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Of rescue and responsibility: learning to live with limits
1Department of Human Values and Ethics, College of Medicine, University of Tennessee, Memphis 38163.
The Journal of Medicine and Philosophy
|October 1, 1994
Summary
Achieving universal health care access in the US is hindered by the "rule of rescue," which prioritizes individual needs over cost containment. Patients need greater cost responsibility to limit entitlements and expand access.
Area of Science:
- Health Economics
- Public Health Policy
- Bioethics
Background:
- Universal health care access remains elusive in the United States.
- The
- rule of rescue
- ] drives unlimited healthcare spending by prioritizing individual needs.
- Economic insulation shields patients and physicians from care costs, fostering an entitlement mentality.
Purpose of the Study:
- To analyze the impact of the
- rule of rescue
- on healthcare policy and cost containment.
- To explore mechanisms for limiting healthcare entitlements and fostering patient cost responsibility.
- To identify strategies for expanding healthcare access without imposing economic barriers.
Main Methods:
- Conceptual analysis of ethical principles and economic incentives in healthcare.
- Review of existing healthcare policy limitations and their consequences.
- Exploration of potential policy interventions to increase patient financial engagement.
Main Results:
- The
- rule of rescue
- undermines cost containment efforts essential for universal healthcare.
- Economic insulation contributes to a perception of healthcare as a free, unlimited right.
- Patient engagement with healthcare costs can help establish reasonable limits on entitlements.
Conclusions:
- Reforming the entitlement mentality requires patients to share in healthcare costs.
- Implementing mechanisms for patient cost responsibility is crucial for sustainable healthcare access.
- Balancing the
- rule of rescue
- with economic realities is necessary for achieving universal healthcare.
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