Many arguments in favor of health care rationing are based on implicit assumptions that we can have a society in which resources are allocated according to some economists notion of efficiency and in which the “marginal” dollars are spent where they bring the greatest benefit. In a society dominated by special interest groups, profiteering, and monopolistic behavior within the health care professions, and with a growing role for profit-making corporations in the health care area, rationing will have very different consequences. It will tend to hurt the poor and the elderly but not necessarily benefit the health care of any other group, while waste and abuse will continue unabashedly in this and other sectors. Curtailments that do not endanger lives should be on the cutting block before we resort to rationing health care.
Health Care Rationing: A Critical Evaluation by Amitai Etzioni