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Health Care Technology and the Inevitability of Resource Allocation and Rationing DecisionsPart II
Roger W. Evans, PhD
JAMA. 1983;249(16):2208-2219.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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ALLOCATION AND RATIONING OF HEALTH CARE RESOURCES
Of all the resource-shortage crises this nation is expected to confront in the future, the problem of resource distribution is likely to be most acute and problematic in medicine.23,29,123 Persons will be recognized as in need of, and then denied, benefits that the medical care provision system is capable of providing. Instead of an unidentified mass of persons being denied access to a needed resource, persons whose names have become known to the public will be declared ineligible for a treatment or service they are known to require.124 Perhaps this scenario is inhumane, but it is undoubtedly a true representation of reality. As already noted, technology now permits to be saved the lives of persons who less than a decade ago would have surely died. Moreover, technology has made it exceedingly difficult to specify at precisely what point life ceases. This
. . . [Full Text PDF of this Article]
Author Affiliations
From the Health and Population Study Center, Battelle Human Affairs Research Centers, Seattle.
Footnotes
The views expressed in this article are those of the author and do not necessarily represent the views of the Health Care Financing Administration or the Battelle Human Affairs Research Centers.
Reprint requests to Battelle Human Affairs Research Centers, 4000 NE 41st St, PO Box C-5395, Seattle, WA 98105 (Dr Evans).
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