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Altersrationierung im Gesundheitswesen – ein wirtschaftsethisch vertretbarer Weg?

Author

Listed:
  • Noll Bernd
  • Wolf Sascha

    (Fakultät für Wirtschaft und Recht, Hochschule Pforzheim, Pforzheim)

Abstract

Die im Alter exponentiell zunehmenden Krankheitskosten sind Anlass dafür, in alternden Gesellschaften mit medizinisch-technischem Fortschritt und steigenden Gesundheitswünschen der Bevölkerung neben anderen Rationierungsformen auch über altersabhängige Begrenzungen von Gesundheitsleistungen nachzudenken. Zuteilungsbeschränkungen sind generell moralsensible Entscheidungen, da Gesundheit unabhängig vom Alter der Person ein besonderes Gut ist, um persönliche Lebenspläne umsetzen zu können; sie weist neben privaten auch öffentliche und meritorische Gutseigenschaften auf. In der Debatte um Altersrationierungen werden utilitaristische, kontraktualistische und neoaristotelische Rechtfertigungsversuche vertreten. Alle Ansätze scheitern in einer wertepluralistischen Gesellschaft letztlich daran, dass sie ohne Rückgriff auf spezifische Wertprämissen nicht auskommen. Für altersmäßige Rationierungen bei aufwändigen, lebensverlängernden Therapien der Intensivmedizin sprechen allerdings pragmatische Vorzüge, zumal die Option privater Zusatzabsicherung bestehen würde.

Suggested Citation

  • Noll Bernd & Wolf Sascha, 2019. "Altersrationierung im Gesundheitswesen – ein wirtschaftsethisch vertretbarer Weg?," Journal for Markets and Ethics, Sciendo, vol. 7(1), pages 1-20, June.
    • Handle: RePEc:vrs:jmaeth:v:7:y:2019:i:1:p:1-20:n:1
    DOI: 10.2478/jome-2019-0002
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    References listed on IDEAS

    as
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    4. Guido Offermanns, 2011. "Prozess- und Ressourcensteuerung im Gesundheitssystem," Springer Books, Springer, number 978-3-642-18432-1, November.
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    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    Schlagwörter: Altersrationierung; Gesundheitswesen; ethische Theorien;
    All these keywords.

    JEL classification:

    • A13 - General Economics and Teaching - - General Economics - - - Relation of Economics to Social Values
    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private

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