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Health care rationing, non treatment and euthanasia
 — ethical dilemmas
Author(s)Kenneth Howse
Journal titleIN: The social policy of old age: moving into the 21st century; edited by Miriam Bernard and Judith Phillips, 1998
PublisherCentre for Policy on Ageing, London, 1998
Pagespp 237-252
SourceCentral Books, 50 Freshwater Road, Chadwell Heath, Dagenham, RM8 1RX.
KeywordsMedical care ; Grant allocation ; Euthanasia ; Social ethics ; Rights [elderly] ; Social policy.
AnnotationThe last fifty years have seen much change in medical practice and in public views about what should be permitted or required. This chapter provides an overview of recent developments regarding the right to autonomy in matters concerning ethics in medical practice. It also discusses health care rationing - the use of scarce resources and setting priorities for treatment - and the concept of the "quality adjusted life year" (QALY). Arguments relating to end of life decisions emphasise the threat to autonomy: treatment refusal and advanced directives; proxy decision-making for incompetent patients; and the case for a right to die. Debates on these themes are likely to continue for some years.
Accession NumberCPA-980311019 A
ClassmarkLK: QCG: CY: TQ: IKR: TM2

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