• Rev Invest Clin · May 2020

    Bioethics in Medical Care Rationing During the Coronavirus Disease-19 Pandemic.

    • Alejandra González-Duarte, Martha Kaufer-Horwitz, Gerardo Gamba, Raúl Rivera-Moscoso, and Carlos A Aguilar-Salinas.
    • Department of Neurology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (INCMyNSZ), Mexico City, Mexico.
    • Rev Invest Clin. 2020 May 7; 73 (1): 1-5.

    BackgroundCoronavirus (CoV) disease (COVID)-19 poses difficult situations in which the ethical course of action is not clear, or choices are made between equally unacceptable responses.MethodsA web search was performed using the terms "bioethics; COVID-19; ethics; severe acute respiratory syndrome CoV-2; emergent care; pandemic; and public health emergencies."ResultsProtection from COVID-19 has resulted in the cancellation of necessary medical interventions, lengthened suffering, and potential non-COVID-19 deaths. Prolonged lockdown reduced well-being, triggering or aggravating mental illnesses and violence, and escalated medical risks. Collateral damage includes restrictions on visitations to hospitals, alienation from the deceased relative, or lack of warm caring of patients. Finally, in a public health crisis, public health interest overrides individual rights if it results in severe harm to the community.ConclusionBalancing ethical dilemmas are one more challenge in the COVID-19 pandemic.

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