Table 1:

Ethical principles for the allocation of donor lungs(6)

Principle	Application to organ allocation
Utility	To maximize net benefit (e.g., using years of survival gained to prioritize allocation)
Justice	To distribute the benefits and burdens of organ allocation system in a fair way (e.g., using medical urgency to prioritize allocation, allowing special consideration for candidates for whom it is difficult to find a suitable organ)
Respect for persons	To treat persons as autonomous with the right for self-determination (e.g., the right to give or withhold informed consent for a lung transplant)