Healthcare priority-setting: Chat-ting is not enough: Comment on “swiss-chat: Citizens discuss priorities for swiss health insurance coverage”

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.