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What's your life worth? : health care rationing-- who lives? who dies? who decides? / David Dranove.

by Dranove, David.

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Upper Saddle River, NJ : FT Prentice Hall, c2003.

Health care rationing.

0130671657 (pbk.) :

xvi, 191 p. ; 24 cm.

Introduction -- ch. 1. Is it nice to ration? -- Putting a price on your life -- The pressure to ration -- Cutting to the chase -- Rationing drugs down under -- The National Institute for Clinical Excellence (NICE) -- The beta-interferon controversy -- Medicine versus economics -- Endnotes -- ch. 2. Defending rationing in principle -- Rationing and toy shopping -- Are we wasting money on health care? -- Moral hazard -- The RAND study -- Demand inducement -- Bad buys in health care -- The Weinberg Variations -- Defending rationing -- Endnotes -- ch. 3. Rationing around the world -- Rationing in Germany -- Controlling drug costs in Germany -- If it looks like rationing ... --- Rationing in Canada -- The consequences of waiting lists -- The future of rationing in Canada -- Rationing in England -- Rationing elsewhere in the world -- Endnotes -- ch. 4. Rationing in the U.S. health care marketplace -- Rationing through the market mechanism : the uninsured in the United States -- Attempts to provide universal coverage -- Rationing among insured Americas -- Government-sponsored rationing in the United States -- A brief history of managed care -- Whither rationing in America? -- Enough is enough -- Endnotes -- ch. 5. Doing cost-effectiveness and cost-benefit research -- Some background on CEA -- Is it valid to use CEA for health care? -- Doing CEA/CBA -- Measuring costs -- Discounting -- Is CEA/CBA research valid? -- CBA/CEA in practice -- Endnotes -- ch. 6. Measuring the quality of life -- Using rating scales to measure health states -- Working with QALYs -- Putting QALYs into practice -- All QALYs ae equal -- Measuring QALYs -- How fo your QALY scores measure up? -- The quality of well-being (QWB) scale -- Concerns about QALYs -- Discrimination and QALYs -- Limitations of QALY surveys -- Summing up CEA/CBA methods -- What about the PSA test? -- Endnotes -- ch. 7. The Oregon Plan -- Rationing in Oregon -- The story of Coby Howard -- Toward a rational rationing plan -- The creation of the Oregon Health Plan -- The Oregon plan and HMOs -- Creating the list -- More protests -- The dt performance of the rationing plan -- Oregon ten years later -- Where do we draw the line? -- Endnotes -- ch. 8. What is your life worth -- Willingness to pay, human capital, and intrinsic value -- Pricing life in the real world -- The cost-of-illness (COI) approach -- Using surveys to put a price on good health -- Some WTP measures -- Willingness to pay for life -- How useful are WTP measures? -- Statistical versus identified lives -- The economic approach to valuing statistical lives -- Other evidence on the value of life -- What is your life worth? -- Value of a QALY -- Responding to Mr. Mortimer -- The bottom line -- Endnotes -- ch. 9. Rising costs and rational rationing -- The health care budget "crisis" -- The drain on the U.S. economy -- Targeting technology -- The fallacy of cost containment -- The steady drumbeat of rational rationing -- Can patients be rational? -- who should ration -- Rational rationing in the public sector -- Rational rationing and managed care -- The real obstacles -- Rational rationing in the 21st century -- Endnotes -- Index.

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