Classical qualification criteria prioritize patients based on objective medical metrics: highest likelihood of successful outcome, longest predicted survival, fewest comorbidities, and sometimes avoidance of "self-inflicted" conditions (e.g., excluding active substance users or non-adherent patients). Progressive qualification criteria incorporate broader social/ethical factors: prioritizing historically marginalized groups with systemic barriers to care, individuals with dependents or community leadership roles, or those whose loss would cause disproportionate societal harm. This shifts from pure prognosis/utility toward equity, reparative justice, and social impact.