Title

Should Foreigners Get Costly Lifesaving Treatments in the United States?

Document Type

Article

Publication Date

11-2018

Identifier

DOI: 10.1542/peds.2018-0175

Abstract

Many foreign parents bring their children to the United States for medical treatments that are unavailable in their own country. Often, however, parents cannot afford expensive treatments. Doctors and hospitals then face a dilemma. Is it ethically permissible to consider the patient's citizenship and ability to pay? In this Ethics Rounds, we present a case in which a child from another country needs an expensive treatment. His parents cannot afford the treatment. He has come to a public hospital in the United States. We present responses from experts in pediatrics, bioethics, and health policy.

Journal Title

Pediatrics

Volume

142

Issue

5

MeSH Keywords

Child; Decision Making; Delivery of Health Care; Dissent and Disputes; Emigrants and Immigrants; Ethics, Medical; Health Care Costs; Hematopoietic Stem Cell Transplantation; Humans; Life Support Care; Male; Parents; Precursor Cell Lymphoblastic Leukemia-Lymphoma; United States

Keywords

Child; Decision Making; Delivery of Health Care; Dissent and Disputes; Emigrants and Immigrants; Ethics, Medical; Health Care Costs; Hematopoietic Stem Cell Transplantation; Humans; Life Support Care; Male; Parents; Precursor Cell Lymphoblastic Leukemia-Lymphoma; United States

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