title: Smokers' rights to coronary artery bypass graft surgery.
abstract: Imagine a health maintenance organization creating a policy to deny all smokers access to nonemergent coronary artery bypass graft surgery. The cost savings to the organization and society would be potentially significant. Now envision the smoker, a hardworking father with daily angina, and the provider, writing costly prescriptions to manage the angina. What ethical and legal questions do you suppose would present in that setting? Now imagine how you would respond if given this scenario of denying smokers access to nonemergent coronary artery bypass graft. This article discusses the implications of resource allocation with self-inflicted health behaviors such as smoking. Tough questions are raised that explore both the pros and the cons of smokers' rights to coronary artery bypass graft.
authors.affiliation: Acute Care Nurse Practitioner Program, Georgetown University, School of Nursing & Health Studies, Washington, DC, USA. ejh@georgetown.edu
authors.forename: Janie
authors.initials: J
authors.lastname: Heath
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: Braun
authors.forename: Margaret
authors.initials: M
authors.lastname: Brindle
mesh_terms: D001026:Coronary Artery Bypass; D004992:Ethics, Medical; D015276:Health Care Rationing; D006297:Health Services Accessibility; D006801:Humans; D008329:Managed Care Programs; D028701:Patient Rights; D012907:Smoking