Acknowledging the Burdens of 'Blackness'.
HEC Forum
; 33(1-2): 19-33, 2021 Jun.
Artículo
en Inglés
| MEDLINE | ID: covidwho-1118245
ABSTRACT
The novel coronavirus of 2019 exposed, in an undeniable way, the severity of racial inequities in America's healthcare system. As the urgency of the pandemic grew, administrators, clinicians, and ethicists became concerned with upholding the ethical principle of "most lives saved" by re-visiting crisis standards of care and triage protocols. Yet a colorblind, race-neutral approach to "most lives saved" is inherently inequitable because it reflects the normality and invisibility of 'whiteness' while simultaneously disregarding the burdens of 'Blackness'. As written, the crisis standards of care (CSC) adopted by States are racist policies because they contribute to a history that treats Black Americans are inherently less than. This paper will unpack the idealized fairness and equity pursued by CSC, while also considering the use of modified Sequential Organ Failure Assessment (mSOFA) as a measure of objective equality in the context of a healthcare system that is built on systemic racism and the potential dangers this can have on Black Americans with COVID-19.
Palabras clave
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Neumonía Viral
/
Negro o Afroamericano
/
Asignación de Recursos
/
Puntuaciones en la Disfunción de Órganos
/
Racismo
/
COVID-19
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
País/Región como asunto:
America del Norte
Idioma:
Inglés
Revista:
HEC Forum
Asunto de la revista:
Etica
/
Hospitales
/
Jurisprudencia
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
S10730-021-09444-w
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