Dr. Charles Binkley Discusses Medical Ethics in the Time of COVID-19


Welcome to the healthcare policy podcast on the host. David Intra. Cosso with me today discussed the nation's response, the ongoing Kobe nineteen, pandemic and context of healthcare ethics. Is Dr. Charles, Brinkley the director of bioethics at the Santa Clara University's or coolest center for Applied Ethics. Dr Bank welcome to the program. Thank you, David. It's really good to be with you today I have to say dark billy Bigley I particularly appreciate time since of course, California's once again. Experiencing another unprecedented wildfire season. So thank you. For making. Absolutely it's a real privilege to be on the show Dr. Bentley's vile is, of course, posted on the podcast website. On background, our nation's response to the ongoing covid nineteen pandemic has been I would characterize as disastrous. For example, as has been widely reported approximately one third of all Kobe. Nineteen related deaths have been among Nursing Home Facility residents. African Americans have been more than twice as likely as non Hispanic whites to die of covid nineteen complications. Inadequately protected healthcare providers. Now conveniently turned heroes in a war against Covid as if the virus will one day surrender. Defeated, have been required to work in lethal environments as for Service Workers Moreover, minorities instead of recognizing their do a livable wage. Health Insurance and or sick leave. We term essential workers and give them a hand. Clap. Has for the federal government's response to the president's sensitivity apparently goes so far as his stating, it is what it is. That the dictionary defines a business phrase that can be literally translated as and pardon my French fuck it. As for the Congress's response seventy, five percent of direct and indirect cares act money's went to corporations any forthcoming or additional federal response must include for the Senate Majority Leader Mitch McConnell's prerequisite covid related legal immunity protection, or legislation consistent with what over twenty states have adopted to date. Are Spas the pandemic in some brings to light the chasm that continues to exist between medical ethics. Requires provider to support the betterment of public health and a responsibility to seek positive forms that are in the best injures of patience. And how we deliver health care that is substantially profit motive dominated. I'll add in my nearly twenty five years doing healthcare policy work in DC. I never wants to tenor meeting or participated in a conversation with the speaker disgust or made reference to, for example, John Rawls veil of big nurturance or tick him Olam. With Megan discuss the woeful state of healthcare ethics in the time of Covid is again Dr Charles Bentley. So with that as a somewhat lengthy introduction Dr Brinkley. Limb in assuming, you'd largely agree federal policymakers have to understated done a poor job of living up to their obligations and responding to the pandemic. So my question is in your view what generally accounts for this. David I. Think from a public policy perspective. Many of the issues have become overly politicized. So for instance, things like mask wearing school reopenings, how to reopen the economy have not always been based solely on the best medical or scientific principles but they've been put us is to take, for instance, the initial recommendations from the Centers for Disease Control and Prevention about school reopening those were revised based on the administration's desire to somehow make them more applicable or to open up things more aggressively. So science hasn't always. been the most respected voice in the pandemic Dr. Falcone has emerged as really a hero for what is truth, and so you have to consider the perspective of physicians in making recommendations in a physician or a scientist in general is going to base recommendations on doing good and avoiding harm. That's really the ethical principle of medicine, and so for instance, plan the American Academy of Pediatrics Recommendations for. School reopening is a very child centric perspective as well. You would expect the group of pediatricians to speak from the perspective of children and when you take the balance of school opening on the whole, it's far more advantageous to children for schools to be reopened not only because of the intellectual benefit schools provide but all the other resources of schools provide for children besides the traditional reading writing and arithmetic. Takes Her instance the number of hungry children who rely on schools for nourishment, the number of children but medical problems who rely on schools For their care asthma screening vision dental care. You look at children with disabilities who really are dependent on their schools, not only for learning but also for occupational therapy physical therapy and those students not only are not progressing in minsters they're regressing during the pandemic when they're not in schools, you can't substitute the services that they were offered in person with remote learning and must be heartbreaking to those parents to see their children regress in this time. So really the perspective of the most vulnerable and some ways has come to light. During the pandemic when I think globally about how ethics the affected the pandemic

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