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Freakonomics Radio

413. Who Gets the Ventilator?

Freakonomics Radio

Freakonomics Radio + Stitcher

Documentary, Society & Culture

4.632K Ratings

🗓️ 16 April 2020

⏱️ 48 minutes

🧾️ Download transcript

Summary

Should a nurse or doctor who gets sick treating Covid-19 patients have priority access to a potentially life-saving healthcare device? Americans aren’t used to rationing in medicine, but it’s time to think about it. We consult a lung specialist, a bioethicist, and (of course) an economist.

Transcript

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0:00.0

Here's a question for you.

0:05.0

Let's say there's a pandemic, a fatal virus working its way around the world.

0:10.4

There's no therapeutic treatment yet, but there is one piece of equipment that gives critically ill people

0:15.8

at least a chance to survive.

0:17.5

And let's say the demand for this equipment outstrips the supply.

0:21.2

There just aren't enough units for the number of people who need it.

0:23.9

So how do you decide who gets priority?

0:28.0

Should it be first come first served?

0:30.8

Should it be the very sickest people?

0:33.6

Or perhaps the least sick of the very sick since they'll have a better shot at survival?

0:39.8

Should it be older people who may be fragile or younger ones with more life left to live

0:44.7

and theoretically more to contribute to society?

0:47.9

Should the wealthy and powerful have privileged access to this life-extending equipment

0:53.1

as they have access to most other resources?

0:55.8

Or should it be reversed with priority going to the poor and powerless?

1:00.9

There's one more category I'd like you to consider.

1:03.7

What about doctors and nurses and other healthcare workers?

1:07.4

Since they're the ones treating the victims and putting themselves at higher risk of exposure,

1:11.2

should they move to the front of the line if they get sick?

1:15.6

How you answer these questions probably says something about how you view the world generally.

1:20.9

If, for instance, you're an economist, you think about the most efficient ways to allocate scarce resources.

1:28.6

But if you're a frontline healthcare worker, you may think it's only fair to balance efficiency

...

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