scholarly journals The “Ugly Sister of Welfare”:  The Idea of Health Care ‘Rationing’ in New Zealand 1968-c.1980

2021 ◽  
Author(s):  
◽  
Deborah Salter
Keyword(s):  
Health Care ◽  
New Zealand ◽  
Medical Technology ◽  
Public Hospitals ◽  
Limited Attention ◽  
Health Care Rationing ◽  
History Of ◽  
Healthcare Rationing ◽  
Care Rationing ◽  
Historical Examination

<p>This thesis explores the influence of healthcare ‘rationing’ in New Zealand from 1968 to c.1980. Rationing is a term and concept drawn from health economics and the history of the idea will be traced as well as its influence. The influence of rationing will primarily be explored through case studies: the supply of specialist staff to New Zealand’s public hospitals, the building of hospitals (and specialist units in particular) and the supply of medical technology. This era has been selected for historical examination because of the limited attention paid to it in studies of the health service, and more generally, welfare histories of New Zealand. Often in these studies the 1970s is overshadowed by the period health of reform in the 1980s and 1990s.</p>

scholarly journals The “Ugly Sister of Welfare”:  The Idea of Health Care ‘Rationing’ in New Zealand 1968-c.1980

2021 ◽  
Author(s):  
◽  
Deborah Salter
Keyword(s):  
Health Care ◽  
New Zealand ◽  
Medical Technology ◽  
Public Hospitals ◽  
Limited Attention ◽  
Health Care Rationing ◽  
History Of ◽  
Healthcare Rationing ◽  
Care Rationing ◽  
Historical Examination

<p>This thesis explores the influence of healthcare ‘rationing’ in New Zealand from 1968 to c.1980. Rationing is a term and concept drawn from health economics and the history of the idea will be traced as well as its influence. The influence of rationing will primarily be explored through case studies: the supply of specialist staff to New Zealand’s public hospitals, the building of hospitals (and specialist units in particular) and the supply of medical technology. This era has been selected for historical examination because of the limited attention paid to it in studies of the health service, and more generally, welfare histories of New Zealand. Often in these studies the 1970s is overshadowed by the period health of reform in the 1980s and 1990s.</p>

Health Care Rationing Policy in New Zealand: Development and Lessons

2004 ◽  
Vol 3 (3) ◽  
pp. 235-242 ◽  
Author(s):  
Robin Gauld
Keyword(s):  
Health Care ◽  
New Zealand ◽  
Technology Assessment ◽  
Policy Development ◽  
New Technology ◽  
Health Care Rationing ◽  
Service Access ◽  
Rationing Policy ◽  
Central Coordination ◽  
Care Rationing

This article discusses New Zealand's experiences with health care rationing policy. It reviews attempts to define ‘core services’, the development of prioritisation techniques for service access and funding, new technology assessment, and the management of subsidised pharmaceuticals. The New Zealand experience offers various lessons: that rationing policy development is, by nature, a ‘messy’ process; that central coordination of rationing policy is crucial unless differentiation in regional initiatives and service access are desired; and that through ongoing highlighting of the need for it, rationing policy development is likely to become an accepted reality.

Pricing Life: Why It's Time for Health Care Rationing, by Peter A. Ubel, M.D. Cambridge, Mass.: MIT Press, 2000. 208 pp. $25.00

2001 ◽  
Vol 10 (2) ◽  
pp. 214-218
Author(s):  
Leonard M. Fleck
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Health Professionals ◽  
Healthcare Costs ◽  
Health Care Rationing ◽  
Writing Style ◽  
The People ◽  
Healthcare Rationing ◽  
Care Rationing

This is a book for reflective laypersons and health professionals who wish to better understand what the problem of healthcare rationing is all about. Ubel says clearly in the Introduction that it is unlikely that professional economists or philosophers are going to be very satisfied with this effort. For him it is more important “to draw people into the debates who might otherwise stand on the sidelines” (p. xix). This is a reasonable aim made achievable by Ubel's clear and engaging writing style. Probably the people who most need to be drawn into these debates are physicians and medical students, this because one of Ubel's central claims is that the need for “bedside rationing” is both inescapable and sometimes morally permissible. What he wants to reject is the view of many physicians that bedside rationing by physicians is never morally permissible and that healthcare costs can be contained without having to resort to rationing of any kind. Before I explore this point any further, it is necessary to summarize the larger argument of this book.

Health Care Rationing: What Does it Mean?

1989 ◽  
Vol 67 (1) ◽  
pp. 31-34
Author(s):  
Michael D. Reagan
Keyword(s):  
Health Care ◽  
Health Care Rationing ◽  
Care Rationing

Denial of Health Care and Informed Consent in English and American Law

1992 ◽  
Vol 18 (1-2) ◽  
pp. 37-71
Author(s):  
Frances H. Miller
Keyword(s):  
United States ◽  
Health Care ◽  
Informed Consent ◽  
The United States ◽  
Health Care Rationing ◽  
Legal Obligation ◽  
The United Kingdom ◽  
American Law ◽  
Care Rationing ◽  
Increased Pressure

Health care rationing has gained greater visibility in the United States and the United Kingdom, for quite different reasons. As patients in both countries become more aware that potentially beneficial medical services can be denied them on economic — as opposed to purely medical — grounds, they are beginning to seek help from the judiciary. This Article contends that as rationing becomes more explicit, the doctrine of informed consent will come under increased pressure. The Article suggests that courts and legislatures consider imposing a legal obligation on physicians to inform their patients when potentially effective treatment is to be withheld for economic or other non-clinical reasons.

In Reply: Health Care Rationing

Science ◽  
1990 ◽  
Vol 248 (4956) ◽  
pp. 663-665
Author(s):  
H. Aaron ◽  
W. B. Schwartz
Keyword(s):  
Health Care ◽  
Health Care Rationing ◽  
Care Rationing
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