A Duke student responds to the question, “What did you learn from Session IV: Pandemics, Perception, and the Power of Stigma, lead by Dr. Broverman and Dr. Wald?”
Tier 1- Healthcare frontline, vaccine workers
Tier 2- Ages 13-55, priority to government leaders, public health, military, police, fire
Ages 13-55, priority to utility and transportation workers, telecommunications and IT, undertakers, religious/community leaders, women aged 20-40
Tier 3- Rest of people aged 13-55
Healthy people 7-12
Healthy 6mo-6y and 55-64
Healthy people 65+
Tier 4- people 6mo-64y at risk
Tier 5- Ages 65+ at risk
Must complete each Tier or percentage requirement before start next one
Lottery if can’t complete tier- Non-Transferable
Ranked within tiers
Dr. Wald brings up the major issues of what determinants should be used to choose the recipients of a limited supply of vaccine.
How can we avoid racism, ageism, economism, among other potential bias in the measure systems?
What is the most socially just way?
The WHO Constitution states “the enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being…” Health has become a near universal belief, but there remains a disproportionate fraction of individuals who are neglected when health services are not delivered in a fair and just manner.
What is a human right and how does health fit in that framework?
What is it about healthcare that makes it a moral and social obligation to individuals and how do we know that we have went past that limit?
What are the limits to the rights?
Or would you consider healthcare to NOT be a universal human right?
Dr. Broverman leads a spirited discussion in a resource scarce setting (i.e. low amount of vaccine) who should get this life saving treatment? What criteria could be used? What should one use? Who should make these decisions?