The Rule of Rescue

McKie, John; Richardson, Jeffrey Ralph James

doi:10.1016/s0277-9536(02)00244-7

Cited by 313 publications

(188 citation statements)

References 33 publications

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“…the victim's visibility/identification in the face of an avoidable death is a key argument in the Rule of Rescue, as is deducing preferences for this type of action at a moment of shock or commotion. there is a tendency to assign priority to persons with some type of disability, even if the available treatment is less effective as compared to that for other diseases 34 . Giving priority to identifiable individuals rather than to a "statistical" life violates the hypothesis of distributive neutrality.…”

Section: Methods Used To Complement Economic Evaluation Studiesmentioning

confidence: 99%

Economic evaluation in the context of rare diseases: is it possible?

Silva

Sousa

2015

Cad. Saúde Pública

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Section: Methods Used To Complement Economic Evaluation Studiesmentioning

confidence: 99%

Economic evaluation in the context of rare diseases: is it possible?

Silva

Sousa

2015

Cad. Saúde Pública

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“…In health care, however, the lives at risk are identifiable and choices must be made about who to treat and how. This forms the basis of the 'rule of rescue' which is the moral imperative to rescue identifiable individuals at risk of avoidable death or injury if rescue resources are to hand without regard to opportunity cost (23). In addition to all of this, the risks are not small or certain, limiting the transferability of VSL values and techniques to the health care market.…”

Section: Is It Ethical?mentioning

confidence: 99%

Reflections on the Nice Decision to Reject Patient Production Losses

Shearer¹,

Byford

Birch

2017

Int J Technol Assess Health Care

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Objectives: Patient production losses occur when individuals' capacities to work, whether paid or unpaid, are impaired by illness, treatment, disability or death. There is controversy about whether and how to include patient production losses in economic evaluations in health care. Patient production losses have not previously been considered when evaluating medications for reimbursement under the UK National Health Service (NHS). Proposals for value based assessment of health technologies in the UK created renewed interest in whether and how to include costs from a wider societal perspective, such as patient production losses, within economic evaluation of health care interventions. Methods: A narrative review was undertaken of theoretical, ethical and policy issues that might inform decisions that involve the normative question of whether or not to include patient production losses in economic evaluation. Results: it seems difficult to reconcile the implications of including patient production losses with the objectives of a health care system dedicated to providing universal health care coverage without regard to patients' ability to pay.Conclusions: Tax payer funded health care systems may legitimately adopt maximands other than health gain but these will be at the opportunity cost of less than maximum health gains.

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“…So, for example, psychologists often mention an 'identified victim effect' where we treat the claims of those victims we can identify with greater urgency than those we cannot identify (McKie and Richardson 2003). This may explain why it is often easier to fund regimes of treatment than prevention, where the potential victims are not known, and indeed will never be known if the regime goes ahead.…”

Section: Apparent Motivations For the Rule Of Rescuementioning

confidence: 99%

“…In the literature on health care allocation the 'humanitarian' argument has often been couched in terms of a supposed 'rule of rescue' (Jonsen 1986;McKie and Richardson 2003;Sheehan 2007). Outside the health care system from time to time, we are faced with 'rescue situations': a child who has fallen down a well; miners trapped underground; a submarine languishing at the bottom of the ocean.…”

Section: Introductionmentioning

confidence: 99%

Reconciling cost-effectiveness with the rule of rescue: the institutional division of moral labour

Orr

Wolff

2014

Theory Decis

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Cost-effectiveness analysis suggests that a society should allocate its health care budget in order to achieve the greatest total health for its budget. However, in 'rescue' cases, where an individual's life is in immediate peril, reasoning in terms of cost-effectiveness can appear inhumane. Hence considerations of cost-effectiveness and of rescue appear to be in tension. However, by attending to the division of labour in medical decision making it is possible to see how cost-effectiveness analysis and rescue-style reasoning are commonly combined in an ethically acceptable fashion.

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The Rule of Rescue

Cited by 313 publications

References 33 publications

Economic evaluation in the context of rare diseases: is it possible?

Economic evaluation in the context of rare diseases: is it possible?

Reflections on the Nice Decision to Reject Patient Production Losses

Reconciling cost-effectiveness with the rule of rescue: the institutional division of moral labour

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