Should Liver Allocation System Be Maximally Fair

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For my individual research assignment, the question I must answer is “should the liver allocation system be maximally fair or maximally efficient at producing added years of life from organ transplant?”. The main dilemma is should we give a liver which is a rare and valuable resource to someone far away but won’t survive without it. Or, is it more ethical to give it to someone who is closer but is not in as critical condition. At first glance, I tend to think that everyone should have a fair chance of receiving a liver, and when after reading the prompt for the first time, I tend to think that the liver allocation system should be maximally fair. But, after thinking about it for a while, I find myself leaning more towards maximally efficient.

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