Whodunit? Causal responsibility of utilization review for physicians' decisions, patients' outcomes

Article Abstract:

A new standard for medical care should be divided between third party payers and physicians when considering responsibility for the outcomes on patients. Insurers use utilization review for cost control and this influences causality in a non-traditional way that makes insurers partly responsible for the medical care delivered to the patient. This question of causality and responsibility is important for litigation purposes.

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Some ethical costs of rationing

Article Abstract:

Rationing of medical service can be reconfigured to include the values of the patient. Four ethical costs include loss of physician loyalty, replacement of qualitative assessment by quantitative measures, a loss of service to the poor and imposition of public standards for individual health values. Oregon's rationing of Medicaid has quantitative problems by a public confusion of rare and common diseases.

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Justice, politics and community: expanding access and rationing health services in Oregon

Article Abstract:

The Oregon Plan for rationing of medical services to the poor has sought to expand access to medical care in a fair way. Three aspects of the Plan are that it is not a final solution, it covers more than Medicaid and it is not focused on preventing expensive treatments. The Plan was developed with involvement from public communities and this should be encouraged for public policy.

Health aspects, Oregon

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