IF YOU DON’T FIGHT FOR US
DON’T CRY FOR US
As medical staff and administrations determine that elders and people with preexisting conditions not get ventilators, the largest demographic of those who die are men (AMAB), and yet no one is suggesting that men (AMAB) are refused treatment. (See how preposterous that even sounds?). One could go on to argue that men are the leading cause of violence, school and public shootings, crime,etc. Men don’t live as long as women. And yet no one would dare to suggest that treating men as a group is a waste of resources. So why would it make sense to not treat people based on other demographics? In some cases people with cognitive DISabilities are being denied treatment, not because they won’t survive, simply because those in power to make these decisions determine that some lives have less value than others.
First come first serve, flip a coin.
-Emma Rosenthal
For my other collection of resources and links related to Covid19:
Race, class and location also play key roles in determining who shall live and who shall die. This post focuses on age and DISability, but racism, sanctions, class and location have particular intersections with receipt of care.
When certain preexisting conditions are identified as factors in who gets care, those groups with a higher incidence of those conditions will die unjustly. Diabetes, high blood pressure and obesity (without evidence) are listed in some discussions as factors , but these conditions specifically impact certain groups (Blacks, Latinx, Jews, Native Americans) more than others.
- Corona Virus Causes Global Outbreak of Racism
https://inbedwithfridakahlo.wordpress.com/2020/02/03/corona-virus-causes-global-outbreak-of-racism-2/
- Social Justice Links Related to Covid-19
https://inbedwithfridakahlo.wordpress.com/2020/03/17/social-justice-links-related-to-covid-19/
LINKS:
Work in progress: New links added all the time. Newest links at the top of the page.
- “Seniors and elders in nursing homes and elsewhere aren’t inherently vulnerable; nor are disabled people in institutions inherently vulnerable. Both of these groups (among others) are rendered vulnerable. That is, they are made vulnerable. Vulnerability isn’t a characteristic that certain individuals possess or embody. Like disability, vulnerability is a naturalized apparatus of power that differentially produces subjects, materially, socially, politically, and relationally. In short, it is by and through the contingent apparatus of vulnerability and other apparatuses that certain members of the population are vulnerableized.”
COVID-19 and The Naturalization of Vulnerability
https://biopoliticalphilosophy.com/2020/04/01/covid-19-and-the-naturalization-of-vulnerability/ - THE CORONAVIRUS PANDEMIC HAS BROUGHT OUT SOCIETY’S ALARMING DISREGARD FOR PEOPLE WITH DISABILITIES
Politicians and the general public are ignoring the health and safety needs of those with disabilities and chronic conditions.
https://theappeal.org/coronavirus-disabilities/ - HOW CORONAVIRUS EXPOSES THE WAY WE REGARD AGEING AND OLD PEOPLE
https://www.kcl.ac.uk/how-coronavirus-exposes-the-way-we-regard-ageing-and-old-people - Civil rights leaders to DeSantis: Don’t allow state to withhold care from disabled
https://www.miamiherald.com/news/coronavirus/article241676431.html -
Protect Rights of People with Disabilities During COVID-19
Ensure Access to Information, Essential Services For Those Most at Risk
https://www.hrw.org/news/2020/03/26/protect-rights-people-disabilities-during-covid-19
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I’m disabled and need a ventilator to live. Am I expendable during this pandemic?
https://www.vox.com/first-person/2020/4/4/21204261/coronavirus-covid-19-disabled-people-disabilities-triage
- Americans With Disabilities Are Terrified
They fear they could be denied lifesaving treatment if they end up in the hospital with COVID-19.
https://www.theatlantic.com/politics/archive/2020/04/people-disabilities-worry-they-wont-get-treatment/609355/
- HHS Warns States Not To Put People With Disabilities At The Back Of The Line For Care
https://www.npr.org/2020/03/28/823254597/hhs-warns-states-not-to-put-people-with-disabilities-at-the-back-of-the-line-for
- People with Down syndrome could be left to die of coronavirus to ‘save’ medical supplies
https://metro.co.uk/2020/03/27/people-syndrome-may-lower-priority-live-saving-coronavirus-care-12466194/
- U.S. Civil Rights Office Rejects Rationing Medical Care Based on Disability, Age
Medical providers must not engage in “ruthless utilitarianism” in deciding who gets lifesaving treatment for the coronavirus, a federal civil rights officer warned.
https://www.nytimes.com/2020/03/28/us/coronavirus-disabilities-rationing-ventilators-triage.html
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Whose Life is Worth Saving? In Washington State, People With Disabilities Are Afraid They Won’t Make the Cut.
https://www.nytimes.com/2020/03/23/us/coronavirus-washington-triage-disabled-handicapped.html
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OCR Issues Bulletin on Civil Rights Laws and HIPAA Flexibilities That Apply During the COVID-19 Emergency
https://www.hhs.gov/about/news/2020/03/28/ocr-issues-bulletin-on-civil-rights-laws-and-hipaa-flexibilities-that-apply-during-the-covid-19-emergency.html
- BULLETIN: Civil Rights, HIPAA, and the Coronavirus Disease 2019 (COVID-19)
https://www.hhs.gov/sites/default/files/ocr-bulletin-3-28-20.pdf

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People With Intellectual Disabilities May Be Denied Lifesaving Care Under These Plans as Coronavirus Spreads
https://www.propublica.org/article/people-with-intellectual-disabilities-may-be-denied-lifesaving-care-under-these-plans-as-coronavirus-spreads
- U.S. Hospitals Prepare Guidelines For Who Gets Care Amid Coronavirus Surge
https://www.npr.org/2020/03/21/819645036/u-s-hospitals-prepare-guidelines-for-who-gets-care-amid-coronavirus-surge
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“The complaint outlines concerns that the Alabama Department of Public Health’s Emergency Operations Plan for addressing ventilator rationing in the event of a health emergency will discriminate against those with intellectual, developmental, and physical disabilities… …The plan orders hospitals to “not offer mechanical ventilator support for patients” with “severe or profound mental retardation,” “moderate to severe dementia,” and “severe traumatic brain injury.” The policy also applies to children… “…The complaint echoes one filed earlier this week over similar policies that the state of Washington has prepared in response to Covid-19. Minnesota, Colorado, Alabama, Tennessee, and Utah have all introduced guidelines, criteria, or crisis plans that would allow for allocation—or reallocation—of finite health-care resources based on physical and/or mental health.”
Alabama’s Virus Ventilator Plan Latest to Draw Ire of Disabled https://news.bloomberglaw.com/pharma-and-life-sciences/alabamas-virus-ventilator-plan-latest-to-draw-ire-of-disabled
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DISABILITY DISCRIMINATION COMPLAINT FILED OVER COVID-19 TREATMENT RATIONING PLAN IN WASHINGTON STATE
https://www.disabilityrightswa.org/2020/03/23/disability-discrimination-complaint-filed-over-covid-19-treatment-rationing-plan-in-washington-state/ -
A Woman With Lupus Said Her Health Care Provider Is Stopping Her Chloroquine Prescription And Thanked Her For The “Sacrifice” https://www.buzzfeednews.com/article/tanyachen/kaiser-permanente-lupus-chloroquine
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DISABILITY ‘I Will Not Apologize for My Needs’ Even in a crisis, doctors should not abandon the principle of nondiscrimination.
https://www.nytimes.com/2020/03/23/opinion/coronavirus-ventilators-triage-disability.html
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Majority of NYC’s coronavirus cases are men between 18 and 49 years old
https://nypost.com/2020/03/20/majority-of-nycs-coronavirus-cases-are-men-between-18-and-49-years-old
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Killing off elders, DISabled folx and sick people is a Nazi move
Life unworthy of life
https://en.wikipedia.org/wiki/Life_unworthy_of_life
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People with disabilities are afraid they will be denied health care because of coronavirus
https://www.usatoday.com/story/news/nation/2020/03/26/coronavirus-crisis-people-with-disabilities-discriminate/5082197002/
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The Coronavirus Aid Package Could Harm Disabled People A provision denying small-business loans to disability support services could damage a fast-growing and urgent piece of our care sector.
https://prospect.org/economy/coronavirus-aid-package-could-harm-disabled-people/
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This is why those ok boomer jokes were really hurtful. It won’t be the rich and powerful elders who will be impacted by this callousness, by those who let our health care infrastructure get to this point, it will be the working class elders whose lives will be disposable. Oh, and people with preexisting conditions. And you thought the criteria for health INSURANCE was tough. Now it means you don’t get a ventilator when you need one. Aren’t all you liberal so called radicals getting it now: your social darwinism is showing.
“It may become necessary to establish an age limit for access to intensive care…. …In addition to age, doctors and nurses are also advised to take a patient’s overall state of health into account: “The presence of comorbidities needs to be carefully evaluated.” This is in part because early studies of the virus seem to suggest that patients with serious preexisting health conditions are significantly more likely to die. But it is also because patients in a worse state of overall health could require a greater share of scarce resources to survive: “What might be a relatively short treatment course in healthier people could be longer and more resource-consuming in the case of older or more fragile patients.”” “This means that our political leaders, the heads of business and private associations, and every one of us need to work together to accomplish two things: Radically expand the capacity of the country’s intensive-care units. And start engaging in extreme forms of social distancing. Cancel everything. Now.”
The Extraordinary Decisions Facing Italian Doctors There are now simply too many patients for each one of them to receive adequate care.
https://www.theatlantic.com/ideas/archive/2020/03/who-gets-hospital-bed/607807/
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How’s this for supremacy? Doctors in Italy have stopped treating anyone over 80 and some people with preexisting conditions because survival rates for those groups is somewhat lower. (Survival in general for those needing a ventilator is 50%.). But you don’t see them not treating men because their infection rate and death rate is higher. It all comes down to whose lives have more value to those in power.
Prioritizing based on demographics is eugenics.
“Coronavirus victims in Italy will be denied access to intensive care if they are aged 80 or more or in poor health should pressure on beds increase, a document prepared by a crisis management unit in Turin propose.”
Italians over 80 ‘will be left to die’ as country overwhelmed by coronavirus Hardest-hit region drafts new proposals saying who will live and who will die https://www.telegraph.co.uk/news/2020/03/14/italians-80-will-left-die-country-overwhelmed-coronavirus/
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Local media, including the online journal Publico, reported that some hospitals in Madrid have already been refusing to fully treat people over 80-year-old or those older than 70 with underlying health conditions….The Spanish government has not published protocols for doctors forcing a prioritized treatment. However, a major Spanish doctors association, Semicyuc, published a plan for doctors dealing with the crisis. The organization recommends prioritizing those with better chances of survival, a longer expected lifespan, better quality of life and those with high “social value”. Spanish hospitals strive to combat virus as cases rise https://www.aa.com.tr/en/europe/spanish-hospitals-strive-to-combat-virus-as-cases-rise/1774184
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“Besides, the risk of eroding people’s trust is intolerable. The last thing we want is for people to lose confidence that they will be treated fairly just because of their health conditions or age. Do we intend to make such policies available to the public, or do we keep them secret so only people with privilege will know about them? This is not the story we want to leave for history. And who said that an order from a health authority takes the moral burden off your shoulders? Have we forgiven the doctors in Nazi Germany who experimented with vulnerable patients? We humans carry moral responsibility for our actions. If anything, blindly following an unjust order doubles the burden. Worse than doing what is unjust is not standing up to advocate for the vulnerable. What will be remembered is that we pacified our consciences with a piece of paper we called a “policy… …The healthcare system has a terrible track record of failing various marginalized groups. But we do have a good track record of providing exceptional care to people. Let’s take the opportunity to do it right this time and not miss our chance, because if the public perceives a failure on our part, their trust will take decades to regain.””
Deciding who lives and who dies
https://www.modernhealthcare.com/opinion-editorial/deciding-who-lives-and-who-dies
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This is one of the scales being used to deny or provide care:
Charlson Comorbidity Index (CCI)
https://www.mdcalc.com/charlson-comorbidity-index-cci





