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1.
Disabil Health J ; : 101374, 2022 Sep 02.
Article in English | MEDLINE | ID: covidwho-2007649

ABSTRACT

The ongoing novel coronavirus 2019 (COVID-19) pandemic has had considerable effects on the disability community. As the pandemic has progressed and changed, the manifestations of these effects have differed, and yet the underlying causes-ableism including the devaluation of disabled lives-have remained consistent. In this commentary, we explore the impact of the pandemic on the disability community in the United States, conceptualizing four distinct but overlapping "waves" of discrimination: 1) healthcare rationing and missed opportunities for disability inclusion, 2) access to resources, supplies, and accommodations; 3) vaccine access; and 4) long COVID and disability identity. Throughout our discussion of these waves, we detail the discrimination faced by people with disabilities, the underlying ableism that perpetuates it, and the resilience shown by the disability community. We end with a call for combating systemic ableism in healthcare and public health systems.

2.
Am Psychol ; 76(3): 451-461, 2021 04.
Article in English | MEDLINE | ID: covidwho-1065804

ABSTRACT

The health threat posed by the novel coronavirus that caused the COVID-19 pandemic has particular implications for people with disabilities, including vulnerability to exposure and complications, and concerns about the role of ableism in access to treatment and medical rationing decisions. Shortages of necessary medical equipment to treat COVID-19 have prompted triage guidelines outlining the ways in which lifesaving equipment, such as mechanical ventilators and intensive care unit beds, may need to be rationed among affected individuals. In this article, we explore the realities of medical rationing, and various approaches to triage and prioritization. We discuss the psychology of ableism, perceptions about quality of life, social determinants of health, and how attitudes toward disability can affect rationing decisions and access to care. In addition to the grassroots advocacy and activism undertaken by the disability community, psychology is rich in its contributions to the role of attitudes, prejudice, and discriminatory behavior on the social fabric of society. We call on psychologists to advocate for social justice in pandemic preparedness, promote disability justice in health care settings, call for transparency and accountability in rationing approaches, and support policy changes for macro- and microallocation strategies to proactively reduce the need for rationing. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Subject(s)
COVID-19/therapy , Clinical Decision-Making , Disabled Persons , Health Care Rationing , Health Knowledge, Attitudes, Practice , Social Determinants of Health , Social Justice , Triage , Clinical Decision-Making/ethics , Health Care Rationing/ethics , Health Care Rationing/standards , Humans , Social Determinants of Health/ethics , Social Determinants of Health/standards , Social Justice/ethics , Social Justice/standards , Triage/ethics , Triage/standards
3.
Psychol Trauma ; 12(S1): S210-S211, 2020 Aug.
Article in English | MEDLINE | ID: covidwho-401283

ABSTRACT

Discriminatory and ableist health care rationing policies have raised serious concern in the disability community during the novel coronavirus pandemic. These concerns reflect the long-standing devaluation of disabled lives and place considerable weight on the disability community during this already stressful time. Nondisabled psychologists should work to advocate for the rights of people with disabilities by amplifying the voices and concerns of disabled activists so that history does not repeat itself. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Subject(s)
Coronavirus Infections , Disabled Persons , Health Care Rationing , Healthcare Disparities , Pandemics , Patient Advocacy , Pneumonia, Viral , Psychological Trauma/therapy , Social Discrimination , Adult , COVID-19 , Health Care Rationing/ethics , Humans
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