Below is a description of a dozen representative candidates for heart transplantation. To whom and on what basis should scare biotechnical resources be made available? Formulate a unified ethical basis for making bioethical decisons. Assume that on the average there is one transplantable heart procured per month for the candidate pool shown below. Then please examine the list and rank the candidates in order for the next heart, which has just become available. Describe the ethical foundation upon which your priority selections are made and explain its application to each ranking you make.

Person & Age	Critical Need	Relative Immunol. "Match"	Resulting Quality of Health	Estimated # of Years to Death	Ability to Pay	Comment
Transplant Surgeon, 62	95	80	45	4	99	Black, male, med school prof.
Auto Mechanic, 25	60	60	85	5	25	Honest, white, male
Mother of Six, 36	50	90	70	13	90	Black, inner city, on welfare, ADC
Politician, 44	75	50	60	10	75	White, male, social activist, "pro-choice" advocate
Opera Singer, 30	80	80	70	25	20	Hispanic, male
Professor and Writer, 56	60	95	60	15	40	White, female, liberal arts
Criminal, 31	70	90	97	35	60	White, male, rape armed robbery, attempted murder
Your Mother, 55	90	90	30	8	25	Beginning Alzheimer's
NASA Engineer & Astronaut, 32	75	70	60	20	60	Amerind, female, gor- geous, Rhodes scholar
Down Syndrome Kid, 15	60	80	75	18	75	International poster child, Special Olympics champion
You, --	70	80	50	2	25	Influential bioethical maker of transplant policy
Research Scientist, 41	80	60	70	12	50	White, male, transplant immunology
Evaluation Scales	100=Immediate	100=Perfect			Number is % of costs patient can pay by self or insurance
	90=1 Week	90=Excellent	90=Marathon runner
	80=2 Weeks	80=Very Good	80=Active
	70=1 Month	70=Satisfact.	70=Normal
	60=2 Months	60=Marginal	60=Ambulatory only
	50=4 Months	50=Risky	50=Disabled, weak
			<40=Bedridden