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Medical benefit and the human lotter...

Waring, Duff R.

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Medical benefit and the human lottery: An egalitarian approach to patient selection.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Medical benefit and the human lottery: An egalitarian approach to patient selection./
Author:	Waring, Duff R.
Description:	382 p.
Notes:	Adviser: Lesley Jacobs.
Contained By:	Dissertation Abstracts International63-02A.
Subject:	Health Sciences, Medicine and Surgery. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NQ66368
ISBN:	061266368X

Medical benefit and the human lottery: An egalitarian approach to patient selection.
Waring, Duff R.

Medical benefit and the human lottery: An egalitarian approach to patient selection. - 382 p.

Adviser: Lesley Jacobs.

Thesis (Ph.D.)--York University (Canada), 2001.

The central issue of this dissertation is known in bioethics as the problem of fair chances versus best outcomes. The decision-making context is patient selection for scarce, transplantable organs. This problem poses two options for patient selection: either select by a procedure which affords fair chances to all medically suitable transplant candidates or select those whose prognoses indicate the highest levels of prospective medical benefit. The fair chances/best outcomes problem is essentially a problem of choosing between lives. An egalitarian approach to patient selection favours fair chances. A utilitarian approach favours best outcomes. My project is a sustained defence of an egalitarian approach. It targets first a rule utilitarian argument for maximizing medical benefit. It targets second an argument that fairness in patient selection requires a preference for saving younger lives. I argue that patients should have prognoses at or above a threshold level of medical benefit to be medically suitable candidates. I propose random selection by lottery as a means of final selection that equally values lives. I argue that equality of opportunity best reflects an egalitarian commitment to equal concern and respect.

ISBN: 061266368XSubjects--Topical Terms:

1017756
Health Sciences, Medicine and Surgery.

Medical benefit and the human lottery: An egalitarian approach to patient selection.
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245 1 0 $a Medical benefit and the human lottery: An egalitarian approach to patient selection.
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500 $a Adviser: Lesley Jacobs.
500 $a Source: Dissertation Abstracts International, Volume: 63-02, Section: A, page: 0622.
502 $a Thesis (Ph.D.)--York University (Canada), 2001.
520 $a The central issue of this dissertation is known in bioethics as the problem of fair chances versus best outcomes. The decision-making context is patient selection for scarce, transplantable organs. This problem poses two options for patient selection: either select by a procedure which affords fair chances to all medically suitable transplant candidates or select those whose prognoses indicate the highest levels of prospective medical benefit. The fair chances/best outcomes problem is essentially a problem of choosing between lives. An egalitarian approach to patient selection favours fair chances. A utilitarian approach favours best outcomes. My project is a sustained defence of an egalitarian approach. It targets first a rule utilitarian argument for maximizing medical benefit. It targets second an argument that fairness in patient selection requires a preference for saving younger lives. I argue that patients should have prognoses at or above a threshold level of medical benefit to be medically suitable candidates. I propose random selection by lottery as a means of final selection that equally values lives. I argue that equality of opportunity best reflects an egalitarian commitment to equal concern and respect.
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