Preventing a public health disaster
http://www.msnbc.msn.com/id/6291712/#surveySomeone approached me the other day whose life you hold in your hands. John Stuart Katz is at high risk of dying if he gets the flu. It is up to you not to kill him. And it is up to your government to do more than it has to date to make sure that you cannot insist on putting his life at risk. When I spoke with him recently, Katz wanted to know if I had any “connections” to help him get a flu shot. Five years ago he underwent a kidney transplant using an organ donated by his wife. At 66, Katz takes medicine that helps his transplanted kidney keep working, but which also weakens his immune system. As a professor, he is constantly exposed to coughing and sneezing in classrooms. But his doctor has no flu vaccine and Katz is afraid he might die if he catches the flu. And he should be worried since he's in a very high-risk category.
We are facing a potential public health disaster and bolder steps are needed. The federal government should declare a national emergency and so should state officials. More than 30,000 people die each year from the flu — and that is when we have a lot more vaccine to go around. This season could be far worse than usual in terms of deaths.
First, the government needs to take control of all flu vaccine supplies. It needs to insure that doctors and nurses only give these shots to people, like Katz, who need them the most. The government also needs to levy stiff fines against any health-care institution that knowingly gives vaccine to any patient not in a high-risk group. And it needs to lower the regulatory barriers that keep vaccines used in Canada, Britain, France, Taiwan and Japan from entering this country.
I would like to think that when faced with a moral crunch most Americans do the right thing. And most of us have done so in the face of this crisis. But it does not take a lot of people conniving to get to the front of the flu-shot line to put other people’s lives at risk.
C’mon Washington. Let's go governors. Make it a crime to try and shove old people, babies and the chronically ill out of our lifeboat. Don’t make Katz and others like him beg for their lives.
Arthur Caplan is director of the Center for Bioethics at the University of Pennsylvania.