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Ration End-Of-Life Care: A Debate at Chicago Ideas Week

From the Panel

  • For: ARTHUR KELLERMANN

  • Will Reform Lead to Rationing?
    Arthur Kellermann, Michael Cannon and Sean Tunis, Midmorning, MPR, July 30, 2009Kellermann and others look at why rationing has become such a dirty word in the politics of health care reform on Minnesota Public Radio’s Midmorning.
  • What Will Change Most About Our Routine Physicals Over the Next Decade?
    Arthur L. Kellermann, Zocalo Public Square, August 31, 2012In a nation long fearful of healthcare rationing, we are just beginning to come to grips with the opposite problem—the enormous costs and grievous harm that come from excessive testing and needless treatments.
  • Time to Focus on Health Care Costs
    Arthur L. Kellermann, U.S. News & World Report, June 29, 2012The bottom line is this: With or without the Affordable Care Act, the nation can no longer kick the can down the road on costs.
  • Withholding Resuscitation in Prehospital Care
    Arthur L. Kellermann, Annals of Internal Medicine, May 2, 2006Resuscitating people who will otherwise die defines a major mission for emergency medical services. Having the technical capacity to resuscitate some patients, however, does not mandate attempting it nor ensure its success.
  • Publications by Arthur Kellermann
    Arthur Kellermann, RANDAccess publications by Kellerman on the RAND website.

  • For: PETER SINGER

  • Why We Must Ration Health Care
    Peter Singer, New York Times, July 15, 2009Rationing health care means getting value for the billions we are spending by setting limits on which treatments should be paid for from the public purse.
  • Eight Questions for Peter Singer
    Peter Singer, Economist, July 25, 2012The Economist's interview with Singer.
  • Issue Clash
    Peter Singer and Michael Tanner, NOW on PBSSinger and Tanner debate the question, ‘Will the proposed health care reforms that include a government insurance option lead to rationing of medical services?’
  • Against: KEN CONNOR

  • Boomsday: Coming to a Theater Near You
    Ken Connor, Center for a Just Society, June 27, 2012In his 2007 book Boomsday, Christopher Buckley writes of a fictional future where an overwhelming number of elderly baby boomers are given tax incentives to end their lives early. With recent developments out of Switzerland, Buckley's tongue-in-cheek novel may prove all-too-prescient.
  • Diminishing the Disabled
    Ken Connor, Center for a Just Society, July 31, 2012Increasingly, members of the medical community have embraced a "quality of life" ethic rather than a ‘sanctity of life’ ethic.
  • Medicine in the Nanny State
    Ken Connor, Center for a Just Society, May 23, 2012There's no doubt that the concept of universal health care has its appeal, but at the end of the day what individuals must consider is who they want making decisions for them in the event of a serious or life-threatening medical situation.
  • Racing Down the Slippery Slope
    Ken Connor, Center for a Just Society, March 7, 2012If an unborn child’s right to life can be denied based on criteria like age, size, location, cognitive capacity or simply the wishes of the mother, then what’s to stop similar criteria from nullifying the life rights of the elderly, the disabled, or even the very young?
  • Elder Abuse: America’s Dirty Secret
    Ken Connor, Center for a Just Society, October 15, 2010What kind of care and treatment does our society consider appropriate for its most vulnerable members?

  • Against: SALLY PIPES

  • What Now for Health Care Reform?
    Sally Pipes, Orange County Register, June 29, 2012The taxing power of Congress, which the Supreme Court cited in validating Obamacare, could create better reforms if the law is repealed.
  • Health Care Expert Sally Pipes on What Could Replace Obamacare
    Will Rahn, Daily Caller, January 30, 2012Sally Pipes, the renowned health care expert and president of the Pacific Research Institute. Pipes has a way to replace Obamacare’s expensive government health care bureaucracies with a market-driven system.
  • Obama Will Ration Your Health Care
    Sally Pipes, Wall Street Journal, December 30, 2008Think of his health plan as a federal HMO.
  • President Obama’s Medical Board: A Backdoor Path to Health Rationing
    Sally Pipes, Forbes, March 5, 2012Last week, a House of Representatives subpanel overwhelmingly approved a measure to repeal a key component of President Obama’s 2010 health reform bill. The full House and Senate must ratify the subcommittee’s vote and scrap the Board from the books. If they don’t, America’s seniors could face the prospect of government-rationed health care.
  • Even Obamacare’s Supporters Don’t Support the Rationing Board
    Sally Pipes, Forbes, June 13, 2011The Independent Payment Advisory Board (IPAB). IPAB may not directly ration care — but seniors will sure feel like it did.
  • The Era of Rationing Begins
    Sally Pipes, NJToday.net, September 29, 2010The Food and Drug Administration plan to revoke approval of the drug Avastin for the treatment of advanced breast cancer is ‘the beginning of a slippery slope leading to more and more rationing under the government takeover of health care.’
  • Under Obama Health Care Scheme, Big Government Rations Care for Sick Patients
    Sally Pipes, U.S. News & World Report, May 13, 2009American healthcare may not be perfect. But it's not on the verge of collapse either—unless President Obama succeeds with his various healthcare reform efforts.

ARTICLES FOR & AGAINST

  • AGAINST

  • Should Government Determine the Value of Human Life?
    Randy Pate, The Foundry, July 21, 2009In the name of expanding health care insurance to all, the administration and liberals in Congress are quickly leading the country down the road to government-rationed health care—where government holds the power of life and death over every American. In such a system, boards of “experts” will evaluate the relative values of human lives and make coverage decisions accordingly.
  • Spare the Old, Save the Young
    Amitai Etzioni, Nation, June 11, 1988Once the precept that one should do ‘all one can’ to avert death is given up, why stop there?
  • Obama's Health Rationer-in-Chief
    Betsy McCaughey, Wall Street Journal, August 27, 2009White House health-care adviser Ezekiel Emanuel blames the Hippocratic Oath for the 'overuse' of medical care.
  • With Health Care Put in Federal Hands, Is Rationing in Our Future?
    Margaret A. Bengs, Sacramento Bee, August 25, 2012With Obamacare handing over the reins of the health care system into federal hands, is rationing really far from our shores?
  • Rationing Life Itself
    Patrick Buchanan, American Conservative August 20, 2009If Congress enacts universal health care coverage, we are undeniably headed for a medical system of rationed care that must inevitably deny care to some terminally ill and elderly, which will shorten their lives, perhaps by years.
  • Opposing View on Health Care: On the Road to Rationing
    Grace-Marie Turner, USA Today, January 6, 2011A pattern is emerging that at least gives the appearance that payment can be denied if therapies are seen as too costly.
  • FOR

  • Must We Ration Health Care for the Elderly?
    Daniel Callahan, Journal of Law, Medicine & Ethics, March 27, 2012Rationing should be done by policy, not by individual doctors and patients at the bedside, policy must be set by democratic process, policy must be carried out in a transparent way, and there should always be a provision for appeal.
  • ‘Rationing’ Health Care: What Does It Mean?
    Uwe Reinhardt, New York Times, July 3, 2009In short, free markets are not an alternative to rationing. They are just one particular form of rationing.
  • End-of-Life Care: Where Ethics Meet Economics
    Uwe E. Reinhardt, New York Times, August 14, 2009As health spending grows, year after year, roughly twice as fast as the payroll that supports private health spending in this country, Americans sooner or later will have to confront the hard questions about access to expensive treatments, perhaps after a rational national conversation, if such can still be had in America.
  • Beyond Obamacare
    Steven Rattner, New York Times, September 16, 2012Unless we start allocating health care resources more prudently—rationing, by its proper name—the exploding cost of Medicare will swamp the federal budget.
  • Rights, Respect for Dignity and End-of-Life Care
    J.M. Freeman, Journal of Medical Ethics, 2010We cannot continue to have all our demands met; thus rationing of care will become a necessity.
  • Principles for Allocation of Scarce Medical Interventions
    Govind Persad, Alan Wertheimer and Ezekial Emanuel, Lancet, January 31, 2009The authors recommend an alternative system—the complete lives system—which prioritizes younger people who have not yet lived a complete life, and also incorporates prognosis, save the most lives, lottery, and instrumental value principles.
  • Our View on Health Care: Nonsense About ‘Death Panels’ Springs Back to Life
    USA Today, January 6, 2011Here we go again. A clumsy bit of rulemaking by the Obama administration has revived nutty talk about "death panels" — the inflammatory but thoroughly debunked notion purveyed last year by opponents of the new health reform law.

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