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Volume 330:858-860 March 24, 1994 Number 12
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What Transplantation Can Teach Us about Health Care Reform

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Organ transplantation has been targeted for elimination or reduction in many proposed schemes of health care reform1,2,3. Although recent figures suggest a dramatic increase in cost effectiveness,4 transplantation is expensive and its exclusion is defended in the name of justice. This is ironic, because no part of the health care system has done more to resolve questions of justice than transplantation. As we try to reform health care, much may be learned from our experience in this area.

Dealing with Scarcity

In response to the limited supply of organs, the transplantation system has developed fair and efficient principles of allocation. It has . . . [Full Text of this Article]

Open and Closed Systems of Allocation

The Physician under Two Masters

Lessons for Health Care Reform

Address reprint requests to Dr. Benjamin at the Transplant and Health Policy Center, 115 Zina Pitcher Pl., Ann Arbor, MI 48109-0716.

References


Related Letters:

What Transplantation Can Teach Us about Health Care Reform
Otten J., Benjamin M.
Extract | Full Text  
N Engl J Med 1994; 331:813, Sep 22, 1994. Correspondence

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