Persson Karl
Department of Philosophy, Linguistics and Theory of Science, University of Gothenburg, Box 200, 405 30, Göthenburg, Sweden,
Health Care Anal. 2014 Dec;22(4):305-24. doi: 10.1007/s10728-012-0216-1.
In recent years, bariatric surgery has become an increasingly popular treatment of obesity. The amount of resources spent on this kind of surgery has led to a heated debate among health care professionals and the general public, as each procedure costs at minimum $14,500 and thousands of patients undergo surgery every year. So far, no substantial argument for or against giving this treatment a high priority has, however, been presented. In this article, I argue that regardless which moral perspective we consider--greatest need, utility or personal responsibility--the conclusion is that we should give bariatric surgery a high priority when allocating scarce resources in health care.
近年来,减肥手术已成为一种越来越受欢迎的肥胖治疗方法。在这种手术上花费的资源数量引发了医疗保健专业人员和公众之间的激烈辩论,因为每个手术至少花费14,500美元,并且每年有成千上万的患者接受手术。然而,到目前为止,尚未提出支持或反对将这种治疗列为高度优先事项的实质性论据。在本文中,我认为无论我们从哪种道德视角考虑——最大需求、效用还是个人责任——结论都是,在医疗保健领域分配稀缺资源时,我们应该将减肥手术列为高度优先事项。