By Alexis Paton, April 2021

An important notion underlying most clinical and ethical pandemic guidance worldwide is the concept of fairness; whether this is the question of how to make decisions to allocate limited health resources or the need for ethical guidance on how healthcare staff should make difficult decisions about care to ensure that regulations are standardised around the country.

But when it comes to health, “fair” is a misnomer. This is because the principle of fairness relies on the premise that good health is available to everyone equally, when we know it is not.

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