Sunday, January 23, 2022

Ed Yong / The Atlantic

Omicron is pushing hospitals to their limit, but the medical system still has an ethical responsibility to all patients—no matter the choices they make.

[M]edical care should be offered according to the urgency of a patient’s need, not the circumstances leading up to that need. People whose actions endangered themselves, like smokers with lung cancer or drivers who crash while not wearing a seatbelt, still get treated. Those whose actions endangered others, like drunk drivers or terrorists, also get treated. “We are all sinners,” Carla Keirns, a professor of medical ethics and palliative medicine at the University of Kansas Medical Center, told me. “No one has made all the perfect decisions, and any of us could find ourselves in a situation where we are sick.” It is a fundamental principle of modern medicine that “everyone has an equal claim to relief from suffering, no matter what they’ve done or haven’t done,” Daniel Goldberg, a medical historian and public-health ethicist at the University of Colorado, told me.

. . . [T]he most privileged people usually benefit when care is allocated. 

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