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Ethical Dilemmas and Decision-Making Challenges During Covid-19
Dr. Anisha
Shri Ram College of Commerce, University of Delhi, India
Volume 22: 2025 pp. 175-184: ABSTRACT
This case is based on a real-life situation that unfolded in Italy during the COVID-19
pandemic in 2019. It presents the ethical dilemma faced by the Italian administration, which was
confronted with the morally challenging responsibility of treating a rapidly increasing number of
COVID-19 patients amid severe shortages of medical equipment and resources. The case also
highlights the moral distress and psychological toll experienced by healthcare professionals, who
were forced to make ethically uncomfortable decisions on the front lines of the crisis. A particularly
difficult aspect involved making triage decisions that often prioritized younger patients over the
elderly. This scenario offers a valuable opportunity to examine and identify ethical issues through
various philosophical lenses, including deontology, utilitarianism, virtue ethics, and theories of
justice. It emphasizes the importance of navigating such dilemmas with a balanced ethical
perspective, rather than relying exclusively on a single ethical framework
Keywords: ethical dilemma, triage decisions, moral disengagement, moral injury, crisis decisionmaking.
ARTICLE ORDER REF.: JBEE22-0CS5