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Public health care resource allocation and the rule of rescue

Cookson, R., McCabe, C. and Tsuchiya, A. (2007) Public health care resource allocation and the rule of rescue. Discussion Paper. (Unpublished)


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In health care, a tension sometimes arises between the injunction to do as much good as possible with scarce resources and the injunction to rescue identifiable individuals in immediate peril, regardless of cost (the "Rule of Rescue". This tension can generate serious ethical and political difficulties for public policy makers faced with making explicit decisions about the public funding of controversial health technologies, such as costly new cancer drugs. In this paper we explore the appropriate role of the Rule of Rescue in public resource allocation decisions. We consider practical approaches to operationalising the Rule of Rescue from Australia and the UK before examining the relevance of individual moral imperatives to public policy making. We conclude that, whilst public policy makers in a humane society should facilitate exceptional departures from a cost effectiveness norm in clinical decisions about identified individuals, it is not so obvious that they should, as a matter of national public policy, except any one group of unidentified individuals within society from the rules of opportunity cost at the expense of all others.

Item Type: Monograph (Discussion Paper)
Institution: The University of York, The University of Leeds, The University of Sheffield
Academic Units: The University of York > Social Policy and Social Work (York)
The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Academic Unit of Health Economics (Leeds)
The University of Sheffield > Faculty of Social Sciences (Sheffield) > Department of Economics (Sheffield)
The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > Health Economics and Decision Science > HEDS Discussion Paper Series
Depositing User: ScHARR / HEDS (Sheffield)
Date Deposited: 18 Jun 2010 11:20
Last Modified: 07 Jun 2014 04:10
Status: Unpublished
Identification Number: HEDS Discussion Paper 07/04
URI: http://eprints.whiterose.ac.uk/id/eprint/10915

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