Physicians, clerics and ethicists have debated for generations how to equitably allocate scarce resources in a time of crisis.
L.A. County has cautioned the 29 doctors who have been put on “standby” to act as triage officers to be mindful of potential bias or “preconceived notions of the quality of life for individuals” such as elderly and disabled people, according to a memo sent to county health employees in November. “If he were competing for resources with a 60-year-old, who was in very poor health, with advanced heart disease and diabetes, I’m not going to make that decision based on a single factor like age,” Patel said.
Several doctors who helped construct the guidelines said they emphasize an imperative that rightfully should guide medical care even in normal times but sometimes does not — that of providing only “beneficial care.” “We want to give everyone the benefit of the doubt and say, ‘Listen, this is someone who’s getting better or has a chance to get better, let’s keep doing everything that we can to get them back to where they were,’” Barot said.
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