Macklin Ruth
Distinguished University Professor Emerita, Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY 10461 USA.
Indian J Med Ethics. 2020 Apr-Jun;V(2):95-98. doi: 10.20529/IJME.2020.038.
I live in New York City, identified as the epicenter of the Covid-19 pandemic. My view differs from that of many of the millions living in this large metropolitan area who are poor. I am not rich, but I am privileged: I have a retirement income for which I have saved all my working life and I have no debts. I am isolated in my apartment having food delivered. But what if I require hospitalization, from Covid-19 or another medical condition? New York State has guidelines for allocation of scarce ventilators in times of scarcity. The guidelines reject advanced age as a criterion for triage because it discriminates against the elderly. Other proposals contend that priority should be given to those who have not yet ;lived a full life. Allocation guidelines set a priority on saving the most lives, but hard choices remain within that broadly defined goal. Key words: Covid-19 pandemic, New York epicenter, resource allocation, age-based selection, shortage of ventilators, triage committee.
我生活在纽约市,这里被认定为新冠疫情的震中。我与生活在这个大都市地区的数百万贫困人口中的许多人的观点不同。我并不富有,但我享有特权:我有退休金,这是我一生工作积攒下来的,而且我没有债务。我独自待在公寓里,让人送食物。但如果我因感染新冠病毒或其他疾病需要住院治疗呢?纽约州有在资源稀缺时分配稀缺呼吸机的指导方针。这些指导方针拒绝将高龄作为分诊标准,因为这对老年人有歧视性。其他提议主张,应该优先考虑那些尚未过上充实生活的人。分配指导方针将拯救最多生命作为优先事项,但在这个宽泛定义的目标范围内,艰难的抉择仍然存在。关键词:新冠疫情、纽约震中、资源分配、基于年龄的选择、呼吸机短缺、分诊委员会。