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What is ‘medical necessity’?

Abstract:
Imagine that we are considering whether our healthcare system (or insurer) should fund treatment or procedure X. One factor that may be cited is that of so-called ‘medical necessity’. The claim would be that treatment X should be eligible for funding if it is medically necessary, but ineligible if this does not apply. Similarly, (and relevant to the debates in this special issue), if considering whether a particular treatment should be ethically and/or legally permitted, we may wish to distinguish between cases where the treatment is medically necessary, and those were it is not. But what do we mean by this concept? Here I will propose and briefly defend one plausible and practical definition.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1177/14777509231190521

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Institution:
University of Oxford
Division:
HUMS
Department:
Philosophy Faculty
Oxford college:
Merton College
Role:
Author
ORCID:
0000-0003-3958-8633



Publisher:
SAGE Publications
Journal:
Clinical Ethics More from this journal
Volume:
18
Issue:
3
Pages:
285-286
Publication date:
2023-08-01
Acceptance date:
2023-07-12
DOI:
EISSN:
1758-101X
ISSN:
1477-7509


Language:
English
Keywords:
Pubs id:
1491481
Local pid:
pubs:1491481
Deposit date:
2023-07-12

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