Three Levels of Autonomy and One Long-Term Solution for Native American Health Care

Native Americans have twice the poverty rate of the general US population, suffer significant health inequity, and are chronically underrepresented, at only 0.08%, in the US physician workforce. The COVID-19 pandemic has illuminated key ethical, clinical, and economic complexities in health decision...

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Bibliographic Details
Published inAMA journal of ethics Vol. 22; no. 10; p. E856
Main Authors Wescott, Siobhan, Mittelstet, Beth
Format Journal Article
LanguageEnglish
Published United States 01.10.2020
Subjects
Betacoronavirus
Coronavirus Infections - epidemiology
Coronavirus Infections - therapy
Coronavirus Infections - virology
COVID-19
Decision Making
Education, Medical
Health Equity
Health Services, Indigenous
Health Workforce
Humans
Indians, North American
Pandemics
Personal Autonomy
Physicians
Pneumonia, Viral - epidemiology
Pneumonia, Viral - therapy
Pneumonia, Viral - virology
SARS-CoV-2
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Summary:Native Americans have twice the poverty rate of the general US population, suffer significant health inequity, and are chronically underrepresented, at only 0.08%, in the US physician workforce. The COVID-19 pandemic has illuminated key ethical, clinical, and economic complexities in health decision making among Native patients. This article discusses 3 levels of autonomy relevant to health decisions, including taking care of our own by increasing numbers of Native medical students.
ISSN:2376-6980
DOI:10.1001/amajethics.2020.856