Ethical Challenges Arising in the COVID-19 Pandemic: An Overview from the Association of Bioethics Program Directors (ABPD) Task Force. Issue 7 (2nd July 2020)

• Record Type: Journal Article
• Authors: McGuire, Amy L.; Aulisio, Mark P.; Davis, F. Daniel; Erwin, Cheryl; Harter, Thomas D.; Jagsi, Reshma; Klitzman, Robert; Macauley, Robert; Racine, Eric; Wolf, Susan M.; Wynia, Matthew; Wolpe, Paul Root
• Is Part Of: American journal of bioethics. Volume 20:Issue 7(2020)
• Page Start: 15
• Page End: 27
• Publication Date: 2020-07-02
• Subjects: Decision making -- end-of-life issues -- health care delivery -- health policy -- public health -- rationing/resource allocation; Bioethics -- Periodicals; Medical ethics -- Periodicals; 174.957
• DOI: 10.1080/15265161.2020.1764138
• Languages: English
• ISSNs: 1526-5161

Abstract

Abstract: The COVID-19 pandemic has raised a host of ethical challenges, but key among these has been the possibility that health care systems might need to ration scarce critical care resources. Rationing policies for pandemics differ by institution, health system, and applicable law. Most seem to agree that a patient's ability to benefit from treatment and to survive are first-order considerations. However, there is debate about what clinical measures should be used to make that determination and about other factors that might be ethically appropriate to consider. In this paper, we discuss resource allocation and several related ethical challenges to the healthcare system and society, including how to define benefit, how to handle informed consent, the special needs of pediatric patients, how to engage communities in these difficult decisions, and how to mitigate concerns of discrimination and the effects of structural inequities.