Commentary: Can you be denied a kidney because you’re not vaccinated against COVID-19?

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Vaccination improves clinical outcomes of organ donation, but vaccine requirements for transplants might lead us down a slippery slope of inequality, says bioethicist Michael Wee.

DURHAM, United Kingdom: Last month, a health system in Colorado, United States, told a woman she’d be removed from the kidney transplant waitlist, if she refused to get a COVID-19 vaccine, according to a New York Times story.

Ordinarily, hospitals prioritise patients based on urgency and need. This is equitable, respectful of everyone’s equal worth and allows medicine to do its job of saving lives without favour or discrimination.with a sprained foot will keep you in the waiting room longer than someone wheeled in unconscious with a stroke.

Furthermore, transplantation is a major surgical procedure with risks, such as organ rejection. Hence, we could think of organ allocation as a special case, where a patient’s ability to benefit relative to others should be considered as one criterion among others. How have hospitals been dealing with the COVID-19 surge in Singapore? Listen to two doctors discuss the situation on CNA's Heart of the Matter:

This concern was particularly pronounced in the UK when care homes were found to have placed blanket “Do Not Resuscitate” orders on whole groups of patients without individual assessment or consultation. Many feared they would be sacrificed to avoid straining healthcare resources. For instance, there is already discussion among US doctors about refusing to treat unvaccinated COVID-19 patients, because it is their own fault for not protecting themselves.

 

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You should be denied a sandwich if you're not vaxxed, never mind a kidney.

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