Exam 4: Should We Ration Health Care for Older People

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Explain Daniel Callahan's proposal for rationing health care on the basis of age. What assumptions does he make in his argument? What evidence is there to refute his assumptions?

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Daniel Callahan's proposal for rationing health care on the basis of age is based on the idea that as people age, they become less productive and their quality of life diminishes. He argues that as a society, we should prioritize health care resources for younger individuals who have more potential years of productivity and quality of life ahead of them.

Callahan assumes that older individuals are less valuable to society and that their health care needs should be deprioritized in favor of younger individuals. He also assumes that older individuals have a lower quality of life and are less deserving of health care resources.

However, there is evidence to refute Callahan's assumptions. Firstly, older individuals can still contribute to society in meaningful ways, whether through volunteer work, mentorship, or other forms of engagement. Additionally, many older individuals lead fulfilling and active lives, and their quality of life should not be discounted simply based on their age.

Furthermore, prioritizing health care based on age can lead to discriminatory practices and overlook the individual needs and circumstances of each patient. It is important to consider factors such as overall health, prognosis, and potential for improvement when making decisions about health care allocation, rather than simply relying on age as a determining factor.

In conclusion, while Callahan's proposal for rationing health care based on age may be based on certain assumptions, there is evidence to refute these assumptions and argue for a more equitable and individualized approach to health care allocation.

Health care expenditures for the older population have outpaced general economic growth in recent years.

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Perry and Butler argue that a more effective way to control health care costs than age-based rationing would be to eliminate the afflictions of old age.

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Throughout industrialized countries, health care spending increases with age, and it accelerates at advanced ages, especially for the oldest-old (85+).

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Which of the following factors is responsible for rising health care costs?

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Ubel argues that health care rationing amounts to an egregious crime against humanity.

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Hentoff predicts that as more individuals survive to old age, the public will vehemently oppose Callahan's proposal.

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"Managed care" refers to which of the following?

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Medicare beneficiaries who are near death are the primary cause of large Medicare payments.

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According to Perry and Butler, scientific research should be focused on which of the following activities?

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On what bases does Hentoff criticize Callahan's proposal to ration health care on the basis of age? Do you agree or disagree with Hentoff's criticism?

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According to Perry and Butler, approximately 10% of the money spent on health care for people over age 65 is spent on research that may lead to lower health care costs for chronic diseases and disabilities.

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Increasing the age of eligibility for Medicare from 65 to 70 would save approximately ______ percent of total Medicare costs.

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Do you agree or disagree with Callahan who argues that health care should be rationed on the basis of chronological age? Explain.

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What are the arguments for and against rationing health care on the basis of age? As the number of Medicare enrollees is projected to increase dramatically in the years ahead, what changes to Medicare would you propose in order to contain costs? Explain.

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Medical costs in the last year of life amount to about 30% of the entire Medicare budget.

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Ubel argues that health care rationing is already a widespread practice in the United States and elsewhere, even outside of managed care organizations.

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According to Ubel, we should be concerned with effectiveness analysis rather than rationing so that everyone has access to the same services.

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"Backdoor rationing" refers to which of the following?

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According to Hentoff, several influential individuals and numerous bioethicists support Callahan's proposal in spite of individuals' "equal protection of the laws" under the Fourteenth Amendment.

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