What's Your Life Worth? Health Care Rationing... Who Lives? Who Dies? And Who Decides?

What\'s Your Life Worth? Health Care Rationing...\rWho Lives? Who Dies? Who Decides?......Page 2
Copyright 2003 Pearson Education, Inc.......Page 3
Contents......Page 10
Introduction......Page 16
Putting a Price on Your Life......Page 18
The Pressure to Ration......Page 20
Cutting to the Chase......Page 21
Rationing Drugs Down Under......Page 25
The National Institute for Clinical Excellence (NICE)......Page 27
Endnotes......Page 36
CHAPTER 2 Defending Rationing in Principle......Page 40
Rationing and Toy Shopping......Page 42
Are We Wasting Money on Health Care?......Page 45
Defending Rationing......Page 55
Endnotes......Page 56
CHAPTER 3 Rationing Around the World......Page 58
Rationing in Germany......Page 61
Rationing in Canada......Page 66
Rationing in England......Page 69
Rationing Elsewhere in the World......Page 71
Endnotes......Page 72
CHAPTER 4 Rationing in the U.S. Health Care Marketplace......Page 76
Rationing Through the Market Mechanism: The Uninsured in the United States......Page 77
Attempts to Provide Universal Coverage......Page 78
Rationing Among Insured Americans......Page 79
Whither Rationing in America?......Page 93
Enough Is Enough......Page 94
Endnotes......Page 95
CHAPTER 5 Doing Cost- Effectiveness and Cost- Benefit Research......Page 98
Is It Valid to Use CEA for Health Care?......Page 100
Doing CEA/CBA......Page 102
Is CEA/CBA Research Valid?......Page 109
CBA/CEA in Practice......Page 110
Endnotes......Page 113
CHAPTER 6 Measuring the Quality of Life......Page 114
Using Rating Scales to Measure Health States......Page 115
Working with QALYs......Page 116
Putting QALYs into Practice......Page 119
The Quality of Well-Being (QWB) Scale......Page 127
Concerns about QALYs......Page 128
Summing Up CEA/CBA Methods......Page 130
What about the PSA Test?......Page 131
Endnotes......Page 132
Rationing in Oregon......Page 134
The Story of Coby Howard......Page 137
Toward a Rational Rationing Plan......Page 138
The Performance of the Rationing Plan......Page 148
Oregon Ten Years Later......Page 150
Where Do We Draw the Line?......Page 152
Endnotes......Page 153
CHAPTER 8 What Is Your Life Worth?......Page 156
Willingness to Pay, Human Capital, and Intrinsic Value......Page 157
Pricing Life in the Real World......Page 159
The Cost-of-Illness (COI) Approach......Page 160
Using Surveys to Put a Price on Good Health......Page 162
The Economic Approach to Valuing Statistical Lives......Page 168
Other Evidence on the Value of Life......Page 172
What Is Your Life Worth?......Page 173
Value of a QALY......Page 174
Responding to Mr. Mortimer......Page 175
The Bottom Line......Page 176
Endnotes......Page 177
CHAPTER 9 Rising Costs and Rational Rationing......Page 180
The Health Care Budget “Crisis”......Page 181
Targeting Technology......Page 184
The Fallacy of Cost Containment......Page 186
The Steady Drumbeat of Rational Rationing......Page 187
Can Patients Be Rational?......Page 189
Who Should Ration?......Page 191
Endnotes......Page 198
Index......Page 200