It describes a very different world from the world of public budgets. Because of this, the existing map is leading to increasingly unethical public policy results.
Medical ethics needs to be revised if it is to provide meaningful guides to future health policy.
We need a new ethics map. Most health care is paid for with pooled funds, either taxpayer or insurance, and you cannot distribute pooled funds by focusing on one patient at a time. Pooled funds must maximize the health of the pool. Cost is always a consideration. Most medical ethics, however, assume that resources are unlimited and that the sole issue is the interest of the individual patient.