Thursday, April 30, 2020

COVID-19, rationing and the question of age

Discussions about the role that age should or should not play when allocating medical resources during the COVID-19 crisis have been deeply revealing. Probably no bioethicist would come out in favor of basing such decisions simply on (older) age, though there is no problem finding such opinions on Twitter. But many bioethicists heavily rely on likelihood of recovery and number of years of life expected post-treatment in their favored allocation schemes, which in the context of COVID-19 will frequently come down to the same thing. In addition, constructs like the 'life cycle' or the 'fair innings' view are often sprinkled into the decision-making recommendations, i.e. the idea that all other things being equal, resources like mechanical ventilation should be given to those who have not yet been able to enjoy all stages in life's course. It is probably safe to say that, in most influential bioethics allocation schemes, age is not your friend.

These ways of thinking about age and rationing have been defended by prominent bioethicists for years, pre-COVID. Some of their limitations have been pointed out over the years, and in the wake of COVID-19, they are being pointed out again. As Harald Schmidt writes in the New York Times, despite the appearance of impartiality and equity, the criteria of likelihood of recovery and number of years of life expected post-treatment in fact biases access to medical care against those in society whose infected bodies were already compromised by racial, class and other factors. In addition, the idea of making decisions that favor youth over the aged on the basis of 'fair innings' is problematic for similar reasons. Just because a person is old does not mean that they had a good time of it: this confuses quality and quantity. Those who have suffered from systemic discrimination throughout their lives have had 'unfair innings'. And now, on top of all that, they are accorded less priority for medical resources during a pandemic, because they had the audacity to stick around. The common thread here is that commonly promoted allocation criteria fail to acknowledge how their implementation could compound existing social injustice.

But there is also something else. These allocation criteria are commonly promoted as if they are obvious and universally accepted. But there are good reasons to question this, as Nancy Jecker points out in a recent article in The Hastings Center Report (#behindapaywallgoddammit). Moral standing associated with age differs in different cultural contexts. In some countries, youth are favored over those who are old for a number of reasons, including the idea that youth are or are potentially 'more productive' than those who are old. Such countries tend towards a 'hourglass' conception of the life course, i.e. that your moral status gradually diminishes over time, which is supposed to explain why the death of a child is more tragic than the death of an older person. But in other contexts have alternative conceptions of the life course and aging where, if anything, some societies tend to discriminate against the young, and understand the moral importance of a person as something that grows over time and in that person's relationships with others. From this perspective, an older person is not someone lacking in utility whose allotment of time is running out, but someone who has gradually accumulated worth ('become more human') in the community.

There is no way of determining which conception of aging and moral standing is 'correct'. The point here is rather that criteria commonly proposed for the allocation of scarce medical resources in prestigious journals by prominent bioethicists during the COVID-19 crisis carry with them a number of underlying cultural assumptions. Making life-altering decisions on their basis may appear perfectly appropriate in some contexts, but expecting one size to fit all is unreasonable. And this matters in a global pandemic.

Labels: , , ,

31 Comments:

Blogger Mod Go said...

putlocker

4:24 AM  
Blogger Term Paper Writing Services said...

Professional Human Resource Writing Services is very popular for students in search of human resource case study writing services and human resource research paper services.

4:58 AM  
Blogger Term Paper Writing Services said...

Religion coursework writing services are very common nowadays since there are very many students seeking Religion Assignment Writing Services and religion essay writing services.

5:01 AM  
Blogger fullassignment said...

At fullassignment we offers for all kinds of Marketing Assignments for college and university students. We provide specific topic as Integrated Marketing Comlmunication and Get Sales and Promotion at fullassignment.com from our expert. We have best team of experts for Help with Marketing Case Studies .
For more info please visit our website: https://fullassignment.com/
WhatsApp : +1-6692714848

6:38 AM  
Blogger محمد على said...


شركة تنظيف شقق بالرياض
شركة تنظيف موكيت بالرياض
شركة تنظيف واجهات زجاج بالرياض
شركة تنظيف مكيفات بالرياض
شركة تنظيف كنب بالرياض
افضل شركة تنظيف مجالس بالرياض

11:45 AM  
Blogger fullassignment said...

Documents, Quizzes, and Surprise Tests avalable on Assignment Help . This is the main reason why most students search for Assignment Help Online over the internet and choose only the most non-plagiarized and trusted Finance Assignment Help .

2:48 AM  
Blogger Smart Research USA said...

Why struggle to finish your Literature assignments while you can get Literature Review Assignment Help from our professional writers? You can also order for Literature Review Writing Services from our Best writers. You can also purchase Pre-written Research Papers that will exceed your expectation.

2:30 PM  
Blogger HOT AND SEXY INDEPENDENT ESCORTS IN LUCKNOW said...

THANK YOU FOR VISITING MY WEBSITE:-
russian escorts in gurgaon
housewife escorts in gurgaon
gurgaon escort services
gurgaon escorts
escorts in gurgaon
escort services in gurgaon
gurgaon call girls
call girls in gurgaon

12:38 AM  
Blogger shopify said...

We likewise offer a professional team of support. It’s available day and night. Do My College Assignment For Me

6:57 AM  
Blogger amarasmith said...

Thanks for sharing the blog it's very useful and informative. You also explained the topic very well. For any requirement of Geometry Assignment Help in Canada, you can connect with LiveWebTutors and find the best solutions to submit your assignment with premium writing quality.

1:12 AM  
Blogger jan said...

Thanks for the great content sir .i will also share with my friends & once again Thanks a Lot.

Buy Cenforce 25mg,50mg, 100mg, 120mg,150mg, 200mg, Professional, Soft And FM tablets Generic drug of Sildenafil online at a cheap price from the most trusted Website to cure Erectile Dysfunction.
Get all info about this medicine like use, dosage (missed/over), Precautions, Substitutes, the review, how long does the last Composition, side effect, manufactured by Centurion Laboratories Pvt.
Ltd, how it works, and many more. You can also get speedy delivery in the UK, USA medipharmas.shop
cenforce-200mg
cenforce-150mg
cenforce-120mg
cenforce-100mg
cenforce-50mg
cenforce-25mg
cenforce-professional
cenforce-fm100mg

1:00 AM  
Blogger jan said...

Thanks for the great content sir .i will also share with my friends & once again Thanks a Lot.

The World's Trusted Online Pharmacy Stores for Australia,USA, UK, Canada and EU .Buy Generic Medicine We offer wide range of Generic Product with quality.

actilis-generic-cialis

agra-100mg

agra-50mg

alpostin-injection

alsigra-100mg

apcalis-oral-jelly-tadalafil

5:39 AM  
Blogger jan said...

Thanks for the great content sir .i will also share with my friends & once again Thanks a Lot.

The World's Trusted Online Pharmacy Stores for Australia,USA, UK, Canada and EU .Buy Generic Medicine We offer wide range of Generic Product with quality.

actilis-generic-cialis

agra-100mg

agra-50mg

alpostin-injection

alsigra-100mg

apcalis-oral-jelly-tadalafil

6:22 AM  
Blogger jan said...

Thanks for the great content sir .i will also share with my friends & once again Thanks a Lot.

The World's Trusted Online Pharmacy Stores for Australia,USA, UK, Canada and EU .Buy Generic Medicine We offer wide range of Generic Product with quality.

aspadol-100mg-tapentadol

avana-50mg

cenforce-130mg

cernos-gel

cialis-generic-10mg-tadalafil

cialis-generic-2-5mg-tadalafil

cialis-generic-40mg-tadalafil

cialis-generic-5mg-tadalafil

12:46 AM  
Blogger Indian Home Decorative said...

Thanks for sharing about Hanging Planters. You Content is really informative us.......
Hanging Planter
Wall Hanging Planter

6:12 AM  
Blogger Unknown said...

We work with a team of professionals who are licensed, insured, certified, and dedicated to showing quality work in the landscape so that your property looks best and stands out. Our team is efficient, and our measures effectively ensure the safe delivery of the work systems. Click here Landscaping Services in california

2:27 PM  
Blogger jan said...

Thanks for the great content sir .i will also share with my friends & once again Thanks a Lot.

The World's Trusted Online Pharmacy Stores for Australia,USA, UK, Canada and EU .Buy Generic Medicine We offer wide range of Generic Product with quality.

duoble-force-100mg

duralast-dapoxetine

edalis-10mg

edalis-20mg

edegra-100mg

efil-10mg

1:24 AM  
Blogger Unknown said...

i read your blog its have good stuff. i really like it and its was informative. keep sharing this type of post. Click Here home inspections katy tx

12:58 PM  
Blogger jan said...

Thanks for the great content sir .i will also share with my friends & once again Thanks a Lot.

The World's Trusted Online Pharmacy Stores for Australia,USA, UK, Canada and EU .Buy Generic Medicine We offer wide range of Generic Product with quality.

efil-2-5mgs

efil-5mg

eli-20mg-tadalafil

enthusia-100mg

enthusia-50mg

eunice-100mg

5:26 AM  
Blogger jan said...

Thanks for the great content sir .i will also share with my friends & once again Thanks a Lot.

The World's Trusted Online Pharmacy Stores for Australia,USA, UK, Canada and EU .Buy Generic Medicine We offer wide range of Generic Product with quality.

efil-2-5mgs

efil-5mg

eli-20mg-tadalafil

enthusia-100mg

enthusia-50mg

eunice-100mg

6:00 AM  
Blogger Riya Rai said...

I like reading through a post that will make people think. Also, thanks for allowing me to comment!
Dwarka Escorts
Dwarka Escorts

1:42 AM  
Blogger Jason Bennett said...

I Finally Got Helped  !! I'm so excited right now, I just have to share my testimony on this Forum.. The feeling of being loved takes away so much burden from our shoulders. I had all this but I made a big mistake when I cheated on my wife with another woman  and my wife left me for over 4 months after she found out..  I was lonely, sad and devastated. Luckily I was directed to a very powerful spell caster Dr Emu who helped me cast a spell of reconciliation on our Relationship and he brought back my wife and now she loves me far more than ever.. I'm so happy with life now. Thank you so much Dr Emu, kindly Contact  Dr Emu Today and get any kind of help you want.. Via Email emutemple@gmail.com or Call/WhatsApp cell number  +2347012841542 Website (https://emutemple.wordpress.com/)

7:58 AM  
Blogger دارلفیحا نقل اثاث said...

نقل اثاث العین

8:59 PM  
Blogger abc assignment help said...

The assignment help given by our devoted authors are of premium and high caliber. If you need assignment help Australia, get in touch with ABCAssignmentHelp. The assignments prepared by our dedicated writers are of premium and high quality. Avail the assignment help and get the desired results even at the last moment.

1:55 AM  
Blogger Caillo Lisa said...

This is another testimony on how Chief Dr Lucky cured my HIV disease. Do you need a cure for your HIV disease? Do you want to be cured from your cancer disease? Or you want to be free from any type of disease. Kindly visit his website https://chiefdrluckyherbaltherapy.wordpress.com/ . He just cured my HIV disease and I’m very grateful to him, he is the only herbalist that can cure you.  
WhatsApp number : +2348132777335 
Via Email : chiefdrlucky@gmail.com
Thank you all for reading,
God bless"

4:58 PM  
Blogger wills flake said...

Best Assignment Expert's provide you the Best Assignment Help within your budget.

5:31 AM  
Blogger amazon prime video tv shows said...

visit |
visit |
visit |
visit |
visit |
visit |
visit |
visit |
visit |

5:10 AM  
Blogger Anonymous said...

DR EMU WHO HELP PEOPLE IN ANY TYPE OF LOTTERY NUMBERS

It is a very hard situation when playing the lottery and never won, or keep winning low fund not up to 100 bucks, i have been a victim of such a tough life, the biggest fund i have ever won was 100 bucks, and i have been playing lottery for almost 12 years now, things suddenly change the moment i came across a secret online, a testimony of a spell caster called dr emu, who help people in any type of lottery numbers, i was not easily convinced, but i decided to give try, now i am a proud lottery winner with the help of dr emu, i won $1,000.0000.00 and i am making this known to every one out there who have been trying all day to win the lottery, believe me this is the only way to win the lottery.

Contact him on email Emutemple@gmail.com
What's app +2347012841542
Https://emutemple.wordpress.com/

Https://www.facebook.com/104891335203341/

1:03 PM  
Blogger Unknown said...

Corona virus is highly effected on health and wealth. Covid 19 totally disturb international system. Moreover laser cut locksmith near me provide the best locksmith services. Our trained mobile car locksmith technicians are ready to perform any types of service

3:29 PM  
Blogger MATINA said...


I was diagnosed as HEPATITIS B carrier in 2013 with fibrosis of the
liver already present. I started on antiviral medications which
reduced the viral load initially. After a couple of years the virus
became resistant. I started on HEPATITIS B Herbal treatment from
ULTIMATE LIFE CLINIC (www.ultimatelifeclinic.com) in March, 2020. Their
treatment totally reversed the virus. I did another blood test after
the 6 months long treatment and tested negative to the virus. Amazing
treatment! This treatment is a breakthrough for all HBV carriers.

4:04 PM  
Blogger Thomas55 said...

Decent post! It's truly fascinating. The thoughts were acceptable and supportive to us. Although it requires services like Assignment Writing Services UK to maintain the quality of your writing

7:30 AM  

Post a Comment

<< Home