科研之友
微信
新浪微博
Facebook
分享链接
摘要
In the last few years, the U.S. health care system has seemingly been gripped by back to the nineties fever. But there is a notable change in professional debates about how to better control health care costs. Discussion of health care rationing, which was hotly debated in the nineties, has become much more muted.Is health care rationing passe? I contend that debates about health care rationing have waned not because the need to ration has dwindled nor because ethical debates about how or whether to ration have been resolved. They have declined because the word rationing, and unrelated concepts such as cost-effectiveness analysis, have been replaced by termsparsimony, value, and CERthat are not burdened by emotional and historical baggage.Sometimes the best way to promote healthy moral debate is to turn to new words that don't carry the burden of past debates.
- 出版日期2015-4
