Life-Years & Rationing in the Covid-19 Pandemic: A Critical Analysis

Prominent bioethicists have promoted the preservation of life-years as a rationing strategy in response to the Covid-19 pandemic. Yet the philosophical justification for maximizing life-years is underdeveloped and has a complex history that is not reflected in recent literature. In this article, we...

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Bibliographic Details
Authors: Gaurke, MaryKatherine (Author) ; Prusak, Bernard (Author) ; Jeong, Kyeong Yun (Author) ; Scire, Emily (Author) ; Sulmasy, Daniel P. (Author)
Format: Electronic Article
Language:English
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Published: Wiley 2021
In: The Hastings Center report
Year: 2021, Volume: 51, Issue: 5, Pages: 18-29
Further subjects:B public health ethic
B Resource Allocation
B life-years
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Summary:Prominent bioethicists have promoted the preservation of life-years as a rationing strategy in response to the Covid-19 pandemic. Yet the philosophical justification for maximizing life-years is underdeveloped and has a complex history that is not reflected in recent literature. In this article, we offer a critical investigation of the use of life-years, arguing that evidence of public support for the life-years approach is thin and that organ transplantation protocols (heavily cited in pandemic-response protocols) do not provide a precedent for seeking to save the most life-years. We point out that many state emergency-response plans ultimately rejected or severely attenuated the meaning of saving the most life-years, and we argue that philosophical arguments in support of rationing by life-years are remarkably wanting. We conclude by offering a fair alternative that adheres to the standard duties of beneficence, respect for persons, and justice.
ISSN:1552-146X
Contains:Enthalten in: Hastings Center, The Hastings Center report
Persistent identifiers:DOI: 10.1002/hast.1283