American Journal of Bioethics 10 (4):46 – 48 (2010)

Govind Persad
University of Denver
In this short response to Kerstein and Bognar, we clarify three aspects of the complete lives system, which we propose as a system of allocating scarce medical interventions. We argue that the complete lives system provides meaningful guidance even though it does not provide an algorithm. We also defend the investment modification to the complete lives system, which prioritizes adolescents and older children over younger children; argue that sickest-first allocation remains flawed when scarcity is absolute and ongoing; and argue that Kerstein and Bognar are mistaken to base their allocation principles on differences in personhood.
Keywords complete lives system  rationing  resource allocation  QALYs  distributive justice  equality  age  bioethics
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DOI 10.1080/15265161003650528
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Just Health: Meeting Health Needs Fairly.Norman Daniels - 2007 - Cambridge University Press.
Justice as Fairness: Political Not Metaphysical.John Rawls - 1985 - Philosophy and Public Affairs 14 (3):223-251.

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