New England Journal of Medicine · 1990 · 83 citations · 8 references
Health ProfessionsHealth PolicyHealth Services AdministrationGeriatric CareGeriatricsGerontologyAgeism In Health CarePopulation AgingAge-based Rationing Of CareAge-based ThresholdsMedical RationingRationingRationing CriteriaRationing DecisionsRationing In Health Care
Suggestions for reducing health care costs in the United States by\nexplicit rationing have included proposals to use age as a criterion for\nallocating resources in medical care. In this Sounding Board essay, Levinsky\ncritically examines arguments for withholding costly, life-prolonging\ntechnologies from elderly patients. He questions the reasoning behind such\nproposals and whether substantial savings can be realized unless routine\nmedical care is withheld from the elderly as well as high technology care. \nLevinsky argues strongly against using age as a rationing criterion as\ndetrimental to society. (KIE abstract)
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Setting Limits: Medical Goals in an Aging Society.
D Callahan · Annals of Internal Medicine · 1988 · 568 citations
Patients' and Families' Preferences for Medical Intensive Care
Marion Danis · JAMA · 1988 · 160 citations
The Painful Prescription: Rationing Hospital Care.
Annals of Internal Medicine · 1984 · 122 citations
Medicine, Health Policy, Surgery +15
Implications for Health Care Policy
Roger W. Evans · JAMA · 1981 · 104 citations
Medicine, Health Policy, Nephrology +14