We don't have enough solid organs for transplantation; not enough kidneys, livers, hearts, lungs. When you get a liver and you have three people who need it, who should get it? We tried to come up with an ethically defensible answer. Because we have to choose.
Ezekiel EmanuelReasoning based on cost has been strenuously resisted; it violated the Hippocratic Oath, was associated with rationing, and derided as putting a price on life... Indeed, many physicians were willing to lie to get patients what they needed from insurance companies that were trying to hold down costs.
Ezekiel Emanuel