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. 2020 Oct;110(10):1523-1527.
doi: 10.2105/AJPH.2020.305837. Epub 2020 Aug 20.

Disability, Ethics, and Health Care in the COVID-19 Pandemic

Maya Sabatello  1 , Teresa Blankmeyer Burke  1 , Katherine E McDonald  1 , Paul S Appelbaum  1
Affiliations

Disability, Ethics, and Health Care in the COVID-19 Pandemic

Maya Sabatello et al. Am J Public Health. 2020 Oct.

Abstract

This article considers key ethical, legal, and medical dilemmas arising for people with disabilities in the COVID-19 pandemic. We highlight the limited application of existing frameworks of emergency planning with and for people with disabilities in the COVID-19 pandemic, explore key concerns and issues affecting the health care of people with disabilities (i.e., access to information and clinician-patient communication, nondiscrimination and reasonable accommodations, and rationing of medical goods), and indicate possible solutions. Finally, we suggest clinical and public health policy measures to ensure that people with disabilities are included in the planning of future pandemic-related efforts.The devastation evoked by the COVID-19 pandemic raises challenging dilemmas in bioethics. It also speaks to social justice issues that have plagued historically marginalized communities in the United States.Responses to the pandemic must be bound by legal standards, principles of distributive justice, and societal norms of protecting vulnerable populations-core commitments of public health-to ensure that inequities are not exacerbated, and should provide a pathway for improvements to ensure equitable access and treatment in the future.

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References

    1. Health Resources and Services Administration, Maternal and Child Health Bureau. Child Health USA 2014. Rockville, MD. US Department of Health and Human Services; 2014.
    1. Disability impacts all of us. 2015. Available at: https://www.cdc.gov/ncbddd/disabilityandhealth/documents/disabilities_im.... Accessed April 27, 2020.
    1. Krahn GL, Walker DK, Correa-De-Araujo R. Persons with disabilities as an unrecognized health disparity population. Am J Public Health. 2015;105(suppl 2):S198–S206. - PMC - PubMed
    1. Centers for Disease Control and Prevention. Coronavirus disease 2019 (COVID-19). People with disabilities. 2020. Available at: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-.... Accessed May 24, 2020.
    1. Yee S, Breslin ML, Goode TD . Compounded Disparities: Health Equity at the Intersection of Disability, Race, and Ethnicity. Washington, DC: The National Academies of Sciences, Engineering and Medicine; 2018.

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