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SIH/SIU Health Policy Institute

Twelfth Annual
SIH/SIU Health Policy Institute

Rationing Medical Resources: Panacea or Peril for American Health Care?

May 21, 2010


Rationing — the unspoken “R” word in the health care reform debate — continues to garner both adulation and condemnation as a response to escalating health care costs. The debate not only revolves around the current problems inherent in the passive and de facto allocation of limited resources, including health coverage and the rising numbers of uninsured, but also around the medico-legal issues and socio-economic policies underlying more active mechanisms, ranging from so-called “death panels” to waiting lists for high-tech
services or high-dollar procedures. The formulation of public policies to govern the allocation of health care resources and the design of socially acceptable approaches for doing so will require ongoing engagement by health care professionals, attorneys, and public officials, among others. This program will crystallize the medical, legal, social, economic, and ethical challenges presented in the debate about regulating the distribution of limited health care resources.

Sponsored by:

Southern Illinois Healthcare
Southern Illinois University
School of Law Center for Health Law and Policy
School of Medicine Department of Medical Humanities
Paul Simon Public Policy Institute
Sandberg, Phoenix & von Gontard, P.C


8:30 Registration

9:00 Welcome and Introductions

Frank G. Houdek, Interim Dean and Professor of Law, Southern Illinois University School of Law
Rex Budde, President, Southern Illinois Healthcare
Morning Moderator: W. Eugene Basanta, JD, LLM, Southern Illinois Healthcare Professor of Law, Professor of Medical Humanities,
Director, Center for Health Law and Policy, Southern Illinois University School of Law

9:15 Health Resource Allocation: A Made-in-Canada Approach
Tom W. Noseworthy, CM , MD, MS c, MPH , FRCPC , FACP , FCCP , FCCM , CHE , University of Calgary

10:15 Break

10:30 Making Hard Choices—Rationing Health Care Services
Lanis L. Hicks, PhD, University of Missouri, School of Medicine

11:30 Lunch - Supported by a grant from Sandberg Phoenix & von Gontard P.C.

12:00 An Extreme Makeover for the Employer’s House of Benefits
Larry S. Boress, MPA , Midwest Business Group on Health

1:00 Break

Afternoon Moderator: Michele Mekel, JD, MHA, MBA, Assistant Professor of Law, Southern Illinois University School of Law; Assistant
Professor of Medical Humanities, Southern Illinois University School of Medicine Department of Medical Humanities

1:15 Variation in Health Care System Efficiency: A Map to Improving Value
David C. Goodman, MD, MS , The Dartmouth Institute for Health Policy and Clinical Practice

2:15 Is Rationing of Medical Resources the Answer when Racial Inequities in Health Care Persist? Ruqaiijah Yearby, JD, MPH , University at Buffalo Law School

3:15 Evaluation and Adjournment