A footnote on the Sumption survival of the fittest thesis.
State what seems to be unassailable premise: ‘old people are more likely to die that younger ones’. What flows from this, by a series of steps which have the air of logic, is that if everybody cannot be treated, the old should not be.
But the initial premise has tacit assumptions / biases in it. The ‘old’ are singled out, not infants, pregnant mothers, the disabled, those on social care, those in care homes, those with severe mental problems… The only outcome of the premise is that the old should be left to die.
If I start from the ethical premise that everyone has the same right to a further year (on other unit of time) of life and be given assistance to achieve that goal (unless the quality of life is such as to bring this into question), the outcome is utterly different. At the end of the year, the same equation kicks in. The old will of course on average die more quickly than younger people , but a caring society should not pursue remorseless if tacit policy to cleanse of society of old people.
Of course, I am biased in this. My birth certificate tells me that I am "old". I would like to think this is fake news, but it seems to be true.