Adriane Gelpi

Dispatch from Chile: The Ethics of Health Priority Setting, or Searching for True North Without a Compass

by Adriane Gelpi

Imagine that you are the Minister of Health for Chile, a middle-income country with a nearly universal health system. You face a predicament that pops up regularly. The Chilean health system provides a politically popular package of health interventions to meet the medical needs of its citizens. At the moment, 80 conditions are covered, leaving those suffering from other conditions without access to care for their serious medical needs. You would like to add another benefit to the existing package of services, but the Minister of Finance has given you a hard ceiling on the budget. You cannot add a service without subtracting another, a politically perilous move.... Read more about Dispatch from Chile: The Ethics of Health Priority Setting, or Searching for True North Without a Compass