A Just Healthcare
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Transcript of A Just Healthcare
A Just Healthcare
PART I
In An Ideal World…
Each individual will get…
• what they want/need
• of high quality care
• at an affordable cost
But In The Real World…
The money has got to come from somewhere
Resources are limited
If the resources go to A, they can’t go to B, C etc. (Opportunity cost)
RATIONING
CUT COST
Who gets treatment
What treatment to subsidize
Theories of Allocation
1. Life expectancy
2. Quality adjusted life years
3. Social worth
4. Moral worth
5. Responsibility for our own ill health
Theories of Allocation
1. Life expectancy
2.Quality adjusted life years3. Social worth
4. Moral worth
5. Responsibility for our own ill health
A national organization like
National Institute for Health and Clinical Excellence (NICE)
Issues
Professional ethics
End of life care, ageist?
Less choices?
Cutting cost
Spending more ≠ better healthcare
Educate doctors, spend more time with patients
The case of ‘lap choley’
PART II
Young Vs Old
Curative Vs Palliative
Individual Vs Society
Care For The PoorAl-Fajr: 15-20
Healthcare is not all about CURE
Prevention Strategies
Social Care
Working outside the system
Social Business:
a) Grameen Kalyan and Grameen Health Care Services
b) Heart Institute of The Caribbean
CONCLUSION
Thank You