
Contents
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Some Introductory Examples Some Introductory Examples
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The “Problem” with Rationing The “Problem” with Rationing
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What is Healthcare Rationing? What is Healthcare Rationing?
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We Already Ration We Already Ration
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Why Do People Object to Rationing? Why Do People Object to Rationing?
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What is Different in This Book What is Different in This Book
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1 The “Evil” of Healthcare Rationing
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Published:August 2014
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Abstract
This chapter introduces the concept of the need for organized healthcare rationing after first discussing the dysfunctions of the healthcare system in the United States: its disorder, gross inefficiency, inequities, failure to offer insurance to vast numbers of Americans, and enormous (and escalating) costs. It introduces the topic of established open and overt rationing systems in the US, such as that for solid organ transplantation, and suggests that they are accepted – even embraced – by most of the public. If rationing is believed to be anathema, why is this so? It begins an argument that there may be features of the transplant (and other rationing schemes) that contribute to their acceptability, despite the fact that people who fail to receive an organ almost inevitably die.
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