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Rationing Sanity: Ethical Issues in Managed Mental Health Care
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Nelson (philosophy, Michigan State U.) introduces ten chapters in which clinicians, scholars, and bioethicists examine dilemmas in fairly allocating scarce mental health resources. Their views and case studies treat issues "not innocent" of historical and power contexts, e.g., physician ethics vs. managed care's fiscal bottom line, changing norms, and degree of need. The editor explores moral theories relevant to applying the "worse-off principle." Other contributors counter the "prudent insurer" argument that services should be determined by insurance choices. Annotation c2004 Book News, Inc., Portland, OR (booknews.com)
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James Lindemann Nelson is professor of philosophy at Michigan State University, and is the author, most recently, ofHippocrates' Maze: Ethical Explorations of the Medical Labyrinth.
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