Ethical Theory and the Demands of Sustainability
In: Handbook for Environmental Risk Decision Making
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In: Handbook for Environmental Risk Decision Making
In: Hastings Center studies in ethics
"Without devastating the very institutions that exist in all good conscience to bring us the best possible health care, Accountability calls for a balanced public policy that creates systems capable of openness that deliver just compensation and humane treatment to patients and families who have suffered from harmful medical error."--Jacket
In: Environmental politics, Band 10, Heft 4, S. 141
ISSN: 0964-4016
During catastrophic disasters, government leaders must decide how to efficiently and effectively allocate scarce public health and medical resources. The literature about triage decision making at the individual patient level is substantial, and the National Response Framework provides guidance about the distribution of responsibilities between federal and state governments. However, little has been written about the decision-making process of federal leaders in disaster situations when resources are not sufficient to meet the needs of several states simultaneously. We offer an ethical framework and logic model for decision making in such circumstances. We adapted medical triage and the federalism principle to the decision-making process for allocating scarce federal public health and medical resources. We believe that the logic model provides a values-based framework that can inform the gestalt during the iterative decision process used by federal leaders as they allocate scarce resources to states during catastrophic disasters.
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