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Updated: Jun 16, 2025

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Fair Innings: An Empirical Test.

Matthew D Adler1, Maddalena Ferranna2, James K Hammitt3,4

  • 1Duke University, Durham, North Carolina, USA.

Health Economics
|April 10, 2025
PubMed
Summary
This summary is machine-generated.

The fair innings principle suggests prioritizing younger patients for life-saving treatments. French survey results show about half support this, highlighting ethical dilemmas in healthcare allocation.

Keywords:
covid‐19ethical preferencesfair inningslifesavingprioritarianism

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Area of Science:

  • Bioethics
  • Health Economics
  • Public Health Policy

Background:

  • The fair innings principle posits that fairness in allocating scarce life-saving treatments favors younger individuals.
  • This principle is rooted in the idea that younger patients have had less opportunity to experience life, thus having a greater claim to resources.
  • Theoretical justification can be derived from prioritarian social welfare functions focusing on lifetime well-being.

Purpose of the Study:

  • To investigate public support for the fair innings principle in France.
  • To explore public attitudes towards allocating life-saving treatments based on age when life extension is equal.

Main Methods:

  • An online survey was conducted among the general population in France.
  • Participants were presented with scenarios involving the allocation of life-saving treatments with equal life extension benefits for younger and older patients.

Main Results:

  • Substantial, though not universal, public support for the fair innings principle was observed.
  • Approximately 50% of respondents favored allocating the treatment to the younger patient.
  • About 33% were indifferent, and 20% favored the older patient. Decreasing life extension for younger patients reduced support for their prioritization.

Conclusions:

  • Public opinion on age-based treatment allocation is divided, reflecting a tension between equal treatment and prioritizing the worst-off.
  • The findings underscore the complexity of healthcare resource allocation and ethical decision-making.
  • Results inform policy discussions on equitable distribution of scarce medical interventions.