The costs of healthcare have risen dramatically over the past several decades. In the United States, for instance, it is estimated that costs this year will exceed $28 Billion. Additionally the proportion of a family's income dedicated to healthcare costs have risen at a far greater pace than other household expenses; corporate profits have been trimmed by costs for their employees health; and Medicare and Medicaid are buckling under the strain. It is clear that costs must be trimmed in order to avoid a bursting bubble that might put public health at risk. The current 'solution'---payer controlled cost cutting using rationing founded upon the results of cost-effectiveness assessment---is less than ideal and ethically concerning. An alternative solution wherein costs are considered as part of the medical decision-making process between patient and physician is presented in this chapter.
|Original language||English (US)|
|Title of host publication||Patient Education and Management|
|Subtitle of host publication||Practices, Challenges and Outcomes|
|Publisher||Nova Science Publishers, Inc.|
|Number of pages||8|
|State||Published - Dec 1 2013|
ASJC Scopus subject areas