Opinion: U.S. Must Avoid Building Racial Bias Into COVID-19 Emergency Guidance

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Opinion: U.S. Must Avoid Building Racial Bias Into COVID-19 Emergency Guidance
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Crisis Standards of Care guidelines, used when hospitals have critical shortages, aim to benefit the most people while treating individual cases fairly. But some factors make it almost certain minority patients will be cut off first, write these ER docs.

A hospital patient in Stamford, Conn., who has COVID-19 symptoms gets his temperature checked. Severe infections with the novel coronavirus have been unusually high among African Americans and Latinos in many hospitals.A hospital patient in Stamford, Conn., who has COVID-19 symptoms gets his temperature checked. Severe infections with the novel coronavirus have been unusually high among African Americans and Latinos in many hospitals.Our patient in the emergency bay was not doing well.

I had to ask his son, a man in his early 20s, if it would be within his dad's wishes to intubate him. The young man was shaking with fear, too scared to speak aloud an answer. There were no other family members to help make this tough decision. As a black physician, I couldn't help but notice that once again it was a patient of color who was critically ill from what was almost certainly COVID-19.

Across the United States, we are seeing alarming statistics about the disproportionate toll of COVID-19 on Latino and black people. In New York City, the

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