Summary of the Article: "Resources, Down's Syndrome and Cardiac Surgery"? - Outline the problem of resource allocattion - Outline the principle of "equality of aaccess" - Basically termed "equal treatment for equal need" - Outline that resource allocation will bbe equal if unlimited and adequate resources are available - Outline that resource allocation will bbe unequal in the event of resource constraints (REEU) - Outline: should quality of life be takeen into account? Ultimate decision in this article is "yes" - Outline: should length of left be takenn into account? Ultimate decision in this article is "yes" - Outline: should benefit/success rate bee taken into account? Ultimate decision in this article is "yes" - Legal implications: Not practicing prinnciple of "equality of access" is unlawful discrimmination - The consequences of following the princciple of "equality of access" - more people will die that could have been saved, and would have had a better quality of life, and length of life span - John Harris claims three factors that eeveryone wants in terms of health care: 1) maximum possible life expectancy, best quality of life, the best combination of both factors. - Down Syndrome: This is difficult, the ttreatment of heart transplantation should be considered on an individual case basis, due to different levels of Down Syndrome. Major problem causing Down Syndrome - as apposed to minor problem causing Down Syndrome. - Alternative to all this: Have a better health system, increase spending, make heart donors available - provide incentives, educate population about scarcity of resources and problems with resource allocation