healthcare decision :economic factors that affect the individual family, must also be evaluated.

Economic factors that affect the individual family, must also be evaluated. this is an accepted ethical principle even in  USA

Allocation can easily become an ethical dilemma when those resources are scarce.
What happens  when  3 persons  from  a single family are comotose and  on ventilators

All people are of equal value
Are they really ?

Would you treat the pope the same way as a serial criminal ?or a mentally retarded child ?
enforcement of the rights and duties in the legal system that do not exist in the ethical system