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jerryking : containment   6

Coronavirus could force difficult choices on health systems
March 11, 2020 | Financial Times | by Anjana Ahuja.

The public should be made aware of the reasoning behind difficult choices, such as who will be given intensive care beds and ventilators in the event of a shortage.

Covid-19, for which there is no vaccine or cure, presents a defining challenge for any government, whose first duty is to protect citizens. Transparency will be critical if health services become overwhelmed....the public should be made aware of the reasoning behind difficult choices, such as who will be given intensive care beds and ventilators in the event of a shortage. “How will resources be allocated when demand hits surge and capacity is limited?” ....The US Centers for Disease Control, for example, prioritises access to limited stocks of pandemic flu vaccine by splitting the population into five tiers. Tier 1 occupants include military personnel deployed overseas, frontline healthcare workers, those in the emergency services and law enforcement, pandemic vaccine manufacturers, pharmacists, pregnant women and children aged 35 months and under. ...Interestingly, priorities can change according to the profile of a disease: over-65s are tier 2 in a low severity pandemic but drop to tier 4 in a high-severity scenario. Once illness strikes, that picture changes. Sick workers are unlikely to recover in time to assist in the first wave of an epidemic. Occupational usefulness becomes secondary to clinical need, but healthcare workers are still prioritised..... who should be prioritised for life-saving treatment? Decisions should be made in a trustworthy, inclusive and fair manner to have legitimacy:
CDC  containment  COVID-19  decision_making  ethics  fairness  hard_choices  healthcare  legitimacy  lotteries  pandemics  priorities  rationing  resource_allocation  surge_capacity  transparency  triage 
19 days ago by jerryking
U.S. Strategy to Hobble North Korea Was Hidden in Plain Sight - The New York Times
By WILLIAM J. BROAD and DAVID E. SANGERMARCH 4, 2017
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containment  security_&_intelligence  North_Korea  covert_operations 
march 2017 by jerryking
Dean Acheson Was a First-Rate Statesman
Feb. 17, 2017 | - WSJ| Jeffrey Salmon.

"The record shows that he had the rare ability to combine a grasp of the broad historical circumstances in which the U.S. found itself in the postwar period with a practical understanding of how to construct and implement long-term policy—that is to say, he was a statesman. Every grand strategy of the Cold War period—containment, NATO, the postwar economic order, the Marshall Plan and more—bore his mark."
letters_to_the_editor  Peggy_Noonan  Dean_Acheson  Henry_Kissinger  statesmen  Cold_War  containment  NATO  Marshall_Plan  post-WWII  APNSA 
february 2017 by jerryking

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