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Norheim, O. (2015). Ethical Perspective: Five Unacceptable Trade-offs on the Path to Universal Health Coverage. International Journal of Health Policy and Management, 4(11), 711-714. doi: 10.15171/ijhpm.2015.184
Ole Frithjof Norheim. "Ethical Perspective: Five Unacceptable Trade-offs on the Path to Universal Health Coverage". International Journal of Health Policy and Management, 4, 11, 2015, 711-714. doi: 10.15171/ijhpm.2015.184
Norheim, O. (2015). 'Ethical Perspective: Five Unacceptable Trade-offs on the Path to Universal Health Coverage', International Journal of Health Policy and Management, 4(11), pp. 711-714. doi: 10.15171/ijhpm.2015.184
Norheim, O. Ethical Perspective: Five Unacceptable Trade-offs on the Path to Universal Health Coverage. International Journal of Health Policy and Management, 2015; 4(11): 711-714. doi: 10.15171/ijhpm.2015.184

Ethical Perspective: Five Unacceptable Trade-offs on the Path to Universal Health Coverage

Article 1, Volume 4, Issue 11, November 2015, Page 711-714  XML PDF (386 K)
Document Type: Editorial
DOI: 10.15171/ijhpm.2015.184
Author
Ole Frithjof Norheim orcid
Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
Abstract
This article discusses what ethicists have called “unacceptable trade-offs” in health policy choices related to universal health coverage (UHC). Since the fiscal space is constrained, trade-offs need to be made. But some trade-offs are unacceptable on the path to universal coverage. Unacceptable choices include, among other examples from low-income countries, to expand coverage for services with lower priority such as coronary bypass surgery before securing universal coverage for high-priority services such as skilled birth attendance and services for easily preventable or treatable fatal childhood diseases. Services of the latter kind include oral rehydration therapy for children with diarrhea and antibiotics for children with pneumonia. The article explains why such trade-offs are unfair and unacceptable even if political considerations may push in the opposite direction.

Highlights

Commentaries Published on this Paper

  • Universal Health Coverage – The Critical Importance of Global Solidarity and Good Governance; Comment on “Ethical Perspective: Five Unacceptable Trade-offs on the Path to Universal Health Coverage”

          Abstract | PDF

  • Defining Pathways and Trade-offs Toward Universal Health Coverage; Comment on “Ethical Perspective: Five Unacceptable Trade-offs on the Path to Universal Health Coverage”

          Abstract | PDF

  • Policy Choices for Progressive Realization of Universal Health Coverage; Comment on “Ethical Perspective: Five Unacceptable Trade-offs on the Path to Universal Health Coverage”

          Abstract | PDF

Keywords
Health Policy; Universal Healthcare; Equity; Ethics; Rationing
Main Subjects
Health Policy Ethics
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