TY - JOUR T1 - Response to Roger W. Hunt. JF - Journal of Medical Ethics JO - J Med Ethics SP - 24 LP - 27 DO - 10.1136/jme.19.1.24 VL - 19 IS - 1 AU - Daniel Callahan Y1 - 1993/03/01 UR - http://jme.bmj.com/content/19/1/24.abstract N2 - A response to a critique by Roger W. Hunt of my views on the eventual likely need to use age as a standard for the allocation of expensive, high-technology, life-extending medical care for the elderly. The response encompasses three elements: 1. that while the elderly have a substantial claim to publicly-provided health care, it cannot be an unlimited claim; 2. that a health care system which provided a decent, coherent set of medical and social services for the elderly would be sufficient, even if some limits had to be set; and 3. allocation and rationing decisions should not be made by individual doctors at the bedside but by regional or national policy. ER -