Justice

Question 1

What is the principle of justice?

Answer 1

principle that requires that we distribute goods and service,
including medical goods and services, fairly

Question 2

How are we to distribute expensive, scarce, medical services

when not everyone can get what he or she needs?

Answer 2

a health care practitioners

and society in general treat equal cases equally

Question 3

How are needs to be understood and what is their significance for
fair distribution?

Answer 3

• Need is the basis for the individual’s claim to any basic good.
• be difficult to define precisely in every case

Question 4

What factors contribute to determining medical need?

Answer 4

likely benefit to the patient, urgency of need, change in quality of life, duration of benefit.

Question 5

How are priorities to be determined at the national level?

Answer 5

• Medical need must be determined.
• Costs of basic goods.
• No society can provide everything that everyone needs,
• Economic considerations

Question 6

Given the difficulty of determining an adequate account of fair
distribution, how should we proceed?

Answer 6

Failure to follow due process in the course of establishing limits to health
care will result in procedural unfairness.

Question 7

How are priorities to be determined at the institutional level?

Answer 7

medical triage, where triage is, in the military, the process of sorting sick and wounded soldiers on the basis of urgency and type of problem for proper treatment,
Decisions should be based on medical need.

Question 8

How is allocation to be determined at the individual, health care
provider-patient level?

Answer 8

Health care practitioners ought not to allocate at the bedside