This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (35)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

David Orentlicher, JD, MD

JAMA. 1994;271(4):308-314.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

LAST year, when the Bush administration rejected Oregon's plan to ration medical care, it surprised observers with its reliance on the Americans With Disabilities Act (ADA) as the basis for the rejection.¹ When limitations in health care coverage have been challenged under other laws protecting the disabled, courts have not been sympathetic. In addition, in concluding that quality of life and functional status should not be taken into account at all in making rationing decisions,² the Bush administration called into question any serious attempts to ration health care (Am Med News. November 9, 1992:1).

Nevertheless, there were problems with the Oregon plan. For example, there was unfair discrimination in Oregon's decision to deny liver transplants to rehabilitated patients with alcoholic liver disease but not to patients with other causes of liver failure.³ Oregon modified its plan in response to the rejection and in response to further objections . . . [Full Text PDF of this Article]

Author Affiliations
From the Office of the General Counsel, American Medical Association, University of Chicago Law School, and Ethics and Human Values Program, Northwestern University Medical School, Chicago, III.

Footnotes
The views expressed herein are those of the author and do not necessarily represent the views of the American Medical Association, the University of Chicago, or Northwestern University.

Reprint requests to the Office of the General Counsel, American Medical Association, 515 N State St, Chicago, IL 60610 (Dr Orentlicher).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?