A system to allocate scarce ventilators and ICU beds gains traction for not counting any group out

Bracing for a surge of Covid-19 patients and facing shortages of the resources necessary to keep the sickest patients alive, hospitals and governments are grappling with the reality of having to answer an unimaginable question: If ventilators and intensive care unit beds must be rationed, who should get them?

Several states have already issued guidance recommending that hospitals exclude certain patient groups from such care, such as those with late-stage cancer or Alzheimer’s disease — and in doing so, sparked a storm of criticism, as well as . Professional societies and academic bioethicists are also putting forward . One, in particular, is gaining traction.