By Gabriela Arguedas Ramírez Pandemics are threshold situations that put our individual and collective convictions, priorities and capacities to the test. They test state institutions, the ethical principles that have guided the formation of public policy and the strengths and weaknesses of our social fabric. Pandemics are ethical-political issues and not simply medical or biological […]
Latest articles
Deciding who gets the ventilator: Will some lives be lost unlawfully?
By Kathleen Liddell, Jeffrey M. Skopek, Stephanie Palmer, Stevie Martin, Jennifer Anderson and Andrew Sagar. When Covid-19 patients reach the point of critical illness where ventilation is necessary, they tend to deteriorate quickly. They will die if they do not receive ventilation very soon. But ventilation is not a cure – it gives the patient’s […]
‘Your country needs you’: The ethics of allocating staff to high-risk clinical roles in the management of patients with COVID-19
By Michael Dunn, Mark Sheehan, Joshua Hordern, Helen Turnham and Dominic Wilkinson. As the COVID-19 pandemic impacts on health service delivery, health providers are modifying care pathways and staffing models in ways that require health professionals to be reallocated to work in critical care settings. Many of the roles to which staff are being allocated […]
What happens when a healthcare institution becomes a research subject?
By Jan Piasecki and Vilius Dranseika. Consider a hospital manager who works in a large hospital employing hundreds of medical professionals and receiving thousands of patients every day. When she is approached by a group of researchers, she faces a difficult decision. On the one hand, she and the staff of her hospital are committed […]
Advance euthanasia directives
By Jonathan A Hughes. The first doctor to have been prosecuted under the Dutch euthanasia law since it came into force in 2002 was recently acquitted by that country’s criminal court. Disturbing features of the case, in which a woman was euthanised on the basis of an advance euthanasia directive (AED), were reported and discussed […]
Why a relational account cannot rule out infanticide if abortion is permissible
By Bruce Blackshaw and Daniel Rodger It is widely recognised that late-term fetuses and infants differ little in features that are thought to be morally relevant such as consciousness and rationality. This poses a problem for ethicists who argue for the permissibility of abortion but wish to rule out infanticide. Some just bite the bullet—Alberto […]
Rewarding through prioritization: The limits of reciprocal obligation in allocating scarce medical resources in the COVID-19 crisis
By Thibaud Haaser In the face of the COVID-19 pandemic, health systems are under severe strain. Some countries are currently experiencing, or may experience within a few weeks, shortages of medical resources (in particular intensive care beds and mechanical ventilation). In this context, the health community may have to make impossible choices regarding the allocation […]
COVID-19 and vaccine ethics: pre-empting conscientious objection
By Helen Watt The race is on to produce a COVID-19 vaccine: teams are working hard and fast across the world. We all long to see a vaccine in record time – but must, of course, have an eye to ethics too. Debates on vaccine ethics tend to focus on risks, whether to participants in […]
The COVID19 pandemic and ethics through the eyes of women
By Pauline Capdevielle, Amaranta Manrique de Lara, María de Jesús Medina Arellano This year’s International Women’s Day was a historic occurrence in Mexico. Tens of thousands of women took to the streets on the eighth and then chose to vanish on the ninth. Each day in its own way, the so-called 8M and 9M were […]
ICU triage: How many lives or whose lives?
By Angela Ballantyne Bioethicists around the world have been asked to advise on the goals and methods of triage protocols. Estimates suggest 5% of COVID19 cases will require ICU care. The key ethical tension is between utility and equity. There are other relevant principles of fair allocation such as reciprocity for frontline workers who have […]