Ordeals in Healthcare image

May 10-11, 2018
Conferences
2017-2018
Harvard School of Public Health
and Harvard Law School, Boston/Cambridge, MA

Description

Economic ordeals are interventions that deliberately make access to products or services more difficult in an effort to improve resource allocation. In this vein, making patients wait in long lines to schedule an appointment with a specialist might discourage patients with needs that could be met by less qualified personnel from taking up the specialist’s time, thus freeing up time for those with complex needs. Similarly, putting brand-name medications at the bottom of a long list of options on clinicians’ computers might encourage them to prescribe a generic brand listed closer to the top.

Recent research in development economics, behavioral economics, and health policy suggests that some economic ordeals could help target health resources to patients who are more likely to utilize these resources, without the regressive effects of co-pays and other forms of financial participation on the part of patients. However, making healthcare deliberately less accessible raises ethical challenges. Is it not the case that ordeals discourage utilization by patients with acute needs? Do these ordeals affect some disadvantaged populations disproportionately? And do deliberate obstacles to health resource utilization violate the human right to health?

This workshop will bring together leading scholars in economics, ethics, health policy, public health, medicine, sociology, and law to explore these questions.

This event is organized by Nir Eyal, PhD, Associate Professor of Global Health and Population, Harvard T. H. Chan School of Public Health, and Anders Herlitz, PhD, Visiting Scientist, Harvard T. H. Chan School of Public Health and Researcher, Department of Philosophy, Linguistics and Theory of Science, University of Gothenburg, Sweden.

Agenda

The conference agenda is subject to change.

Day 1: Thursday, May 10

1:00-2:30pm, Plenary Session

  • Nir Eyal, Associate Professor of Global Health and Population, Harvard T. H. Chan School of Public Health

  • Richard Zeckhauser, Frank Plumpton Ramsey Professor of Political Economy, Harvard Kennedy School of Government and Harvard University

2:30-3:30pm, Ethics of Ordeals Research

  • Charles Fried, Beneficial Professor of Law, Harvard Law School

  • Daniel Wikler, Mary B. Saltonstall Professor of Ethics and Population Health, Harvard T. H. Chan School of Public Health

  • Moderator: Spencer Hey, Research Fellow, Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital and Faculty Member, Center for Bioethics, Harvard Medical School

3:30-3:45pm, Break

3:45-5:00, Efficiency: Maximizing Financial and Medical Outcomes

  • Elizabeth Emens, Isidor and Seville Sulzbacher Professor of Law, Columbia Law School

  • Shari M. Erickson, Vice President of Governmental Affairs and Medical Practice, American College of Physicians

  • Kristen Underhill, Associate Professor of Law, Columbia Law School

5:00-6:15pm, Distributive Ethics

  • Daniel M. Hausman, Herbert A. Simon and Hilldale Professor, Department of Philosophy, University of Wisconsin-Madison

  • Christopher Robertson, Professor of Law; Associate Dean for Research & Innovation, James E. Rogers College of Law, University of Arizona

  • Julie L. Rose, Assistant Professor of Government, Dartmouth College

Day 2: Friday, May 11

8:30-9:45am, Autonomy, Rights, and Dignity

  • Anders Herlitz, Visiting Scientist, Harvard T. H. Chan School of Public Health and Researcher, Department of Philosophy, Linguistics and Theory of Science, University of Gothenburg, Sweden

  • Cass R. Sunstein, Robert Walmsley University Professor, Harvard Law School

9:45-10:00am, Break

10:00-11:15am, Modeling Burdens

  • Reza Yaesoubi, Assistant Professor of Public Health (Health Policy), Yale School of Public Health

11:15am, Implications

  • Peter Berman, Professor of the Practice of Global Health Systems and Economics, Harvard T. H. Chan School of Public Health

  • Christopher Robertson, Professor of Law; Associate Dean for Research & Innovation, James E. Rogers College of Law, University of Arizona

​Register

This event is free and open to the public, but seating is limited and registration will be required. Registration information will be available here in January 2018. 

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Co-sponsored by the Harvard T.H. Chan School of Public Health; the Edmond J. Safra Center for Ethics at Harvard University; the Petrie-Flom Center for Health Law, Biotechnology, and Bioethics at Harvard Law School; the Mossavar-Rahmani Center for Business and Government at the Harvard Kennedy School of Government; and the Center for Bioethics at Harvard Medical School, with support from the Oswald DeN. Cammann Fund at Harvard University.

 

Tags

bioethics   economics   health law policy   public health   regulation   research