How Much is Due to Health Care Providers?: Albert Weale

Royal Institute of Philosophy Lecture Series 23:97-109 (1988)
  Copy   BIBTEX


How much by way of economic reward is due to health care providers?Although this problem usually presents itself as a practical matter of policy, it has buried within it a number of philosophical issues, for it can be regarded as a question in the theory of economic justice. The formal principle of justice is that we should render persons what is due to them. But on what consideration in the case of health care providers can we make an assessment of what is due?The answer we give to this question has significant implications for the ethical appraisal of the allocation of resources in the health care system. Some of the most difficult issues of ethical appraisal emerge when we consider the problems of allocating potentially life-saving resources between different groups of patients. Many of the most significant current issues in medical ethics—the role of QALYs, the meaning of equality and the economic evaluation of life—find their point of reference in the ‘tragic choices’ that are created when there are insufficient resources to meet apparently legitimate medical need. Yet, as Robert Evans has pointed out, it is a simple matter of accounting identity that health care expenditures must equal health providers' incomes. So, in asking how we limit or allocate costly health care resources, we are implicitly offering an answer to the question of how much we should pay providers. I hope by seeking an answer explicitly to that question to throw light on the problems that are raised when considering ethically the allocation of health care resources.



    Upload a copy of this work     Papers currently archived: 86,592

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Multicultural Health Care in Practice.Gert Olthuis & Godelieve Heterevann - 2003 - Health Care Analysis 11 (3):199-206.
The Remedy: Queer and Trans Voices on Health and Health Care ed. by Zena Sharman.Tamsin Kimoto - 2018 - International Journal of Feminist Approaches to Bioethics 11 (2):166-170.
Towards a just, courageous, and honest resolution of the futility debate.Rosemarie Tong - 1995 - Journal of Medicine and Philosophy 20 (2):165-189.


Added to PP

39 (#340,514)

6 months
2 (#526,686)

Historical graph of downloads
How can I increase my downloads?

Citations of this work

No citations found.

Add more citations

References found in this work

Tragic Choices. [REVIEW]Brian Barry - 1984 - Ethics 94 (2):303-318.

Add more references