Ethical Issues in Managed Mental Health Care
How should a decent society, affluent but facing many serious calls on its resources, best care for citizens afflicted with severe and persistent mental illnesses? James Lindemann Nelson brings together, for the first time, scholars of the ethics of mental health care and top managed care policy analysts to address this crucial problem. Rationing Sanity integrates those perspectives with the thoughtful practice-based experience of physicians well versed in the actual care of people with emotional and behavioral problems. Over a period of years, the contributors met face-to-face to engage each other on the ethics of managed mental health care—the result is a unique, collaborative effort that provides a wealth of important new insights on not only how Americans can readjust their attitudes toward the mentally ill—but also how we may find more just and humane treatment for those afflicted.
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"The ethical issues of managed care are more pronounced for mental health than for other areas, yet little systematic attention has been paid to them. Rationing Sanity makes a valuable contribution to the ongoing effort to rethink the importance of both professional and institutional values in the managed care environment."—Larry R. Churchill, Ann Geddes Stahlman Professor of Medical Ethics, Vanderbilt University Medical Center
"Not only does Rationing Sanity include excellent new work on the ethics of allocating scarce resources in health care, but it also focuses on controversies in mental health. This important collection will significantly enrich the contemporary debate in medical ethics."—Christian Perring, Department of Philosophy, Dowling College
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