Futility, Autonomy, and Cost in End-of-Life Care

This paper uses the controversy over the denial of care on futility grounds as a window into the broader issue of the role of cost in decisions about treatment near the end of life. The focus is on a topic that has not received the attention it deserves: the difference between refusing medical treat...

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Veröffentlicht in:The Journal of law, medicine & ethics medicine & ethics, 2011-06, Vol.39 (2), p.172-182
1. Verfasser: Baily, Mary Ann
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container_title The Journal of law, medicine & ethics
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description This paper uses the controversy over the denial of care on futility grounds as a window into the broader issue of the role of cost in decisions about treatment near the end of life. The focus is on a topic that has not received the attention it deserves: the difference between refusing medical treatment and demanding it. The author discusses health care reform and the ethics of cost control, arguing that we cannot achieve universal access to quality care at affordable care without better public understanding of the moral legitimacy of taking cost into account in health care decisions, even decisions at the end of life.
doi_str_mv 10.1111/j.1748-720X.2011.00586.x
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; PAIS Index; HeinOnline Law Journal Library
subjects Bioethics
Care and treatment
Cost
Cost control
Decision making
Ethics
Families & family life
Family - psychology
Government regulation
Health care access
Health Care Costs
Health care industry
Health Care Rationing
Health technology assessment
Hospice care
Humans
Law
Laws, regulations and rules
Litigation
Medical care, Cost of
Medical Futility - ethics
Medical service
Medical treatment
Medicine
Palliative care
Personal Autonomy
Physician patient relationships
Professional Autonomy
Responsibilities
Right to refuse treatment
Terminal care
Terminal Care - economics
Terminal Care - ethics
Treatment Refusal
United States
Values
title Futility, Autonomy, and Cost in End-of-Life Care
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