American healthcare is neither efficient nor available to all, and is also the most expensive in the world. This book argues that rationing of healthcare could work and proposes an approach to ration fairly, effectively and generously.

• Preface


• Chapter 1. The Problem


• Chapter 2. Characteristics Used as Cutoff Points


• Chapter 3. Needs, Wants, Preferences and Demands


• Chapter 4. Prediction, Prognosis and Uncertainty


• Chapter 5. Rules, Rescues and Miracles


• Chapter 6. Luck


• Chapter 7.Conclusions


• Bibliography


• Index

Dr. Philip M. Rosoff is Professor of Pediatrics and Medicine at Duke University Medical Center. He is a Resident Scholar of the School of Medicine's Trent Center for Bioethics, Humanities & History of Medicine. He chairs Duke Hospital's Ethics Committee. He has had a long-standing interest in the intersection between clinical ethics and healthcare policy, especially in the setting of scarce resources.