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Social Distance

What Happens If We Run Out of Ventilators?

Social Distance

The Atlantic Monthly Group, LLC

Health & Fitness, News, Science

4.6935 Ratings

🗓️ 30 March 2020

⏱️ 27 minutes

🧾️ Download transcript

Summary

Bioethicist Arthur Caplan advises on the ethics of impossible medical decisions. Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

Click on a timestamp to play from that location

0:00.0

Hello, hey Catherine. We had a weekend. Yeah, you had a weekend?

0:05.4

Somewhat, yeah. What did it? What did you do with the weekend? I mean just kind of

0:09.8

talk to people about the virus. Yeah.

0:13.0

But we didn't do a podcast for the first time in 14 days.

0:16.0

Yeah, but we're, but we are again.

0:18.0

We're back at it.

0:19.0

So I need to know, I keep hearing about sort of supply shortages and bed shortages and you know many

0:25.3

cities are constructing these emergency facilities and we're trying to procure

0:29.2

more supplies but are you hearing anything from doctors already about having to ration care or

0:35.7

make really uncomfortable decisions about who's getting care? Well not

0:39.8

really uncomfortable decisions yet. I think the rationing that we're doing is in terms of who we're testing and who is going upstairs versus who is told to ride something out at home and who gets tested and who wears a mask in what situation.

0:57.0

So that's the rationing we're at right now.

0:58.6

How close are we to sort of the situations that we most fear, which is actually having to take someone off of a

1:04.5

ventilator say or not give them a ventilator when they might survive if they were on one.

1:09.7

I think we're very far from saying this is a young healthy person who could have very well been saved by a ventilator and we just simply don't have anyone to administer it to them.

1:25.0

And I say that because that's the sort of, I think, nightmare scenario.

1:30.0

It'll be the gray areas where boundaries will be pushed, especially after what we heard happening in Italy where people were denied ICU care.

1:40.0

There were simply not enough beds and not enough doctors to do anything close to what would be considered the usual expected level of care for people.

1:49.0

And there's concern about that happening in isolated places in the US right now and we haven't seen

1:55.0

anything that is wartime level disaster zone rationing but there's concern about how that

2:00.3

would be handled if and when we do get there.

2:02.7

Even if it's only, you know, for one night in one hospital in New York,

...

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