Ethically Distributing Public Health Resources Among Generations in Turbulent Times

Choices have to be made about the allocation of public funds and potential changes in entitlement programs during difficult economic times. This paper explores some of the assumptions which lie behind governmental choices about reducing entitlements and service programs for senior citizens. After a national history of defining elders first as dependent and needy, then as entitled to public support, there is a more recent trend toward seeing them as “greedy geezers” competing for scarce resources which would be better used in serving others. What are some of the key pressures behind this shift in perspective, and how can a more balanced view be achieved? This presentation examines the ethical aspects of policy debates and choices to reduce and/or shift public health funds among age groups at the national, state and local level. It pays particular attention to the stereotypes employed in these discussions and media coverage of them.