'Who lives and who dies': In worst-case coronavirus scenario, ethics guide choices on who gets care

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'Who lives and who dies': In worst-case coronavirus scenario, ethics guide choices on who gets care
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It’s a scenario few health-care leaders want to contemplate much less discuss: What if the ranks of desperately ill patients overwhelm the nation’s ability to care for them?

found that two weeks after cases began to spread in U.S. communities, America's trajectory is similar to Italy's over the same period. U.S. public health officials hope to avoid a similar

Nancy Berlinger is a research scholar at the Hastings Center in Garrison, New York, and put together an ethics guide for health care organizations treating coronavirus patients. Because hospitals might face a crush of patients with the same breathing problems at the same time, beds and ventilators may not be available to care for everyone. Hospitals might need to decide which patients are more likely to recover."First come, first served is not the best way to make decisions about access to care," Berlinger said."That would give priority to the people who are diagnosed first.

Officials from the state Department of Health, the Governor's Office and other agencies are working on an emergency update of the guidelines for use during the COVID-19 pandemic, said Samuel Gorovitz, a task force member and former dean of arts and sciences at Syracuse University. There are several projections on how many patients might flood U.S. hospitals. In a report on a moderate flu pandemic, the U.S. projected 200,000 Americans would need the most extreme level of care: a bed in a hospital intensive care unit. If the pandemic worsens to levels of the 1918 Spanish flu pandemic, 2.9 million would need ICU care,

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