Ethics on COVID-19 confinement
Today we are looking at some ethical aspects of crisis confinement in the context of the COVID-19 pandemic.
Look closely at this table:
It makes us reflect on ethical principles threatened by confinement, which everyone must first of all recognize that it aims at protecting each of us.
A distinction must be made between selective confinement which goes through the prerequisite of masks and tests and generalized confinement by default from this prerequisite, the objective of which is collective: to slow down the epidemic and reduce the need and therefore resuscitation unit occupancy.
You can see in the right-hand column that generalized confinement is more threatening in terms of ethics than selective confinement, whose performance is today recognized as being the most effective.
In any case, sanitary crisis confinement must be respected by all but it has its limits especially when it is adds up to a social confinement: home hospitalization, nursing home, detention centers (specialized institutions, prison, but also minor or migrant detention facilities). So it cannot last indefinitely. If too much lengthened, it will affect the most vulnerable among us, isolated from their families and loved ones, because of the disease, in patients hospitalized for severe forms, a fortiori those who are in the last stage of life.
And let us not forget that it will also affect the most vulnerable due to their social situation.
These will be minor children, especially if they are unaccompanied, protected adults, disabled people and the most disadvantaged social groups.
So try the exercise, go to the "Actualités" tab of the Fertile Vision website, you will find this table and make your own choice on the three ethical principles most threatened according to every case, they may be different from mine, why not? I certainly do not claim to hold the truth, who would claim it?
The key here is to go to higher ground to address the crisis we are going through, in the most humane way possible.
From the crisis confinement and its new and transitional standards, could its purpose not be triple, it is for you to judge:
- To ensure sanitary security
- To reduce social inequality (resource allocation)
- To provide equitable access to health care (through the entire health chain) as well as basic necessities.
Thus, you measure through the example of confinement to which extent bioethics is a weapon for the governance of each one of us and that of the policy decision-maker in the face of the COVID-19 pandemic.
Jacques Montagut s'investit pour faire connaître et reconnaître la médecine et la biologie de la reproduction ainsi que les questions éthiques soulevées par l’avancée de la connaissance dans ce domaine. Il a siégé dans différentes instances ministérielles et éthiques. Il décide aujourd’hui de favoriser la réflexion et le débat sur le site Internet de Fertile Vision.
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