Abstract

In this important study, first published in 1989, Thomas Halper examines the policies and practices of the British National Health Services in treating kidney disease. Technological advances since the 1960s mean that end-stage renal disease, an otherwise fatal condition, can usually be treated successfully. In Britain, however, the availability of resources necessary for treatment has been limited in past years and many people have gone untreated. Professor Halper discusses a number of issues, both ethical and political, that arise from having to choose who does and does not get treated. These issues include: the right to health care; the interaction between political demands, government agencies, and public policy; the promise of technology in a society where resources are scarce; and duties owed the individual by the community. The book draws on numerous personal accounts, often moving or unintentionally revealing, and should prove interesting to professionals and students with an interest in philosophy, health care, public health, public policy and British politics.