September 28, 2025Medical Decision MakingOpen Access

Lottery or Triage? Controlled Experimental Evidence from the COVID-19 Pandemic on Public Preferences for Allocation of Scarce Medical Resources

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Survey examines public support for vaccine allocation by lottery versus expert committee, highlighting varying preferences across countries.

Public support for lottery allocation was low, averaging just 37.25 across the study countries, contrasting with 61.19 for expert committees.
Significant variations in preferences were noted across countries, with agreement on lotteries ranging from 21.1 in Chile to 62.33 in India.
The survey experiment included 15,380 respondents from 14 countries, assessing their views on COVID-19 vaccine allocation methods.
Effective communication and targeted engagement will be crucial for the successful adoption of lottery-based resource allocation.

Thomas et al. (2025) studied this question.

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Survey examines public support for vaccine allocation by lottery versus expert committee, highlighting varying preferences across countries.