Cost-Effectiveness in Healthcare: Balancing Fairness and Population Health

In the pursuit of maximizing population health, methods that guide healthcare allocation based on cost-effectiveness have sparked controversy over their perceived unfairness. In his book, “How Health Care Can Be Cost-Effective and Fair,” author Daniel M. Hausman delves into the ethical critique surrounding the use of cost-effectiveness analysis in health-related resource allocation.

The Ethical Conundrum of Cost-Effectiveness in Healthcare

Critics argue that cost-effective allocation of healthcare violates ethical constraints, as it fails to prioritize the severity of illness and neglects to provide equal opportunities for treatment, particularly for disabled individuals and those from historically underprivileged populations. However, Hausman recognizes the value of cost-effectiveness in promoting population health while acknowledging its limitations.

In his analysis, Hausman maintains that cost-effectiveness should be a leading principle in healthcare allocation, but not the sole guiding factor. He emphasizes the importance of incorporating additional values such as compassion, freedom, respect, and solidarity to ensure fair treatment and promote well-being.

Towards a Fairer and More Inclusive Healthcare System

Hausman advocates for a healthcare system that responds to and respects individuals’ values and choices, while prioritizing the fair distribution of health-related resources. He argues that a balanced approach, one that considers both cost-effectiveness and ethical constraints, can help create a more equitable healthcare system.

In “How Health Care Can Be Cost-Effective and Fair,” Hausman provides a nuanced exploration of the ethical dimensions of cost-effectiveness in healthcare. This thought-provoking work is essential reading for healthcare professionals, policymakers, and scholars seeking to understand the complex interplay between healthcare allocation, fairness, and population health.

Book Details:
Author: Daniel M. Hausman
Publisher: Oxford University Press
Publication Date: January 13, 2023
Language: English
ISBN: 9780197656969, 9780197656976