Table 1 Allocation principles by Persad et al.39, with the addition of autonomy40,41, and corresponding examples in the context of allocating human support for preparing for quitting smoking
Allocation principle | Example for preparing to quit smoking |
|---|---|
Treating people equally | |
Lottery | - Random allocation |
First-come, first-served | - Longest time since last human support |
Favoring the worst-off: prioritarianism | |
Sickest first | - Least likely to successfully prepare for quitting smoking without human support |
- Most likely to experience negative consequences of smoking in the future without human support | |
Youngest first | - Youngest first |
Maximizing total benefits: utilitarianism | |
Prognosis | - Largest increase in the chance of successfully preparing for quitting smoking because of the support |
- Largest reduction in the negative consequences of smoking in the future because of the support | |
Promoting and rewarding social usefulness | |
Instrumental value | - Largest value to society in the future (e.g., healthcare staff, workers producing influenza vaccine, people who agree to improve their health and thus use fewer resources in the future) |
Reciprocity | - Past usefulness or sacrifice (e.g., past organ donors, people who participated in vaccine research, people who made healthy lifestyle choices that reduced their need for resources in the past) |
Respecting autonomy | |
Autonomy | - Highest appreciation of human support |