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“We do make snap judgments about whose life seems better than another person’s life,” says HC scholar Nancy Berlinger. “Allocation protocols must guard against that.” #Disability #COVID2019 #coronavirus @TheAtlantic
Americans With Disabilities Are Terrified
They fear they could be denied lifesaving treatment if they end up in the hospital with COVID-19.
www.theatlantic.com
#RESOURCES: To support ethical care and respond to moral distress during #COVID19, our scholars and ethics leaders created a slide deck tool to compliment our Ethical Framework. #HCLDR #medtwitter #coronavirus #HECs @AmerMedicalAssn @ANANursingWorld @ahahospitals @AHAAdvocacy
Managing Uncertainty, Safeguarding Communities, Guiding Practice Download as PDF Nancy Berlinger, PhD; Matthew Wynia, MD, MPH; Tia Powell, MD; D. Micah Hester, PhD; Aimee Milliken, RN, PhD, HEC-C; Rachel Fabi, PhD; Felicia Cohn, PhD, HEC-C; Laura K. Guidry-Grimes, PhD; Jamie Carlin Watson, PhD; Lori Bruce, MA, MBE; Elizabeth J. Chuang, MD, MPH; Grace Oei, MD,… Read more
COVID-19
Abstract: Few novel or emerging infectious diseases have posed such vital ethical challenges so quickly and dramatically as the novel coronavirus SARS-CoV-2. The World Health Organization declared a public health emergency of international concern and recently classified COVID-19 as a worldwide pandemic. As of this writing, the epidemic has not yet peaked in the United… Read more
HASTINGS CENTER REPORT
As hospitals and public health authorities devise triage protocols to allocate scarce critical-care resources during the Covid-19 pandemic, people with disabilities are expressing alarm that these protocols devalue them and exacerbate long-entrenched ableism in health care. Lawsuits alleging disability discrimination in have been filed in Washington and Alabama. The U.S. Office for Civil Rights is investigating disability discrimination complaints in triage protocols. The challenge is to develop protocols that will minimize discrimination in the health care system.
BIOETHICS FORUM ESSAY
There is a lack of clarity about the New York State Task Force guidelines on ventilator allocation. I believe disability rights concerns regarding the recommendations on chronic ventilator users are well-founded. This lack of clarity may cost lives.
I am a member of the New York State Task Force on Life and the Law and helped write its 2015 guidelines on the allocation of ventilators during a public health emergency. The position outlined by the Task Force report has been a point of confusion in the media. I don’t believe that the Task Force recommendations discriminate against people with disabilities.
by Mildred Z. Solomon, Matthew Wynia, and Lawrence O. Gostin [This article appears in the Hastings Center Report, March-April 2020] As we write, cities and states with extensive community transmission of Covid-19 are in harm’s way in the United States—not only because of the disease itself but also because of prior and current failures to act.… Read more
Nearly 1,400 of the nation’s most prominent bioethicists and health leaders signed an urgent letter to Congress and the White House, imploring the U.S. government to immediately use its federal power and funds to respond to the COVID-19 pandemic as a matter of moral imperative. The petition was developed by Mildred Solomon, president of The Hastings Center, and Lawrence Gostin, a Hastings Fellow and director of the O’Neill Center for National and Global Health Law at Georgetown University.
HASTINGS CENTER NEWS
Hastings Center research scholars have been talking with the press and writing on ethical issues raised by the coronavirus pandemic. Here is a selected roundup. Check back for updates.
One-third of all new GoFundMe campaigns in the United States are for COVID-19-related needs. This shows where we have failed as a society. It is a makeshift response to institutional failures and not a fair or sustainable solution to crises.
The metaphor “flattening the curve” has succinctly captured the challenge of responding to the coronavirus pandemic in the United States. With no vaccine or effective treatment, the use of social distancing measures attempts to delay the spread of infection and keep the need for intensive, hospital-based health services within the capacity of our health care… Read more
As the U.S. health care system faces the strain of responding to the coronavirus pandemic, critical services are being provided by international medical graduates, who, in the years and months leading up to this crisis, have found their capacity to contribute limited by increasingly restrictive immigration policies. International medical graduates, physicians trained in other countries,… Read more
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