Posted on April 2, 2018 at 9:01 AM
Noah Polzin-Rosenberg directs a training program for emergency doctors at the central teaching hospital in Rwanda. He has a compelling article in the current Hastings Center Report. He has three critically ill patients but only two ventilators.
While there are some unique cultural and legal issues in Rwanda, Polzin-Rosenberg suggests these rationing problems are rare in the USA because we just spend to get more ventilators. Not true.
While we have more per capita than anyone else, we still run out. Fortunately, we have been developing more allocation criteria both in the crisis / disaster / surge situation as well as in day-to-day treatment (bedside rationing).