BMJ 1997;314:820 (15 March)
Education and debate
The rationing debate: Rationing health care by age: The case for
Alan Williams,
professor aa Centre for Health Economics University of York YO1 5DD
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Introduction |
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As we grow older our recuperative powers diminish. Thus we accumulate a distressing
collection of chronic incurable conditions. Some of these are no more than a minor nuisance, and
we adapt as best we can; and when adaptation is not possible we learn to tolerate them. Some are
more serious, involving severe disability and persistent pain, and may eventually become life
threatening.
We are also at risk of various acute conditions (like influenza or pneumonia) which are
more serious threats to the health of elderly people than to younger people. We also have more
difficulty recovering from what younger people would regard as minor injuries (such as falls).
When you add to all this the increased likelihood that illness (and other disruptions of our normal
lifestyle) will leave us rather confused and in need of more rehabilitative and social support than
a young person it is hardly . . . [Full text of this article]
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The vain pursuit of immortality |
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Reasonable limits |
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The NHS's objectives |
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A fair innings |
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Age matters |
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Notes |
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