Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-06T13:23:01.773Z Has data issue: false hasContentIssue false
  • English
  • Français

The Ethical Implications of Health Spending: Death and other Expensive Conditions

Published online by Cambridge University Press:  01 January 2021

Dan Crippen  and
Amber E. Barnato
Get access Rights & Permissions [Opens in a new window]

Extract

In this essay I ask the reader to consider the “end of life” as a life stage, rather than as a health state. At one end of the life course is childhood and at the other end is elderhood. The basic inter-generational social compact in most societies is that working adults take care of their children and their parents, and count on their children to do the same for them. In developed countries, these obligations are met in part through government programs, with taxpayers funding significant portions of education, health care, and income support.

Type
Symposium
Information
Journal of Law, Medicine & Ethics , Volume 39 , Issue 2 , Summer 2011 , pp. 121 - 129
Copyright
Copyright © American Society of Law, Medicine and Ethics 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Isaacs, J. B., Public Spending on Children and the Elderly From a Life-Cycle Perspective, Brookings Institution, Washington, D.C., November 2009.Google Scholar
Hogan, C., Lunney, J., Gabel, J., and Lynn, J., “Medicare Beneficiaries' Costs of Care in the Last Year of Life,” Health Affairs 20, no. 4 (July 2001): 188–195.CrossRefGoogle Scholar
Barnato, A. E., McClellan, M. B., Kagay, C. R., and Garber, A. M., “Trends in Inpatient Treatment Intensity among Medicare Beneficiaries at the End of Life,” Health Services Research 39, no. 2 (April 2004): 363–376.CrossRefGoogle Scholar
Anderson, G., Chronic Conditions: Making the Case for Ongoing Care, Johns Hopkins University, November 2007, at 5–6.Google Scholar
Boyd, C. M., Darer, J., Boult, C., Fried, L. P., Boult, L., and Wu, A. W., “Clinical Practice Guidelines and Quality of Care for Older Patients with Multiple Comorbid Diseases,” JAMA 294, no. 6 (2005): 716–724.CrossRefGoogle Scholar
Id., at 720.Google Scholar
Department of Health and Human Services, New Strategic Framework on Multiple Chronic Conditions, December 2010.Google Scholar