• Health Care Anal · Sep 2006

    Fair rationing is essentially local: an argument for postcode prescribing.

    • Richard E Ashcroft.
    • University of London, Institute of Health Sciences Education, 40 New Road, London El 2AX, United Kingdom. r.ashcroft@qmul.ac.uk
    • Health Care Anal. 2006 Sep 1;14(3):135-44.

    AbstractIn this paper I argue that resource allocation in publicly funded medical systems cannot be done using a purely substantive theory of justice, but must also involve procedural justice. I argue further that procedural justice requires institutions and that these must be "local" in a specific sense which I define. The argument rests on the informational constraints on any non-market method for allocating scarce resources among competing claims of need. However, I resist the identification of this normative account of local justice with the actual approach to local decision-making taken within the UK National Health Service. I illustrate my argument with reference to the case of provision of In Vitro Fertilisation within the UK NHS.

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