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Fair Innings and Time‐Relative Claims

Bioethics

Published online on

Abstract

Greg Bognar has recently offered a prioritarian justification for ‘fair innings’ distributive principles that would ration access to healthcare on the basis of patients' age. In this article, I agree that Bognar's principle is among the strongest arguments for age‐based rationing. However, I argue that this position is incomplete because of the possibility of ‘time‐relative' egalitarian principles that could complement the kind of lifetime egalitarianism that Bognar adopts. After outlining Bognar's position, and explaining the attraction of time‐relative egalitarianism, I suggest various ways in which these two kinds of principle could interact. Since various options have very different implications for age‐based rationing, proponents of such a rationing scheme must take a position on time‐relative egalitarianism to complement a lifetime prioritarian view like Bognar's.