Bioethics in Medical Care Rationing During the Coronavirus Disease-19 Pandemic.

González-Duarte, Alejandra; Kaufer-Horwitz, Martha; Gamba, Gerardo; Rivera-Moscoso, Raúl; Aguilar-Salinas, Carlos A

BACKGROUND Coronavirus (CoV) disease (COVID)-19 poses difficult situations in which the ethical course of action is not clear, or choices are made between equally unacceptable responses. METHODS A web search was performed using the terms "bioethics; COVID-19; ethics; severe acute respiratory syndrome CoV-2; emergent care; pandemic; and public health emergencies." RESULTS Protection from COVID-19 has resulted in the cancellation of necessary medical interventions, lengthened suffering, and potential non-COVID-19 deaths. Prolonged lockdown reduced well-being, triggering or aggravating mental illnesses and violence, and escalated medical risks. Collateral damage includes restrictions on visitations to hospitals, alienation from the deceased relative, or lack of warm caring of patients. Finally, in a public health crisis, public health interest overrides individual rights if it results in severe harm to the community. CONCLUSION Balancing ethical dilemmas are one more challenge in the COVID-19 pandemic.