Titre : | Ethics in Public Health. Ethics of Resource Allocation and Rationing Medical Care in a Time of Fiscal Restraint - US and Europe. (2012) |
Auteurs : | Steven TEUTSCH ; Bernd Rechel |
Type de document : | Article |
Dans : | Public Health Reviews (vol. 34, n° 1, 2012) |
Pagination : | (10p.) |
Langues: | Anglais |
Mots-clés : | Etude comparée ; Europe ; Etats Unis ; Protection sociale ; Accès soins ; Assurance maladie ; Politique santé ; Egalité sociale ; Ethique ; Inégalité devant soins ; Dépense nationale santé ; Couverture sociale ; Financement |
Résumé : | Resource allocation and rationing differ considerably between the US and Europe. In the US, where social welfare remains controversial, there are few restrictions on the use of health care technology regardless of cost or clinical effectiveness. European countries engage in more explicit debates about these limits, though these are complicated by media and lobby power. The ethical issues in the US largely revolve around rationing care by eligibility for insurance coverage, whereas in Europe they are more concerned with the scope of publicly funded services to all. On both sides of the Atlantic, public debates are needed about the financial sustainability of health systems, the trade-offs between cost-containment and broader societal and health system goals, the role of the welfare state, and the limits of publicly financed health care. |
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