Abstract
The growing proportion of elderly and the rising level of health care expenditure for the aged raise significant ethical issues about the nature of the social obligation to this age group as contrasted with the young. The specter of age group competition necessitates an examination of the appropriateness of health care technologies and services for the elderly and ultimately a reexamination of the basis for the development of health care policy. Central to this process is the role of values and such normative principles as social justice and individual self-respect.