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[Prioritizing and righteousness--what do we do when we can't do everything?]

O F Norheim1

  • 1Senter for medisinsk etikk, Universitetet i Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|November 10, 1993
PubMed
Summary
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This article explores healthcare resource allocation, balancing efficiency with equality. It examines the "bottomless pit" problem of equal health outcomes and presents fairness as proportional claim satisfaction.

Area of Science:

  • Health Economics
  • Bioethics
  • Public Health Policy

Context:

  • Scarce healthcare resources necessitate ethical allocation frameworks.
  • Balancing competing principles like welfare maximization and equality is a persistent challenge in health policy.
  • Prioritization in clinical settings requires a structured approach to resource distribution.

Purpose:

  • To analyze the ethical principles governing the allocation of scarce healthcare resources.
  • To explore the conflict between utilitarianism (welfare maximization) and the norm of equality in healthcare.
  • To present John Broome's concept of fairness and a criteria classification as frameworks for resource allocation debates.

Summary:

  • The article addresses the tension between efficient resource distribution (utilitarianism) and equitable access in healthcare.

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  • It highlights the potential "bottomless pit" issue where equal health goals could disproportionately consume resources for the severely ill.
  • John Broome's fairness principle and a criteria classification offer potential solutions for prioritizing healthcare resources.

    • Impact:

    • Provides a framework for ethical decision-making in healthcare resource allocation.
    • Informs policy development for more equitable and efficient distribution of health services.
    • Contributes to the academic discourse on distributive justice in the context of limited healthcare funding.