Justice and Priority Setting in Health Care

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1 30 September 2 October 2015 Leuven, Belgium Justice and Priority Setting in Health Care Intensive Course on Contemporary Ethical Issues regarding Choices in Health Care 2 nd Edition Keynote Speaker Steven Vanackere Senator Previous Vice Prime Minister, Flemish Minister for Welfare, Public Health and Family, and Belgian Minister for Finance and Sustainable Development Course Coordinator Yvonne Denier

2 STAFF Coordinator Keynote speaker Erasmus Mundus Master of Bioethics Centre for Biomedical Ethics and Law Faculty of Medicine, KU Leuven, Belgium Yvonne Denier Philosopher and Ethicist, Centre for Biomedical Ethics and Law, KU Leuven Steven Vanackere Lawyer, Economist, Political Scientist and Philosopher Senator, previous Vice Prime Minister, Flemish Minister for Welfare, Public Health and Family, and Belgian Minister for Finance and Sustainable Development Speakers: Marc Dooms Pharmacologist, Pharmacy Department, University Hospitals Leuven Bart Engelen Philosopher, Centre for Ethics, Social and Political Philosophy & Centre for Economics and Ethics, KU Leuven Carlotte Kiekens Rehabilitation-Physician, Department of Physical Medicine and Rehabilitation, University Hospitals Leuven Arnald Mahesh PhD Student, Centre for Ethics, Social and Political Philosophy & Centre for Economics and Ethics, KU Leuven Raf Mertens Physician Director of KCE, the Belgian Health Care Knowledge Centre Thomas Nys Philosopher and Economist, Centre for Philosophy and Public Affairs, University of Amsterdam Paul Ongenaert Director at TABOR, a network of 50 organisations in health care and education Gerrit Rauws Director at King Baudouin Foundation Erik Schokkaert Economist and psychologist, Centre for Economic Studies, KU Leuven Chairman of Metaforum, where academia and social reality meet Paul Schotsmans Theologian and Ethicist, Centre for Biomedical Ethics and Law, KU Leuven Antoon Vandevelde Philosopher, Centre for Ethics, Social and Political Philosophy & Centre for Economics and Ethics, KU Leuven Johan Verstraeten Theologian and Ethicist, Research Unit of Theological and Comparative Ethics KU Leuven

3 CENTRE FOR BIOMEDICAL ETHICS AND LAW The Centre for Biomedical Ethics and Law consists of a number of experts in medical ethics and medical law. The Centre aspires to provide education, research and scientific and societal service in medical ethics and law. The Centre was created in 1986 and will celebrate its 30 th anniversary in BACKGROUND AND OBJECTIVES Contemporary health care systems face many challenges, which essentially boil down to the following question: How can we reconcile (1) the principle of justice and equity for all, with (2) the assignment of providing good quality care, and (3) the principle of economic sustainability? The objective of this intensive course is to analyse the key issues at stake, both from a fundamental perspective, and from the perspective of applied ethical questions. FORMAT This course works from an interdisciplinary perspective. During the course, an international group of philosophers, economists, theologians, physicians, pharmacologists, psychologists, lawyers, policy makers and health care managers, will focus on the issue of justice and priority setting in health care. There will be time for intensive discussions. The language of instruction will be English. PARTICIPANTS The course is of interest to participants from diverse professional backgrounds, such as medicine, philosophy, economy, sociology and theology and is open to health care workers, people from the healthcare administration, health care managers, boardmembers, policy makers, as well as to PhD students undertaking courses of study in these areas. The reading materials will be distributed on the first day of the intensive course.

4 PROGRAMME Wednesday, 30 September 2015 Background: Theories & Determinants of Justice in Health Care 10h00: Welcome & Introduction Ethical Challenges of Contemporary Medicine & Health Care: Impressions form the First Edition of the Intensive Course by Carlotte Kiekens 10h30: Setting the Scene: Interactive Gathering of Ideas 11h30: Theories of Justice What does Just Health Care Mean?Philosophical Reflections and Ethical Implications 12h30: Lunch in Museum de Spoelberch 14h00: Responsibility in Solidarity Equal Care as the Best of Care by Paul Schotsmans 15h15: Choices in Health Care Evidence-based medicine versus patient-centered care: Chronicle of an announced clash? by Raf Mertens 16h30: Refreshments 17h00: Philosophical Reflections on The Good Life & the Aim of Medicine and Health Care Life and Death in Western Society by Antoon Vandevelde 17h45: Treatment or Enhancement? Philosophical Reflections on the Essence of Medicine & Health Care by Arnald Mahesh 18h15: Round Table Discussion & Framing of Challenges 20h00: Dinner in the Faculty Club

5 PROGRAMME Thursday, 1 October 2015 Perspectives & Challenges 9h00: Introduction Main Models on the International Scene:Contrast and Convergence 9h30: Justice in Health Care seen through the Eyes of a Health Economist Solidarity, Ethics and Innovation by Erik Schokkaert 10h40: Refreshments 11h00: What Do Citizens Say about Just Health Care? The Citizens Lab Report of the King Baudouin Foundation by Gerrit Rauws 12h30: Lunch in Restaurant Mykene 14h00: Why Do They Have to Be So Expensive? Ethical Reflections on Access and Price Setting of Pharmaceuticals: a Pharmacologist s View by Marc Dooms 14h45: Ethical Determinants of a Just Decision Opinion No 58 of the Belgian Advisory Committee on Bioethics regarding the Problem of Financing Expensive Medication 15h10:Discussion 16h00: Keynote lecture Justice and Priority-Setting in Health Care: Experiences, Views and Challenges for Policymaking Steven Vanackere Senator, previous Vice Prime Minister, Flemish Minister for Welfare, Public Health and Family, and Belgian Minister for Finance and Sustainable Development. 18h00: Evening Meal in Museum de Spoelberch 19h30: Evening Event

6 PROGRAMME Friday, 2 October 2015 Challenges 9h00: Interactive Discussion Where Are We Now and Where Are We Heading To? 9h15: Just Decision-Making within Health Care Management Piece of Cake? by Paul Ongenaert 10h30: Refreshments 11h00: The Role of Inspiring Leadership Doing the Right Thing instead of Doing Things Right by Johan Verstraeten 12h30: Lunch in Restaurant Mykene 14h00: Interactive Lecture on Freedom of Choice, Autonomy, Meaningfulness and Futility An Apple A Day Takes Your Freedom Away?The Do s and Donuts of Nudge Paternalism by Thomas Nys & Bart Engelen 15h30: Round Table Discussion How Should We Divide the Cake? 16h00: General Conclusions & Closing 16h30: Goodbye Reception in Museum de Spoelberch

7 VENUE KU Leuven Holy Spirit College Louis Janssenszaal Naamsestraat Leuven REGISTRATION The course fee will be 650 if you register and pay as a participant before September 15 th 2015 and 750 for registration and payment from September 15 th 2015 onwards. This fee includes tuition and course materials, as well as refreshments, three lunches, a dinner and an evening event in Leuven. Deadline for registration and payment: September 25 th Detailed information on registration and payment can be found at our website under Intensive Courses. Participants are expected to make their own travel and accommodation arrangements. Please refer to our website for information on travelling and accommodation. Erasmus+ provides funding opportunities for students, trainees, young people and volunteers, as well as for professors, teachers, trainers, youth workers, staff of education institutions and civil society organisations to undertake a learning and/or professional experience in another country. For further information please refer to and INFORMATION Contact: Chantal De Keersmaecker KU Leuven, Centre for Biomedical Ethics and Law Kapucijnenvoer 35/3 box Leuven -Belgium Tel Fax

8 ERASMUS MUNDUS MASTER OF BIOETHICS The intensive course is part of the Erasmus Mundus Master of Bioethics programme organised by a consortium of three European universities, namely the KU Leuven (Belgium), Radboud Universiteit Nijmegen (The Netherlands) and the Università degli Studi di Padova (Italy). Because of this combination, participants of the intensive course Choices in Health Care, will join Master students from all over the world. FURTHER INFORMATION Erasmus + Intensive Courses Erasmus Mundus Master of Bioethics Centre for Biomedical Ethics and Law

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