Public Health Ethics 11 (3):325-335 (2018)

Authors
Samuel Kerstein
University of Maryland, College Park
Kelsey Gipe
University of Maryland, College Park
Abstract
Life-saving health resources like organs for transplant and experimental medications are persistently scarce. How ought we, morally speaking, to ration these resources? Many hold that, in any morally acceptable allocation scheme, the young should to some extent be prioritized over the old. Govind Persad, Alan Wertheimer and Ezekiel Emanuel propose a multi-principle allocation scheme called the Complete Lives System, according to which persons roughly between 15 and 40 years old get priority over younger children and older adults, other things being equal. They defend this ‘modified youngest first’ principle in part by appealing to the greater social investment that has been made in 15-year-olds than in younger children. Ruth Tallman has proposed a distinctive defense of modified youngest first, one that appeals not at all to social investment. We find this defense wanting. Tallman’s argument depends on the idea, which we try to show to be implausible, that allocations should maximize the number of people in the midst of a possibly complete life who actually complete their lives. Moreover, Tallman does not justify the priority modified youngest first gives 15-year-olds over, for example, 5-year-olds. Tallman fails to dispel a serious shortcoming with modified youngest first: its fundamental unfairness to pre-adolescents.
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1093/phe/phy007
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 70,307
External links

Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library

References found in this work BETA

Equality and Priority.Derek Parfit - 1997 - Ratio 10 (3):202–221.
Life's Dominion.Melissa Lane & Ronald Dworkin - 1994 - Philosophical Quarterly 44 (176):413.
The Ethics of Killing: Problems at the Margins of Life.Frances Kamm - 2007 - Philosophical Review 116 (2):273-280.
The Value of Life.John Harris - 1986 - Mind 95 (380):533-535.

View all 18 references / Add more references

Citations of this work BETA

Add more citations

Similar books and articles

Complete Lives in the Balance.Samuel J. Kerstein & Greg Bognar - 2010 - American Journal of Bioethics 10 (4):37 – 45.
QALYfying the Value of Life.J. Harris - 1987 - Journal of Medical Ethics 13 (3):117-123.
Young Children's Reasoning About the Order of Past Events.Teresa McCormack & Christoph Hoerl - 2007 - Journal of Experimental Child Psychology 98 (3):168-183.

Analytics

Added to PP index
2018-05-26

Total views
13 ( #769,490 of 2,507,722 )

Recent downloads (6 months)
2 ( #277,114 of 2,507,722 )

How can I increase my downloads?

Downloads

My notes