Too Expensive to Treat?

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ISBN: 9780802865298 | 0802865291
Cover: Paperback
Copyright: 12/21/2010

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In Too Expensive to Treat? Charles Camosy takes readers deep into the emotionally charged and expensive world of the neonatal intensive care unit to examine the hard truth about health care rationing in the United States. While fully affirming the human worth of even the tiniest baby, Camosy maintains that all people have equal dignity and should have an equal right to a proportionate share of community health care resources. Readers may find Camosy's arguments provocative, even troubling - but the conversation he draws them into is one that cannot be ignored. Book jacket.

Acknowledgments	p. ix
Introduction	p. 1
The Context of Neonatal Intensive Care	p. 3
The Argument	p. 8
Complications and Objections	p. 10
The Moral Status of Newborn Infants	p. 15
Some Historical Highlights	p. 17
Imperiled Newborns in Ancient Greece and Rome	p. 18
Contemporary Attitudes and Practices	p. 21
The Social Quality of Life Model and the Moral Status of Newborns	p. 26
A Third Option?	p. 29
Don Marquis	p. 30
Objections to the Argument from Potential	p. 34
Response to the "No Interest" Objections	p. 36
The "Problems with Potential" Objection	p. 39
The Moral Status of Imperiled Newborns	p. 44
H. Tristram Engelhardt Jr.	p. 46
Earl Shelp	p. 50
Joseph Fletcher	p. 52
Critical Evaluation	p. 54
One Final Challenge: The Argument of John Lizza	p. 58
Conclusion	p. 61
Arguments against the Social Quality of Life Model	p. 63
Ruling Out Social Factors on Theoretical and Practical Levels: Paul Ramsey	p. 65
Ramsey: Critique	p. 68
The Roman Catholic Tradition on Ordinary and Extraordinary Means	p. 68
Ruling Out Social Factors on a Practical Level: Richard McCormick	p. 74
Ruling Out Social Factors on a Practical Level: John Paris	p. 77
Ruling Out Social Factors on a Practical Level: Magisterial Teaching	p. 80
McCormick, Paris, and Magisterial Teaching: Critical Evaluation	p. 81
Wrongful Discrimination?	p. 87
The Social Quality of Life Model and "The Moral Foundations of Medicine"	p. 92
Can Imperiled Newborns Have Duties?	p. 97
A Postscript on Relational Anthropology: A Necessary Ingredient in the Social Quality of Life Model?	p. 100
The "Weak" Social Quality of Life Model	p. 101
Raymond Duff and A. G. M. Campbell	p. 102
Anthony Shaw	p. 104
Paul Johnson	p. 105
Catholic Social Teaching on the Fundamental Sociality of the Human Person	p. 107
Problems with Prioritizing the Common Good and the Universal Destination of Goods	p. 115
Richard Sparks: A Rejoinder	p. 116
Sparks: Critique	p. 119
Medicaid and Triage	p. 125
Medicaid and Triage: Some Understandable Concerns	p. 132
A Response to the Concerns	p. 135
A Constructive Proposal for Reforming the Treatment and Care of Imperiled Newborns	p. 141
Basic Facts about Treatment of Imperiled Newborns in the NICU	p. 143
Outcomes and Predictions	p. 145
The "Culture" of the NICU	p. 149
Economic Considerations	p. 154
NICU Attitudes and Practices: A Critique	p. 158
Catholic Social Teaching and the "Culture of Overtreatment" in the NICU	p. 159
Catholic Social Teaching on Solutions to the Problem	p. 164
An "Asked and Answered" Rejoinder?	p. 165
Medicaid	p. 167
Medicaid and Triage	p. 171
Final Thoughts on the Medicaid-Triage Analogy	p. 174
General Reforms	p. 175
The Oregon Model	p. 180
The Quality-Adjusted Life-Year	p. 183
Why Pick on the NICU?	p. 188
Discrimination against the Disabled: Redux	p. 194
Proportionate Use of the Medicaid Resources in the NICU: A Suggestive Proposal	p. 195
A Preferential Option for the Poor?	p. 199
Conclusion	p. 203
Bibliography	p. 209
Index	p. 219
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Too Expensive to Treat?

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