Organ transplantation has been targeted for elimination or reductionin many proposed schemes of health care reform1,2,3. Althoughrecent figures suggest a dramatic increase in cost effectiveness,4transplantation is expensive and its exclusion is defended inthe name of justice. This is ironic, because no part of thehealth care system has done more to resolve questions of justicethan transplantation. As we try to reform health care, muchmay be learned from our experience in this area.
Dealing with Scarcity
In response to the limited supply of organs, the transplantationsystem 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.
Scully, H. E., Tanner, W. R., Veith, F. J., Rowand, S., Hebert, P. C., MacDonald, M. J. M.
(2001). Mock Trial: Who Is Responsible for Access to Emerging Technology, Specifically Endoluminal AAA Surgery?. PERSPECT VASC SURG ENDOVASC THER
14: 129-162
[Abstract]
Foster, T. W.
(1997). Trafficking in Human Organs: An Emerging Form of White-Collar Crime?. Int J Offender Ther Comp Criminol
41: 139-150
[Abstract]
Goold, S. D.
(1996). Allocating Health Care: Cost-Utility Analysis, Informed Democratic Decision Making, or the Veil of Ignorance?. Journal of Health Politics, Policy and Law
21: 69-98
[Abstract]
Otten, J., Benjamin, M.
(1994). What Transplantation Can Teach Us about Health Care Reform. NEJM
331: 813-813
[Full Text]