This paper argues that accepting incommensurability can be a useful step for developing attractive hybrid theories to how to distribute scarce health-related resources. If one provides opportunity for distributive options to be incommensurable with respect to substantive criteria, one can hold on to substantive criteria while also providing room for decision processes to play a significant role. The paper also argues that the strategy of accepting incommensurability is preferable to the strategy of having substantive criteria establish sets of options that are equally, explains why incommensurability gives us reason to go hybrid, and argues that reasons grounded in decision processes have properties that make them appropriate as “tiebreakers” in choice situations characterized by incommensurability.

本文认为，接受不可通约性可能是发展有吸引力的混合理论以分配稀缺的健康相关资源的有用步骤。如果一个人为分配选项提供了与实质性标准不可通约的机会，那么人们就可以坚持实质性标准，同时也为决策过程发挥重要作用提供空间。本文还认为，接受不可通约性的策略比让实质性标准建立平等的选项集的策略更可取，解释了为什么不可通约性给了我们混合的理由，并认为基于决策过程的原因具有使它们成为可能的属性。在具有不可通约性的选择情况下，适合作为“决胜局”。