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May 21, 2020

Re-Opening the Nation:
Should We Turn to Immunity Testing?

Register for a new Hastings Conversation, “Re-Opening the Nation: Should We Turn to Immunity Testing?” which will take place on Thursday, May 28, at 11 am Eastern time. Some suggest using immunity certification as a path to return to some sense of normalcy. Despite unclear science, companies are racing ahead with the creation of digital immunity tools, so we must consider the consequences now. Will they work? What are the risks? Will we create a divide between the “immunity-haves” and “have-nots”? The virtual discussion, the third in the Hastings Conversation series, will feature Francoise Baylis, University Research Professor at Dalhousie University; Dakota Gruener, executive director of ID2020 Alliance; and Mildred Solomon, president of The Hastings Center. Learn more and register.
 

Covid-19 Crisis Triage--Optimizing Health Outcomes and Disability Rights

Writing in the New England Journal of Medicine this week, Hastings Center president Mildred Solomon and two Hastings Center fellows address concerns that crisis triage protocols aimed at allocating scarce health care resources to save the most lives could be biased against people with disabilities. Their article demonstrates that triage protocols can both save lives and protect core values, such as the equal moral worth of all people. The co-authors are Matthew Wynia, of University of Colorado Anschutz Medical Campus, and Lawrence O. Gostin, of Georgetown Law School. Solomon summed up the rationale for writing the paper: “Discrimination against the disabled in health care is well documented, so it behooves us to ensure that triage protocols do all they can to avoid bias. At the same time, responsible health systems and health leaders do the nation a service by anticipating the potential, tragic need for these protocols and working to design them as responsibly as possible.” Read the article for free.
 

In the Media: Covid-19 Is "Testing Our Morals," Facing a Second Wave

Hastings Center president Mildred Solomon was a guest on Minnesota Public Radio’s “News with Kerri Miller,” discussing the ways in which Covid-19 is testing our morals. How, for example, do we weigh the economic and health risks in determining when and how to ease restrictions? “I don’t think we should frame it as the economy versus our health; in fact, they’re intertwined,” she said, going on to call for focusing on the testing and contact tracing needed to re-open safely. Listen to the show.

In an interview with USA Today, Hastings Center research scholar Nancy Berlinger said that America is not ready for a second wave of Covid-19 “because we were not prepared for the first.”  While the pandemic has created wrenching dilemmas for leaders, she said daily personal decisions such as social distancing also fall within the ethical prism, and selfishness may empower pandemic to take more lives. “It’s about the moral choices each and every one of us make,” she said. “I hope we will in every way possible have a stronger sense of who our neighbor is, who our fellow citizen is.” Read the article.

Berlinger was also part of a virtual roundtable on "NJ Spotlight," a TV show that explored a range of medical ethics issues during Covid-19. Berlinger observed that many areas are moving  from the emergency phase of the pandemic to what she called the chronic phase. “It’s not over once an area has passed its peak,” she said. “We’re having a crash course in public health ethics. We’re thinking about individual patients, public health needs, and how inequalities shape health outcomes.” Watch the show.
 
 

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