The article deals with the problem of method for a bioethical approach to clinical cases from the standpoint of bioethics, and analyzes the various methodologies that exist, highlighting their contributions and strengths, as well as their difficulties. Tools for reflecting on how to implement a methodology adapted to the context of contemporary Mexican reality are provided as well. They underscore the characteristics particular to Mexico in bioethical analysis and discernment.

When events such as a pandemic occur, and the entire population’s health must be ensured, the focus is on public health. Despite several criteria for decision-making, it is advisable to delve into the weighting beyond the mere consideration of plainly visible factors. We propose weighting as a mechanism instead of chance since, given the person’s substantial unity and intrinsic dignity, their destiny cannot be subject to anything less than the exercise of intelligible judgment inherent to human reason.