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The central idea for this book is that we lack consensus on principles for allocating resources and in the absence of such a consensus we must rely on a fair decision-making process for setting limits on health care. The authors characterize key elements of this process in a variety of health care contexts where such decisions are made- decisions about insurance coverage for new technologies, pharmacy benefit management, the design of physician incentives, contracting for mental health care by public agencies, etc.- and they connect the problem in the U.S. with the same problem in other countries. They provide a cogent analysis of the current situation, lucidly review the usual candidate solutions, and describe their own approach, which represents a clear advance in thinking. Their intended audience is international since the problem of limits cuts across types of health care systems whether or not they have universal coverage.

W 76 Health manpower and services, distribution and characteristics --- Medical economics --- Right to health care. --- Right to health. --- Social medicine. --- Moral and ethical aspects. --- gezondheidszorg --- gezondheidszorgbeleid (gezondheidszorghervorming, gezondheidszorgsysteem) --- gezondheidseconomie (gezondheidszorgeconomie) --- soins de santé --- politique des soins de santé (réforme des soins de santé, système des soins de santé) --- économie de la santé (économie des soins de santé) --- Right to health --- Social medicine --- Health care, Right to --- Health, Right to --- Medical care, Right to --- Right to health care --- Right to medical care --- Social rights --- Economics, Medical --- Health --- Health economics --- Hygiene --- Medical care --- Medicine --- Medical sociology --- Medicine, Social --- Public health --- Public welfare --- Sociology --- Medical ethics --- Medical sociologists --- Moral and ethical aspects --- Economic aspects --- Social aspects

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Can the ethical mission of health care survive among organizations competing for survival in the marketplace? This book presents both an analytic framework and a menu of pragmatic answers.

Managed care plans (Medical care) --- Health facilities --- Medical ethics. --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Facilities, Health --- Health care facilities --- Health care institutions --- Health institutions --- Institutions, Health --- Medical care facilities --- Medical care institutions --- Medical facilities --- Public health --- Managed care programs (Medical care) --- Managed care systems (Medical care) --- Managed health care --- Plans, Managed care (Medical care) --- Programs, Managed care (Medical care) --- Systems, Managed care (Medical care) --- Health insurance --- Moral and ethical aspects --- Moral and ethical aspects. --- Medical ethics --- ethiek (ethische aspecten) --- gezondheidseconomie (gezondheidszorgeconomie) --- gezondheidszorgbeleid (gezondheidszorghervorming, gezondheidszorgsysteem) --- gezondheidszorg --- Verenigde Staten --- ziektekostenverzekering (sociale zekerheid, mutualiteit, ziekenfonds, zorgverzekeraar) --- zorgmanagement --- ethique (aspects ethiques) --- économie de la santé (économie des soins de santé) --- politique des soins de santé (réforme des soins de santé, système des soins de santé) --- soins de santé --- Etats Unis --- assurance maladie (sécurité sociale, mutualité) --- management des soins

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Medical ethics. --- bio-ethiek (medische, biomedische ethiek, bio-ethische aspecten) --- gezondheidseconomie (gezondheidszorgeconomie) --- abortus (vrijwillige zwangerschapsafbreking) --- levenseinde (einde van het leven, levenseindebeslissing) --- pasgeborene (zuigeling, neonatus, pasgeboren kind) --- euthanasie --- voortplanting (reproductie) --- embryostatuut (moreel statuut van het embryo, juridisch statuut van het embryo, potentiële persoon) --- orgaandonatie --- lichaamsmateriaal (lichaam, menselijk lichaamsmateriaal) --- genetische screening --- genetische engineering (manipulatie) --- kloneren (klonen, therapeutisch kloneren, reproductief kloneren) --- bioéthique (éthique médicale, biomédicale, aspects bioéthiques) --- économie de la santé (économie des soins de santé) --- avortement (interruption volontaire de grossesse, IVG) --- fin de vie (décision de fin de vie) --- nouveau-né --- procréation (reproduction) --- statut de l'embryon (statut moral de l'embryon, statut juridique de l'embryon, personne potentielle) --- don d'organes --- matériel corporel humain, (corps humain) --- dépistage génétique --- génie génétique (ingénierie génétique) --- clonage (clonage thérapeutique, clonage reproductif) --- Medical ethics --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Moral and ethical aspects