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Opening Up a Dialogue on the R-Word

Today a short article in the NY Times, New Kidney Trans­plant Policy Would Favor Younger Patients, draws my attention to a very basic problem in medical ethics: rationing.

According to the Wash­ington Post cov­erage, the pro­posal comes from the United Network for Organ Sharing, a Richmond-​​based private non-​​profit group the federal gov­ernment con­tracts for allo­cation of donated organs. From the Times piece:

Under the pro­posal, patients and kidneys would each be graded, and the healthiest and youngest 20 percent of patients and kidneys would be seg­re­gated into a sep­arate pool so that the best kidneys would be given to patients with the longest life expectancies.

This all follows last week’s front-​​page business story on the mon­etary value of life.

I have to admit, I’m glad to see these stories in the media. Any rea­soned dis­cussion of policy and reform requires frank talk on health care resources which, even in the best of eco­nomic times, are limited.

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