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...
Authors: | ; ; ; ; |
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Format: | Electronic Article |
Language: | English |
Check availability: | HBZ Gateway |
Journals Online & Print: | |
Fernleihe: | Fernleihe für die Fachinformationsdienste |
Published: |
Wiley
2021
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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 |
Online Access: |
Volltext (kostenfrei) Volltext (kostenfrei) |
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. |
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ISSN: | 1552-146X |
Contains: | Enthalten in: Hastings Center, The Hastings Center report
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Persistent identifiers: | DOI: 10.1002/hast.1283 |