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A2   UP FRONT
                   Monday 24 January 2022


















            Continued from Front                                                                   distribute  treatments.  The  people  who  have  lung
            "You  have  to  pick  who                                                              problem  has  only  grown  disease  or  are  pregnant.
            comes  first,"  Leider  said.                                                          worse as the omicron vari-   Some states, including Wis-
            "The  problem  is  we  have                                                            ant  has  packed  hospitals  consin, have implemented
            extremely  conclusive  evi-                                                            with COVID-19 patients.      policies that bar race as a
            dence     that   (minorities)                                                          Considerable     evidence  factor,  but  others  have  al-
            across  the  United  States                                                            suggests  that  COVID-19  lowed it.
            are  having  worse  COVID                                                              has  hit  certain  racial  and  St. Louis-based SSM Health,
            outcomes  compared  to                                                                 ethnic  groups  harder  than  which  serves  patients  in  Il-
            white  folks.  ...  Sometimes                                                          whites.  Research  shows  linois,  Missouri,  Oklahoma
            it's acceptable to consider                                                            that  people  of  color  are  and  Wisconsin,  required
            things like race and ethnic-                                                           at a higher risk of severe ill-  patients  to  score  20  points
            ity  when  making  decisions   Registered nurse Shelly Girardin, left, is illuminated by the glow   ness, are more likely  to be  on a risk calculator to qual-
                                         of a computer monitor as Dr. Shane Wilson examines COVID-19
            about  when  resources  get   patient Neva Azinger inside Scotland County Hospital in Mem-  hospitalized and are dying  ify  for  COVID-19  antibody
            allocated at a societal lev-  phis, Mo., on Nov. 24, 2020.                             from COVID-19 at younger  treatment.        Non-whites
            el."                                                                  Associated Press  ages.                       automatically  got  seven
            Since  the  pandemic  be-                                                              Data also show that minori-  points.
            gan,  health  care  systems  and  states  have  been  grappling with how to best  ties have been missing out  State health officials in Utah
                                                                                                   on  treatments.  Last  week,  adopted  a  similar  risk  cal-
                                                                                                   the  Centers  for  Disease  culator  that  grants  people
                                                                                                   Control  and  Prevention  two  points  if  they're  not
                                                                                                   published an analysis of 41  white.  Minnesota's  health
                                                                                                   health  care  systems  that  department  guidelines  au-
                                                                                                   found that Black, Asian and  tomatically  assigned  two
                                                                                                   Hispanic  patients  are  less  points  to  minorities.  Four
                                                                                                   likely than whites to receive  points was enough to qual-
                                                                                                   outpatient  antibody  treat-  ify  for  treatment.New  York
                                                                                                   ment.  Omicron  has  ren-    state health officials' guide-
                                                                                                   dered two widely available  lines   authorize   antiviral
                                                                                                   antibody  treatments  inef-  treatments if patients meet
                                                                                                   fective,  leaving  only  one,  five  criteria.  One  is  having
                                                                                                   which is in short supply.    "a  medical  condition  or
                                                                                                   The Food and Drug Admin-     other factors that increase
                                                                                                   istration  has  given  health  their  risk  for  severe  illness."
                                                                                                   care  providers  guidance  One of those factors is be-
                                                                                                   on  when  that  treatment,  ing a minority, according to
                                                                                                   sotrovimab,   should    be  the guidelines.
                                                                                                   used,  including  a  list  of  The  protocols  have  be-
                                                                                                   medical  conditions  that  come  a  talking  point  for
                                                                                                   put  patients  at  high  risk  of  Republicans after The Wall
                                                                                                   severe outcomes from CO-     Street Journal ran an op-ed
                                                                                                   VID-19. The FDA's guidance  by  political  commentators
                                                                                                   says  other  factors  such  as  John  Judis  and  Ruy  Teixei-
                                                                                                   race or ethnicity might also  ra  this  month  complaining
                                                                                                   put patients at higher risk.   that New York's policy is un-
                                                                                                   The  CDC's  list  of  high-risk  fair, unjustified and possibly
                                                                                                   underlying conditions notes  illegal.  Carlson  jumped  on
                                                                                                   that age is the strongest risk  Utah's and Minnesota's pol-
                                                                                                   factor  for  severe  disease  icies last week, saying "you
                                                                                                   and lists more than a dozen  win if you're not white."
                                                                                                   medical  conditions.  It  also  Alvin  Tillery,  a  political  sci-
                                                                                                   suggests  that  doctors  and  entist  at  Northwestern  Uni-
                                                                                                   nurses  "carefully  consider  versity,  called  the  issue  a
                                                                                                   potential  additional  risks  winning  political  strategy
                                                                                                   of  COVID-19  illness  for  pa-  for Trump and Republicans
                                                                                                   tients who are members of  looking  to  motivate  their
                                                                                                   certain  racial  and  ethnic  predominantly  white  base
                                                                                                   minority groups."            ahead  of  midterm  elec-
                                                                                                   State  guidelines  generally  tions in November. He said
                                                                                                   recommend  that  doctors  conservatives  are  twisting
                                                                                                   give  priority  for  the  drugs  the  narrative,  noting  that
                                                                                                   to those at the highest risk,  race is only one of a multi-
                                                                                                   including  cancer  patients,  tude of factors in every al-
                                                                                                   transplant  recipients  and  location policy.q
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