Feature Story

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Haitians Under U.S. Treatment Are Often Separated From Families

by Sheri Fink, Special to ProPublica - February 2, 2010 12:50 pm EDT

The U.S. government has brought needed medical services to thousands of Haitian earthquake survivors. But a bureaucratic tangle has left some people struggling to find out what happened to family members who were taken away for treatment. Read More »

Major Stories

The New Katrina Flood: Hospital Liability

by Sheri Fink, ProPublica - January 2, 2010 11:30 am EDT

Three years before Hurricane Katrina inundated New Orleans, a senior executive at Pendleton Memorial Methodist Hospital assessed its vulnerability to the sort of flooding that had been long feared there. His conclusion is now evidence in a lawsuit against Methodist that could have significant implications for hospitals nationwide.

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Louisiana Doctors Drafting Guidelines on Access to Critical Care During a Disaster

by Sheri Fink, ProPublica - December 27, 2009 11:00 am EDT

Health professionals and ethicists consider which patients won't get lifesaving care during an epidemic or other medical crisis.

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Rationing Medical Care: Health Officials Struggle With Setting Standards

by Sheri Fink, ProPublica - December 21, 2009 7:14 am EDT

With the threat of a flu pandemic, doctors are still struggling with a serious issue: Which patients should be given access to lifesaving treatments if more people need it than the system can handle?

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Advisory Subcommittee to CDC Approves Ethics Guidance for Rationing Ventilators

by Sheri Fink, ProPublica - November 23, 2009 7:00 pm EDT

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Your Chance to Weigh In on Ventilator Rationing for a Severe Flu Pandemic

by Sheri Fink, ProPublica - November 23, 2009 8:45 am EDT

The CDC is considering ethical guidelines on rationing mechanical ventilators in a severe influenza pandemic.

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Preparing for a Pandemic, State Health Departments Struggle With Rationing Decisions

by Sheri Fink, ProPublica - October 24, 2009 3:46 pm EDT

Health officials across the country are working on guidelines to address a worst-case scenario: too many severely ill people, not enough resources to treat them all.

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In Flu Pandemic, Florida’s Hospitals May Exclude Certain Patients

by Sheri Fink, ProPublica - October 16, 2009 6:44 pm EDT

Health officials in Florida are working on guidelines for rationing scarce medical care in an emergency.

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Key Panel Presses for Clearer Guidance on Who Gets Scarce Resources in Major Medical Disasters

by Charles Ornstein and Sheri Fink, ProPublica - September 24, 2009 6:02 pm EDT

A report from a committee of doctors, lawyers and public health professionals declares an "urgent and clear need" for consistent standards of care during medical crises.

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Flu Nightmare: In Severe Pandemic, Officials Ponder Disconnecting Ventilators From Some Patients

by Sheri Fink, ProPublica - September 23, 2009 6:15 pm EDT

Guidelines are being drafted for handling a flu outbreak that leaves too many people in need of too few ventilators.

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In a pandemic, natural disaster or bioterrorist attack, the number of patients needing treatment could overwhelm the medical system.

Hospitals and public health officials have been quietly working to devise medical rationing plans for such a worst-case scenario.  Policies that will govern who lives and who dies are based on value judgments about what the goals of triage should be—whether maximizing lives saved, years of lives saved, quality of life, fairness, justice, social trust or other factors.

ProPublica’s extensive coverage has brought this planning out of the shadows and into the public eye, informing readers about some of the most wrenching questions in medicine.

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The Deadly Choices at Memorial

Strained by Katrina, Hospital Faced Deadly Choices

A two-year investigation reveals what happened to some patients who died at Memorial Medical Center after Katrina. Read More »


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