March 18, 2020 / By Suzy Khimm
Amid growing fears that the United States could face a shortage of ventilators for coronavirus patients, state officials and hospitals are quietly preparing to make excruciating decisions about how they would ration lifesaving care.
The plans may not be necessary, as officials are scrambling to secure more ventilators, which can make the difference between life and death for coronavirus patients in critical condition who are struggling to breathe. Social distancing and other mitigation efforts to slow the virus’ spread could prevent hospitals from being overwhelmed. But hospitals are already huddling with state health officials to hammer out their policies to determine which coronavirus patients would get ventilators if they run short — essentially deciding whose lives to save first. 
In Maryland, state officials are in discussions with the biggest hospital systems in the region about how to factor in age, pre-existing health conditions, overall life expectancy and other criteria to determine which patients would have priority if there are not enough ventilators, said Dr. David Marcozzi, who is directing the coronavirus response for the University of Maryland Medical System, which has 14 hospitals.
“These are conversations that no one wants to have. But we need to have these conversations just in case,” said Marcozzi, who has been appointed to the state’s coronavirus response team. “We need to put steps in place to ensure the public’s confidence that those difficult decisions will be made with the greatest care.”