Although I will most likely go down in winter forum history as the girl that would readily kill her “65 year old retired grandpa over a ‘more useful and potentially productive’ 5 year old,” the entire discussion on rationing and dictating who receives vaccines (and in a sense who determines who lives or dies) was very eye-opening. Doctors have long been said to have “God complexes” and criticized for this mentality.  However today when you think of it, we were indeed playing the role of a higher power who had to dictate who was worthy of living. It was easy to laugh some of the comments off at the forum in order to take some of the weight from our shoulders. However, when we went into our breakout sessions we soon learned that being put into this decision is certainly stressful and I left the room with my head spinning, doubting whether I knew what criteria for selection was most important to me personally. The easy way out, would just be to give up and pray and hope for the best. However I think it is crucial, with each day new strains of viruses and spread being aided through the growth of infrastructure and commerce, the chances of another pandemic breaking out is likely. I also think it is important to put these measures in place because (just as Dr. Rosoff touched on a little through questions) in the end the people who end up having to make tough decisions (like in the case of Hurricane Katrina as he also spoke about) may be held accountable when the “wrong people are picked” or when socially unacceptable or pleasant decisions are made. Although it doesn’t sound pleasant, but I feel in the case of a pandemic there must be an acceptable loss of life and that we must set up a better system of who receives vaccines. If not, everyone loses in the end. Just some of the many thoughts that were swirling around up in my head.

While addressing a student question, Dr. Rosoff admitted that hospitals often have no formal framework for making the tough decisions regarding the rationing of hospital resources essential for good patient care. These important choices are often left to the medical professionals on duty at the time the situation arises. This may upset some individuals who feel it unjust to leave this important decision to a few select individuals. However, the US public and its leaders often refuse to openly debate the need for rationing care, avoiding this difficult issue by simply ordering more machines and calling for more hospital staff. Healthcare spending in the US is out of control, and recent efforts to reign in these costs have generated hot debate both in government and on the streets. Where do you stand on these issues? Is America deluding itself in thinking it can buy its way out of this problem? This current medical student certainly believes so.

Day II Evening Session: Palliative Care Dr. Philip Rosoff

Dr. Philip Rosoff, eloquently spoke about the ethical and moral obligation to provide palliative care for victims from the “pandemic”.  However, he cautions that this isn’t an endorsement of euthanasia.

How do you think the one can decide how to prioritize between the treating survivors and those expected to die?  How does the Hippocratic Oath (i.e. do no harm)  conflict with palliative care and euthanasia?