Opinion | J. Russell Teagarden and Arthur L. Caplan: A doctor said he won't treat patients who didn't get the Covid vaccine. Can he do that? - NBCNewsTHINK
There is also a broader question about what physicians can do to encourage vaccinations in the first place and specifically how threats to refuse service come into play. Encouraging vaccination as a condition to keep unvaccinated patients might seem ethical on its face, but it is easily revealed as coercive.
Still, physician practices can’t ethically refuse to treat their unvaccinated patients to protect their patients and staff members if they can create safe environments and implement supporting procedures. When this isn’t possible, practices must give their patients adequate notice of any change in policy and help them make the transition to other practices. Valentine did precisely that.
Before physician practices give this notice, however, they must be sure they have made good-faith efforts to persuade the recalcitrant to get vaccinated, and they must ensure they can’t reasonably accommodate a small number of patients who can’t or shouldn’t be vaccinated for justifiable reasons, such as earlier severe vaccine reactions or ongoing cancer treatment.
Hospitals making ICU bed allocations don’t have as much room for mitigation. And if all else is equal between two patients who need one available ICU bed except for their Covid vaccination statuses and if vaccination is known to determine better outcomes, then vaccine status could be a reasonable factor in allocation decisions. But rarely is all else equal.
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