A Call to Be Whole: The Fundamentals of Health Care Reform

By Barbara J. Sowada | Go to book overview

CHAPTER 5
How Much Is Enough?

Medicine is a science of uncertainty, and an art of probability.

Sir William Osier

Just as What is care? was, in Flood's terms, an inquiry into health care's effectiveness, How much is enough? is an inquiry into health care's efficiency. In systems language, enough is shorthand for the amounts of resources, or inputs, the health care system uses to produce its output— health. Efficiency is asking whether the right amount of resources flow to the right recipients at the right time to achieve what is best for the nation's health. In short, efficiency refers to not wasting resources.

Questions of enough are questions of finitude; they implicitly assume there are limits to life as well as to resources. Enough indicates rationing, and rationing, which also refers to not wasting resources, implies limits to longevity, to health care's ability to cure, to technology's beneficence, and to the profits stakeholders can make. Questions of enough are complex, confusing, and emotionally charged because our answers to How much is enough? will (1) affect each system in the nested hierarchy of systems, and (2) affect all of health care's stakeholders, albeit differently.

Inquiry is like rock climbing in that the next move depends upon the present position. Moving through thought, so to speak, our answers to How much is enough? largely depend upon what we have learned from our inquiry into What is health? and What is care? Because our inquiry is actually a search for coherence, it follows that our answers to How much is enough? should balance with our answers to What is health? and What is care? We are searching for information that will, in Flood's terms, generate an effective, efficient, and fair health care system.

-89-

Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items
Notes
Cite this page

Cited page

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Note: primary sources have slightly different requirements for citation. Please see these guidelines for more information.

Cited page

Bookmark this page
A Call to Be Whole: The Fundamentals of Health Care Reform
Table of contents

Table of contents

  • Title Page iii
  • Contents vii
  • Illustrations ix
  • Acknowledgments xi
  • Introduction xiii
  • Chapter 1 - Heartburn 1
  • Chapter 2 - Review of Systems 21
  • Chapter 3 - What is Health? 41
  • Chapter 4 - What is Care? 61
  • Chapter 5 - How Much is Enough? 89
  • Chapter 6 - Who is Responsible? 121
  • Chapter 7 - A Call to Be Whole 149
  • Chapter 8 - Compassion 171
  • Chapter 9 - We 191
  • Notes 205
  • Selected Bibliography 215
  • Index 219
  • About the Author 223
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen
Items saved from this book
  • Bookmarks
  • Highlights & Notes
  • Citations
/ 224

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Search by... Author
    Show... All Results Primary Sources Peer-reviewed

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.