Prognosis |
Prioritize patients who have better odds to survive treatment or better odds to survive on a longer term |
Short-term prognosis is consensual, but controversies arise when considering long-term survival, which can be affected by comorbidities unrelated to the probability of surviving treatment, especially when these comorbidities are more frequent in patients from disadvantaged backgrounds. |
Quality of life |
Prioritize patients without comorbidities that may affect quality of life after surviving the disease |
Deprioritizing patients with impaired physical ability, dementia, cerebral damage, or yet other conditions could breach the ethics of nondiscrimination. |
Age |
Maximize saved life-years (or opportunities to experience life stages) among patients with a similar prognosis |
Deprioritizing older patients solely because of their age may breach the ethics of nondiscrimination, especially when an age cutoff is defined as an exclusion criterion. |
Social value (past) |
Prioritize health care workers who contracted the disease in the line of duty |
Many guidelines prohibit the use of social value, only to make an exception for health care workers, which may seem unfair to other key workers. |
Social value (future) |
Prioritize health care workers to preserve their ability to fight the disease in the future |
It is not always clear whether health care workers can be back to work in a realistic time frame and whether the logic should be extended to other key workers. |