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The prostitute, the playboy, and the poet: Rationing schemes for organ transplantation

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  • Annas, G.J.

Abstract

The author describes four general approaches to choosing among potential candidates for heart and liver transplants: the market approach, the committee selection process, a lottery scheme, and the "customary" approach of leaving the decision to the physician. Annas maintains that a socially acceptable approach must be fair, efficient, and based on the values of human equality and respect for life. He proposes a combination scheme in which there would be an initial medical screening of candidates, perhaps with review of the initial decision by an ethics committee that has significant public input. Selection from the candidate pool would then be made on a first-come first-served basis, with provision for individuals in imminent danger of death to "jump" the queue.

Suggested Citation

  • Annas, G.J., 1985. "The prostitute, the playboy, and the poet: Rationing schemes for organ transplantation," American Journal of Public Health, American Public Health Association, vol. 75(2), pages 187-189.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.75.2.187_8
    DOI: 10.2105/AJPH.75.2.187
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    Cited by:

    1. Peter A. Ubel & George Loewenstein, 1996. "Public Perceptions of the Importance of Prognosis in Allocating Transplantable Livers to Children," Medical Decision Making, , vol. 16(3), pages 234-241, August.
    2. Alexander Max Bauer & Frauke Meyer & Jan Romann & Mark Siebel & Stefan Traub, 2022. "Need, equity, and accountability," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 59(4), pages 769-814, November.

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