Artículo
Is the Use of DALYs and QALYs Ethically Permissible in Triage Decisions? COVID-19 and Equity Considerations from a Queer-Crip Perspective
Fecha de publicación:
11/2023
Editorial:
Universidade Federal de Santa Catarina
Revista:
ethic@
e-ISSN:
1677-2954
Idioma:
Inglés
Tipo de recurso:
Artículo publicado
Clasificación temática:
Resumen
This paper explores the symbolic and material implications of the use of DALYs and QALYs as priority or tie-breaker criteria in triage decisions. It aims to answer the question of their ethical permissibility based on the case of the COVID-19 pandemic. For this purpose, theories framed in a queer-crip perspective and ethical frameworks of equity will be used. From a queer-crip perspective, the use of DALYs and QALYs in triage decisions discriminates against and excludes people with disabilities, as it allocates scarce resources based on ableist value judgments about people's quality of life, rather than on evidence. From the point of view of equity, it may imply and reinforce structural injustices involving inequities, that is, avoidable or remediable inequalities. This analysis will argue that the use of DALYs and QALYs categories in triage decisions allocates potentially life-saving resources based on ableist value judgments that lead to an unfair distribution of risks, burdens, and costs. Finally, two objections related to the relevance or necessity of using these or similar categories as criteria will be addressed: the independent cases of structural inequities and the relevance of patient functional status to maximize lives saved.
Palabras clave:
DALYS
,
QALYS
,
TRIAGE
,
QUEER-CRIP PERSPECTIVE
Archivos asociados
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Identificadores
Colecciones
Articulos (IICSAL)
Articulos de INSTITUTO DE INVESTIGACIONES SOCIALES DE AMERICA LATINA
Articulos de INSTITUTO DE INVESTIGACIONES SOCIALES DE AMERICA LATINA
Citación
Leani, Lautaro; Mastroleo, Ignacio Damian; Is the Use of DALYs and QALYs Ethically Permissible in Triage Decisions? COVID-19 and Equity Considerations from a Queer-Crip Perspective; Universidade Federal de Santa Catarina; ethic@; 22; 1; 11-2023; 126-154
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