Against Exclusive Survivalism: Preventing Lost Life and Protecting the Disadvantaged in Resource Allocation

When life-saving medical resources are scarce and not everyone can be saved, is the only relevant goal saving most lives? Or other factors considered, at least as tiebreakers, such how early in life people we don't save will die or much future they likely to lose? This commentary defends a multiprinciple allocation approach that considers objectives addition more lives, including preventing death harm form of lost life. Particularly compared an arbitrary, coin-flip tiebreaker, this effectively prevents harm, prioritizes worst-off, mitigates socioeconomic racial health disparities, tracks public values regarding under scarcity—and legally sound.