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DOI: 10.1191/1078155204jp126oa Rationing costly treatments: can it be fair?British Columbia Cancer Agency, Vancouver, BC, Canada Healthcare resources are finite and rationing is common. Fair distribution assumes that equals are treated equally and unequals are treated unequally, based on morally relevant differences such as the needs of and likely benefits to the patients. Applying these considerations in practice is complex. A case is described to illustrate the ethical issues raised by patients requests to pay for an expensive drug treatment.
Key Words: health care ethics health priorities medical ethics resource allocation social justice
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