Just caring: screening needs limits.

Abstract:

:This personal narrative tugs at the heart strings. However, personal narratives are not sufficient to justify public funding for any screening policy. We have to take seriously the 'just caring' problem. We have only limited resources to meet virtually unlimited health care needs. No doubt, screening tests often save lives. The author wants public funding for prostate-specific antigen screening for prostate cancer. However, why only prostate cancer? Numerous cancers at various stages can be screened for. Are all of them equally deserving of public funding? What about screening for a very long list of other life-threatening medical disorders? There is nothing ethically special about cancer. Where does the money come from to pay for all these screening tests? Do we reduce expensive life-prolonging care for patients in late-stage diseases? Ultimately, a balance must be struck between saving statistical lives through screening and saving identifiable lives in the intensive care unit. Achieving a just balance requires rational democratic deliberation as justification for these choices, not personal narratives.

journal_name

J Med Ethics

authors

Fleck LM

doi

10.1136/medethics-2019-105884

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

253-254

issue

4

eissn

0306-6800

issn

1473-4257

pii

medethics-2019-105884

journal_volume

46

pub_type

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