what was published in the NY TIMES Magazine:

Peter Singer’s excellent article makes a major point: the operation of
markets in distributing scarce health resources among people and
alternative uses is just as much a form of rationing as are the
decisions of “soulless” bureaucrats.

As with all markets, those with the most purchasing power get first
dibs on the use of resources, following the principle of “one dollar,
one vote.” Unfortunately, Singer’s utilitarian analysis distracts us
from a major point: all such rationing is a political decision. In the
United States, political decision making has again and again given the
advantage to the richest. Is it possible that this results not from
philosophical analysis but from the disproportionate political power
of the rich?

JAMES DEVINE
Professor of Economics
Loyola Marymount University

the original version:

Peter Singer's excellent article makes a major point made by serious
economists: the operation of markets in distributing scarce health
resources among people and alternative uses is just as much a form of
rationing as are the decisions of "soulless" bureaucrats. As with all
markets, those with the most purchasing power get "first dibs" on the
use of resources, following the principle of “one dollar, one vote”
(Insurance plans simply make this fact more nuanced.) Unfortunately,
Singer's utilitarian analysis distracts us from a major point: all
such rationing is a political decision. In the United States,
political decision-making has again and again to give the advantage to
the richest, promoting such practices as purely cosmetic plastic
surgery. Is it possible that this results not from philosophical
analysis but from the disproportionate political power of the rich?

-- 
Jim Devine / "All science would be superfluous if the form of
appearance of things directly coincided with their essence." -- KM
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