Chapter

Accountability for Reasonableness

Norman Daniels and James E. Sabin

in Setting Limits Fairly

Published in print March 2002 | ISBN: 9780195149364
Published online September 2009 | e-ISBN: 9780199865123 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780195149364.003.0004
Accountability for Reasonableness

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This chapter describes the conditions that must be met in order for both private organizations, such as health plans, and public agencies to be accepted as legitimate moral authorities for distributing health care fairly. It argues for four conditions that make more precise the notion of accountability for reasonableness: publicity condition, relevance condition, revision and appeals condition, and regulative condition. The four conditions compel decision makers in health plans or public agencies to contribute their deliberative capacities to whatever broader public deliberation is conducted through democratic institutions, formally or informally. The arrangements required by the four conditions provide grist for the deliberative mill, not a replacement for broader democratic processes. Ultimately, these broader democratic processes have authority and responsibility for guaranteeing the fairness of limit-setting decisions.

Keywords: health care; deliberation; publicity condition; relevance condition; dispute resolution; regulative condition

Chapter.  11113 words. 

Subjects: Public Health and Epidemiology

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