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Those of us who have worked in global health are familiar with the decisions that had to be made in Africa during the Ebola epidemic, if I have one ventilator and two people who need it, and one is a 13-year-old-boy who is likely to recover, and the other is an 80-year-old woman who is demented and has sacral decubiti, who do I intubate and put on the ventilator ? In that case, the decision is made on the likelihood of recovery and quality of life.