The United States may finally be ready for ambitious health care reform, and many proposals link success to cost-containment. These proposals may avoid the word “rationing,” but they call for more technology assessment and entities that resemble the British National Institute for Health and Clinical Excellence (NICE). Individuals convinced of the necessity of rationing and aware of the political vulnerability of rationing agents sometimes seek to shield decisions as well as process from the undermining effects of media and judicial scrutiny.
Majumder MA. Law, Legitimacy and the Rationing of Health Care: A Contextual and Comparative Perspective. JAMA. 2009;301(13):1384-1389. doi:10.1001/jama.2009.384