Abstract

In this paper I examine various aspects of the proposal that scarce lifesaving medical resources should (morally) be allocated by some random procedure. I argue that a fundamental assumption of this approach is that there are no morally relevant differences among the candidates for such services, and I challenge this general claim. I also argue that there are a great many lotteries among which we must choose if we are to use a lottery at all, and that we should choose among them on valuational grounds.