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April 15, 2021

Navigating Ethical Challenges Posed by "Family Clustering" during the Pandemic

New in the Hastings Center Report

“Family clustering is a confirmed phenomenon associated with Covid-19, and harrowing stories of this disease ravaging families continue to be reported,” an article explains in the latest issue of the Hastings Center Report. In family clustering cases, multiple loved ones may suffer from Covid-19 and be hospitalized, in quarantine, or recovering; and family members may also have died from the infection. Family clustering can so devastate a family that there are no healthy, qualified surrogates available to support decision-making, or it can render the emotional burden of decision-making almost unbearable. Family clustering falls disproportionately on people of color. The authors provide several strategies for patients, doctors, nurses, and families to apply when confronting this phenomenon. Read the article.

 

In the Media: "Not Much Freedom in Being Terribly Sick"; Health Passports 


Hastings Center president Mildred Solomon responded to recent polls showing that 30% of adults are not willing to be vaccinated against Covid, possibly delaying herd immunity and the pandemic’s end. Solomon told the Highlands Current that widespread vaccine resistance is a sign that “we’ve lost our sense of responsibility for each other.” She added: “We focus so much on individual rights that we are forgetting about care and concern for others. People are waving a liberty flag, but there’s not much freedom in being terribly sick.” Read the article. Solomon answers questions about herd immunity in “Current Conversations." Listen here.
 
Health passports documenting Covid vaccination or immunity are in development in New York and other states and in use elsewhere; what ethical issues should guide their use by employers, travel companies, and other businesses? In an interview with BTN, a business publication, Hastings Center director of research Josephine Johnston said that companies need to consider questions of equity, making sure that all employees have equal access to vaccines and that there are exceptions in place for people who are unable to get vaccinated for medical reasons. And, until more is known about how long vaccines can prevent infection and transmission, preventive measures such as masks remain essential. “Vaccines are not the only layer of protection, so it makes sense not to lay all your eggs in that basket,” she said.  Read the article.

 

From Hastings Bioethics Forum: Chinese Bioethicists on the WHO-China Report on Covid; A Doctor's "Burden of Judgment" of Covid Patients 


Chinese bioethicists assess the long-anticipated joint WHO-China report on the origins of the novel coronavirus. Noting criticism by the United States and other countries, the authors conclude that the report “is an important step forward, but that more needs to be done.” Read the essay.
 
Is it wrong for doctors to judge their patients for behavior that increases the risk of Covid? A New York City doctor on the frontline of the pandemic reflects on this question and worries that “the burden of judgment” can undermine patient care. Read the essay.

 


Upcoming Events 


"Vaccine Access, Vaccine Hesitancy: Challenges to Herd Immunity." Hastings president Mildred Solomon, Dr. Rhea Boyd, and Maya Goldenberg will discuss vaccine access and hesitancy. April 20, 1 pm EST.

"Planning for Seniors Housing in Changing Cities: A Cross National Exchange." Hastings Center research scholar Nancy Berlinger will speak on priority topics related to seniors housing. May 11-12, 12 pm EST.


"Binocularity: A Conceptual Tool for Comprehending and Respecting Persons." Senior research scholar Erik Parens will be presenting as part of the Montreal Health Ethics Conference Series 2021: Wellness, Health, and Human Flourishing. May 27, 12 pm EST.

"Do Genetic Findings Impact Perceptions of Responsibility?" sponsored by the Center for Research on Ethical, Legal and Social Implications of Psychiatric, Neurologic & Behavioral Genetics and Columbia Irvine Medical Center in collaboration with The Hastings Center. May 28, 9 am EST
 
 

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The Hastings Center seeks to ensure responsible health and science policy and practice. We work to secure the wisest possible use of emerging technologies and fair, compassionate, and just health care for people across their lifespan.
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