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COVID-19 大流行中的年龄歧视:分诊决策及其他方面的基于年龄的歧视。

Ageism in the COVID-19 pandemic: age-based discrimination in triage decisions and beyond.

机构信息

Department of Philosophy 1 and FiloLab-UGR Scientific Unit of Excellence, University of Granada, Granada, Spain.

出版信息

Hist Philos Life Sci. 2021 Jul 13;43(3):91. doi: 10.1007/s40656-021-00441-3.

Abstract

Ageism has unfortunately become a salient phenomenon during the COVID-19 pandemic. In particular, triage decisions based on age have been hotly discussed. In this article, I first defend that, although there are ethical reasons (founded on the principles of benefit and fairness) to consider the age of patients in triage dilemmas, using age as a categorical exclusion is an unjustifiable ageist practice. Then, I argue that ageism during the pandemic has been fueled by media narratives and unfair assumptions which have led to an ethically problematic group homogenization of the older population. Finally, I conclude that an intersectional perspective can shed light on further controversies on ageism and triage in the post-pandemic future.

摘要

不幸的是,在 COVID-19 大流行期间,年龄歧视已成为一个突出的现象。特别是,基于年龄的分诊决策引起了激烈的讨论。在本文中,我首先辩护说,尽管在分诊困境中考虑患者的年龄有伦理上的原因(基于利益和公平原则),但将年龄作为一种分类排除是一种不合理的年龄歧视做法。然后,我认为大流行期间的年龄歧视是由媒体叙事和不公平的假设所推动的,这些假设导致了老年人在伦理上存在问题的群体同质化。最后,我得出结论,交叉视角可以为后疫情时代的年龄歧视和分诊的进一步争议提供启示。

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