Against Personal Ventilator Reallocation

Camb Q Healthc Ethics. 2021 Apr;30(2):272-284. doi: 10.1017/S0963180120000833. Epub 2020 Oct 30.

Abstract

The COVID-19 (Coronavirus disease of 2019) pandemic has led to intense conversations about ventilator allocation and reallocation during a crisis standard of care. Multiple voices in the media and multiple state guidelines mention reallocation as a possibility. Drawing upon a range of neuroscientific, phenomenological, ethical, and sociopolitical considerations, the authors argue that taking away someone's personal ventilator is a direct assault on their bodily and social integrity. They conclude that personal ventilators should not be part of reallocation pools and that triage protocols should be immediately clarified to explicitly state that personal ventilators will be protected in all cases.

Keywords: COVID-19; bodily integrity; disability; medical rationing; pandemics; ventilators.

MeSH terms

  • COVID-19 / therapy*
  • Ethical Analysis
  • Ethics, Medical*
  • Health Care Rationing / ethics*
  • Humans
  • Resource Allocation / ethics*
  • Triage / ethics
  • Ventilators, Mechanical / supply & distribution*