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Reconciling cost-effectiveness with the rule of rescue: the institutional division of moral labour
Theory and Decision 78 (4):525-538 (2015)
Abstract
Cost-effectiveness analysis suggests that a society should allocate its health care budget in order to achieve the greatest total health for its budget. However, in ‘rescue’ cases, where an individual’s life is in immediate peril, reasoning in terms of cost-effectiveness can appear inhumane. Hence considerations of cost-effectiveness and of rescue appear to be in tension. However, by attending to the division of labour in medical decision making it is possible to see how cost-effectiveness analysis and rescue-style reasoning are commonly combined in an ethically acceptable fashion.Author Profiles
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Citations of this work
How can we decide a fair allocation of healthcare resources during a pandemic?Cristina Roadevin & Harry Hill - 2021 - Journal of Medical Ethics 47 (12):e84-e84.
Guiding Covid policy: cost-benefit analysis and beyond.Jonathan Aldred - forthcoming - Cambridge Journal of Economics.
Resource allocation in the Covid-19 health crisis: are Covid-19 preventive measures consistent with the Rule of Rescue?Julian W. März, Søren Holm & Michael Schlander - 2021 - Medicine, Health Care and Philosophy 24 (4):487-492.
Explaining rule of rescue obligations in healthcare allocation: allowing the patient to tell the right kind of story about their life.Sean Sinclair - 2021 - Medicine, Health Care and Philosophy 25 (1):31-46.
References found in this work
What we owe to each other.Thomas Scanlon - 1998 - Cambridge, Mass.: Belknap Press of Harvard University Press.
Groundwork for the metaphysics of morals.Immanuel Kant - 1785 - New York: Oxford University Press. Edited by Thomas E. Hill & Arnulf Zweig.
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