As Omicron Overwhelms Hospitals, We Must Talk About Triage
A German court decision forces all of us to debate who should get medical care if it must be rationed.
At some point after he became chief surgeon in Napoleon’s army, Dominique Jean Larrey started walking across blood-soaked battlefields to pick out those among the wounded who could still be saved, usually by instant amputation of limbs. In time, he developed a system of sorting and separating — trier in French — the casualties. Ignoring rank and nationality, he considered only those who had the greatest chance of surviving. His method became known as triage.
In worst-case scenarios, triage is nowadays accepted almost universally as necessary and justified. And yet, the idea still rests on an act of cruelty — cruel both to a victim and to the doctor having to make the decision. It often necessitates allowing one human being to die in order to ration the care that might let another live.