The Role of Racial Bias When Medical Experts Are Making Decision on the Allocation of Scarce Resources
This makes it challenging to meet the medical needs of all. Ethicists provide normative guidance for how to fairly allocate scarce medical resources, but legitimate decisions require additionally information regarding what the general public considers to be fair.
Additional information will result from surveillance at the federal and even global level. The Implementation Team recommends collaboration between LHDs and social service agencies, home care providers, free clinics, community organizations such as the Salvation Army, faith-based communities that serve low income people, etc. These groups work directly with populations that are most likely to face barriers to access during a pandemic.
2009). Some of the same concern arises in mixed medical systems with multiple funding sources. Although much has been written on resource allocation issues in medicine, there has been less discussion about how resource allocation affects public health. Federal, state, and local public health budgets in the United States constrain investments in health at those levels. In this regard, they are more like some foreign medical systems than the more fragmented and mixed public-private medical system of the United States. In the context of budget cuts domestically and in many countries responding to an economic downturn, how to invest (and allocate) public health resources is a pressing issue (Christian, M.D.).
The supply of PPE may also play a role in these decisions. However, those who are making duty schedules may experience significant difficulties in balancing competing interests among clinicians. For example, it is difficult to weigh mitigating exposure risk for a single caregiver of children versus a single caregiver for an elderly parent versus a 2 clinician family with no extended support network. These questions do not have easy answers but require careful consideration.
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