ABSTRACT

In previous chapters, we have discussed the allocation of medical care to patients under the conditions of normal medical practice. There are, however, a number of special medical situations where new medical technology is being developed and utilized in the treatment of patients. The best known examples of these situations are heart transplantation, kidney transplantation and cancer chemotherapy. Under these conditions, the allocation of medical resources is undoubtedly different in some ways from that to be found in general medical practice. These situations represent a variant of a more frequent but atypical situation in medical practice, that of medical experimentation. There, too, allocation of treatment is affected by the special goals of the research.