key: cord-353621-t5tev985
authors: Gallina, Pasquale; Ricci, Marco; Pera, Marcello
title: Covid-19: Decisions to offer interventions with limited availability should be decided based on chance of recovery.
date: 2020-05-21
journal: J Am Med Dir Assoc
DOI: 10.1016/j.jamda.2020.05.024
sha: 
doc_id: 353621
cord_uid: t5tev985

nan

Dear Editor, 1 We read with interest the paper by Cesari and 2 Proietti 1 entitled "COVID-19 in Italy: ageism and decision making in 3 a pandemic", which rejects a priori discrimination of aged people in 4 access to care. The issue is particularly relevant in a time when a large 5 number of elderly subjects, who lived in nursing homes, died England and Wales Court of Appeal considered prevailing the interest 73 of Jodie since Marie was self-designated for a very early death. 74 We are aware that even the case-by-case criterion cannot 75 ultimately avoid discrimination, for example when dealing with 76 patients with similar chances of recovery. In such case, inevitably the 77 "first come, first served" rule is in force, a seemingly impersonal fact 78 that is not however a value judgment. 

COVID-19 in Italy: ageism and decision 89 making in a pandemic

Nursing homes or besieged castles: 91 COVID-19 in northern Italy

Universal 93 do-not-resuscitate orders, social worth, and life-years: opposing 94 discriminatory approaches to the allocation of resources during the 95 COVID-19 pandemic and other health system satastrophes

Fair allocation of scarce 98 medical resources in the time of Covid-19

Clinical ethics 101 recommendations for the allocation of intensive care treatments in 102 exceptional, resource-limited circumstances: the Italian 103 perspective during the COVID-19 epidemic. Crit Care

SIAARTI 106 recommendations for the allocation of intensive care treatments in 107 exceptional, resource-limited circumstances

A Framework for Rationing Ventilators and 110

Critical Care Beds During the COVID-19 Pandemic

An Introduction to the Principles of Morals and 113 Legislation