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Healthcare Rationing Cutoffs and Sorites Indeterminacy.

Publication ,  Journal Article
Rosoff, PM
Published in: J Med Philos
July 29, 2019

Rationing is an unavoidable mechanism for reining in healthcare costs. It entails establishing cutoff points that distinguish between what is and is not offered or available to patients. When the resource to be distributed is defined by vague and indeterminate terms such as "beneficial," "effective," or even "futile," the ability to draw meaningful boundary lines that are both ethically and medically sound is problematic. In this article, I draw a parallel between the challenges posed by this problem and the ancient Greek philosophical conundrum known as the "sorites paradox." I argue, like the paradox, that the dilemma is unsolvable by conventional means of logical analysis. However, I propose another approach that may offer a practical solution that could be applicable to real-life situations in which cutoffs must be decided (such as rationing).

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Published In

J Med Philos

DOI

EISSN

1744-5019

Publication Date

July 29, 2019

Volume

44

Issue

4

Start / End Page

479 / 506

Location

United States

Related Subject Headings

  • Philosophy, Medical
  • Humans
  • Health Care Rationing
  • Decision Making
  • Cost Control
  • Applied Ethics
  • 5003 Philosophy
  • 5002 History and philosophy of specific fields
  • 5001 Applied ethics
  • 2203 Philosophy
 

Citation

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Rosoff, P. M. (2019). Healthcare Rationing Cutoffs and Sorites Indeterminacy. J Med Philos, 44(4), 479–506. https://doi.org/10.1093/jmp/jhz012
Rosoff, Philip M. “Healthcare Rationing Cutoffs and Sorites Indeterminacy.J Med Philos 44, no. 4 (July 29, 2019): 479–506. https://doi.org/10.1093/jmp/jhz012.
Rosoff PM. Healthcare Rationing Cutoffs and Sorites Indeterminacy. J Med Philos. 2019 Jul 29;44(4):479–506.
Rosoff, Philip M. “Healthcare Rationing Cutoffs and Sorites Indeterminacy.J Med Philos, vol. 44, no. 4, July 2019, pp. 479–506. Pubmed, doi:10.1093/jmp/jhz012.
Rosoff PM. Healthcare Rationing Cutoffs and Sorites Indeterminacy. J Med Philos. 2019 Jul 29;44(4):479–506.
Journal cover image

Published In

J Med Philos

DOI

EISSN

1744-5019

Publication Date

July 29, 2019

Volume

44

Issue

4

Start / End Page

479 / 506

Location

United States

Related Subject Headings

  • Philosophy, Medical
  • Humans
  • Health Care Rationing
  • Decision Making
  • Cost Control
  • Applied Ethics
  • 5003 Philosophy
  • 5002 History and philosophy of specific fields
  • 5001 Applied ethics
  • 2203 Philosophy