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Inequity in Crisis Standards of Care

Published time: 13 May 2020

Authors: Emily Cleveland Manchanda, Cheri Couillard, M.A., and Karthik Sivashanker

Keywords: covid-19, viral infections, medical ethics, social Works, coronavirus


In Racism without Racists, Eduardo Bonilla-Silva articulates why “color blindness,” an ethos based on the belief that race is no longer relevant, is contradictory and harmful. Color-blind policies, such as race-neutral mortgage practices and Medicare and Medicaid rules, have resulted in discrimination against black people and greater burdens on communities of color. To insist on color blindness is to deny the experience of people of color in a highly racialized society and to absolve oneself of any role in the process. Many clinicians and policymakers are therefore alarmed by recent state-based crisis standards of care (CSCs) that provide a color-blind process for determining whether a patient with Covid-19 respiratory failure lives or dies.

Inequity in Crisis Standards of Care



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