Todo, en todas partes, todo a la vez
distribución de vacunas contra el COVID-19 en EUA
DOI:
https://doi.org/10.15448/1984-6746.2024.1.45427Palabras clave:
bioética, COVID-19, salud pública, tecnología, vacunasResumen
El desarrollo y la distribución temprana de la vacuna COVID-19 fue tanto un logro singular como una oportunidad perdida. En este artículo, sostengo que el consenso en torno a los objetivos de un programa de distribución de vacunas eficaz y moralmente responsable se ignoró con demasiada frecuencia en favor de revertir las problemáticas prácticas de distribución sanitaria anteriores a la pandemia. Examino los objetivos de la planificación de vacunas desde el punto de vista de las repercusiones económicas, sociales y de salud pública de un plan de distribución contrario a la estrategia del “primero en llegar, primero en ser atendido” que finalmente se utilizó. Argumento que la incapacidad de aplicar una política coherente de vacunación por grupos prioritarios ha dado lugar a una proliferación de programas de distribución de vacunas que han socavado los esfuerzos por combatir el virus, al tiempo que han aumentado las desigualdades preexistentes en el sistema sanitario. La distribución de vacunas según una estrategia de aplicación por fases para grupos individuales ha limitado en gran medida el acceso a la vacuna de quienes tienen más probabilidades de sufrir las peores consecuencias de la enfermedad. La futura planificación de la pandemia debe tener en cuenta estos resultados y emplear nuevas tecnologías para limitar el contagio y dirigirse con mayor eficacia a los grupos de riesgo.
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