Brody B A
Baylor College of Medicine, Houston, TX 77030.
Tex Med. 1991 Feb;87(2):86-90.
Current cost-containment pressures seem to be leading American health care into a world of rationing. Many people have urged that we resist rationing on the grounds that it would compromise the integrity of the patient-physician relation. I shall argue that rationing is in fact both inevitable and appropriate, but the world of rationing is one in which the role of the moral physician involves complex balancing of moral obligations.
当前的成本控制压力似乎正将美国医疗保健带入一个配给的世界。许多人敦促我们抵制配给,理由是这会损害医患关系的完整性。我将论证,配给事实上既是不可避免的也是恰当的,但在配给的世界里,有道德的医生的角色涉及对道德义务的复杂权衡。