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    Who gets a ventilator? The 'gut-wrenching' choices facing US health workers

    Under unprecedented circumstance, and in the absence of federal guidance, hospitals have formed triage committees to guide life-and-death decisionsCoronavirus – live US updatesLive global updatesSee all our coronavirus coverage
    by Jessica Glenza Apr 09, 2020 4 minutes
    ‘I hope the public will recognize these triage plans are being developed by heartbroken health professions, for whom there’s going to be tremendous suffering.’ Photograph: Drew Angerer/Getty Images

    From ambulances to intensive care units, the Covid-19 pandemic has forced American healthcare workers to make “gut-wrenching” decisions about a patient’s fate – once rare even for hospital ethics committees.

    Those decisions are now made under a new paradigm – scarcity.

    “We’re just not used to this in the United States, where we feel like resources are always available,” said Mildred Z Solomon, the president of the New York-based Hastings Center, one of the world’s leading bioethics thinktanks. “It’s a tragedy.”

    Physicians in America now practice in an “exceedingly rare” time of shortages many and varied, one ethicist said. The most pressing national concern is lack of ventilators. Medical device will be needed across the United States to care for the roughly 10% of Covid-19 patients who need them.

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