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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Ethical consistency, the Canada Health Act and resource allocation : arguments for a rights-based approach to decision-making

Tomasson, Kimberley. 10 April 2008 (has links)
The purpose of this work is to show the importance of ethical consistency and its application in the decision-making process when allocating health care resources with respect to the Canada Health Act. Based on the specific decisions in its history and the development of its principles, I suggest that the Act can be interpreted as indicating a particular moral basis and that this could have an influence on how resources are allocated. I will focus on three claims supporting the argument that services can be delivered in a consistent and methodical manner that respects this particular moral foundation. First, the outcomes of decisions justified by simultaneous use of logically incompatible and distinct moral theories are problematic. I suggest that an approach to reasoning that uses one type of moral theory throughout the decision-making process results in less ambiguous outcomes. Second, based on key points in the history of the Canada Health Act, I believe there is a moral theory, deontological in nature, and that it captures the spirit behind the Act's development and current formulation. Third, decision-makers in Canada should follow one deontological theory when allocating health care resources to avoid inconsistencies, and to work within the moral framework of the Act as I have interpreted it. A delivery system that consistently follows this procedure may have different outcomes than the current methods of macro-allocation, and these differences may have effects on the amount and availability of health care services.

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