Rationing in Medicine

1. Front Matter

   Pages I-XVI

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2. Introduction

   1. Introduction

      • Friedrich Breyer, Hartmut Kliemt, Felix Thiele

      Pages 1-4

3. Rationing in international Perspective

   1. Front Matter

      Pages 5-5

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   2. Rationing: Distribution, Limitation, or Denial? — Against Conceptual Confusion in the Debate about Health Care Systems

      • Susanne Hahn

      Pages 7-20

   3. A Note on the Semantics of Rationing as Limitation

      • Carlo Schultheiss

      Pages 21-29

   4. Prioritizing and Rationing

      • Heiner Raspe

      Pages 31-38

   5. The Practice of Rationing Health Care in the United Kingdom

      • David J. Hunter

      Pages 39-52

   6. Comment on Professor David Hunter’s Talk

      • Bettina Schöne-Seifert

      Pages 53-56

4. Practices of Rationing in Germany

   1. Front Matter

      Pages 57-57

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   2. Rationing in Intensive Care Medicine

      • Michael Imhoff

      Pages 59-74

   3. Global Budgets and Rationing

      • Walter Krämer

      Pages 75-76

   4. Global Budgets and Rationing

      • Peter Zweifel

      Pages 77-80

   5. Global Budgets and Rationing

      • Christof Szymkowiak

      Pages 81-83

5. Rationing, Ethics, and the Law

   1. Front Matter

      Pages 85-85

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   2. The Impact of the German Constitution on Rationing in Medicine

      • Jochen Taupitz

      Pages 87-93

   3. Rationing Yes, Politics No. For a Right-based Approach in Rationing Medical Goods

      • Michael Baurmann

      Pages 95-104

   4. Rationing — Basic Philosophical Principles and the Practice

      • Weyma Lübbe

      Pages 105-117

6. The Future of Rationing

   1. Front Matter

      Pages 119-119

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   2. Complementarity of Private and Public Insurance

      • Jürgen Fritze

      Pages 121-125

   3. Rationing of Health Care and the Complementarity of Private and Public Insurance

      • Achim Wambach

      Pages 127-130

The book series on the ethics of science and technology assessment edited by the Europ?ische Akademie is devoted to the publication of the work-reports of its project groups, works on the foundations of ethics, the philosophy science, and other issues related to the work of the Europ?ische Akademie. In addition, the series comprises the proceedings of conferences organized by the academy. The 13th volume documents the proceeding of the academy's spring symposium in 2000 on Rationing in Medicine which was held in Bad Neuenahr-Ahrweiler on March 23-25, 2000. An intense discussion on the future of health care in Europe has been stimulated by increasing difficulties of securing adequate and needs­ orientated medical care in the face of scarce resources and medical progress. Un­ fortunately, quite of ten a rational discussion of rationing is drowned out by the politic al talk of the day. But only an open and well-informed debate, if anything at ali, can lead to transparent and just rationing procedures which eventually might be acceptable to the public at large. For this debate much can be learnt from observing the experiences other countries have made with their health care arrangements. What kinds of mistakes should be avoided and what might be useful in the different states and perhaps also in the supra-national context of an emerging Europe are interesting and important issues.

• Law
• Society
• economics
• ethics
• health
• health care
• intensive care medicine
• issue
• medicine
• philosophy

• Fakultät für Wirtschaftswissenschaften/Statistik, Universität Konstanz, Konstanz, Germany

  Friedrich Breyer

• Fach Philosophie, Universität GH Duisburg, Duisburg, Germany

  Hartmut Kliemt

• Europäische Akademie GmbH, Bad Neuenahr-Ahrweiler, Germany

  Felix Thiele, Friederike Wütscher

Policies and ethics