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A Doctor’s Hardest Call

Slate News

Slate Podcasts

News, News Commentary, Politics

4.56K Ratings

🗓️ 28 September 2021

⏱️ 24 minutes

🧾️ Download transcript

Summary

It’s hard to imagine, but many states had a plan for how they would make tough calls about the distribution of scarce medical resources during a pandemic. As our present crisis has dragged on, and hospitals have become overwhelmed, those plans are beginning to go into effect -- with some interesting caveats. 

Guest: Sheri Fink, correspondent at The New York Times

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Podcast production by Mary Wilson, Davis Land, Danielle Hewitt, Elena Schwartz, and Carmel Delshad.


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Transcript

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0:00.0

It's hard to remember now.

0:06.1

But back before anyone knew what a coronavirus was, we had plans for what to do if one emerged.

0:14.0

It wasn't a complete plan.

0:15.6

It wasn't even one single plan.

0:18.0

More like a lot of little plans, state by state, hospital by hospital.

0:23.3

But doctors were imagining a moment like this one.

0:26.8

So a number of years ago, well over a decade ago, there was the H1N1 flu pandemic, if you remember that.

0:35.7

Sherry Fink reports for the New York Times.

0:38.4

It was a flu strain that people were afraid was going to be the next big and bad pandemic.

0:44.9

Sherry says this H1N1 flu.

0:47.7

It's where a lot of pandemic plans got started, mostly because physicians realized that they

0:53.3

dodged a bullet.

1:02.0

They realized that if there were ever a really bad outbreak, particularly of a virus that affects the respiratory system, that even though the U.S. has an enviable health care system, has a lot of resources, it's very advanced, that we could run out.

1:10.0

And once they started making these plans, doctors realized there were an awful lot of things they could run out of.

1:19.6

They even started using a little mnemonic for thinking about all the resources that could be drained.

1:25.6

It went like this, staff, stuff, and space.

1:29.7

These are the three components and that there's a typical standard by which we get care.

1:35.8

And then in a crisis like this where there are so many more people needing those resources,

1:41.4

the staff, stuff, and the space, that the standard of care would not

1:46.3

necessarily meet what we're used to. And so there was this recognition, wow, we better plan

1:52.9

for this. What do we do? And the answer to that question was these plans. I imagine them

1:59.0

sitting around in a dusty three-ring binder. But Cherry says,

...

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