- Bioethics Forum Essay
Vaccination Discrimination Goes Against Nursing Ethics
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Ashamed to Be Vaccinated? The Ethics of Health Care Employees Forgoing Unfair Priority
Read the PostBioethics Forum EssaySuppose you are young, healthy, employed in a health care system and that your line of work does not require leaving the low-risk comfort of your home. Now suppose that your employer offers you a vaccine. You know there are others in your community who are at greater risk of contracting and dying from Covid-19 than you. Should you accept the dose?Read the Post - Bioethics Forum Essay
Prioritizing the “1a”: Ethically Allocating Scarce Covid Vaccines to Health Care Workers
Read the PostBioethics Forum EssayBeginning this week, guarded vehicles loaded with the first Covid-19 vaccine authorized in the United States are fanning out to hospitals across the country. In vaccine prioritization protocols health care workers, along with nursing home residents, make up phase “1a” – those who are first in line to be vaccinated. While much attention has been paid to who should come next, less is known about how hospitals are allocating vaccine doses among their staff. For many medical centers, the first shipments will only be enough to vaccinate a fraction of their workers. Who goes first within the “1a” category, and how are such decisions made?Read the Post - Bioethics Forum Essay
The Ethics of Treating the President
Read the PostBioethics Forum EssayConcerns about the health status of sitting presidents of the United States can raise significant questions in medical ethics, notably regarding the scope of a president’s right to confidentiality and of the public’s need—or right—to know about the president’s health, the role and responsibilities of the president’s physician, and the appropriateness of offering unapproved treatments. These concerns are heightened during the global pandemic for which there is no cure or vaccine and limited information about treatments.Read the Post - Bioethics Forum Essay
Living through the Pandemic in New Zealand
Read the PostBioethics Forum EssayIn New Zealand we have been saved from the worst devastations of Covid-19 by a firm government, courage and care for one another, and our geographic “moat.” With the recent minor surge of cases, our government has, once again, encouraged us to respond as a team of 5 million. We have been guided by the slogan “Be kind.”Read the Post - Bioethics Forum Essay
Social-Change Games Can Help Us Understand the Public Health Choices We Face
Read the PostBioethics Forum EssayBefore there was the Covid-19 pandemic, there was Pandemic. This tabletop game, in which players collaborate to fight disease outbreaks, debuted in 2007. Expansions feature weaponized pathogens, historic pandemics, zoonotic diseases, and vaccine development races. Game mechanics modelled on pandemic vectors provide multiple narratives: battle, quest, detection, discovery. There is satisfaction in playing “against” disease–and winning. Real pandemic is not as tidy as a game. But can games support understanding about the societal challenges we now face? Yes.Read the Post - Bioethics Forum Essay
When to Reopen the Nation is an Ethics Question—Not Only a Scientific One
Read the PostBioethics Forum EssayAs the world reels from the Covid-19 pandemic, two things have become very clear: the health impacts of the disease are devastating, but the aggressive social distancing policies currently being used to flatten the curve also have serious costs. As a result, the question of when and how to reopen the nation is on everyone’s mind. Do we open quickly in an effort to kick-start the economy? Or do we remain under lockdown as long as possible to stop the spread of the virus?Read the Post - Bioethics Forum Essay
Denying Ventilators to Covid-19 Patients with Prior DNR Orders is Unethical
Read the PostBioethics Forum EssayPreviously-stated DNR status would seem irrelevant to ventilator allocation, and yet some existing and proposed guidelines for triage during a public health emergency list DNR status in the list of criteria for excluding patients from getting ventilators or other life-saving health care. This approach is in direct opposition to the generally agreed-upon goal of maximizing the number of survivors, and could result in confusion and public mistrust of the health care system.Read the Post - Bioethics Forum Essay
Please Don’t (Need to) Use My Work
Read the PostBioethics Forum EssayI helped develop guidelines for the ethical allocation of scarce resources during a public health emergency, such as a pandemic..I hope my contributions have an impact. I especially hope to see my work used since it emphasizes the perspectives of minority and underserved communities, who tend to have less voice in health policy. But now I find myself dreading the use of my work.Read the Post - Bioethics Forum Essay
On Being an Elder in a Pandemic
Read the PostBioethics Forum EssayDo the elderly have special obligations during a pandemic, that is, something more than the duty we all have for hand washing, social distancing, and so on? I believe the answer is, yes, and foremost among these is an obligation for parsimonious use of newly scarce and expensive health care resources.Read the Post