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COVID-19 and the moral failure to protect the most vulnerable.
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Director, Northern Plains Ethics Institute, Editor, Springer's International Library of Bioethics, Professor of Philosophy and Ethics, History, Philosophy, and Religious Studies-Dept. 2340, Minard Hall 422J, P.O Box 6050, North Dakota State University, Fargo, ND 58108, [701] 231-7038, Email: dennis.
The USA's COVID-19 pandemic experience is an example of privileged thinking that what generally works for those in power ought to be the standard for what makes medical interventions, research, treatments, and policy ethical. As a result of not focusing on doing whatever was required for vulnerable or susceptible populations or their members to achieve their health and flourishing, there are a disproportionate numbers of COVID-19 infections and deaths in Black, Hispanic, and indigenous communities. Future studies will likely show even more harm and larger health failure than known of now.
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Strictures are common in inflammatory bowel disease (IBD) and are managed medically and endoscopically, if feasible, due to the risk of surgical complications. While endoscopic balloon dilation (EBD) is often successful, the need for repeat dilation and subsequent surgery is common. Endoscopic stricturotomy (ESt) has gained popularity but has been limited by frequent post-procedural bleeding.
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