Rationing life-sustaining treatment and vaccination during the COVID-19 pandemic

Prof. Julian Savulescu


(新加坡國立大學、英國牛津大學)

Chen Su Lan Centennial Professor in Medical Ethics and Director, Centre for Biomedical Ethics, National University of Singapore


Director, Wellcome Centre for Ethics and Humanities, University of Oxford

摘要 Abstract

“We are just following the science” has been a frequent justification for policy by politicians in the pandemic. There has been a steadfast refusal to explicitly address the ethical values relevant to policy making, with the veneer that these are objective and scientific. Science has been vital to the pandemic, but so have ethical values: the value of life and balance of freedom/liberty and health/wellbeing. In the allocation of limited resources, such as ventilators and vaccines, all lives have been valued equally. However, ethical theory and public sentiment can place weight on age, length of survival, quality of life, responsibility, dependents, desert and other factors. I will review how these values can be encorporated into decision making and summarise research we have conducted into public opinion. I will also outline how values of liberty and health can be weighed using ethical theory and public opinion in relation to mandatory vaccination, incentives, and vaccine passports.