A World Growing Old: The Coming Health Care Challenges - download pdf or read online

By Daniel Callahan

ISBN-10: 0585225486

ISBN-13: 9780585225487

ISBN-10: 0878406328

ISBN-13: 9780878406326

For far of the constructed global, health and wellbeing deal with a surging aged inhabitants looms as probably the most daunting difficulties of the arrival decade. during this e-book, participants from diversified disciplinary backgrounds and international locations speak about source allocation for the aged and debate plans for the years forward. Essays specialize in 5 common matters: the that means of outdated age, the objectives of drugs and health and wellbeing deal with the aged, the stability among the desires of the old and young, the pressures of alternative social priorities, and the position of households, specifically the weight on girls, in long term care. In attention of the tricky ethical and sensible concerns concerned, the editors finish the quantity with a distinct file containing coverage options from representatives of 8 nations (the usa, Belgium, the Czech Republic, Germany, Hungary, the Netherlands, Sweden, and the United Kingdom). this significant quantity can be of curiosity to policymakers and a huge spectrum of overall healthiness care execs, in addition to to an individual drawn to the destiny of the aged or in coming wellbeing and fitness care demanding situations.

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Additional resources for A World Growing Old: The Coming Health Care Challenges (Hastings Center Studies in Ethics)

Example text

4. Recovery of the Life-World The fourth scenario assumes that the meaning of old age is to be found in the finitude of human life as a condition to be voluntarily accepted through collective action, not individual choice. 16 In effect, this strategy rejects the "biomedicalization of old age"17 in favor of what Habermas calls the life-world. 19 This fourth scenario can perhaps best be understood by analogy with the environmental movement. Following the line of environmental ethics, we might argue that longevity, like economic growth, can reasonably be restricted for reasons of solidarity or intergenerational justice.

There might be a rebuttable presumption not to treatfor example, to withhold Medicare reimbursement fromAlzheimer's patients certified as mentally incompetent or who are suffering from some other identifiable ailment. Many will respond that there is a dangerous slippery slope here once we accept the idea that quality of life is a valid factor for allocating scarce health care resources in the last stage of life. But the point here is that the "slope" is actually an implicit claim about the meaning of life in old age, where "meaning" is understood as quality of life.

Callahan concludes with arguments in favor of the latter approach. Paul van Tongeren explores philosophically an issue raised by both Moody and Callahan, namely, the desire of persons to extend their lives. He argues that consideration of this desire should lead us not to provide resources toward the goal of life extension, but, rather, toward that which promotes reflection on the meaning of life and why we resist death. Against the background of these more philosophical issues, the next two chapters begin the work of considering some of the more practical concerns of health care resource allocation for the elderly, beginning with the difficult job of projecting the actual extent of future resource scarcity.

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A World Growing Old: The Coming Health Care Challenges (Hastings Center Studies in Ethics) by Daniel Callahan


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