Blanchette P L
Dept. of Medicine, John A. Burns School of Medicine, USA.
Hawaii Med J. 1995 Apr;54(4):507-9.
The U.S. has focused attention on the rising costs of health care coincident with the increasing age of the population. Arguments have been made to overtly ration care to older persons; however, general acceptance of the need to ration scarce resources, whether or not such a policy is actually formalized, can lead to covert rationing. Some overt rationing has already occurred, some of the data put forth to justify that rationing needs to be challenged, and ethical principles need to be applied to provide appropriate and perhaps less costly care.
美国在关注医疗保健成本不断上升的同时，也关注着人口老龄化问题。有人主张公开对老年人的医疗进行配给；然而，无论这种政策是否正式确立，对稀缺资源进行配给的必要性得到普遍认可，都可能导致隐蔽的配给。一些公开的配给已经出现，一些用来证明这种配给合理性的数据需要受到质疑，并且需要应用伦理原则来提供适当且可能成本更低的医疗服务。
