Literature DB >> 27059376

What is so important about completing lives? A critique of the modified youngest first principle of scarce resource allocation.

Espen Gamlund1.   

Abstract

Ruth Tallman has recently offered a defense of the modified youngest first principle of scarce resource allocation [1]. According to Tallman, this principle calls for prioritizing adolescents and young adults between 15-40 years of age. In this article, I argue that Tallman's defense of the modified youngest first principle is vulnerable to important objections, and that it is thus unsuitable as a basis for allocating resources. Moreover, Tallman makes claims about the badness of death for individuals at different ages, but she lacks an account of the loss involved in dying to support her claims. To fill this gap in Tallman's account, I propose a view on the badness of death that I call 'Deprivationism'. I argue that this view explains why death is bad for those who die, and that it has some advantages over Tallman's complete lives view in the context of scarce resource allocation. Finally, I consider some objections to the relevance of Deprivationism to resource allocation, and offer my responses.

Keywords:  Badness of death; Complete lives view; Deprivationism; Life-goals; Modified youngest first principle; Scarce resource allocation

Mesh:

Year:  2016        PMID: 27059376     DOI: 10.1007/s11017-016-9358-8

Source DB:  PubMed          Journal:  Theor Med Bioeth        ISSN: 1386-7415


  6 in total

1.  Assessing the modified youngest-first principle and the idea of non-persons at the bedside: a clinical perspective.

Authors:  Sadath A Sayeed
Journal:  Am J Bioeth       Date:  2010-04       Impact factor: 11.229

2.  Principles for allocation of scarce medical interventions.

Authors:  Govind Persad; Alan Wertheimer; Ezekiel J Emanuel
Journal:  Lancet       Date:  2009-01-31       Impact factor: 79.321

3.  Lifetime QALY prioritarianism in priority setting.

Authors:  Trygve Ottersen
Journal:  J Med Ethics       Date:  2012-11-30       Impact factor: 2.903

4.  Complete lives in the balance.

Authors:  Samuel J Kerstein; Greg Bognar
Journal:  Am J Bioeth       Date:  2010-04       Impact factor: 11.229

5.  Valuing lives and allocating resources: a defense of the modified youngest first principle of scarce resource distribution.

Authors:  Ruth Tallman
Journal:  Bioethics       Date:  2012-07-29       Impact factor: 1.898

6.  Age and Death: A Defence of Gradualism.

Authors:  Joseph Millum
Journal:  Utilitas       Date:  2015-03-06
  6 in total

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