Allocating Medical Resources in the Time of Covid-19. Reply

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Sturm College of Law


Critical care allocation, Rationing health resources, Public health


We absolutely agree with Brown and Goodwin that discrimination on the basis of race, wealth, disability, and other factors such as those they mention is wrong and should be prohibited in rationing decisions. We also agree that disabilities and illnesses that affect prognosis are different from those that do not affect prognosis. Any measure of prognosis must be based on empirical evidence rather than subjective intuition and quality-of-life judgments. We recommend the use of guidelines and triage committees to preclude the arbitrariness and bias endemic to improvised, bedside rationing.