What does it mean to be a ‘‘just’’ and ‘‘caring’’ society when we have only limited resources to meet virtually unlimited health care needs? In Just Caring. Health Care Rationing and Democratic Deliberation Leonard Fleck identifies health care rationing as the moral problem of contemporary health care. At present, millions of Americans go without health insurance, thousands of whom die prematur...

The paper revisits Stiglitz and Weiss (1981)’ seminal Credit Rationing result in more detail. It has often been argued that rationing is irrelevant since a) it only pertains to specific assumptions about the quality of investment projects and b) it is eliminated by offering screening contracts to borrowers. The paper argues the opposite. It shows that Credit Rationing holds for a wide range of ...

This article focuses on rationing of expensive medical care in the Czech Republic. It distinguishes between political and clinical decision levels and reviews the debate in the Western literature on explicit and implicit rules. The contemporary situation of the Czech health care system is considered from this perspective. Rationing reoccurred in the mid 90s after the shift in health care financ...

This article focuses on rationing of expensive medical care in the Czech Republic. It distinguishes between political and clinical decision levels and reviews the debate in the Western literature on explicit and implicit rules. The contemporary situation of the Czech health care system is considered from this perspective. Rationing reoccurred in the mid 90s after the shift in health care financ...

Rationing of nursing care is a widespread and growing phenomenon whose causes are multifaceted consequences serious. Nursing rationing defined as withholding or failing to perform necessary tasks due insufficient time, staffing, and/or inadequate skills. also omission, delay, failure complete, which qualifies an error omission. Unfinished has many negative for patients, nurses, organizations. T...

The purpose of this paper is to explore how rationing decisions are made by government and hospital policy makers and practitioners, at the micro, meso and macro levels of analysis, through examining the rationing of cardiac care in a Canadian hospital, and discussing how the interaction between policy makers and practitioners at each of these levels affects the process and outcomes. Data were ...

According to myriad studies, college and university student food insecurity is a pervasive systemic problem. Most show that nearly half of students experience (Breuning et al., 2017; Broton, 2020; Nazmi, 2019). As defined by the U.S. Department Agriculture (USDA), “limited or uncertain availability nutritionally adequate safe foods, limited ability acquire acceptable foods in socially ways” (US...

n engl j med 366;21 nejm.org may 24, 2012 1949 distributive justice. But in the United States, ethical debate is now shifting from rationing to the avoidance of waste. This little-noticed shift has important policy implications. Whereas the “R word” is a proverbial third rail in politics, ethicists rush in where politicians fear to tread. The ethics of rationing begins with two considerations. ...