Retracing the Oregon trail: the experience of rationing and the Oregon health plan.

Rationing medical care: rhetoric and reality in the Oregon Health Plan.

The Oregon Health Plan (OHP) has been widely heralded as an important innovation in medical care policy and rationing. Oregon's pioneering method of prioritizing funding for health care through systematic and public ranking of medical services has drawn substantial international interest. This paper reviews the experience of the Oregon plan since it began operation in 1994. We argue that widesp...

On the Oregon trail: rationing health care.

The introduction of the purchaser-provider principle into the NHS will have at least one uncomfortable consequence perhaps not fully expected by its authors. It will direct public attention even more to decisions about the level and distribution of resources, both nationally and locally. In the past decisions about who should (and should not) get what medical treatment have been perceived, and ...

State model: Oregon. The ups and downs of Oregon's rationing plan.

Rationing health care: its impact and implications for hematology-oncology.

Rationing of health care in the United States currently exists via the covert mechanism of restricting significant segments of medical care for many of those who cannot afford it. Provision of universal health care would necessitate explicit rationing of certain interventions and technologies, even though an individual could afford them. The British and Canadian experiences provide lessons from...

Rationing care in Oregon: the new accountability.