Pricing Life: Why Its Time for Health Care Rationing (Basic Bioethics)

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Return to Book Page. Preview — Pricing Life by Peter A. A rational look at health care rationing, from ethical, economic, psychological, and clinical perspectives.

Although managed health care is a hot topic, too few discussions focus on health care rationing--who lives and who dies, death versus dollars. In this book physician and bioethicist Peter A. Ubel argues that physicians, health insurance companies, managed care organiz A rational look at health care rationing, from ethical, economic, psychological, and clinical perspectives.

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Ubel argues that physicians, health insurance companies, managed care organizations, and governments need to consider the cost-effectiveness of many new health care technologies. In particular, they need to think about how best to ration health care. Ubel believes that standard medical training should provide physicians with the expertise to decide when to withhold health care from patients. He discusses the moral questions raised by this position, and by health care rationing in general.

He incorporates ethical arguments about the appropriate role of cost-effectiveness analysis in health care rationing, empirical research about how the general public wants to ration care, and clinical insights based on his practice of general internal medicine. Straddling the fields of ethics, economics, research psychology, and clinical medicine, he moves the debate forward from whether to ration to how to ration.

Pricing Life: Why It's Time for Health Care Rationing

The discussion is enlivened by actual case studies. Paperback , pages. To see what your friends thought of this book, please sign up.

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To ask other readers questions about Pricing Life , please sign up. Lists with This Book. This book is not yet featured on Listopia. Mar 24, Kelly rated it liked it Shelves: This book discusses the phenomenon of healthcare rationing, including how and why it's become such a dirty word and why it's actually unavoidable. Most of Ubel's economic arguments are sound, and I agree with most of his conclusions.

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But I'm not confident that they're framed in such a way that someone who doesn't understand economics would be swayed by them. I feel like the book leans a little bit too heavily on economic phenomena without explaining them, and I think it will be a bit opaque to l This book discusses the phenomenon of healthcare rationing, including how and why it's become such a dirty word and why it's actually unavoidable. I feel like the book leans a little bit too heavily on economic phenomena without explaining them, and I think it will be a bit opaque to lay readers.

It's also a little dry though considerably less-so than the average econ book or paper. Our current system of cost-sharing between patients and insurers is meant to prevent this over-utilization. But, however popular this theory is, the facts speak otherwise: This system does not save anyone money if patients have a difficult time accessing preventative care due to cost, only to require costly interventions further down the line. Nevertheless, increasing point-of-service co-payments and multi-thousand dollar annual deductibles are aimed at stimulating patients to think twice or more before they drop in at their local emergency department to get their sore throat examined.

Think of it this way: For instance, in some circumstances it can actually help lower costs and extend the benefits of modern medicine to more people. It can also ensure a resource in short supply can get to people that need it most. This could be virtually anything that could potentially help someone, such as a scarce drug or intensive care beds during an influenza pandemic. But most frequently, the US rations health care on the basis of money: Pets in Victorian paintings — Egham, Surrey.

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The history of pets and family life — Egham, Surrey. Available editions United Kingdom. Philip M Rosoff , Duke University. High costs can keep some patients from seeing a doctor until its too late. Medical necessity is a term of art. We produce articles written by researchers and academics. He discusses the moral questions raised by this position, and by health care rationing in general. He incorporates ethical arguments about the appropriate role of cost-effectiveness analysis in health care rationing, empirical research about how the general public wants to ration care, and clinical insights based on his practice of general internal medicine.

Straddling the fields of ethics, economics, research psychology, and clinical medicine, he moves the debate forward from whether to ration to how to ration. The discussion is enlivened by actual case studies. This first volume in a bioethics series edited by Arthur Caplan and Glenn McGee is a thoughtful and provoking presentation of the case for using cost-effectiveness analysis CEA as a guideline for Ubel medicine and bioethics, Univ.

The Necessity of Rationing Health Care. Balancing CostEffectiveness and Fairness.