Rationing Health Care and the Role of the 'Acute Principle'

In several works, Hartmut Kliemt has developed an original account on the necessity of rationing health care and on how a rationing policy should be carried out. While I agree on several important points of that view, there is one important aspect of his account that I do not find plausible: his claim that the so-called 'acute principle' (a principle that gives absolute preeminence to rescuing identified lives from dying) should be one of the basic criteria to carry out a rationing policy in a liberal state. After explaining Kliemt's view on rationing health care and, more specifically, the foundations of the acute principle, I argue that the acute principle is not supported by our basic moral intuitions. I then apply the previous argument to the case of rationing, arguing for the necessity of a compromise among intuitions supporting the acute principle and other moral intuitions. Finally, I try to show that a feasible system of public health care services is conceivable. In doing so, I make use, with some relevant modifications, of Kliemt's own ideas.health care, health ethics, rationing in medicine, distributive justice, scarce resources, prioritization, acute principle

US automated rendezvous and capture capabilities review. Remote umbilical system abstract

This document will describe the technology developed at Kennedy Space Center (KSC) to demonstrate automatic tracking, docking, and mating of umbilical systems. Specifically the use of a real time six degree of freedom (6DOF) target tracking vision system, (developed by Adaptive Automation, Inc. under contract to KSC), is discussed in detail. The paper describes the use of mechanical compliance in the docking, mating, and tracking-after-mating operations. The vision system computes six coordinates that define the position and orientation of a three dimensional target using data from a single CCD camera. The camera is mounted on a 6DOF robot arm. After target coordinates are computed, they are transmitted to a supervisory computer which controls the robot motion in real time. Details of the image processing algorithms, image processing hardware, and target configuration used in the vision system are discussed in the paper. The motion of the space vehicle relative to the service structure after mating led us to the development of a compliant system that allows enough displacement of the target relative to the camera so that tracking after mating may continue. This reduces internal stresses between flight and ground hardware