title: [What should medical decision be based on?].
abstract: Medical decision making is basically related to three criteria: 1) estimated effectiveness in terms of objective and subjective results: 2) equity related to the concept of justice in the societal context; 3) legitimacy according to the willingness to pay of the society, its resource availability and the fraction of its income that is allowed to be spent for health care. A worsening dilemma is unescapable between a utilitarian medical project, and the traditional hippocratic rule of rescue no matter what the cost may be. Every care taker should be involved to give a clear account of medical decision in order to generate and adopt some acceptable view for a reliable implementation with respect to equity and justice.
authors.forename: B
authors.initials: B
authors.lastname: Grenier
mesh_terms: D003657:Decision Making; D004989:Ethics; D004992:Ethics, Medical; D005602:France; D015276:Health Care Rationing; D006801:Humans; D009014:Morals
vernacular_title: Au nom de quoi décider?