Chapter  16: The Allocation of Resources: Scarcity and Triage

Section 4. Readings


Nicholas Rescher: The Allocation of Exotic Medical Lifesaving Therapy

1. likelihood of successful treatment compared to others in the group

2. life expectancy of the person

3. the person's family role

4. the potential of the person to make a future contribution to society

5. the person's record of contributions and services

If remaining group is greater than supply then use pure chance (lottery).

Leonard Fleck: Just Caring: Managed Care and Protease Inhibitors

Equality of opportunity to access to medications for those most likely to benefit significantly.


Carl Cohen: The Case for Presumed Consent to Transplant Human Organs After Death

Presumed consent is more beneficial and just. Benefits considerable!


Michael Kinsley: Take my Kidney, Please

Permit the Sale of Organs despite appearance of injustice!


Leon Kass: Organs for Sale? Propriety, Property, and the Price of Progress

Opposed to the commercialization of organ transplant. Promotes the commodification of HUMANITY itself!


Body Parts are recalled


George Annas: Rationing Schemes for Organ Allocation

Selection Process:

1. market

2. selection committee

3. lottery

4. customary

Want: Efficiency, fairness, and respect for the value of life

A. phase one medical criteria for screening as objective as possible

b. those closest to death go first

For those not in immediate need use a first come first served process.

Carl Cohen, Martin Benjamin et al.: Alcoholics and Liver Transplantation

opposed to the exclusion of alcoholics for moral or medical reasons


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Copyright Philip A. Pecorino 2002. All Rights reserved.

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