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I heard how the thresholds for treatment are repeatedly being raised, to ration services.
It was in fact used (whatever the original intentions) to ration services and deny them to people in need.
Though some were outraged by this stance — the Australian Medical Association called it "unconscionable" to ration services based on personal habits — many doctors agreed with it.
A capped budget for the NHS and pressures on social care spending, combined with a growing ageing population, means that the sectors need to either lower the average cost per patient or ration services.
When demand exceeds available funding, VR agencies must ration services, either by making qualified applicants wait or, in some instances, not providing services at all.
Year after year, in the Independent Budget, the major veterans service organizations make clear that the answer to issues in VA care is not to cut or ration services, but to increase funding, which has been billions short for years.
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And, like social care, most current services are set up to ration service and deter active engagement, if not worse.
Open image in new window Fig. 10 A comparison of green ration, service level, and total costs.
Rationing services on the basis of cost alone is wrong and compromises patient care.
We are clear that the tri-borough project should not replicate old fashioned approaches to service delivery, effectively rationing services.
David Cutler argues in Roger Lowenstein's March 13 article that controlling health-care costs should be through improved quality of care rather than by rationing services.
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