 Another challenge for the incentives approach is that if the rationale for deprioritising heavy drinkers, say, is simply incentivisation then there is no reason to restrict these measures to cases of organ failure. Why not instead remove their driving licenses, or their access to non-urgent healthcare, or subject them to punitive rates of tax? Such measures could all be incentives to stop drinking and would surely be more effective—not least because their effects would be felt straightaway, rather than many years down the line.