What does good care look like in a pandemic? A Statement of Principles for Residential Care Settings

By Michael Dunn, Ann Gallagher and Nipa Chauhan   With each day that passes, the COVID-19 pandemic is changing many of the things that we have taken for granted in our daily lives. Nowhere is this more evident than in residential settings – care homes and nursing homes – responsible for supporting, and providing care […]

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COVID-19 and health workers’ rights in Africa: the duty to treat or not to treat?

By Adaeze Aniodoh “The public’s and the health workers’ concerns are not mutually exclusive; the goal is safety and fairness for all. Patients have a right to be protected. Health workers also have rights, and when infected they become patients.” Recently the world has come to shock as the World Health Organisation declared COVID-19 ‘a […]

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Lack of leadership to limit “futile” end-of-life care leaves Canada hamstrung in COVID-19 pandemic

By Lucas Vivas and Travis Carpenter The COVID-19 pandemic has shed a light on many of the strengths and weaknesses of the world’s public health systems. In Canada, where the national health care system was stretched even before the expected COVID-19 surge, a conversation has begun about the need to direct health care resources to […]

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Should culpability or negligence of the patient affect triage decisions? A question the state needs to answer for healthcare professionals

By Nikunj Agarwal Triage decision and value judgments Value judgments about justice or fairness are neither easy nor conclusive. However, this does not prevent value judgments from being made on a daily basis. When a judge attempts to determine the culpability of an accused, the procedural and evidentiary rules assist her in making those value […]

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Is it ethical to forcibly withdraw ventilators from nursing home patients for reallocation to Covid-19 patients?

By: Andrew Peterson, Adrian M. Owen, Charles Weijer. In the race to save lives in the Covid-19 pandemic, we must not sacrifice those most vulnerable. Covid-19 kills not only by attacking the respiratory system, but also by attacking the health care system. Overwhelmed ICUs may not have enough ventilators for patients in respiratory distress. The […]

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Withdrawing ventilators during the COVID-19 pandemic: When is it justified?

By Jeremy Davis. One of the most concerning aspects of our current crisis is the massive shortage of mechanical ventilators. Such scarcity has already led to rationing in some places; elsewhere, rationing will soon be unavoidable. This raises difficult ethical questions, perhaps the most central and urgent of which is: Which patients should we prioritize? […]

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