WASHINGTON DC, KOMPAS.com – Special treatment received Presiden Donald Trump to access drug Covid-19 experimental causing problems social justice in the middle of the case corona virus who continues to threaten his people.
The disparity begins with the flawed health care system for Covid-19 patients that many Americans experience. Then, the public’s unfulfilled right to know more about Trump’s true condition, say ethics and medical experts.
Regeneron Pharmaceuticals Inc. revealed on Tuesday how rare it is for anyone to get a drug that Trump got, outside of ongoing research to test its safety and effectiveness.
Launch Associated Press on Wednesday (7/10/2020), the drug is said to supply antibodies to help the immune system, clear the corona virus, so it is widely seen as very promising.
Trump is also receiving the antiviral remdesivir and the steroid dexamethasone, and it is impossible to know if these drugs are beneficial to him.
“He deserves special treatment because of his position,” said George Annas, head of Boston University’s center for law and health ethics.
“The question is what it is Covid-19 treatment good ones, “he asked.
Drug-The drug is not proven for minor ailments and has not been tested for combinations.
Steroids also appear to conflict with medical guidelines based on what doctors say about the severity of the disease.
“The public is getting mixed messages about his condition and that is a problem,” Annas said, adding that there is a right to know anything that could affect Trump’s ability to do his job.
How did he get the medicine?
Trump’s doctor ordered the drug Regeneron under a “special use” rule, which allows patients with life-threatening illnesses to get experimental drugs, for which there is no good alternative.
Trump was given the drug on White House on Friday (2/10/2020), before he was taken to the Walter Reed National Military Medical Center.
In fact, Walter Reed is not a site where drugs are being tested, so he may have met the criteria for “special use” drugs for technical reasons.
Requests for “specific use” are decided on a case-by-case basis, and both the drug company and the US Food and Drug Administration (FDA) must agree.
An FDA spokeswoman declined to comment on the FDA’s decision or say how many others have requested a “special use” drug for Covid-19.
How special is the drug?
Fewer than 10 of these requests have been granted, said Regeneron spokeswoman Alexandra Bowie.
The drug is in limited supply, the priority is to use it for ongoing studies, and emergency access is granted “only in rare and extraordinary circumstances,” he wrote in an email.
Regeneron also contacted Democratic presidential candidate Joe Biden “to inform them of specific drug use mechanisms, if they need to.”
For example, if Biden was infected, wrote Bowie. However, he added, “There are no promises of access to drugs.”
Alison Bateman-House, an ethicist at NYU Langone Health, said the opening of Regeneron to Biden caused concern.
“It’s breaking the line for promoting a potentially unapproved product” in violation of FDA rules, he said.
Rather than directing people to queue up registrations in the study, it seemed to suggest “call us and we’ll cut the line for you,” he said.
Regarding Trump, “it is not clear to me that this is an emergency situation,” said Dr. Steven Joffe, head of medical ethics at the University of Pennsylvania.
“I think there is something wrong with the privileged, the president, getting special treatment that is not available to all of us,” he said.
“There is so much injustice in our health care system, with so many people not even having access to the basics of Covid-19 treatment,” that Trump’s distinction is “symptomatic of a much bigger problem.”
Trump spent 3 nights in a military hospital with a team of doctors watching him around the clock there and at the White House.
How bad is the disease?
Trump’s doctor avoided some questions about the details of Trump’s illness arguing it was health privacy rules.
He repeatedly described Trump’s symptoms as mild, and said supplemental oxygen was given to him on 2 occasions, but said Trump did not experience shortness of breath.
Trump’s steroids are only recommended for hospitalized patients who need extra oxygen. Research shows that steroids can be dangerous in patients who are less sick.
“We must be getting a very confusing picture. There are aspects of the story that don’t seem to fit together, “said Joffe.
He went on to judge that if the White House was hiding specific details like Trump’s vital signs from time to time, it could be because of Trump’s request, he said.
Trump’s medical team “have not fulfilled their moral responsibility to the American public” to be honest and open about his health, Bateman-House said.
“You gave up most of your privacy when you were president,” he said.
“He has an obligation to follow the rules of the United States and he has a duty to set a good example,” said Bateman-House.
“We have (the president with) problems on both counts,” he added.