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Related Experiment Video

Updated: Dec 22, 2025

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Experiencing Community in a Covid Surge.

Debjani Mukherjee

    The Hastings Center Report
    |May 6, 2020
    PubMed
    Summary

    During the COVID-19 pandemic, bioethicists faced new challenges in New York City, particularly concerning health disparities and biases affecting marginalized communities. Ethical consultations highlighted issues of informed consent, treatment futility, and surrogate decision-making amidst widespread fear and inequity.

    Keywords:
    Asian AmericansCovid-19allocation of scarce resourcesbias in medicinedisabilitynovel coronavirus SARS-CoV-2

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    Area of Science:

    • Medical Ethics
    • Public Health
    • Bioethics

    Background:

    • The COVID-19 pandemic created an unprecedented context for medical ethics consultations.
    • Healthcare providers and patients experienced heightened fear regarding disease transmission and health inequities.

    Purpose of the Study:

    • To examine the ethical challenges encountered during COVID-19 consultations.
    • To highlight the impact of the pandemic on vulnerable populations and potential biases.

    Main Methods:

    • Review of ten recent ethics consult cases from New York City in April 2020.
    • Analysis of common ethical issues within the pandemic context.

    Main Results:

    • Nine out of ten patients consulted were COVID-19 positive.
    • Consultations frequently involved surrogate decision-making, informed refusal, goals of care, and futility.
    • Concerns were raised about disability, biases, and racist stereotypes amplified by the pandemic.

    Conclusions:

    • The pandemic intensified existing health disparities and inequities.
    • Bioethicists needed to adapt to pandemic-specific ethical challenges, including triage planning.
    • Historically marginalized communities faced increased risk of disenfranchisement during the public health crisis.