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Flu Plan Directs Docs to Take Sickest Off Life Support

Plan could grant legal exemption to extreme rationing in case of disaster pandemic

By Nick McMaster,  Newser Staff

Posted Sep 24, 2009 7:00 PM CDT

(Newser) – Authorities planning for a severe flu outbreak are drawing up rules for life-saving ventilators that instruct doctors to take severely ill patients off life support and give the equipment to those with a better chance of survival. The plan, to be used in an outbreak comparable to the pandemic that killed 50 million in 1918, is being drafted with little input from the public, ProPublica reports.

New York officials are exploring the legal basis for a suspension of the law that bars doctors from removing patients from life support in the case of a public-health emergency. The architects of the plan argue that, especially given the recent “death panel” controversy, it’s difficult to engage the public on this topic. But critics lament that societal input has been absent. “Maybe society will say: ‘We don’t agree with your plan,” said one doctor. “‘You may think it’s ethically OK; we don’t.’”

In this photo taken June 3, 2009, Kerry Wentworth,background center, comforts a wounded US soldier at the emergency room of the hospital in Bagram Air base Afghanistan.
In this photo taken June 3, 2009, Kerry Wentworth,background center, comforts a wounded US soldier at the emergency room of the hospital in Bagram Air base Afghanistan.   (AP Photo)
Technicians perform production operations during a dry run in the influenza manufacturing facility at Sanofi Pasteur in Swiftwater, Pa.
Technicians perform production operations during a dry run in the influenza manufacturing facility at Sanofi Pasteur in Swiftwater, Pa.   (AP Photo)
A plan for a flu pandemic could allow doctors to remove those will little chance of survival from life support, in favor of those with a better chance.
A plan for a flu pandemic could allow doctors to remove those will little chance of survival from life support, in favor of those with a better chance.   (AP Photo)
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If we don’t use triage, people will die who would have otherwise been saved.
- Dr. Kenneth Prager, director of clinical ethics at Columbia University Medical Center

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COMMENTS
Showing 3 of 18 comments
JonmarkP
Sep 25, 2009 12:48 PM CDT
I think the rich with no hope for survival should get preference over the middle class/poor with excellent chances. That's how it works now, and I'm a "Status Quo Libertarian" kind of guy.
justme
Sep 25, 2009 12:44 PM CDT
People deciding to take themselves off ventilators is an ethical choice. Doctors deciding for them is playing God, emergency or not. Government making the rules about how and when to play God sounds like forms of government that the citizens of this country have fought against. Scary how slippery that ethical slope can get.
rajanKazhmin
Sep 25, 2009 12:30 PM CDT
It's true! Because it's much easier to control the population with a plague than it is with sex education and birth control. Why go the logical way when you can get biblical.

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