Healthcare rationing in the United States of America is largely accomplished through market forces, though major government programs include Medicare, Medicaid, Veterans Affairs, and the Indian Health Service.
[2] In 2006 Croydon Primary Care Trust produced a list of 34 procedures of limited clinical effectiveness which was circulated widely within the English NHS.
It is proposed that surgery for snoring, dilatation and curettage for heavy menstrual bleeding, knee arthroscopies for osteoarthritis and injections for non-specific back pain will only be available in exceptional circumstances.
[citation needed] More recently, Tia Powell led a New York State Workgroup that set up guidelines for rationing ventilators during a flu pandemic.
[5][6] Among those who have argued in favor of health care rationing are moral philosopher Peter Singer[7] and Oregon governor John Kitzhaber.