SCCM Resource Library-Pro/Con Debate: The Spell Expires at Midnight: Rationing Care to Children

Video Transcription

Video Summary

The video features a discussion on the topic of resource utilization and rationing in pediatric critical care. The speakers present arguments for and against rationing in healthcare, examining the ethical implications and comparing international healthcare practices. The first speaker argues that rationing is necessary to make healthcare more efficient and equitable, especially considering the rising costs of healthcare. They discuss the ethical principles of distributive justice, beneficence, non-maleficence, and autonomy, and how they can be used to justify rationing. They also provide examples of current rationing practices, such as insurance companies and physicians making decisions on resource allocation. The second speaker argues against rationing, suggesting that it is a problem of resource allocation rather than an ethical issue. They emphasize the importance of working towards a healthcare system that mimics countries with more efficient and equitable healthcare practices. They also discuss the challenges of physician-patient interactions in situations where care becomes futile. The speakers highlight the complexities of rationing and resource allocation in pediatric critical care and advocate for a fair and rational healthcare system for critically ill children.

Asset Subtitle

Pediatrics, Ethics End of Life, 2020

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2020 Critical Care Congress held February 16-19, 2020, in Orlando, Florida, USA.

Learning Objectives

Review ethical bases for limiting and rationing healthcare resources
Compare international and U.S. healthcare practices
Discuss the implications of rationing or limiting care specifically to children
Delineate the international ethical standards for which limiting and rationing are acceptable

Pro: Rationing Pediatric Healthcare Outside the United States Is Common and Ethical, and the United States Should Join Them

Ahmeneh Ghavam

Con: Rationing Pediatric Healthcare Outside the United States May Be Ethical, but the United States Should Not Join Them

Henry Michael Ushay

Meta Tag

Content Type Presentation

Knowledge Area Pediatrics

Knowledge Area Ethics End of Life

Knowledge Level Intermediate

Membership Level Select

Membership Level Professional

Membership Level Associate

Tag Medical Legal Issues

Year 2020

Keywords

resource utilization

rationing

pediatric critical care

healthcare

ethical implications

beneficence

non-maleficence

autonomy

resource allocation

fair healthcare system

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