Triaging During a Pandemic – Moral Debate

Triaging During a Pandemic – Moral Debate

Aspect 1. Canada is a rich nation, with many many hospitals, beds, ventilators and you’d hope that would mean anyone would get the care they need, right? But each wave has caught the govt and hospitals with their pants down.
You could be an idealist and say that everyone deserves care equally, but you don’t have the resources for that.
You need:

  • staff that are specially trained
    And each wave reduces the number of staff. Because they caught the virus, or they burned out.

…..

Aspect 2. With the fourth wave, we now have one of the highest world numbers of vaccinated people. (Approx 3/4 of the pop over 12 yrs of age are vaxxed) So the people who require most of these resources for virus mgmt are now unvaccinated people. Some of whom have shown they had every opp to get a vaccine, but chose alts like Ivermectin, gargling Betadine, Hydroxychloroquine…. multiple vitamin regimes…. and attended every rally going against masks, lockdowns, and vaccines.

…..

Aspect 3. But it is a public health crisis. And some of these people may be contagious. There is no alt plan for their mgmt, either to treat or at least to separate them from the people who do comply with pandemic protocol. So the hospitals full of staff who do know the precautions have become in effect the dumping grounds for deniers. Which has maxed out the resources yet again.

……

…..

Up against a patient who was having a heart attack, a stroke, needed a critical tumour cut out, had a car accident, was in a fire, had an insulin reaction and now need life support…..a mom &/or baby who didn’t process labour well. Someone who did all the right things, were compliant to their treatment regimes. But the ICU is full.

……

……

What does a doctor have to think about when they plan their use of ltd resources?

  • Who most needs it
  • Who is most likely to survive
  • What their quality of life will be
  • How much support will they need to cope, if/when they’re discharged (Is that support available where they live? Can they afford it?)
  • How much will that cost society
  • Is society likely to pay it (and let’s be honest, it doesn’t open it’s purse strings easily)

….

….

Aspect 4. If you needed a transplant, whether or not you’d comply with care and do your best to get better, or at least not sabotage the investment made in you is a critical factor for whether or not you receive the organ you need. If your home will be a safe place for you to recover. (How likely is it that a covid denier lives with a bunch of vaxxers? How often would they be re-infected?)

…..

Aspect 5. What risk are they to your staff? Because even though they do know how to take precautions, doctors and nurses have been dying from this virus,

……

So now you know what the issues are. And you know where the hot spots are and which hospitals near you even have a ventilator and an ICU. What is your answer if you were asked the question ‘who is your care priority?’

…..

And for the political POV, is your premier a Conservative? Because they don’t seem to be making good decisions re: pandemic response. Alberta is in crisis mode …. again. Because they wanted to step back to treating it like an endemic. O’Toole praised Kenney for his mgmt of Covid. As an BTW.

Leave a Reply

Please log in using one of these methods to post your comment:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s