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
(and vice versa). 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 (especially
medical ethics), health care, public health, public policy and British
politics.