CPHL509 Bioethics in the New Millennium

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CPHL509Bioethics in the New Millennium

• Distribution of Scarce Medical Resources

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• Four Unsolved Rationing Problems
• The Fair Chances / Best Outcome Problem
• The Priorities Problem
• The Aggregation Problem
• The Democracy Problem

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• The Prostitute, The Playboy and the Poet
• A. The Market Approach
• B. The Committee Selection Approach
• C. The Lottery Approach
• D. The Customary Approach
• E. A Combination of Approaches

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• In Vitro Fertilization and the just Use of
  Health Care Resources
• it seems reasonable to conclude that a just
  allocation of health care resources would include
  IVF in cases of complete fallopian tube blockage
  as a covered treatment, if possible. That is ,
  it would be covered unless available resources
  are such that, when compared with other desired
  health care treatments for other problems in
  terms of cost, benefits, effectiveness, and
  number of persons affected, it cannot be
  afforded. Although it is desirable to cover IVF
  in these cases, no ones rights are being
  violated if it is not. 509

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• Negative Rights
• Vs.
• Positive Rights

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• Medical Necessity
• The normal function model
• The capability model

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