Une réalité institutionnelle du tri en médecine ou comment faire au mieux ?

How can we care today? How to substitute an egalitarian logic to an utilitarian logic? Triage is both a promise and a challenge: a basis for identity and modern medical profession and a threatening intrusion of economic and political constraints in medical decision. How to maintain an effective system care with our liberal and social foundations? This double-liberal egalitarian economic movement is central to sorting debates about medical practices. This also raises the question of ethical and medical criteria that define access for individual patients to scarce resources. This duty of support mobilizes citizens around values and enters the field of political issues. The evaluation of the performance of a health system and its resources where there is a plurality of values can fool the utilitarian rationality. We superimpose political issues of living together issues of principles that settle case by case.