Setting Priorities Fairly in Response to Covid-19: Identifying Overlapping Consensus and Reasonable Disagreement

Proposals for allocating scarce lifesaving resources in the face of the covid-19 pandemic have aligned in some ways and conflicted in others This paper attempts a kind of priority setting in addressing these conflicts In the first part, we identify points on which we do not believe that reasonable people should differ�even if they do These are (a) the inadequacy of traditional clinical ethics to address priority-setting in a pandemic;(b) the relevance of saving lives;(c) the flaws of first-come, first-served allocation;(d) the relevance of post-episode survival;(e) the difference between age and other life-expectancy expectancy;and (f) the need to avoid quality-of-life judgments In the second part, we lay out some positions on which reasonable people can and do differ These include (a) conflicts between maximizing benefits and priority to the worst off;(b) role-based priority;and (c) whether patients� existing lifesaving resources should be subject to redistribution