Justice, HMOs, and the invisible rationing of health care resources

Bioethics 4 (2):97-120 (1990)
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Abstract

If we accept the premise that some sort of rationing of access to health care resources is necessary to contain escalating health care costs effectively, then we need to ask how that rationing might be accomplished most fairly. Calabresi and Bobbitt have argued in their book Tragic Choices that there is no 'perfectly fair' or even 'reasonably fair' way to bring this about.

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Leonard M. Fleck
Michigan State University

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