Graduate Thesis Or Dissertation

Allocation in Health Care : Antecedent Conditions and Catholic Insights

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  • This research was aimed at providing the foundation for changing standards of care in a critical care setting using Catholic concepts of respect for human dignity, subsidiarity, common good, and solidarity as a matter of social justice. I first unpacked the nature of ICU care and the inevitability of the rationing of scarce medical resources. I presented data to support the theory that end-of-life care varies by region and that there is something unique in end-of-life care in the state of Oregon. I used the work of Margaret Mohrmann to detail the presence of social determinants in allocation decisions. To gain further insight into the literature regarding allocation of health care resources I examined the parable of The Good Samaritan as unpacked by Allen Verhey and “Who Shall Live When Not All Can Live” by James Childress. I also relied heavily upon the anthology Allocating Scarce Medical Resources: Roman Catholic Perspectives edited by H. Tristram Engelhrdt Jr. and Mark J. Cherry to reflect upon the issues of a purely secular debate of allocation of medical resources. I introduced the concept of moral luck as revealed through the work of Richard Miller and Thomas Nagel as an antecedent condition to allocation decisions. Finally I conclude with the work of John Coleman, Megan Clark and Pope Francis to re-imagine solidarity in contrast to the individualism that supports the ideology of the current healthcare system and state my case for regional change in end-of-life standards of care.
  • Keywords: Allocation, Catholic
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