The health threat posed by the novel coronavirus that caused the COVID-19 pandemic has particular implications for people with disabilities, including vulnerability to exposure and complications, and concerns about the role of ableism in access to treatment and medical rationing decisions. Shortages of necessary medical equipment to treat COVID-19 have prompted triage guidelines outlining the ways in which lifesaving equipment, such as mechanical ventilators and intensive care unit beds, may need to be rationed among affected individuals. In this article, we explore the realities of medical rationing, and various approaches to triage and prioritization. We discuss the psychology of ableism, perceptions about quality of life, social determinants of health, and how attitudes toward disability can affect rationing decisions and access to care. In addition to the grassroots advocacy and activism undertaken by the disability community, psychology is rich in its contributions to the role of attitudes, prejudice, and discriminatory behavior on the social fabric of society. We call on psychologists to advocate for social justice in pandemic preparedness, promote disability justice in health care settings, call for transparency and accountability in rationing approaches, and support policy changes for macro- and microallocation strategies to proactively reduce the need for rationing. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

---

没有身体是可以消耗的：COVID-19 大流行期间的医疗配给和残疾正义。

导致 COVID-19 大流行的新型冠状病毒对健康构成的威胁对残疾人具有特别的影响，包括易受暴露和并发症的影响，以及对残疾在获得治疗和医疗配给决定方面的作用的担忧。治疗 COVID-19 的必要医疗设备短缺促使分类指南概述了可能需要在受影响的个人之间配给救生设备（例如机械呼吸机和重症监护病房床位）的方式。在本文中，我们探讨了医疗配给的现实，以及各种分类和优先排序的方法。我们讨论了能力主义的心理学、对生活质量的看法、健康的社会决定因素，以及对残疾的态度如何影响配给决定和获得护理的机会。除了残疾人社区开展的草根宣传和行动之外，心理学还对态度、偏见和歧视行为对社会结构的作用做出了丰富的贡献。我们呼吁心理学家倡导大流行防范中的社会正义，促进医疗保健环境中的残疾正义，呼吁配给方法的透明度和问责制，并支持宏观和微观分配策略的政策变化，以主动减少配给需求。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。我们呼吁心理学家倡导大流行防范中的社会正义，促进医疗保健环境中的残疾正义，呼吁配给方法的透明度和问责制，并支持宏观和微观分配策略的政策变化，以主动减少配给需求。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。我们呼吁心理学家倡导大流行防范中的社会正义，促进医疗保健环境中的残疾正义，呼吁配给方法的透明度和问责制，并支持宏观和微观分配策略的政策变化，以主动减少配给需求。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。