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? […]
Latest articles
Be careful what you wish for: ICU is no panacea
By Angela Ballantyne, Wendy Rogers, Vikki Entwistle, Cindy Towns In current debates about allocation of scarce ICU resources, we suggest there is undue optimism about the ‘good’ of intensive care unit (ICU) access. Most critical COVID-19 patients who receive access to a ventilator will still die. The minority who survive will likely leave with significant […]
Consent in the time of COVID-19
By Helen Turnham, Michael Dunn, Guy Thornburn, Elaine Hill, Dominic Wilkinson Since the start of the COVID-19 pandemic, one widely discussed issue has been the diversion of medical systems to support patients with acute COVID-19 disease. This diversion inevitably reduces availability of routine and urgent treatments for non-COVID-related illness. Patients with acute surgical emergencies such […]
Extreme altruism in a pandemic
By Julian Savulescu and Dominic Wilkinson. Altruism is one person sacrificing or risking his or her own interests for another’s interests. Humans, like other animals, have a tendency towards altruism. This is usually directed to members of their own group. An example is donating a kidney to a family member. This is quite risky – […]
Key workers have a stronger claim to compensation and hazard pay for working during the COVID-19 pandemic than the Armed Forces do when on deployment
By Doug McConnell and Dominic Wilkinson. While the general public enjoy the relative safety of social distancing, key workers are at a higher risk of both contracting COVID-19 and transmitting it to their families. This is especially the case for ‘frontline’ workers who are frequently exposed to the virus and may not have access to […]
Oops! Mistakes and moral responsibility under COVID19
By Neil Pickering I’ve been pondering for some time about the use of the term ‘mistake’ to describe one’s actions, and this has been brought to the fore again by actions of government ministers during the COVID 19 pandemic. The BBC recently reported on the case of Dr Catherine Calderwood, Scotland’s chief medical officer. Calderwood […]
BMJ Covid 19 free access research archive
By John McMillan The BMJ has produced an archive that collects all the Covid 19 research that has appeared in BMJ journals. All Covid 19 research is being published as freely available and that includes papers published in the JME. We are expediting the review and production of Covid 19 papers. Several significant papers are […]
Why lock down of the elderly is not ageist and why levelling down equality is wrong
By Julian Savulescu and James Cameron. Countries all around the world struggle to develop policies on how to exit the COVID-19 lockdown to restore liberty and prevent economic collapse, while also protecting public health from a resurgence of the pandemic. Hopefully, an effective vaccine or treatment will emerge, but in the meantime the strategy involves […]
The challenge of providing personalized care under COVID-19
By Ludovica De Panfilis, Silvia Tanzi and Massimo Costantini. The world continues to face the COVID-19 outbreak. It has radically affected health care organizations, care approaches, clinical and ethical choices, the perception of death and dying process, and people’s daily lives. Italy is the first and one of the most affected countries in Europe. The […]
What the virtues have to offer in the midst of COVID-19
By Julian C. Hughes. Now more than ever, in the midst of the COVID-19 pandemic, we need the virtues and the insights that virtue ethics afford us. We have all read or heard the dilemma: there is a shortage of intensive care staff or beds so that triage must take place and doctors are placed […]