T implement bedside rationing as described in Peter Ubel’s Pricing Life: Why It’s Time for Health Care Rationing would most certainly set medical ethics back 2500 years by ignoring the issue of patient trust, which gave rise to the traditional Hippocratic oath. The fundamental unit of health care is the physician–patient relationship. For physicians to knowingly withhold beneficial services fro...

This paper applies econometric models to investigate determinants of electrical energy Ž . consumption in post-war Lebanon. The impact of the Gross Domestic Product GDP , Ž . Ž . proxied by total imports TI , and degree days DD on electricity consumption is investigated over different time spans covering the period from 1993 to 1997. The time spans are chosen according to the rationing level of...

In this paper we discuss how three different public policy measures affect water storage controlled by hydropower producing firms. In particular we discuss measures to promote competition, increase transmission capacity and rationing. The analysis is conducted within the framework of an oligopoly model where 2 hydro producing firms engage in dynamic Bertrand competition. We extend this model to...

We study auctions of a single asset among symmetric bidders with a¢ liated values. We show that the second-price auction minimizes revenue among all e¢ cient auction mechanisms in which only the winner pays, and the price only depends on the losers’bids. In particular, we show that the k-th price auction generates higher revenue than the second-price auction, for all k > 2. If rationing is allo...

This paper considers a public provider’s strategic use of rationing in a market served by both public and private providers. Such a ‘mixed’ market structure is common in many industries such as health care, telecommunication, postal service, and public utilities. The technology in the private sector exhibits increasing returns: each firm can expend ‘effort’ in the form of fixed cost to reduce t...

The purpose of this paper is to extend the Rights Egalitarian solution (Herrero, Maschler & Villar, 1999) to the context of nontransferable utility sharing problems. Such an extension is not unique. Depending on the kind of properties we want to preserve we obtain two di¤erent generalizations. One is the "proportional solution", that corresponds to the Kalai-Smorodinsky solution for surplus sha...

In this paper we analyze stock allocation policies in general N-echelon distribution systems, where it is allowed to hold stock at all levels in the network. The goal is to achieve differentiated target customer service levels (fill rates). Various allocation rules and accompanying numerical methods that have already been developed for smaller networks are extended and compared in an extensive ...

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In recent years, shortages of radioisotopes that cannot be stockpiled have created a scenario in which they may be considered, periodically, a scarce medical resource. This discussion focuses on the just allocation of medical radioisotopes and presents the dominant ethical frameworks for rationing and priority setting in the patient populations most affected. Priority setting is necessary when ...

M rs. W is my first patient of the afternoon. She is a new patient with no chief complaint, so the purpose of the visit is simply to establish care. I find out that Mrs. W lost her job and her health insurance six months ago and has not been treated for several chronic diseases for some time. She is part of a growing number of patients in our community who, because of the economic downturn, hav...