RESOURCE ALLOCATION EQUITABLE DISTRIBUTION AND JUSTICE

STANDARDS FOR ALLOCATION ARBITRARY –AGE –PERSONAL WEALTH –RESOURCE LOTTERY –SOCIAL LOTTERY NATURAL –FINITUDE –BENEFIT TO PATIENT –PATIENT SELF-RESTRAINT IN DECISION MAKING

LIMITATIONS ON RESOURCES FUTILE TREATMENT COSTWORTHY TREATMENT –SUFFICIENT BENEFITS FOR BURDENS SOURCE OF TREATMENT OTHER SOCIETAL PRIORITIES WEIGHING ALTERNATIVES

PUBLIC POLICY DECISIONS DECISIONS ABOUT CATEGORIES OF PATIENTS DRIVEN BY SOCIAL UTILITIES CAUTION ABOUT SPECIAL INTEREST GROUPS

PATIENT SELF-RESTRAINT PATIENT VALUES EXERCISE OF AUTONOMY REFUSAL OF TREATMENT –CHOICES AMONG ALTERNATIVES IMPORTANCE OF INFORMED CONSENT

DETERMINATION OF BENEFITS FOR PATIENTS CLEARLY BENEFICIAL NO BENEFIT (FUTILE) BURDENS OUTWEIGH BENEFITS (INADVISABLE) COSTWORTHINESS IMPORTANCE OF REALISTIC ASSESSMENT OF BENEFITS

OREGON’S CRITERIA FOR ALLOCATION INCREASE LONGEVITY SIGNIFICANTLY IMPROVE QUALITY OF LIFE –RESTORE CONSCIOUSNESS –ALLEVIATE PAIN –ALLOW FOR INDEPENDENCE OF FUNCTION –IMPROVE “CARABILITY” EFFICIENCY (UTILITARIAN CONSIDERATIONS) EQUITY –TREAT SIMILAR CASES SIMILARLY –UNIVERSAL ACCESS TO A BASIC SET OF CARE