Thread by @littleann4ever

So in light of depravity emanating from #DrBonnieHenry at today’s presser & complete disregard for protecting lives, can we all just agree that BCPH has violated ALL ethical values & principles in @GovCanHealth #COVID19 Ethics framework now? #bcpoli 1/19 canada.ca/en/public-heal…

TRUST: “Trust is essential to the success of the response to #COVID19. In the current context of uncertainty, being open, truthful & transparent in decision making & communication is essential to establishing & promoting trust.”
#firebonniehenry #bcpoli 2/19

JUSTICE:“In context of #COVID19, it means carefully considering impact of decisions & their implementation on those who have greatest needs, are esp vulnerable to injustice or are disproportionately affected by pandemic & PH response measures..”
#firebonniehenry #bcpoli 3/19

HUMAN RIGHTS:“recognizing inherent human rights, dignity & unconditional worth of all persons, regardless of human condition (age/gender/race/ethnicity/disability/socioeconomic status/social worth/pre-existing health conditions/need for support)”
#firebonniehenry #bcpoli 4/19

PROMOTING WELL-BEING:“In the context of #COVID19, PH authorities’ decisions & actions should promote & protect the physical, psychological & social health & well-being of ALL individuals & communities to the greatest extent possible.”
#firebonniehenry #bcpoli 5/19

MINIMIZING HARM: PH authorities have an obligation to avoid causing undue harm & given that some harm is likely unavoidable, to minimize risk of harm & to reduce suffering associated w/#COVID19 & PH response measures.
#firebonniehenry #bcpoli 6/19

MINIMIZING HARM con’t:
“In order to promote well-being & minimize harm, the following four factors must be considered when weighing options…”
#firebonniehenry #bcpoli 7/19

1) EFFECTIVENESS:“there should be reasonable likelihood a proposed decision/action will achieve its goals & its implementation’s feasible. If scientific evidence is avail, proposed action/decision should be supported by the evidence”
#COVIDisAirborne #firebonniehenry #bcpoli 8/19

2) PROPORTIONALITY:“potential benefits should be balanced against risks of harm. Measures should be proportionate to the relevant threat & risks & benefits that can be gained.”
(i.e gym workouts do not outweigh neurological damage)
#firebonniehenry #bcpoli 9/19

3) RECIPROCITY:“those asked to take ⬆️ risks, face greater or disproportionate burdens in order to protect public good should be supported by society in doing so & burdens they face should be minimised to greatest extent possible” i.e #bced HCW FLW
#firebonniehenry #bcpoli 10/19

4) PRECAUTION:“scientific uncertainty should not prevent decision makers from taking action to reduce risks associated w/ #COVID19. “continued search for scientific evidence should nonetheless be a goal”
i.e abandonment of #PrecautionaryPrinciple!
#firebonniehenry #bcpoli 11/19

WORKING TOGETHER:“collective action in face of common threats justified. Helping & working together to plan/respond/recover from pandemic’s important b/c it affects all..implies strong links btwn Cdn/Inter’l jurisdictions”

BUT BC’s exceptionalism!
#firebonniehenry #bcpoli 12/19

PROCEDURAL CONSIDERATIONS: “Ethical decisions based on best info avail & solid/shared understanding of what values/principles are imp. “good decision-making process helps build trust, to ⬆️ legitimacy & to effectively implement”
5 hallmarks con’t..
#firebonniehenry #bcpoli 13/19

1) ACCOUNTABILITY: “decision makers are answerable to public for type or quality of decisions made or actions taken”

#bced, LTC & vulnerable/disabled/marginalized families ignored!
#firebonniehenry #bcpoli 14/19

2) OPENNESS/TRANSPARENCY: decisions are made in way stakeholders know, in a full, accurate/timely manner, what decisions are being made, for which reasons & what criteria were applied & have opportunity to provide input”#bced #BCedEnhancedMeasures
#firebonniehenry #bcpoli 15/19

3) INCLUSIVENESS: “groups & individuals who’re most likely to be affected by decision are engaged in decision-making & planning processes to the greatest extent possible”
#bced staff/students/
HCWs/LTC families disregarded!
#firebonniehenry #bcpoli 16/19

4) RESPONSIVENESS: “decisions are revisited & revised as new information emerges”

BC exceptionalism: half-measures are revised AKA downgraded based on new *made in BC* unverifiable reasons!
#firebonniehenry #bcpoli 17/19

5) INTERSECTIONALITY: “an intersectional lens is applied to deliberation & decision making.”

i.e to put into practice is to ask if health needs of individuals/communities that face overlapping/intersecting forms of oppression are being met.
NOPE!
#firebonniehenry #bcpoli 18/19

CONCLUSION:#firebonniehenry
BC’s ideological/economic #COVID19 policies casts wide net of blame tho, either in neglect or complicity: @CDCofBC @PHSAofBC @VCHhealthcare @adriandix @jjhorgan @JM_Whiteside @BCNDPCaucus @BCSTA_News @BCCPAC
@GovCanHealth @JustinTrudeau #bcpoli /End