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Contractualist age rationing under outbreak circumstances

Bibliographic Data

ID21504635
AuthorsLasse Nielsen (0000-0003-3093-4448, Philosophy, Department for the Study of Culture University of Southern Denmark Odense Denmark, corresponding author)
Year2021
Volume35
Issue3
Pages229-236
Publication date2021-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBioethics (JOURNAL)
Journal identifiersISSN: 0269-9702 • E-ISSN: 1467-8519
PublisherWiley (PUBLISHER • GB)
DOI10.1111/bioe.12822
PMID33068025
OpenAlexW3093010401
LanguageEN
Citations received5

Age rationing is a central issue in the health care priority‐setting literature, but it has become ever more salient in the light of the Covid‐19 outbreak, where health authorities in several countries have given higher priority to younger over older patients. But how is age rationing different under outbreak circumstances than under normal circumstances, and what does this difference imply for ethical theories? This is the topic of this paper. The paper argues that outbreaks such as that of Covid‐19 involve special circumstances that change how age should influence our prioritization decisions, and that while this shift in circumstances poses a problem for consequentialist views such as utilitarianism and age‐weighted consequentialism, contractualism is better equipped to cope with it. The paper then offers a contractualist prudential account of age rationing under outbreak circumstances

Actuarial science · Consequentialism · Contractualism · Economic growth · Economics · Health care · Health care rationing · Law and economics · Market economy · Outbreak · Political science · Public economics · Rationing · Utilitarianism · Welfare · Ethics in medical practice · Health Systems, Economic Evaluations, Quality of Life · Healthcare cost, quality, practices · Law · Medicine · Virology

  • Pandemic prioritarianism

    Open Access•Lasse Nielsen•Journal of Medical Ethics•2022

  • Covid-19 and age discrimination

    Open Access•Andreas Albertsen•Medicine Health Care and Philosophy•2023

  • Pandemic justice

    Open Access•Lasse Nielsen, Andreas Albertsen•Journal of Medical Ethics•2023

  • No jab, no access? Is differential treatment based on vaccination (wrongfully) discriminatory

    Lydia Tsiakiri, Andreas Albertsen•Journal of Medical Ethics•2026

  • For the Greater Individual and Social Good

    Open Access•Viki Møller Lyngby Pedersen•Utilitas•2023

Unique citing works5
Citations per year1,25
Citation span2022 - 2026 (5)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 5

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Open DOIOpen Access
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