Rationing Medical Care Proposed to Cut Costs

By Porter, Sylvia | THE JOURNAL RECORD, August 16, 1990 | Go to article overview

Rationing Medical Care Proposed to Cut Costs


Porter, Sylvia, THE JOURNAL RECORD


Many Americans expressed shocked disbelief when Dr. Jack Kevorkian demonstrated his suicide machine by assisting in the death of Janet Adkins, a victim of Alzheimer's disease. The physician's purpose was to relieve her suffering.

Yet, these same Americans seem unaware that politicians, health care providers and academics are actively proposing similar Orwellian measures, not to relieve suffering but to cut health care costs.

Because the population is aging, Dr. Daniel Callahan, director of the Hastings Center (a medical ethics think tank), has proposed that we limit health care for those people who have lived a ``normal life span.'' He also has proposed that we stop searching for life-extending technology. Dr. Callahan has more than accomplished what he intended: to initiate public discussion of the limits of medical care and medical progress.

But he is not the first to propose rationing of medical care. As the Alexander Consulting Group reports, ``Insurers and medical plan sponsors ration care by choosing what procedures they will reimburse as covered expenses.

``The federal government rations health care in two ways: age and inefficient resource use. Medicare is available mainly to those age 65 or over, but not to the working taxpayers financing the cost. Once an individual is covered under Medicare, the system rations care away from preventive medicine and toward the terminally ill. Nearly half of the Medicare budget is spent on care for people in their last 30 days of life.''

By introducing payment reform, funding ``outcome research'' and introducing controls on how much doctors can increase patient services, Congress is rationing health care. Also, the government denies Medicaid insurance coverage on the basis of income level to millions and covers only about 40 percent of those living on incomes under the federal poverty level.

Oregon began rationing health care in 1987 and is developing a restrictive list of medical services that it will provide. Meanwhile, Alaska, California, Kentucky and Nebraska are investigating rationing plans and the Colorado legislature now has a bill under consideration. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

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 article

Cited article

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 article

Rationing Medical Care Proposed to Cut Costs
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

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 article
  • Highlights & Notes
  • Citations
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

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.