Options:
A. 70 year oldman with liver cancer,relapsing into alcohol abuse for the fifth time in the past two years: forliver transplant
B. 20 year old pregnant teacher with HIV living beloewpoverty line: for ART
C. 25 year old IV drug dealer with HIV living below poverty line who has not enrolled in de-addiction programs for the past three years despite physician advice: for ART
D. 90 year old ex President of a developed country with severe heart failure : for heart transplant
Answer:
B.20-year-old pregnant teacher with HIV living below the poverty line: for ART.
Explanation: Decisions related to scarce resource allocations must be made in consideration of the ethical principles which will help the effective allocation of scarce resources. The four ethical principles includes AUTONOMY, BENEFICENCE, NON-MALEFICENCE AND JUSTICE.
Before allocation of scarce resources in the health care sector and other units it should meet two conditions.
(1) It should be cost-effective scarce resources in the health sector should be allocated to maximize the health benefits for the population it serves.
(2) It must be Just and equitable it is expected not to be biased or done in corruption,it must be distributed according to the need.