Justice and managed care. Four principles for the just allocation of health care resources

Hastings Cent Rep. 2000 May-Jun;30(3):8-16.


The debate about justice and health care has occurred largely at a remove from the institutions it concerns; it has been about our most general moral principles, and about what things we value. This debate has foundered. But if the debate is turned in another direction, toward some moral principles that are widely accepted within those institutions, and toward principles that have to do with control over allocation decisions rather than with actually how to make those decisions, agreement may be nearer at hand.

MeSH terms

  • Disclosure
  • Health Care Rationing / organization & administration*
  • Humans
  • Managed Care Programs / economics
  • Managed Care Programs / organization & administration*
  • Morals
  • Patient Advocacy
  • Patient Selection
  • Quality of Health Care
  • Resource Allocation*
  • Social Justice*
  • Social Values
  • United States
  • Withholding Treatment