Triage of critical care resources in COVID-19: a stronger role for justice
- PMID: 32546657
- PMCID: PMC7316108
- DOI: 10.1136/medethics-2020-106320
Triage of critical care resources in COVID-19: a stronger role for justice
Abstract
Some ethicists assert that there is a consensus that maximising medical outcomes takes precedence as a principle of resource allocation in emergency triage of absolutely scarce resources. But the nature of the current severe acute respiratory syndrome-related coronavirus 2 pandemic and the history of debate about balancing equity and efficiency in resource allocation do not support this assertion. I distinguish a number of concerns with justice and balancing considerations that should play a role in critical care triage policy, focusing on discrimination and on fundamental egalitarian and social justice concerns.
Keywords: distributive justice; public health ethics; resource allocation.
© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.
Conflict of interest statement
Competing interests: None declared.
Comment on
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Fair Allocation of Scarce Medical Resources in the Time of Covid-19.N Engl J Med. 2020 May 21;382(21):2049-2055. doi: 10.1056/NEJMsb2005114. Epub 2020 Mar 23. N Engl J Med. 2020. PMID: 32202722 No abstract available.
References
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- NICE Social value judgments: principles for the development of NICE guidance. 2nd Edn, 2008.
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