The Allocation of Exotic Medical Lifesaving Therapy NICHOLAS
- Slides: 14
The Allocation of Exotic Medical Lifesaving Therapy NICHOLAS RESCHER
I. The Problem There is a scarcity of life saving resources. • “Spare-parts” (i. e. Hearts) • Technology (i. e. dialysis machines) • Personnel (i. e. qualified doctors to perform operations)
Whose Life to Save? • Hippocratic Oath • Right to an acceptable explanation • Rational Guidelines
II. Two Types of Criteria • Criteria of Inclusion • Criteria of Comparison
Categories of individuals needing treatment: Category C Category A Category B Criteria of Inclusion
Individuals within chosen category: Category B Criteria of Comparison
III. Essential Features of an Acceptable ELT Selection System 1. 2. 3. 4. 5. Simple Plausible Justified Rationally Defensible Fair
IV. The Basic Screening Stage: Criteria of Inclusion (and Exclusion) A. Constituency Factor B. The Progress-of-Science Factor C. The Prospect-of-Success Factor
V. The Final Selection Stage: Criteria of Selection A. The Relative-Likelihood-of-Success Factor B. The Life-Expectancy Factor C. The Family Role Factor D. The Potential Future-Contributions Factor (Prospective Service) E. The Past Services-Rendered Factor (Retrospective Service)
Groups of Factors in Selection Stage • Biomedical Factors [A + B] • Familial Factor [C] • Social Factors [D and E] Medical Ethical
VI. More than Medical Issues are Involved Should non-doctors be involved in the decision making? • Medical Knowledge? • Social Interest? Proper Perspective
VII. The Inherent Imperfections (nonoptimality) of Any Selection System There is no “optimal system”, because this is the state of affairs: 1. A system is necessary 2. The system must take A-E into substantial and explicit account 3. The factors cannot be fixed in one particular way
VIII. A Possible Basis for a Reasonable Selection System Percentages Person A Score Person B % * Score A: Success Probability 25% 45 11. 25 90 22. 5 B: Length of Life 25% 45 11. 25 80 20 C: Family Role 16% 90 14. 4 10 1. 6 D: Future Contribution 16% 20 3. 2 40 6. 4 E: Past Services 16% 50 8 15 2. 4 Total Selection Score: 48. 1 52. 9
IX. The Desirability of Introducing an Element of Chance 1. First Phase Selection Group 2. Second Phase Selection Group 3. “Lottery of life and death” # of Patients # of resources X = 200, 000 Y= 5, 000 X 1 = 10, 000 Y= 5, 000 X 2 = 6, 000 Y= 5, 000 X 3 = 5, 000 Y= 5, 000
- Contiguous allocation vs linked allocation
- Parable of the lifesaving station
- Lsr iogp
- Pdo life saving rules
- Lifesaving
- Personal life saving appliances
- Lifesaving rules
- Parable of the workers in the vineyard lesson
- Lifesaving rules
- Psychodynamic and humanistic therapies have in common
- Bioness integrated therapy system price
- Humanistic therapy aims to
- Exotic species definition
- Exotic species meaning
- Romsnticism