By Angela Wentz Faulconer. More than 625,000 people in the United States and over 4.4 million people worldwide have died from Covid-19. As the Delta variant surges, many hospitals find themselves caring for patients in hallways, with no ECMO available and every ICU bed taken. A growing number of physicians have suggested that as hospitals become overwhelmed, we might weigh vaccination status as […]
Category: Pandemic
Social, ethical, and behavioral factors that influence COVID-19 outcomes in medically underserved rural populations: Through the lens of narrative bioethics
By Sara K Shaw Green and Claudia R Baquet. The impact of COVID-19 on the United States has been and continues to be devastating. While the scientific community has advanced research to identify and combat the SARS-CoV-2 virus at an astounding rate, data continue to emerge that reflect how COVID-19 continues to disproportionately impact our […]
Coercive vaccination: using the ‘seat belt analogy’ is not effective
By Iñigo de Miguel Beriain. The debate about coercive vaccination is gaining intensity in most Western countries. One of the arguments that have been put forward in recent days in support of coercive vaccination has been that of the ‘seat belt analogy (SBA)’, originally proposed by Giubilini and Savulescu. This argument states that, since the […]
Boosters’ global ethics
By Ezio Di Nucci. Make no mistake: boosters work – if ‘working’ means significant reduction in infection, hospitalization, and death in those individuals who receive third doses of an mRNA COVID-19 vaccine. The data out of Israel is so obvious even philosophers can read it. Let us therefore not confuse calls to avoid or delay […]
Vaccination, uncertainty, and the right to take risks
By Pei-hua Huang. Earlier this year, some patients developed a very rare and severe form of blood clot after receiving Covid-19 vaccines produced by AstraZeneca. The report prompted several countries to suspend the use of the AstraZeneca vaccines. The European Medicines Agency also stepped in and launched an investigation. We still don’t have a complete […]
Are the Unvaccinated Unwittingly Enrolled into a Human Challenge Trial?
By Rafael Escandon. Dr. Walter Reed, between 1900-1901 designed and supervised a Human Challenge Trial (HCT) in Cuba in the search for the causative agent of yellow fever. While the 3 phases of Dr. Reed’s HCT were definitive in their establishment that yellow fever was transmitted via a mosquito-borne vector, ethical questions over the methods, […]
COVID certificates do not pose dilemmas: they pose challenges (and discussion will only work well if we understand it)
By Iñigo de Miguel Beriain The progressive imposition of the so-called COVID certificates over the course of 2021 has brought an enormous controversy. In some countries, such as France, there have even been massive public protests against them. Analyses of public attitudes towards certification show a high degree of social polarization. A significant minority of […]
The ethical pitfalls of prioritising healthcare workers for ventilators during Covid-19
By Lois Shepherd, Donna T. Chen, Jordan Taylor, Mary Faith Marshall Early in the Covid-19 pandemic hospitals and health systems scrambled to create and adopt guidelines for rationing critical care resources in the event of scarcity. A major focus of those guidelines was how to allocate ventilators—namely, who would get a hospital’s last ventilator when […]
What is Cultural Safety and how could it dissolve structural racism in the UK?
By Amali U Lokugamage Elizabeth(Liz) Rix, Tania Fleming, Tanvi Khetan, Alice Meredith, and Carolyn Ruth Hastie. The global pandemic and the BlackLivesMatter movement have highlighted systemic racism as a driver of health inequities for ethnic minorities in the United Kingdom. So how should we upend this pervasive discrimination and critically yet constructively examine this from […]
Balancing speed and equity in the rollout of COVID-19 vaccines
By Maxwell J. Smith COVID-19 vaccines are in limited supply, and so it’s crucial that their harm-reducing powers are deployed strategically. This likely requires two things: (1) prioritizing vaccines to those at greatest risk of mortality, hospitalization, transmission, and/or infection; and (2) administering vaccinations as rapidly as possible. Yet, it is sometimes not possible to […]