Ethics

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Published on :  | By Daniel Orenstein

Ethics, Law & Policy Roundup: Staff, Stuff, Space & Systems

DRUGS: Patients with chronic conditions such as rheumatoid arthritis or lupus who rely on hydroxychloroquine continue to face obstacles obtaining their medication due to increased demand for the drug as a potential COVID-19 treatment. Despite studies casting doubt on the Read More
The authors of this paper argue that advance care planning and discussing goals of care are of heightened importance  for patients with chronic, life-limiting disease, due to COVID-19 for three reasons: 1) It is an ethical imperative to avoid providing Read More
Published on :  | By Daniel Orenstein

Ethics, Law & Policy Roundup: Space, Staff, and Supplies

TESTING: Tennessee is taking a bold approach to testing for COVID-19, making testing available to any person who wants it, even without symptoms or specific exposure risks. Test shortages have led most states to limit availability, but Tennessee’s approach has Read More
Published on :  | By Daniel Orenstein

Ethics, Law & Policy Roundup: Resource Allocation and Triage

Resource allocation and disability rights: Growing consensus against categorical exclusions There is growing consensus among ethical, legal, health policy experts that protocols for triage or allocation of scarce resources during a public health emergency must be improved to ensure they Read More
Published on :  | By Daniel Orenstein

Ethics, Law & Policy Roundup: Health Care Workforce

Ethical Challenges: Protecting patients and providers The COVID-19 pandemic poses significant ethical challenges for health care professionals, including nurses, who represent the largest share of the global health care workforce. While facing the danger of infection is an accepted part Read More
Below is a roundup of some recent developments with law and ethics themes related to the enforcement of public health authority during the pandemic, vulnerable populations, and states reopening. The Americans with Disabilities Act & HIPAA do not bar businesses Read More
This New England Journal of Medicine article argues that “color-blind” crisis standards of care (CSC) plans fail to account for disproportionate burdens on communities of color and risk exacerbating existing health inequities. Existing state CSC plans often explicitly reject consideration Read More
This article assesses ethical challenges during a public health emergency that necessitates shifting from optimizing care for every individual to care that saves the most lives. The article focuses on three ethical problems from the perspective of cardiovascular care: halting Read More
This article reviews existing guidance for ICU triage decisions during a public health emergency that overwhelms available ICU capacity and proposes an algorithm intended to facilitate rapid implementation and assessment. The authors propose a triage algorithm intended to prioritize saving Read More
This article is a companion manuscript to the American Geriatrics Society (AGS) official position statement on resource allocation strategies and age-related considerations, developed by the AGS Ethics Committee in collaboration with others. The AGS position statement relies on a view Read More

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