If Public Healthcare Is Too Expensive to Cover All Eventualities It Must Be Rationed

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Date Submitted: 04/27/2009 12:34 PM

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If Public Healthcare is too expensive to cover all Eventualities it must be rationed CRITICAL THINKING ESSAY PLAN '' 1500 words +/- 10% Introduction '' this will be explaining the content of the essay 100 words Is rationing unavoidable? A look at the state of rationing and to see if it can be avoided to include factors which influence rationing 300 words Who makes the decisions '' which patients are more deserving? With a case study of Ms Elizabeth Cooke 300 words Conclusion '' a summary of the content of this essay 100 words If Public Healthcare is too expensive to cover all eventualities it must be rationed - discuss Dr Bob Gilbertson is an award winning (Searle/Royal College of General Practioners 1999) GP who is one of six partners from Highcliffe Medical Centre in Dorset (Spiers, 1999). His view is that rationing forces choices about future resources and constantly looks at the current resources being used. This makes the point of who should make choices regarding limited funding/resources. It appears that as a GP with a certain amount of clinical freedom it can cause tension within the health system (Spiers, 1999). Dr Gilbertson feels that it is the voters who decide the amount of revenue allocated to the politically created NHS. He also feels there are obvious problems with rationing, for example the waiting lists are rationing in human form (Spiers, 1999). Although it may be sensible to wait six months for a non painful minor operation, there of course is the extreme to this whereas patients with serious life threatening conditions are on six months waiting lists. There is an inconvenience attached to waiting lists. Short notice can make planning for an operation difficult with work or seeking appropriate childcare. Having this knowledge makes private healthcare more appealing. Karol Sikora is Chief of the World Health Organization’s Cancer Programme (Spiers, 1999). Professor Sikora has an extensive background within medicine, cancer beinghis...