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In an ideal world, every individual would receive high-quality care at affordable costs. However, resource limitations pose significant challenges in the real world, requiring tough decisions on treatment allocation and cost-cutting measures. This exploration delves into the complexities of healthcare rationing, the ethical dilemmas faced, and various allocation theories such as life expectancy and social worth. It contrasts curative versus palliative care and emphasizes the importance of preventive strategies and social care. How can we balance individual needs with societal responsibilities in healthcare?
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Each individual will get… • what they want/need • of high quality care • at an affordable cost
The money has got to come from somewhere • Resources are limited • If the resources go to A, they can’t go to B, C etc. (Opportunity cost)
RATIONING Who gets treatment What treatment to subsidize CUT COST
Theories of Allocation • Life expectancy • Quality adjusted life years • Social worth • Moral worth • Responsibility for our own ill health
Theories of Allocation • Life expectancy • Quality adjusted life years • Social worth • Moral worth • Responsibility for our own ill health
A national organization like National Institute for Health and Clinical Excellence (NICE)
Issues • Professional ethics • End of life care, ageist? • Less choices?
Cutting cost • Spending more ≠ better healthcare • Educate doctors, spend more time with patients • The case of ‘lap choley’
Young Vs Old Curative Vs Palliative Individual Vs Society
Care For The Poor Al-Fajr: 15-20
Healthcare is not all about CURE Prevention Strategies Social Care
Working outside the system • Social Business: • Grameen Kalyan and Grameen Health Care Services • Heart Institute of The Caribbean