"Following orders" as a critique on healthcare allocation committees: An anthropological perspective on the role of public memory in bioethical legitimacy.
The public perception of decision‐making procedures as fair processes is a central means for establishing their legitimacy to make difficult resource allocation decisions. According to the ethical framework of accountability for reasonableness (A4R, hereafter), which specifies conditions for fair he...
| Publicado en: | Bioethics Vol. 35; no. 6; pp. 549 - 557 |
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| Formato: | Artículo |
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Wiley-Blackwell
Jul2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=151625178&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 151625178 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 02699702 6PJ jtl: Bioethics issn: 02699702 maglogo: Y pubinfo: dt: Jul2021 vid: 35 iid: 6 pid: 480 pub: Wiley-Blackwell artinfo: ui: 151625178 10.1111/bioe.12890 ppf: 549 ppct: 8 formats: tig: atl: "Following orders" as a critique on healthcare allocation committees: An anthropological perspective on the role of public memory in bioethical legitimacy. aug: au: Assor, Yael affil: Department of Anthropology, University of California, Los Angeles California, , USA su: Memory Holocaust, 1939-1945 Consumer attitudes Public health Medical technology Anthropology Responsibility Decision making Health care rationing Bioethics Committees Historical trauma sug: subj: Memory Holocaust, 1939-1945 Consumer attitudes Public health Medical technology Anthropology Responsibility Decision making Health care rationing Bioethics Research and Development in the Physical, Engineering, and Life Sciences (except Biotechnology) Surgical Appliance and Supplies Manufacturing Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers Surgical and Medical Instrument Manufacturing Health and Welfare Funds Committees Historical trauma keyword: accountability for reasonableness healthcare allocation Israel legitimacy post‐Holocaust ethics public memory accountability for reasonableness healthcare allocation Israel legitimacy post‐Holocaust ethics public memory ab: The public perception of decision‐making procedures as fair processes is a central means for establishing their legitimacy to make difficult resource allocation decisions. According to the ethical framework of accountability for reasonableness (A4R, hereafter), which specifies conditions for fair healthcare resource allocation, disagreements about what constitutes relevant considerations are a central threat to its perceived fairness. This article considers how an ethical principle grounded in the public memory of past traumatic events may become the topic of such disagreements. I demonstrate this through an anthropological case study of a recent public de bate concerning an Israeli healthcare allocation committee (HAC, thereafter), which determines state subsidies for new medical technologies as part of Israel's public healthcare system. Drawing upon ethnographic fieldwork about the HAC, I show how the public memory of Adolf Eichmann's trial constitutes a bioethical problem for the committee's legitimacy. Based on Arendt's and Bauman's writings that Nazi bureaucrats' manner of "following orders" was an ethical transgression, some patients contended that the committee has a historical responsibility to question its strict adherence to bureaucratic procedures. Since the committee did not have a direct link to the events of the Holocaust, other considerations seemed to them more relevant. I then present an offer that can settle this disagreement and maintain the HAC's legitimacy according to A4R. I conclude by discussing the contribution of empirical data to models of bioethical legitimacy. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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