Methods designed to guide the allocation of healthcare so as to maximize population health have been criticized as fundamentally unfair. In a closer analysis of this ethical critique of the use of cost-effectiveness author Daniel M. Hausman responds to the main complaints about the unfairness of cost-effectiveness, while also recognizing that there should be other factors--especially in cases of discrimination--guiding health-related treatment. Central to How Health Care Can Be Cost-Effective and Fair is whether cost-effective allocation of healthcare violates ethical constraints. Several commentators argue that using cost-effective reasoning to guide the distribution of healthcare is fundamentally unfair, not just because it does not take distribution into account, but because it fails to prioritize the severity of illness and fails to give everyone, and especially disabled people and those from historically underprivileged populations, a fair chance of being treated. While Hausman recognizes the complexity and shortcomings of cost-effective reasoning, he maintains that it should be a leading principle in the allocation of health-related resources. In Hausman's view, many values--such as compassion, freedom, respect, and solidarity should govern healthcare in addition to promoting well-being and treating individuals fairly. In its efforts to promote population health fairly, healthcare should respond to and respect individuals' values and choices.
"Introduction Chapter 1: Measuring Health and the ""Effectiveness"" of Health Care Chapter 2: Cost-Effectiveness, Well-Being, and Freedom Chapter 3: Conceptual, Technical, and Ethical Problems with Cost Effectiveness Chapter 4: Theories of Fair Distribution Chapter 5: What Constitutes a Fair Allocation of Health Care? Chapter 6: Fair Chances Chapter 7: Does Cost-Effectiveness Fail to Give Sufficient Priority to Severity? Chapter 8 To Aggregate or Not to Aggregate Chapter 9: Discrimination Chapter 10: Health Care: Respectful, Cost Effective, and Fair Acknowledgments and Sources References Index"
Daniel M. Hausman is Research Professor at the Center for Population-Level Bioethics, Rutgers University. His research addresses various issues between economics and philosophy, the measurement of health, and the allocation of health care.
Reviews for How Health Care Can Be Cost-Effective and Fair
A landmark theory of fairness and cost effectiveness in health care by a virtuoso of ethics and economics. Hausman's authoritative, comprehensive, and insightful analysis blends intricate philosophical argumentation with a firm grasp of economic reality * Richard Cookson, Professor of Health Economics, University of York * Dealing with the central value and economic questions of health policy, this book is astonishing in both its breadth and depth. All those involved in health policy-making should read it. They will discover that there are no easy answers. But they will acquire a profound understanding of the issues involved in all their complexity - and the outcome will be health care policies that are both much fairer and far more effective * Julian Le Grand, author of Motivation, Agency, and Public Policy: Of Knights and Knaves, Pawns and Queens * The book is well organized, providing chapter summaries and smooth transitions, with signposts pointing out what is coming up next... Highly recommended. Upper-division undergraduates. Graduate students, faculty, and professionals. * Choice * The book is well organized, providing chapter summaries and smooth transitions,...the text is consistently well written. * Choice *