American Journal of Bioethics 16 (1):60-63 (2016)

Govind Persad
University of Denver
In this commentary, I suggest expanding the deliberative aspects of critical care policy development in two ways. First, critical-care policy development should expand the scope of deliberation by leaving fewer issues up to expertise or private choice. For instance. it should allow deliberation about the relevance of age, disability, social position, and psychological well-being to allocation decisions. Second, it should broaden both the set of costs considered and the set of stakeholders represented in the deliberative process. In particular, it should consider efforts to reduce the cost of end-of-life care and to redirect resources away from the provision of costly interventions, and should expand the set of individuals included in deliberation to include stakeholders outside the health-care system.
Keywords deliberation  rationing  resource allocation  bioethics  critical care  health policy  priority setting  democracy
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DOI 10.1080/15265161.2015.1115566
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References found in this work BETA

Just Health: Meeting Health Needs Fairly.Norman Daniels - 2007 - Cambridge University Press.
Against Elections: The Lottocratic Alternative.Alexander A. Guerrero - 2014 - Philosophy and Public Affairs 42 (2):135-178.
Priority Setting, Cost-Effectiveness, and the Affordable Care Act.Govind Persad - 2015 - American Journal of Law and Medicine 41 (1):119-166.

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