Politics, morality and economics — are there choices?
The decision that doctors face as to which patient should be treated by dialysis and which should receive a transplant, is basically not a medical one but a moral one. The doctor’s exercise of clinical judgement is constrained by the lack of money for kidney units. This is the result of a choice regarding spending priorities within the National Health Service (NHS) and between the NHS and other areas of government spending. In turn, this choice is a political decision since politics is about choosing priorities and priorities are determined by political philosophy or, more simply, morality. Because we live in an imperfect world, we must also consider cost effectiveness.
KeywordsNational Health Service Brain Death Continuous Ambulatory Peritoneal Dialysis Valid Consent Trans Plant
Unable to display preview. Download preview PDF.
- B.M.A. Ethical Handbook (1979). British Medical Association, LondonGoogle Scholar
- Hansard (1980). 4, March, Col. 102Google Scholar
- Hansard (1981a). 12, Jan. Col. 469Google Scholar
- Hansard (1981b). 17, July, Col. 499Google Scholar
- Hansard (1981c). 10, Oct. Col. 449Google Scholar
- Hansard (1981d). 16, Oct. Col. 266Google Scholar
- Hansard (1982a). 18, Jan, Col. 54Google Scholar
- Hansard (1982b). 23, Feb. Col. 345Google Scholar
- Hansard (1982c). 16, March, Col. 98Google Scholar
- Grist, L. (1981). Are some doctors pulling the plug? General Practitioner. 16, October, p. 73Google Scholar
- Slapak, M. (1982). Personal communication.Google Scholar
- Smith, T. (1979). Times, 28 Nov., p. 19Google Scholar
- Smith, T. (1981). Times Health Supplement, 20 Nov., p. 19Google Scholar
- Veitch, A. (1982). Guardian, 15 Jan., p. 4Google Scholar