The Ethics of Organ Transplants: The Current Debate

By Arthur L. Caplan; Daniel H. Coelho | Go to book overview

25. Comment:
Ability to Pay and
Access to Transplantation

Norman Daniels

Ability to pay now is and probably will remain a factor determining access to transplantation, as Evans shows. 1 In this article, I address the following moral issues: (1) Is ability to pay a morally acceptable criterion for rationing health care services in general? (2) Is it either more or less acceptable to ration transplantation by ability to pay than other health care services?

I agree with Evans that, in general, distributing health care by ability to pay is unjust. As I argue elsewhere, 2,3 health care (I include nonmedical health services) is of special moral importance. Its function is to maintain, restore, and compensate for losses of normal species functioning, and departures from normal functioning have a significant impact on the range of opportunities open to an individual. Since a society is just only if it assures fair equality of opportunity, health care systems should be designed so that they optimally protect opportunity, given the limits of resources and technology. This fair equality of opportunity account implies that there should be no discriminatory barriers to whatever system of services optimally protects opportunity. Still, individuals have rights or entitlements only to those services that are part of the design of such a system. They do not have rights to any or every technology that can in some way provide them with a benefit. Rather, technologies must be assessed before being incorporated in a system so that we include only these services that optimally protect opportunity, given fixed or reasonable limits on resources.

When ability to pay determines access to effective medical treatments, the distribution of opportunity depends in an unacceptable way on inequalities in wealth and income. We should not, then, ration health care in general by ability

____________________
Originally published in Transplantation Proceedings 21, no. 3 ( June 1989): 3424-25. Reprinted by permission of Appleton & Lange, Inc.

-242-

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

Items saved from this book

This book has been saved
Highlights (0)
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.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this book

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
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, APA and Chicago citation styles.

(Einhorn, 1992, p. 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.

Cited page

Bookmark this page
The Ethics of Organ Transplants: The Current Debate
Table of contents

Table of contents

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
/ 350

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, 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."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.

    Author Advanced search

    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.