Allocation of scarce life-saving medical resources: why does age matter?
DOI:
https://doi.org/10.5007/1677-2954.2023.e97630Schlagworte:
Age, Scarce medical resources, Harm of deathAbstract
In this paper, we address the moral justification problem concerning the use of age as a criterion for the allocation of scarce life-saving medical resources. We present and discuss four justifications that stand out in philosophical literature: efficiency, sufficiency, egalitarian, and prioritarian. We aim to demonstrate that all these justifications are unsatisfactory since they entail counterintuitive implications in cases involving fetuses and newborns. We then suggest another justification for the relevance of age based on the Time-Relative Interest Account of the harm of death. Finally, we evaluate an objection that could limit the scope of the defended justification, leading us to draw a distinction between justification of harm and strict justification of harm.
Literaturhinweise
BELSHAW, Christopher. Death, Value, and Desire. In: BRADLEY, Ben; FELDMAN, Fred; JOHANSSON, Jens. The Oxford Handbook of Philosophy of Death. New York: Oxford University Press, 2012, p. 274–296.
BOGNAR, Greg. Fair Innings. Bioethics. v. 29, n. 4, p. 251-261, 2015.
BRADLEY, Ben. Well-Being and Death. New York: Oxford University Press, 2009.
BRADLEY, Ben. A Gradualist View about the Badness of Death. In: GAMLUND, Espen; SOLBERG, Carl T. (eds.). Saving People from the Harm of Death. Oxford: Oxford University Press, 2019, p. 134-145.
BROOME, John. The Badness of Dying Early. In: In: GAMLUND, Espen; SOLBERG, Carl T. (eds.). Saving People from the Harm of Death. Oxford: Oxford University Press, 2019, p. 105-115.
CROPPER, M. L. AYDEDE, S. K. PORTNEY, P. R. Preferences for Life Saving Programs: How the Public Discounts Time and Age. Journal of Risk Uncertainty, 8, p. 243-265, 1994.
CUBBON, John. The Principle of QALY Maximization as the Basis for Allocating Health Care Resources. Journal of Medical Ethics, 17, p. 181-184, 1991.
DAVIES, Ben. Healthcare Priorities: The “Young” and the “Old”. Cambridge Quarterly of Healthcare Ethics. vol. 32, n. 2, p. 174-185, 2023.
DEGRAZIA, David. The Harm of Death, Time-Relative Interests, and Abortion. The Philosophical Forum. Vol. 38, No. 1, p. 57–80, 2007.
FELDMAN, Fred. Confrontations with the Reaper: A Philosophical Study of the Nature and Value of Death. New York: Oxford University Press, 1992.
GAMLUND, Espen. Age, Death, and the Allocation of Live-Saving Resources. In: GAMLUND, Espen; SOLBERG, Carl T. (eds.). Saving People from the Harm of Death. Oxford: Oxford University Press, 2019, p. 76-88.
GREAVES, Hilary. Against “the badness of death”. In: GAMLUND, Espen; SOLBERG, Carl T. (eds.). Saving People from the Harm of Death. Oxford: Oxford University Press, 2019, p. 189-202.
HARRIS, John. The value of life: an introduction to Medical Ethics. London; New York: Routledge, 2001.
KAPPEL, Klemens; SANDOE, Peter. QALYs, age and fairness. Bioethics, 6, p. 297–316, 1992.
KAPPEL, Klemens; SANDOE, Peter. Saving the young before the old: A reply to John Harris. Bioethics, 8, p. 84–92, 1994.
LEWIS, P. A. CHARNY, M. Which of two individuals do you treat when only their ages are different. Journal of Medical Ethics, 15, p. 28-32, 1989.
LOCKWOOD, Michael. Quality of Life and Resource Allocation. In: BELL, J. M.; MENDUS, Susan. Philosophy and Medical Welfare. Cambridge: Cambridge University Press, 1988. p. 33-55.
MCMAHAN, Jeff. The ethics of killing: problems at the margins of life. New York: Oxford University Press, 2002.
NAGEL, Thomas. Death. Noûs. Vol. 4, No. 1, p. 73-80, 1970.
NORHEIM, Ole Frithjof. The Badness of Death: Implications for Summary Measures and Fair Priority Setting in Health. In: GAMLUND, Espen; SOLBERG, Carl T. (eds.). Saving People from the Harm of Death. Oxford: Oxford University Press, 2019, p. 33-47.
PERSAD, G.; WERTHEIMER, A.; EMANUEL, E. J. Principles for allocation of scarce medical interventions. The Lancet, vol. 373, p. 423-431, 2009.
SINGER, P.; MCKIE, J.; KUHSE, H.; RICHARDSON, J. Double jeopardy and the use of QALYs in healthcare allocation. Journal of Medical Ethics, 21, p. 144-50, 1995.
STEIN, Mark S. The distribution of life-saving medical resources: equality, life expectancy, and choice behind the veil. Social Philosophy & Policy Foundation, p. 212-245, 2002.
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