Deference or deliberation: Rethinking the judicial role in the allocation of healthcare resources

Medicine and Law

Volumn 24, Issue 2, 2005, Pages 309-322

  Syrett, K ^a  

^a UNIVERSITY OF BRISTOL   (United Kingdom)

Author keywords

Deliberation; Explicit rationing of healthcare resources; Legitimacy; Public law; Regulation

Indexed keywords

ANTINEOPLASTIC AGENT; BETA INTERFERON; SILDENAFIL; ZANAMIVIR;

ARTICLE; BONE MARROW TRANSPLANTATION; BUDGET; CANADA; COST EFFECTIVENESS ANALYSIS; COURT; DECISION MAKING; GOVERNMENT; GOVERNMENT REGULATION; HEALTH CARE ACCESS; HEALTH CARE QUALITY; HUMAN; HUMAN RIGHTS; INFLUENZA; JURISPRUDENCE; LEGAL ASPECT; LEUKEMIA; MORALITY; MULTIPLE SCLEROSIS; NATIONAL HEALTH SERVICE; POLITICS; PRACTICE GUIDELINE; RESOURCE ALLOCATION; SOUTH AFRICA; UNITED KINGDOM;

EID: 22544465591     PISSN: 07231393     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (43)

1. See N. Daniels & J. Sabin, 'Fair Procedures, Democratic Deliberation, and the Legitimacy Problem for Insurers' (1997) 26 Philosophy and Public Affairs 303-350.
2. R v Cambridge Health Authority, ex parte B [1995] 2 All ER 129.
3. See Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984-95 (London: HMSO 2001, Cm. 5207).
4. D. Hunter, Desperately Seeking Solutions (London: Longman 1997) at 46.
5. R. Klein, 'Setting Priorities: What is Holding Us Back - Inadequate Information or Inadequate Institutions?', in A. Coulter and C. Ham (eds.) The Global Challenge of Health Care Rationing (Buckingham: Open University Press 2000) 15-26 at 25.
6. NICE, A Guide to NICE (London: National Institute for Clinical Excellence 2003) at 2. Note that in Scotland, the functions of the Institute are undertaken by the Health Technology Board for Scotland and the Scottish Intercollegiate Guidelines Network. No comparable body has yet been established in Northern Ireland.
7. R. Smith, 'The Failings of NICE' (2000) 321 British Medical Journal 1363-1364 at 1363.
8. Health Select Committee, Second Report: National Institute for Clinical Excellence (London: HMSO 2002) HC 515-I at para. 106.
9. I. Crinson,'The politics of regulation within the "modernized" NHS: the case of beta-interferon and the "cost-effective" treatment of multiple sclerosis' (2004) 24 Critical Social Policy 30-49 at 39.
10. See Health Select Committee, ibid, especially at paras. 19 and 129.
11. See Health Select Committee, ibid, especially at paras. 100-104.
12. See O. Wright, 'NICE man with reason to smile' The Times, 2 December 2003, reporting that sixty governments have investigated NICE with a view to adoption of the model.
13. R. Klein, 'Puzzling Out Priorities' (1998) 317 British Medical Journal 959-960 at 959.
14. See eg Smith, op. cit., n.8.
15. See Hunter, op. cit., n.5, especially at 78.
16. See eg J. Habermas, Between Facts and Norms (Cambridge: Polity 1996).
17. N. Daniels, 'Accountability for Reasonableness' (2000) 321 British Medical Journal 1300-1301 at 1300.
18. For discussion of 'thin' and 'thick' forms of proceduralization, see J. Black, 'Proceduralizing Regulation: Part I' (2000) 20 Oxford Journal of Legal Studies 597-614.
19. A. Gutmann & D. Thompson, Democracy and Disagreement (Cambridge, Mass: Bellknap 1996), Chapter 1.
20. Op, cit., n.2
21. N. Daniels & J. Sabin, 'The Ethics of Accountability in Managed Care Reform' (1998) 17 Health Affairs 50-64 at 58.
22. Daniels & Sabin, op. cit., n.2 at 342.
23. Ibid at 341
24. [1995] 2 All ER 129 at 136.
25. See eg Shortland v Northland Health Ltd [1998] 1 NZLR 433
26. Cameron v Attorney-General of Nova Scotia (1999) 177 DLR (4th) 611.
27. See H. Lasswell, Politics: Who Gets What, When and How (New York: McGraw-Hill 1936).
28. R. James & D. Longley, 'Judicial review and tragic choices' [1995] Public Law 367-373 at 373.
29. R (on the application of Pfizer Ltd) v Secretary of State for Health [2003] 1 CMLR 19.
30. At para. 8, per Simon Brown LJ.
31. 1998 (1) SA 765 (CC).
32. 2002 (5) SA 721 (CC).
33. At para. 38.
34. At para. 126.
35. At para. 25.
36. [2000] 1 WLR 977 at 995, per Auld LJ.
37. See Eldridge v Attorney General of British Columbia [1998] 3 SCR 624;
38. Cameron (supra); Auton v Attorney General of British Columbia 2004 SCC 78.
39. See N. Ries, 'Legal Rights, Constitutional Controversies and Access to Health Care: Lessons from Canada', unpublished Conference paper, 15th World Congress on Medical Law, Sydney, August 2004.
40. (2002), 220 D.L.R. (4th) 411 at paras.56-7, per Saunders JA
41. R. Clayton, 'Judicial deference and "democratic dialogue": the legitimacy of judicial intervention under the Human Rights Act 1998' [2004] Public Law 33-47 at 42.
42. M. Jackman, "'Giving Real Effect to Equality": Eldridge v British Columbia and Vriend v Alberta' (1998) 4 Review of Constitutional Studies 352-371 at 368-369.
43. D. Hunter, 'Rationing Healthcare: The Political Perspective' (1995) 51 British Medical Bulletin 876-884 at 881.