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Global Challenge of Healthcare Rationing

BMJ 2000; 321 doi: (Published 14 October 2000) Cite this as: BMJ 2000;321:967
  1. Isabelle Durand-Zaleski, chief of public health
  1. Santé Publique, Hôpital Henri Mondor, Créteil, France

    Eds Angela Coulter, Chris Ham

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    Open University Press, £19.99, pp 288

    ISBN 0 335 20463 5

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    In 1995, when Alain Juppé, the French prime minister, tried to reform the healthcare system and to introduce explicit rationing, the country went on strike for five weeks and was almost totally paralysed for that time. Healthcare rationing is indeed a challenge for policymakers, and few dare to do it explicitly.

    The Global Challenge of Healthcare Rationing presents a clear inventory of what healthcare rationing means and of why and how it should be done. The introductory chapter refers to the Oregon experiments, …

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