Abstract

The implementation of the Wujciak algorithm as a new rule for organ allocation by Eurotransplant is of considerable interest for the theorist of choice making. In the process reformers accepted the status quo in principle but expected that their potential opponents would be willing to make minimal or 'tolerable' concessions. Thereby the consensual introduction of new dimensions of value and reforms of allocation practices based thereupon became viable. The paper characterizes a decision procedure based on ‘almost lexicographically pre-ordering established values and practices’ in a stylized manner, presents a formal reconstruction of it and points out some of its potential implications for rule choices in general.