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 |
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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. |
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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.</description><subject>Bioethics</subject><subject>Care and treatment</subject><subject>Cost</subject><subject>Cost control</subject><subject>Decision making</subject><subject>Ethics</subject><subject>Families & family life</subject><subject>Family - psychology</subject><subject>Government regulation</subject><subject>Health care access</subject><subject>Health Care Costs</subject><subject>Health care industry</subject><subject>Health Care Rationing</subject><subject>Health technology assessment</subject><subject>Hospice care</subject><subject>Humans</subject><subject>Law</subject><subject>Laws, regulations and rules</subject><subject>Litigation</subject><subject>Medical care, Cost of</subject><subject>Medical Futility - ethics</subject><subject>Medical service</subject><subject>Medical treatment</subject><subject>Medicine</subject><subject>Palliative care</subject><subject>Personal Autonomy</subject><subject>Physician patient relationships</subject><subject>Professional Autonomy</subject><subject>Responsibilities</subject><subject>Right to refuse treatment</subject><subject>Terminal care</subject><subject>Terminal Care - economics</subject><subject>Terminal Care - ethics</subject><subject>Treatment Refusal</subject><subject>United States</subject><subject>Values</subject><issn>1073-1105</issn><issn>1748-720X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><sourceid>8G5</sourceid><sourceid>AVQMV</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>K50</sourceid><sourceid>M1D</sourceid><sourceid>M2O</sourceid><recordid>eNqNkt2O0zAQhSMEYn_gFVAkJBASCR67tpMLLkq2W0DZXSRA7J3lJnY3JY2XOBHt2zOhpVBUwToXHsXfGc-MTxCEQGLA9WoRgxwlkaTkOqYEICaEJyJe3QuOdwf3MSaSRQCEHwUn3i8IIUCZeBgcUeACONDjgJz3XVVX3fplOO4717glRropw8z5LqyacNKUkbNRXlkTZro1j4IHVtfePN7up8Hn88mn7G2UX03fZeM8KqRMRMR5SUaztCyJTQSziZ2lWLihrABjU1kaMZylDBJNGSk0gRkhVotEQFpSsOw0eL7Je9u6b73xnVpWvjB1rRvjeq9SMaKjEQH2XzIRgjNgEpB8-he5cH3bYBuKSkYSxhH7Tc11bVTVWNe1uhhyqjHlkoJIqUAqOkDNTWNaXbvG2Ap_7_HxAR6_0iyr4qDgxZ4Amc6surnuPfY0zf9VzJYtXF2buVH4MNnVPv_sD_7G6Lq78a5GK7jG74PJBixa531rrLptq6Vu1wqIGqyoFmpwnBocpwYrqp9WVCuUPtkOu58tTbkT_vIeAq83wHfsfH3nxOp9fjHBCPV8o_cae9y95B0K2w6r8jik3b26_aqEZJKrL5dT9fHy7M2H7PpCcfYD39kDGQ</recordid><startdate>20110622</startdate><enddate>20110622</enddate><creator>Baily, Mary Ann</creator><general>Blackwell Publishing Ltd</general><general>SAGE Publications</general><general>Sage Publications, Inc</general><general>Cambridge University Press</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8GL</scope><scope>ILT</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7TQ</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AM</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>AABKS</scope><scope>ABSDQ</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AVQMV</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>BGRYB</scope><scope>CCPQU</scope><scope>DHY</scope><scope>DON</scope><scope>DPSOV</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K50</scope><scope>K7.</scope><scope>K9.</scope><scope>KB0</scope><scope>KC-</scope><scope>M0O</scope><scope>M0S</scope><scope>M0T</scope><scope>M1D</scope><scope>M1P</scope><scope>M2L</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20110622</creationdate><title>Futility, Autonomy, and Cost in End-of-Life Care</title><author>Baily, Mary Ann</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c7786-55d04b9dd0f863f8fb9111e23c1ef97de69dd09318a230ca01b00fa68619d21f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Bioethics</topic><topic>Care and treatment</topic><topic>Cost</topic><topic>Cost control</topic><topic>Decision making</topic><topic>Ethics</topic><topic>Families & family life</topic><topic>Family - 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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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