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Not All Definitions Are Created Equal

Arch Intern Med. 1998;158:209-214.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

DESPITE consensus among most experts that health care costs need to be contained, there is great controversy about whether it is ever acceptable to ration health care. Part of this controversy results from disagreement about whether health care costs can be adequately contained by eliminating waste, rather than by rationing health care. Another part of this controversy, however, may arise from disagreement about what it means to ration health care. To the extent that this is true, people may have similar views about what health care services ought to be offered to patients, while vehemently disagreeing about the appropriateness of rationing.

For example, a while back, one of us (P.A.U.) was talking to a colleague about a patient who became hypotensive after receiving radiological contrast dye. The colleague remarked that even though this adverse event would have been less likely with a low-osmolar contrast agent,^1-3 it was appropriate to have . . . [Full Text of this Article]

DEFINITIONS OF RATIONING

NOT ALL DEFINITIONS ARE CREATED EQUAL

IS HEALTH CARE RATIONING LIMITED TO EXPLICIT MECHANISMS?

DOES HEALTH CARE RATIONING OCCUR ONLY WHEN RESOURCES ARE ABSOLUTELY SCARCE?

IMPLICATIONS FOR WHETHER HEALTH CARE RATIONING INVOLVES WITHHOLDING OR DISTRIBUTING SERVICES

DOES HEALTH CARE RATIONING OCCUR ONLY WHEN WITHHELD SERVICES ARE NECESSARY?

CHOOSING A BROAD DEFINITION OF HEALTH CARE RATIONING



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