Ethical resource allocation and the quest for normalcy : Is pediatric reconstructive surgery justified ?
This essay attempts to examine the moral philosophical justification for performing reconstructive plastic surgery on children with non-life threatening congenital anomalies in an era of shrinking resources.
Reconstructive plastic surgery is defined in terms of what it is and what it seeks to do.
The concepts of aesthetics and what constitutes a normal appearance are touched on, as is the ethical basis for why it is incumbent on the reconstructive surgeon to treat these children and on society to support such endeavors.
Issues of distributive justice, health care, and the « needs »/ « wants » split are addressed.
Finally, a synthesis is suggested whereby the ethical principles outlined may be incorporated into a rational strategy for prioritization of such cases.
The ideas underpinning the prioritization strategy were tested by interviewing 36 randomly selected families.
The findings largely validated the paradigm.
Mots-clés Pascal : Reconstruction, Pédiatrie, Justification, Ethique, Enfant, Homme, Chirurgie
Mots-clés Pascal anglais : Reconstruction, Pediatrics, Justification, Ethics, Child, Human, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0229055
Code Inist : 002B30A09. Création : 11/06/1997.