ETHICS OF RATIONING

Question 1

what is rationing?

Answer 1

a means of fair distribution of resources that are scarce

Question 2

what were some rationing concerns during COVID-19?

Answer 2

PPE, dialysis, testing and vaccines, displaced activity

Question 3

what are the only certainties in life?

Answer 3

death
taxes
scarcity of resources

Question 4

what is opportunity cost?

Answer 4

the forgone benefit that would have been derived by an option not chosen

Question 5

who rations healthcare?

Answer 5

the central government decides funding for the NHS and divides it between the 4 nations. this budget is then allocated to the CCGs based on need and then doctors ration patient access to care

Question 6

what are principles in which we ration healthcare?

Answer 6

rationing by ability to pay or by need

Question 7

what is the NICE guidelines for the cut off for the price of treatment per QALY?

Answer 7

30,000

Question 8

what are Alan Williams principles to guide rationing?

Answer 8

to treat people equally and with dignity, to meet peoples needs for healthcare as efficiently as possible by imposing the least sacrifice on others and to minimise inequalities in the lifetime health of the population