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That’s kinda how it already works we just need to optimize it even more to ensure that only the best people get the organs
That is not how it “basically works” where I live; doctors don’t care about what I do for a living or how much money I have, they just treat me like everyone else. The triage is by priority (as in emergency and compatibility of the organ). If they used AI, it wouldn’t be for the choice itself, but for keeping track of the waiting list. The AI itself choosing based on criteria like age, sex, race, work or culture would be unethical.