If so, then final selection from among those with highest priority should be made by lot. While this does not provide that the ultimate choice will be made in accord with reasoned principles, it does provide that unfair and prejudicial standards will not predominate in the final selection. When in doubt, organize a committee. The talents needed to make fair decisions would require people with different skills and sensitivities and so four or five people would be called upon to work as volunteers under the sponsorship of the Red Cross. As medical knowledge and technique make it possible to prolong the lives of more people, we are forced to make choices.
Choices always involve value decisions.
Unless we have agreed upon norms and standards for our value decisions, we foster injustice, violence and anarchy. Hence, in the matter of determining norms for recipients of organ transplantation, we are discussing something of more than casual concern.