United States

This essay argues that DNR (do not resuscitate) status should not be considered as a factor in decisions to allocate scarce ventilators during a public health emergency. The authors note that some existing and proposed public health emergency resource allocation Read More
This article reports on revised state crisis standards of care (CSC) guidance from the Massachusetts Department of Public Health that addresses allocations of scarce critical care resources. As discussed in an earlier post, some lawmakers and advocates raised objections to Read More
This expert commentary addresses two key ethical issues facing healthcare professionals providing frontline care during the COVID-19 pandemic: allocation of scarce lifesaving resources and whether to respond despite risks involved. Regarding allocation of scarce resources, the article emphasizes first the Read More
With increasing tourism, it is important to educate rural mid-west healthcare professionals on travel medicine. This study presents a retrospective review of imported diseases seen at a referral center in rural Missouri. The authors examined retrospective data on demographic and Read More
This article reports on the absence of a state plan for allocating scarce resources during a public health emergency in Florida and the implications of a patchwork of approaches should rationing be necessary in response to COVID-19 case surge. According Read More
This article reports on a surge in demand and scarcity of supply for dialysis machines in New York hospitals to treat COVID-19 patients.   Most scarce resource allocation concerns regarding COVID-19 to date have focused on ventilators due to the Read More
This forthcoming article comprehensively reviews existing state crisis standards of care (CSC) guidelines based on guidance from the 2009 Institute of Medicine (IOM) Report and 2014 CHEST consensus statement. The authors conclude that 5 state plans include all 5 key Read More
This study found that during February 26–April 1, 2020, as cumulative cases increased and community mitigation policies were implemented, community mobility declined in four U.S.  in Seattle, San Francisco, New York City, and New Orleans. These temporal trend data provide Read More
This CDC report highlights geographic differences in COVID-19 cases, deaths, incidence, and changing incidence in the US between February 12 and April 7, 2020.  Approximately 396,000 COVID-19 cases and 12,800 related deaths were reported in the United States as of Read More
This blog from the Petrie-Flom Center’s Bill of Health argues that many state guidelines for the rationing of scarce resources during a public health emergency disadvantage and devalue the lives of persons with disabilities. Most scarce resource allocation guidelines prioritize Read More

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