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A Just Healthcare

A Just Healthcare. PART I. In An Ideal World…. Each individual will get… what they want/need of high quality care at an affordable cost. But In The Real World…. The money has got to come from somewhere Resources are limited

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A Just Healthcare

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  1. A Just Healthcare

  2. PART I

  3. In An Ideal World…

  4. Each individual will get… • what they want/need • of high quality care • at an affordable cost

  5. But In The Real World…

  6. The money has got to come from somewhere • Resources are limited • If the resources go to A, they can’t go to B, C etc. (Opportunity cost)

  7. RATIONING Who gets treatment What treatment to subsidize CUT COST

  8. Theories of Allocation • Life expectancy • Quality adjusted life years • Social worth • Moral worth • Responsibility for our own ill health

  9. Theories of Allocation • Life expectancy • Quality adjusted life years • Social worth • Moral worth • Responsibility for our own ill health

  10. A national organization like National Institute for Health and Clinical Excellence (NICE)

  11. Issues • Professional ethics • End of life care, ageist? • Less choices?

  12. Cutting cost • Spending more ≠ better healthcare • Educate doctors, spend more time with patients • The case of ‘lap choley’

  13. PART II

  14. Young Vs Old Curative Vs Palliative Individual Vs Society

  15. Care For The Poor Al-Fajr: 15-20

  16. Healthcare is not all about CURE Prevention Strategies Social Care

  17. Working outside the system • Social Business: • Grameen Kalyan and Grameen Health Care Services • Heart Institute of The Caribbean

  18. CONCLUSION

  19. Thank You

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