Mark A Hall

Making Medical Spending Decisions

The Law, Ethics & Economics of Rationing Mechanisms

• Gebundenes Buch

Produktbeschreibung

One of the most fundamental issues in health care delivery is who should decide which items of medical care are not worth their cost. This book is a fresh and comprehensive exploration of how health care rationing decisions are made. Unlike prior works, its focus is not on the specific criteria for rationing, like age or quality of life.

Produktdetails

• Verlag: Oxford University Press, USA
• Seitenzahl: 312
• Erscheinungstermin: 12. Dezember 1996
• Englisch
• Abmessung: 243mm x 165mm x 31mm
• Gewicht: 680g
• ISBN-13: 9780195092196
• ISBN-10: 0195092198
• Artikelnr.: 20974045

Autorenporträt

Mark A. Hall is Professor of Law and Public Health at the Bowman Gray School of Medicine at Wake Forest University.

Inhaltsangabe

I. Introduction: Who Decides?
The Inevitability of Medical Spending Decisions
Asking the Right Questions
The Plan of this Book
II. Patient Spending Decisions
The Case in Favor of Market Reforms
Increasing Patient Sensitivity to Medical Costs
The Case Against Patient Cost Sharing
Conclusion
III. Third-Party Rules
Bureaucratic and Legalistic Mechanisms
Technocratic Resource Allocation and the Emerging Role of Science
The Flaws of Rule-Based Rationing
Ideal Democratic Processes
Physician Overseers
IV. Physician Bedside Discretion
Opposition to Physician Bedside Rationing
The Nature and Extent of Bedside Rationing
The Moral and Political Status of Mainstream Medical Ethics
Beneficence and Autonomy
Conclusion and Further Inquiries
Appendix
V. Motivating Physicians With Financial Incentives
Fiduciary Law
Agency Cost Theory
VI. Informed Consent to Rationing
Disclosing Rationing Mechanisms During Insurance Enrollment
Disclosure at the Time of Treatment
A Theory of Economic Informed Consent
Conclusion
VII. Conclusion: Deciding Who Decides
Comparing Decision Makers
Choosing Decision Makers
The Political Morality of Insurance Selection
Bibliography
Index