Age-Based Rationing and Technological Development

Comment on Daniel Callahan\u27s Setting Limits

Will Directed Evolution Destroy Humanity, and If So, What Can We Do About It?

In contemplating the technologies emerging from the Human Genome Project, nothing scares people more than the prospect that we will attempt to use genetic engineering to control the human evolutionary process

Symposium: Workshop on Inherited Breast Cancer in Jewish Women: Ethical, Legal, and Social Implications

Introducation to Symposium: Workshop on the BRCA1 Breast Cancer Gene in the Jewish Population, Cleveland, Ohio, 1997

Rationing Expensive Lifesaving Medical Resources

In this Article, Professor Mehlman examines the possible systems for rationing expensive lifesaving medical technologies. First, he concludes that the costs of any rationing system probably exceed its benefits. Consequently, he rejects the rationing of expensive but available lifesaving medical technologies. Second, he argues that the increased availability of the technologies and the recent expansion of patient rights to sue will result in a substantial number of judicial challenges to rationing. Finally, he suggests detailed criteria to aid the courts in deciding whether a resource has been improperly rationed

The Oregon Medicaid Program: Is It Just?

While the objective of expanding the Oregon Medicaid program is commendable, the means adopted by the Oregon legislature to control the costs of the expansion are problematic. This paper examines the legislature\u27s approach from a legal perspective. The first part of the paper determines whether it is consistent with federal and state law governing the Medicaid program. Oregon is seeking waivers from any conflicting federal requirements, and since there do not appear to be any constitutional impediments, the key question is whether the waivers should be granted as a matter of sound public policy. The second and third parts of the paper explore this question in terms of the two main features of the Oregon plan: priority ranking of medical services, and redistributing Medicaid resources from current to future eligibles. The final portion of the paper considers whether alternative methods of expanding Medicaid eligibility would be preferable