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Semin Respir Crit Care Med 2012; 33(04): 427-430
DOI: 10.1055/s-0032-1322413
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Brave New World Revealed: Wrestling with Reality, Rationing, and Rationality

Constantine A. Manthous
1   Department of Medicine, Yale University School of Medicine, New Haven, Connecticut
2   Department of Internal Medicine, University of Connecticut School of Medicine, Farmington, Connecticut
,
Douglas B. White
3   Department of Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
,
Shannon S. Carson
4   Department of Medicine, Division of Pulmonary and Critical Care Medicine, University of North Carolina Medical Center, Chapel Hill, North Carolina
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Publikationsdatum:
08. August 2012 (online)

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Overview

When Dr. Joseph Lynch, editor of Seminars in Respiratory and Critical Care Medicine, invited us to organize and edit this topic we—and our contributors—were initially baffled about how we could marry outcomes, ethics, and economics. His perspective as an elder-statesman, who has observed the evolution of critical care medicine over 4 decades, provided perspective as to how these three areas are intimately related and that their synthesis is essential if the US medical system is to best serve our populace as resources become increasingly limited.

Keywords

ethics - disability - critical care - economics - justice - autonomy - informed consent - beneficence