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Andreas Albertsen [40]Andreas Brøgger Albertsen [2]Anders Albertsen [1]A. Albertsen [1]
  1. A framework for luck egalitarianism in health and healthcare.Andreas Albertsen & Carl Knight - 2015 - Journal of Medical Ethics 41 (2):165-169.
    Several attempts have been made to apply the choice-sensitive theory of distributive justice, luck egalitarianism, in the context of health and healthcare. This article presents a framework for this discussion by highlighting different normative decisions to be made in such an application, some of the objections to which luck egalitarians must provide answers and some of the practical implications associated with applying such an approach in the real world. It is argued that luck egalitarians should address distributions of health rather (...)
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  2. What Is the Point of the Harshness Objection?Andreas Albertsen & Lasse Nielsen - 2020 - Utilitas 32 (4):427-443.
    According to luck egalitarianism, it is unjust if some are worse off than others through no fault or choice of their own. The most common criticism of luck egalitarianism is the ‘harshness objection’, which states that luck egalitarianism allows for too harsh consequences, as it fails to provide justification for why those responsible for their bad fate can be entitled to society's assistance. It has largely gone unnoticed that the harshness objection is open to a number of very different interpretations. (...)
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  3. A vaccine tax: ensuring a more equitable global vaccine distribution.Andreas Albertsen - 2022 - Journal of Medical Ethics 48 (10):658-661.
    While COVID-19 vaccines provide light at the end of the tunnel in a difficult time, they also bring forth the complex ethical issue of global vaccine distribution. The current unequal global distribution of vaccines is unjust towards the vulnerable living in low-income countries. A vaccine tax should be introduced to remedy this. Under such a scheme, a small fraction of the money spent by a country on vaccines for its own population would go into a fund, such as COVAX, dedicated (...)
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  4. Against the family veto in organ procurement: Why the wishes of the dead should prevail when the living and the deceased disagree on organ donation.Andreas Albertsen - 2019 - Bioethics 34 (3):272-280.
    The wishes of registered organ donors are regularly set aside when family members object to donation. This genuine overruling of the wishes of the deceased raises difficult ethical questions. A successful argument for providing the family with a veto must (a) provide reason to disregard the wishes of the dead, and (b) establish why the family should be allowed to decide. One branch of justification seeks to reconcile the family veto with important ideas about respecting property rights, preserving autonomy, and (...)
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  5. Unjust Equalities.Andreas Albertsen & Sören Flinch Midtgaard - 2014 - Ethical Theory and Moral Practice 17 (2):335-346.
    In the luck egalitarian literature, one influential formulation of luck egalitarianism does not specify whether equalities that do not reflect people’s equivalent exercises of responsibility are bad with regard to inequality. This equivocation gives rise to two competing versions of luck egalitarianism: asymmetrical and symmetrical luck egalitarianism. According to the former, while inequalities due to luck are unjust, equalities due to luck are not necessarily so. The latter view, by contrast, affirms the undesirability of equalities as well as inequalities insofar (...)
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  6. Rare diseases in healthcare priority setting: should rarity matter?Andreas Albertsen - 2022 - Journal of Medical Ethics 48 (9):624-628.
    Rare diseases pose a particular priority setting problem. The UK gives rare diseases special priority in healthcare priority setting. Effectively, the National Health Service is willing to pay much more to gain a quality-adjusted life-year related to a very rare disease than one related to a more common condition. But should rare diseases receive priority in the allocation of scarce healthcare resources? This article develops and evaluates four arguments in favour of such a priority. These pertain to public values, luck (...)
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  7. Democratic Ethical Consumption and Social Justice.Andreas Albertsen - 2022 - Public Health Ethics 15 (2):130-137.
    Hassoun argues that the poor in the world have a right to health and that the Global Health Impact Index provides consumers in well-off countries with the opportunity to ensure that more people have access to essential medicines. Because of this, these consumers would be ethically obliged to purchase Global Health Impact Index-labeled products in the face of existing global inequalities. In presenting her argument, Hassoun rejects the so-called democratic account of ethical consumption in favor of the positive change account. (...)
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  8. If the Price is Right: The Ethics and Efficiency of Market Solutions to the Organ Shortage.Andreas Albertsen - 2020 - Journal of Bioethical Inquiry 17 (3):357-367.
    Due to the shortage of organs, it has been proposed that the ban on organ sales is lifted and a market-based procurement system introduced. This paper assesses four prominent proposals for how such a market could be arranged: unregulated current market, regulated current market, payment-for-consent futures market, and the family-reward futures market. These are assessed in terms of how applicable prominent concerns with organ sales are for each model. The concerns evaluated are that organ markets will crowd out altruistic donation, (...)
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  9. Luck Egalitarianism, Social Determinants and Public Health Initiatives.A. Albertsen - 2015 - Public Health Ethics 8 (1):42-49.
    People’s health is hugely affected by where they live, their occupational status and their socio-economic position. It has been widely argued that the presence of such social determinants in health provides good reasons to reject luck egalitarianism as a theory of distributive justice in health. The literature provides different reasons why this responsibility-sensitive theory of distributive justice should not be applied to health. The critiques submit that the social circumstances undermine or remove people’s responsibility for their health; responsibility sensitive health (...)
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  10. When bad things happen to good people.Jens Damgaard Thaysen & Andreas Albertsen - 2017 - Politics, Philosophy and Economics 16 (1):93-112.
    According to luck egalitarianism, it is not unfair when people are disadvantaged by choices they are responsible for. This implies that those who are disadvantaged by choices that prevent disadvantage to others are not eligible for compensation. This is counterintuitive. We argue that the problem such cases pose for luck egalitarianism reveals an important distinction between responsibility for creating disadvantage and responsibility for distributing disadvantage which has hitherto been overlooked. We develop and defend a version of luck egalitarianism which only (...)
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  11.  27
    On the Anatomy of Health-related Actions for Which People Could Reasonably be Held Responsible: A Framework.Kristine Bærøe, Andreas Albertsen & Cornelius Cappelen - 2023 - Journal of Medicine and Philosophy 48 (4):384-399.
    Should we let personal responsibility for health-related behavior influence the allocation of healthcare resources? In this paper, we clarify what it means to be responsible for an action. We rely on a crucial conceptual distinction between being responsible and holding someone responsible, and show that even though we might be considered responsible and blameworthy for our health-related actions, there could still be well-justified reasons for not considering it reasonable to hold us responsible by giving us lower priority. We transform these (...)
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  12.  50
    When bad things happen to good people: Luck egalitarianism and costly rescues.Jens Damgaard Thaysen & Andreas Albertsen - 2017 - Politics, Philosophy and Economics 16 (1):93-112.
    According to luck egalitarianism, it is not unfair when people are disadvantaged by choices they are responsible for. This implies that those who are disadvantaged by choices that prevent disadvantage to others are not eligible for compensation. This is counterintuitive. We argue that the problem such cases pose for luck egalitarianism reveals an important distinction between responsibility for creating disadvantage and responsibility for distributing disadvantage which has hitherto been overlooked. We develop and defend a version of luck egalitarianism which only (...)
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  13. Tough Luck and Tough Choices: Applying Luck Egalitarianism to Oral Health.Andreas Albertsen - 2015 - Journal of Medicine and Philosophy 40 (3):342-362.
    Luck egalitarianism is often taken to task for its alleged harsh implications. For example, it may seem to imply a policy of nonassistance toward uninsured reckless drivers who suffer injuries. Luck egalitarians respond to such objections partly by pointing to a number of factors pertaining to the cases being debated, which suggests that their stance is less inattentive to the plight of the victims than it might seem at first. However, the strategy leaves some cases in which the attribution of (...)
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  14. Deemed consent: assessing the new opt-out approach to organ procurement in Wales.Andreas Albertsen - 2018 - Journal of Medical Ethics 44 (5):314-318.
    In December 2015, Wales became the first country in the UK to move away from an opt-in system in organ procurement. The new legislation introduces the concept of deemed consent whereby a person who neither opt in nor opt out is deemed to have consented to donation. The data released by the National Health Service in July 2017 provide an excellent opportunity to assess this legislation in light of concerns that it would decrease procurement rates for living and deceased donation, (...)
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  15.  33
    Discrimination Based on Personal Responsibility: Luck Egalitarianism and Healthcare Priority Setting.Andreas Albertsen - 2024 - Cambridge Quarterly of Healthcare Ethics 33 (1):23-34.
    Luck egalitarianism is a responsibility-sensitive theory of distributive justice. Its application to health and healthcare is controversial. This article addresses a novel critique of luck egalitarianism, namely, that it wrongfully discriminates against those responsible for their health disadvantage when allocating scarce healthcare resources. The philosophical literature about discrimination offers two primary reasons for what makes discrimination wrong (when it is): harm and disrespect. These two approaches are employed to analyze whether luck egalitarian healthcare prioritization should be considered wrongful discrimination. Regarding (...)
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  16.  22
    Priority for Organ Donors in the Allocation of Organs: Priority Rules from the Perspective of Equality of Opportunity.Andreas Albertsen - 2023 - Journal of Medicine and Philosophy 48 (4):359-372.
    Should priority in the allocation of organs be given to those who have previously donated or declared their willingness to do so? This article examines the Israeli priority rule in light of two prominent critiques of priority rules, pertaining to failure to reciprocate and unfairness. The scope and content of these critiques are interpreted from the perspective of equality of opportunity. Because the Israeli priority rule may be reasonably criticized for unfairness and failing to reward certain behaviors, the article develops (...)
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  17.  15
    Does harm or disrespect make discrimination wrong? An experimental approach.Andreas Albertsen, Bjørn G. Hallsson, Kasper Lippert-Rasmussen & Viki M. L. Pedersen - forthcoming - Philosophical Psychology.
    While standard forms of discrimination are widely considered morally wrong, philosophers disagree about what makes them so. Two accounts have risen to prominence in this debate: One stressing how wrongful discrimination disrespects the discriminatee, the other how the harms involved make discrimination wrong. While these accounts are based on carefully constructed thought experiments, proponents of both sides see their positions as in line with and, in part, supported by the folk theory of the moral wrongness of discrimination. This article presents (...)
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  18. Opt-Out to the Rescue: Organ Donation and Samaritan Duties.Sören Flinch Midtgaard & Andreas Albertsen - 2021 - Public Health Ethics 14 (2):191-201.
    Deceased organ donation is widely considered as a case of easy rescue―that is, a case in which A may bestow considerable benefits on B while incurring negligent costs herself. Yet, the policy implications of this observation remain unclear. Drawing on Christopher H. Wellman’s samaritan account of political obligations, the paper develops a case for a so-called opt-out system, i.e., a scheme in which people are defaulted into being donors. The proposal’s key idea is that we may arrange people’s options in (...)
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  19. The Voting Rights of Senior Citizens: Should All Votes Count the Same?Andreas Bengtson & Andreas Albertsen - forthcoming - Ethical Theory and Moral Practice:1-17.
    In 1970, Stewart advocated disenfranchising everyone reaching retirement age or age 70, whichever was earlier. The question of whether senior citizens should be disenfranchised has recently come to the fore due to votes on issues such as Brexit and climate change. Indeed, there is a growing literature which argues that we should increase the voting power of non-senior citizens relative to senior citizens, for reasons having to do with intergenerational justice. Thus, it seems that there are reasons of justice to (...)
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  20. Feiring’s concept of forward–looking responsibility: a dead end for responsibility in healthcare.Andreas Albertsen - 2015 - Journal of Medical Ethics 41 (2):161-164.
    Eli Feiring has developed a concept of forward-looking responsibility in healthcare. On this account, what matters morally in the allocation of scarce healthcare resources is not people's past behaviours but rather their commitment to take on lifestyles that will increase the benefit acquired from received treatment. According to Feiring, this is to be preferred over the backward-looking concept of responsibility often associated with luck egalitarianism. The article critically scrutinises Feiring's position. It begins by spelling out the wider implications of Feiring's (...)
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  21. Drinking in the last chance saloon: luck egalitarianism, alcohol consumption, and the organ transplant waiting list.Andreas Albertsen - 2016 - Medicine, Health Care and Philosophy 19 (2):325-338.
    The scarcity of livers available for transplants forces tough choices upon us. Lives for those not receiving a transplant are likely to be short. One large group of potential recipients needs a new liver because of alcohol consumption, while others suffer for reasons unrelated to their own behaviour. Should the former group receive lower priority when scarce livers are allocated? This discussion connects with one of the most pertinent issues in contemporary political philosophy; the role of personal responsibility in distributive (...)
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  22.  14
    Pandemic justice: fairness, social inequality and COVID-19 healthcare priority-setting.Lasse Nielsen & Andreas Albertsen - 2023 - Journal of Medical Ethics 49 (4):283-287.
    A comprehensive understanding of the ethics of the COVID-19 pandemic priorities must be sensitive to the influence of social inequality. We distinguish between ex-ante and ex-post relevance of social inequality for COVID-19 disadvantage. Ex-ante relevance refers to the distribution of risks of exposure. Ex-post relevance refers to the effect of inequality on how patients respond to infection. In the case of COVID-19, both ex-ante and ex-post effects suggest a distribution which is sensitive to the prevalence social inequality. On this basis, (...)
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  23. How the past matters for the future: a luck egalitarian sustainability principle for healthcare resource allocation.Andreas Albertsen - 2021 - Journal of Medical Ethics 47 (2):102-103.
    Christian Munthe, David Fumagalli and Erik Malmqvist argue that well-known healthcare resource allocation principles, such as need, prognosis, equal treatment and cost-effectiveness, should be supplemented with a principle of sustainability.1 Employing such a principle would entail that the allocation of healthcare resources should take into account whether a specific allocation causes negative dynamics, which would limit the amount of resources available in the future. As examples of allocation decisions, which may have such negative dynamics, they mention those who cause a (...)
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  24. Fresh Starts for Poor Health Choices: Should We Provide Them and Who Should Pay?Andreas Albertsen - 2016 - Public Health Ethics 9 (1):55-64.
    Should we grant a fresh start to those who come to regret their past lifestyle choices? A negative response to this question can be located in the luck egalitarian literature. As a responsibility-sensitive theory of justice, luck egalitarianism considers it just that people’s relative positions reflect their past choices, including those they regret. In a recent article, Vansteenkiste, Devooght and Schokkaert argue against the luck egalitarian view, maintaining instead that those who regret their past choices in health are disadvantaged in (...)
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  25. The Luck Egalitarianism of G.A. Cohen - A Reply to David Miller.Andreas Albertsen - 2017 - SATS 18 (1):37-53.
    The late G.A. Cohen is routinely considered a founding father of luck egalitarianism, a prominent responsibility-sensitive theory of distributive justice. David Miller argues that Cohen’s considered beliefs on distributive justice are not best understood as luck egalitarian. While the relationship between distributive justice and personal responsibility plays an important part in Cohen’s work, Miller maintains that it should be considered an isolated theme confined to Cohen’s exchange with Dworkin. We should not understand the view Cohen defends in this exchange as (...)
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  26.  24
    Tensions in Piketty’s Participatory Socialism: Reconciling Justice and Democracy.Andreas Albertsen & Kasper Lippert-Rasmussen - 2021 - Analyse & Kritik 43 (1):71-88.
    In the final parts of Piketty’s Capital and Ideology, he presents his vision for a just and more equal society. This vision marks an alternative to contemporary societies, and differs radically both from the planned Soviet economies and from social democratic welfare states. In his sketch of this vision, Piketty provides a principled account of how such a society would look and how it would modify the current status of private property through co-managed enterprises and the creation of temporary ownership (...)
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  27. Distributive justice and the harm to medical professionals fighting epidemics.Andreas Albertsen & Jens Damgaard Thaysen - 2017 - Journal of Medical Ethics 43 (12):861-864.
    The exposure of doctors, nurses and other medical professionals to risks in the context of epidemics is significant. While traditional medical ethics offers the thought that these dangers may limit the extent to which a duty to care is applicable in such situations, it has less to say about what we might owe to medical professionals who are disadvantaged in these contexts. Luck egalitarianism, a responsibility-sensitive theory of distributive justice, appears to fare particularly badly in that regard. If we want (...)
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  28.  20
    What is the folk concept of discrimination? Discriminators and comparators.Kasper Lippert-Rasmussen, Søren Serritzlew, Lasse Laustsen, Simone Sommer Degn & Andreas Albertsen - forthcoming - Philosophical Psychology.
    According to many theorists, discrimination either requires a better treated comparator or can occur only if the discriminator belongs to a socially salient group different from that of the discriminatee. Both claims are philosophically important since they have important implications for which account of the moral wrongness of discrimination is correct, e.g., if no comparator is required, the wrongness of discrimination cannot result from treating different people as unequals since the unequal treatment of persons is not an essential feature of (...)
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  29.  18
    Morality and Access to Essential Medicines: Pairing the Theoretical and Practical.Michael Da Silva & Andreas Albertsen - 2024 - Developing World Bioethics 24 (1):3-5.
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  30.  28
    Efficiency and the futures market in organs.Andreas Albertsen - 2023 - Monash Bioethics Review 41 (1):66-81.
    There has been considerable debate over regulated organ markets. Especially current markets, where people sell one of their kidneys while still alive, have received increased attention. Futures markets remain an interesting and under-discussed alternative specification of a market-based solution to the organ shortage. Futures markets pertain to the sale of the right to procure people’s organs after they die. There is a wide range of possible specifications of the futures market. There are, however, some major unaddressed efficiency concerns. This article (...)
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  31. Rawlsian Justice and Palliative Care.Carl Knight & Andreas Albertsen - 2015 - Bioethics 29 (8):536-542.
    Palliative care serves both as an integrated part of treatment and as a last effort to care for those we cannot cure. The extent to which palliative care should be provided and our reasons for doing so have been curiously overlooked in the debate about distributive justice in health and healthcare. We argue that one prominent approach, the Rawlsian approach developed by Norman Daniels, is unable to provide such reasons and such care. This is because of a central feature in (...)
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  32.  14
    Workplace heating and gender discrimination.Andreas Albertsen & Viki M. L. Pedersen - 2024 - Bioethics 38 (2):107-113.
    Across Europe, countries are reducing CO2 emissions and energy demand by lowering the temperature in public office buildings. These measures affect men and women unequally because the latter prefer and, indeed, perform better under higher temperatures than the standard temperature. Lowering the temperature thus further increases an already existing inequality. We show that the philosophical literature on discrimination provides an interesting theoretical approach to understanding such measures. On prominent understandings of what discrimination is, the policy would be considered direct discrimination (...)
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  33.  19
    Solveig Lena Hansen and Silke Schicktanz (eds): Ethical Challenges of Organ Transplantation: Current Debates and International Perspectives.Andreas Albertsen - 2023 - Ethical Theory and Moral Practice 26 (1):161-163.
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  34.  82
    Why Not Community? An Exploration of the Value of Community in Cohen's Socialism.Lasse Nielsen & Andreas Albertsen - 2022 - Res Publica 28 (2):303-322.
    The work of prominent analytical Marxist G. A. Cohen provides a vision of socialism which has distributive justice and community at its core. While Cohen's view of distributive justice has been hugely influential, much less has been said about community. This article argues that community plays three distinct roles in Cohen's socialism. One is as an independent value, the second is as a necessary adjacent counterpart to justice, which serves both to restrict and facilitate distributive equality, and the third is (...)
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  35.  12
    Nudging Voters and Encouraging Pre-commitment: Beyond Mandatory Turnout.Viki M. L. Pedersen, Jens Damgaard Thaysen & Andreas Albertsen - 2024 - Res Publica 30 (2):267-283.
    The discussion on mandatory turnout, which controversially introduces coercion at the heart of the electoral process, illustrates a dilemma between increasing voter turnout on the one hand and avoiding coercion on the other. If successful, a recent proposal by Elliott solves this dilemma as it removes the compulsory element of mandatory turnout. Specifically, Elliot reinterprets the policy’s purpose as (a) a pre-commitment device for those who believe that they have a duty to vote and (b) a nudge to the surveillance (...)
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  36. Assessing deemed consent in Wales - the advantages of a broad difference-in-difference design.Andreas Albertsen - 2019 - Journal of Medical Ethics 45 (3):211-212.
    As the debate over an English opt-out policy for organ procurement intensifies, assessing existing experiences becomes even more important. The Welsh introduction of opt-out legislation provides one important point of reference. With the introduction of deemed consent in December 2015, Wales became the first part of the UK to introduce an opt-out system in organ procurement. My article ‘Deemed consent: assessing the new opt-out approach to organ procurement in Wales’ conducted an early assessment of this.1 Taking its starting point in (...)
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  37. Joseph Fishkin: Bottlenecks—A New Theory of Equality of Opportunity: Oxford University Press, Oxford and New York, 2014, 288 pp.Andreas Albertsen - 2015 - Res Publica 21 (3):331-336.
    Book review: Joseph Fishkin: Bottlenecks—A New Theory of Equality of Opportunity.
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  38. G.A. Cohens politiske filosofi.Andreas Brøgger Albertsen - 2016 - Slagmark - Tidsskrift for Idéhistorie 73:293-295.
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  39.  21
    Covid-19 and age discrimination: benefit maximization, fairness, and justified age-based rationing.Andreas Albertsen - 2023 - Medicine, Health Care and Philosophy 26 (1):3-11.
    Age-based rationing remains highly controversial. This question has been paramount during the Covid-19 pandemic. Analyzing the practices, proposals, and guidelines applied or put forward during the current pandemic, three kinds of age-based rationing are identified: an age-based cut-off, age as a tiebreaker, and indirect age rationing, where age matters to the extent that it affects prognosis. Where age is allowed to play a role in terms of who gets treated, it is justified either because this is believed to maximize benefits (...)
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  40. Shlomi Segall , Equality and opportunity: Oxford University Press, ISBN: 9780199661817. 240 pages, £ 35.Andreas Albertsen - 2016 - Ethical Theory and Moral Practice 19 (5):1345-1347.
    Review: Shlomi Segall (2013) Equality and opportunity.
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  41.  38
    Egalitarianism.Carl Knight & Andreas Albertsen - 2018 - Oxford Bibliographies in Political Science.
    Equality as a bare concept refers to two or more distinct things or people being the same in some dimension. Different forms of equality are distinguished by the dimension that is held to be the same. Within political theory, three main forms of equality can be distinguished: moral equality, political equality, and substantive equality. “Moral equality” refers to each individual having the same inherent dignity as a human being, and therefore being worthy of respect. “Political equality,” by contrast, refers to (...)
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  42. Organ Markets.Andreas Albertsen - 2022 - In Ezio Di Nucci, Ji-Young Lee & Isaac A. Wagner (eds.), The Rowman & Littlefield Handbook of Bioethics. Lanham: Rowman & Littlefield Publishers.
     
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  43.  72
    Priority to Organ Donors: Personal Responsibility, Equal Access and the Priority Rule in Organ Procurement.Andreas Brøgger Albertsen - 2017 - Diametros 51:137-152.
    In the effort to address the persistent organ shortage it is sometimes suggested that we should incentivize people to sign up as organ donors. One way of doing so is to give priority in the allocation of organs to those who are themselves registered as donors. Israel introduced such a scheme recently and the preliminary reports indicate increased donation rates. How should we evaluate such initiatives from an ethical perspective? Luck egalitarianism, a responsibility-sensitive approach to distributive justice, provides one possible (...)
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