Leonard M. Fleck
1*1 Center for Ethics, College of Human Medicine, Michigan State University, East Lansing, MI, USA.
Abstract
CHAT has its limits. It is a three-hour exercise. However, the real world problems of healthcare rationing
and priority-setting are too complex for a three-hour exercise. What is needed, as a supplement, are sustained
processes of rational democratic deliberation that can address the challenges to healthcare justice posed by
costly emerging medical technologies, such as these targeted cancer therapies.