Secundy M G
J Natl Med Assoc. 1981 Aug;73(8):725-8.
This paper presents an overview of current philosophical perspectives and societal trends in relation to allocation of scarce resources. An analysis and comparative assessment of various positions of current philosophers, theologians, and bioethicists is provided. Currently proposed cost containment measures at the federal level require that black health professionals particularly pay attention to these proposals specifically as related to allocation of resources. The ways in which cost containment and/ or modification of resource allocation will affect health care delivery, specifically for the black community, must be carefully examined. This article may suggest some approaches for individual and group response to the continuing dialogue and to the allocation process itself. The equitable distribution of health care, particularly scarce new technologies, will be one of the greatest problems facing society in the next 20 years.
本文概述了当前与稀缺资源分配相关的哲学观点和社会趋势。文中对当前哲学家、神学家和生物伦理学家的各种立场进行了分析和比较评估。目前联邦层面提出的成本控制措施要求黑人健康专业人员尤其要关注这些与资源分配相关的提议。必须仔细研究成本控制和/或资源分配调整将如何影响医疗服务的提供，特别是对黑人社区的影响。本文可能会为个人和团体应对持续的对话以及分配过程本身提供一些方法。医疗保健的公平分配，尤其是稀缺的新技术，将是未来20年社会面临的最大问题之一。
