Jump to ContentJump to Main Navigation
Rationing Is Not a Four-Letter WordSetting Limits on Healthcare$
Users without a subscription are not able to see the full content.

Philip M. Rosoff

Print publication date: 2014

Print ISBN-13: 9780262027496

Published to MIT Press Scholarship Online: January 2015

DOI: 10.7551/mitpress/9780262027496.001.0001

Show Summary Details
Page of

PRINTED FROM MIT PRESS SCHOLARSHIP ONLINE (www.mitpress.universitypressscholarship.com). (c) Copyright The MIT Press, 2017. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a monograph in MITSO for personal use (for details see http://www.mitpress.universitypressscholarship.com/page/privacy-policy).date: 12 December 2017

Fairness

Fairness

Chapter:
(p.61) 3 Fairness
Source:
Rationing Is Not a Four-Letter Word
Author(s):

Philip M. Rosoff

Publisher:
The MIT Press
DOI:10.7551/mitpress/9780262027496.003.0003

In this chapter the essential issue of fairness is discussed as it is (and should be) a cardinal feature of existing and any future rationing method. The central characteristics of fairness, as it is functionally defined here, are described as are examples of failures in allocation fairness in both organ transplantation and in the Oregon Health Plan. It notes that while the consequences of not receiving an organ or a scarce drug may be death or serious injury, the allocation methods are generally accepted (even though there are desperate patients involved), because they are fundamentally judged as fair. There is a detailed description of the author’s adaptation and expansion of Norman Daniels’s and James Sabin’s “accountability for reasonableness” approach to deciding how to allocate scarce resources. The discussion is illustrated with actual case examples.

Keywords:   Fairness, Accountability for reasonableness, Organ transplantation, Gaming, Cheating

MIT Press Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs, and if you can't find the answer there, please contact us.