With omicron squeezing already limited medicines against COVID, doctors and patients are being forced to confront a thorny moral quandary: prioritizing the unvaccinated.
that health care providers should prioritize patients"at highest risk of clinical progression." They defined these individuals using four key elements: age, vaccination status, immune status and clinical risk factors. Unvaccinated and immunocompromised individuals – who are at higher risk of getting sicker – come before vaccinated groups, according to the guidelines.
Reserving what they have for the patients who have the poorest prior defense against the virus now means people who have gotten the shot find themselves getting bumped in line behind those who have not gotten vaccinated."To allocate among competing patients in times of scarcity, you have to go by need and benefit," Jennifer Miller, a bioethicist and assistant professor at Yale University School of Medicine, told ABC News."You have to steward your scarce resources.
A large-font banner at the top of Utah's therapies page warns that because the medications are in"short supply" across the country,"you may not be able to find an appointment, even if you qualify."A free monoclonal treatment site located in a tent is open for patients at the Miami Dade College North Campus, Jan. 20, 2022, in Miami.
"This is, as you know, the twisted irony of being unvaccinated and still getting first access to these therapies," Dr. Christian Ramers of the Family Health Centers of San Diego, said. His clinic is relying on NIH's guidance."That's just really a cold, callous decision about who's most at risk of dying. And clearly, if you're unvaccinated, you're at higher risk of dying.
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