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Seeds of Genocide

With the coronavirus pandemic surging and initial vaccine supplies limited, the United States faces a hard choice. An independent committee of medical experts that advises the C.D.C. on immunization practices will soon vote on whom to recommend for the second phase of vaccination. Historically, the committee relied on scientific evidence to inform its decisions. But now the members are weighing social justice concerns as well. Marc Lipsitch, an infectious-disease epidemiologist at Harvard’s T.H. Chan School of Public Health, argued that teachers should not be included as essential workers, if a central goal of the committee is to reduce health inequities. “Teachers have middle-class salaries, are very often white, and they have college degrees,” he said. Harald Schmidt, an expert in ethics and health policy at the University of Pennsylvania, said that it is reasonable to put essential workers ahead of older adults, given their risks, and that they are disproportionately minorities. “Older populations are whiter, ” Dr. Schmidt said. “Society is structured in a way that enables them to live longer. Instead of giving additional health benefits to those who already had more of them, we can start to level the playing field a bit.” [NYT (2020)]

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