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The first vacancies to be taken care of by geriatric residences and sanitary staff should not be taken lightly. The consensus was total and generalized at the world level. In our case, there was more than justification: the number of deaths registered by covid-19 was produced in nursing homes and the sanitary staff, which paid a high price for the initial protection, since the most expensive collective. But now the peliagudo has the right to decide who will be evacuated and continued. Y eso ya no está tan claro. In Spain it has not been decided, but in the United Kingdom, for example, it is believed that the mayors will be 65 years old, in order to be able to stand by the French franchises. This is the criterion for the inclusion of the Center for the Control of Welfare (CDC) of the United States and the strategy that many countries follow. If the objective is to immunize first and foremost, a mayor has the risk of contracting serious and morbid illness, and this is an oath of allegiance to the mayor’s prevalence of associated pathologies that could aggravate the prognosis. The oath of allegiance in this case is the criterion of mayor vulnerability before illness.
But in the last few weeks, an interesting debate has taken place in the United States about whether the oath should be the only criterion to be considered. It’s the easiest to apply and it’s less social controversy, but it’s not the most just or the most convenient way to get rid of the virus. The Advisory Committee on the Practice of Immunization, dependent on the CDC, debated this issue in step 3. It is recommended to include essential workers in the next stage of evacuation. Geen verlating nie el criterio de edad, pero lo combino with un social criterion.
The debate illustrates the difficulty that training takes when it comes to games. As signaled by Mildred Z. Solomon, president of The Hastings Center of New York, one of the bioethics reference bodies, the most difficult decisions are those that tend to weigh between equally important and legitimate objectives. All hopes for a controversial force, but the committee’s conclusion is very clear: for 13 votes, one is inclined to recommend that vacancies simultaneously to the mayors of 70 years and the essential workers. Among them are professors, social workers, cashiers, bus drivers and any other employees of an indispensable service who have contact with the public.
The arguments emerge are interesting. Between the ages of 65 and 70, many people need good health care and can apply self-protection measures to avoid contagion. Essential workers, in exchange, are required to have a permanent exhibition. Between the reasons for priorities, the hay of instrumental type: its essentials for the functioning of the country and protégés to them is a way to avoid the virus circulating, then to be more exposed, more contagious and more transmitted.
However, it also takes into account the criteria of social justice. In the United States, African Americans and Latinos have suffered over three years from the covenant-19 white English communities. In all these lands, the most disadvantaged social capitals are the ones that have been hit the hardest because they can not distance themselves and share more vital space. Essential workers have maintained public services during the pandemic, including the cost of risking their health. The company has with them a debt of gratitude.
Priorizar por edad es easy. It is difficult to discriminate by category. For example, associated pathologies should be considered as a risk factor for receiving vaccines. And the same goes for the criteria of risky work: what positions are considered first line between the sanitary staff or what collectors should consider essential workers. It is not easy, safe, decisive, but we know that ethics will fail.
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