Resuscitating Patient Rights during the Pandemic: COVID-19 and the Risk of Resurgent Paternalism
Joseph J. Fins
Abstract
The COVID-19 Pandemic a stress test for clinical medicine and medical ethics, with a confluence over questions of the proportionality of resuscitation. Drawing upon his experience as a clinical ethicist during the surge in New York City during the Spring of 2020, the author considers how attitudes regarding resuscitation have evolved since the inception of do-not-resuscitate (DNR) orders decades ago. Sharing a personal narrative about a DNR quandry he encountered as a medical intern, the author considers the balance of patient rights versus clinical discretion, warning about the risk of resurgent physician paternalism dressed up in the guise of a public health crisis.
Topics & Concepts
PaternalismPandemicCoronavirus disease 2019 (COVID-19)DiscretionMedicinePolitical scienceLawDiseaseInfectious disease (medical specialty)PathologyEthics in medical practiceDisaster Response and ManagementPalliative Care and End-of-Life Issues