Heasell S, Paton D
Nottingham Trent University and Nottingham University, UK.
Health Serv Manage Res. 2001 Feb;14(1):62-3. doi: 10.1177/095148480101400108.
This paper argues that a cost/benefit-type economic analysis of whether or not to prohibit euthanasia should not be undertaken by health services managers unless ethical issues have been resolved to a particular conclusion. A conclusion on ethical grounds in favour of the prohibition of euthanasia renders the consideration of economic criteria redundant. The case of the German euthanasia programme in the 1930s is used to illustrate the danger of attempting to combine ethical and economic criteria into a single decision rule.
本文认为,除非伦理问题已得到特定结论的解决,否则卫生服务管理人员不应进行关于是否禁止安乐死的成本/效益型经济分析。基于伦理理由得出的支持禁止安乐死的结论会使对经济标准的考虑变得多余。20世纪30年代德国安乐死计划的案例被用来说明试图将伦理和经济标准合并为单一决策规则的危险。