Discrimination against disabilities and protocols for the allocation of scarce resources in the COVID-19 pandemic
DOI:
https://doi.org/10.5007/1677-2954.2023.e98343Abstract
The possible relationship between discrimination against disabled people and protocols for allocating scarce resources in the COVID-19 pandemic will be investigated. The specific problem concerns the accusation of discrimination against people with disabilities in the use of ECOG in the AMIB protocol. The starting point is a brief phenomenological description of the limits of ECOG in comparison to other assessment methods. Next, the biomedical conception of disability and the difficulties this implies for models of justice are discussed. Then the problems in the concepts of functionality and resources themselves stand out, in addition to the relationship between functionality and fragility. From this it becomes possible to consider the relationship between justified statistical discrimination and formal equality of opportunities. This will involve analyzing the relationship between relational and distributive justice, on how the disabled person is understood as a bad user ex ante of health resources. It concludes by clarifying how epistemic injustice is a central issue.
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