IDEAS home Printed from https://ideas.repec.org/a/bla/econom/v67y2000i268p543-577.html
   My bibliography  Save this article

Utilities versus Rights to Publicly Provided Goods: Arguments and Evidence from Health Care Rationing

Author

Listed:
  • Paul Anand
  • Allan Wailoo

Abstract

This paper challenges the QALY maximizing approach to rationing health care on the grounds of the consequentialist (and sometimes approximately utilitarian) moral framework on which it is based. An alternative methodological approach is suggested and, in addition to consequences, four normative determinants of health care entitlements are identified: rights, public opinion, social contracts and community values. Survey evidence is presented which shows support for these alternative frameworks and a rejection of consequentialism. The paper suggests that a (if not the ) major challenge facing the designers of rationing guidelines is that of pluralism, i.e. the need to integrate considerations from a set of frameworks.

Suggested Citation

  • Paul Anand & Allan Wailoo, 2000. "Utilities versus Rights to Publicly Provided Goods: Arguments and Evidence from Health Care Rationing," Economica, London School of Economics and Political Science, vol. 67(268), pages 543-577, November.
    • Handle: RePEc:bla:econom:v:67:y:2000:i:268:p:543-577
    DOI: 10.1111/1468-0335.00224
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/1468-0335.00224
    Download Restriction: no
    File URL: https://libkey.io/10.1111/1468-0335.00224?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Edward Henry & John Cullinan, 2024. "Addressing the distributional consequences of spillovers in health economic evaluation: A prioritarian approach," Health Economics, John Wiley & Sons, Ltd., vol. 33(4), pages 764-778, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:econom:v:67:y:2000:i:268:p:543-577. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://edirc.repec.org/data/lsepsuk.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.