avoided the controversial term, hindering policy development despite acknowledging the need for limits.

    Area of Science:

    • Medical Ethics
    • Health Policy Analysis
    • Public Health Discourse

    Background:

    • The existing healthcare system struggles to establish ethically sound limits on individual care.
    • The term "rationing" is accurate for equitable healthcare limits but is avoided due to controversy.
    • Avoiding the term "rationing" impedes the development of effective healthcare policies.

    Purpose of the Study:

    • To advocate for a public dialogue on the rationing of medical care.
    • To persuade a presidential commission on ethics in medicine to address healthcare limits openly.
    • To underscore the commission's unique position to educate the public on healthcare rationing.

    Main Methods:

    • Presented arguments on the necessity of healthcare limits.
    • Outlined ethical challenges in the current healthcare delivery system.
    Keywords:
    Health Care and Public HealthPresident's Commission for the Study of Ethical ProblemsSecuring Access to Health Care

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  • Engaged with a presidential commission on ethics in medicine.

    • Main Results:

    • The commission acknowledged the need for limits on healthcare.
    • The commission refused to use the term "rationing" in their official report.
    • The commission did not initiate a public dialogue on healthcare rationing.

    Conclusions:

    • Despite acknowledging the need for healthcare limits, the commission's avoidance of the term "rationing" represents a missed opportunity for public education and policy development.
    • The controversy surrounding the term "rationing" acts as a significant barrier to addressing essential healthcare allocation issues.
    • Ethical commissions have a crucial role in facilitating public understanding and discussion of sensitive healthcare policy topics.