Setting Limits Fairly

The central idea for this book is that we lack consensus on principles for allocating resources and in the absence of such a consensus we must rely on a fair decision-making process for setting limits on health care. The authors characterize key elements of this process in a variety of health care contexts where such decisions are made- decisions about insurance coverage for new technologies pharmacy benefit management the design of physician incentives contracting for mental health care by public agencies etc.- and they connect the problem in the U.S. with the same problem in other countries. They provide a cogent analysis of the current situation lucidly review the usual candidate solutions and describe their own approach which represents a clear advance in thinking. Their intended audience is international since the problem of limits cuts across types of health care systems whether or not they have universal coverage.