Draft:God Committees


In 1962, kidney dialysis began to be used to treat chronic kidney disease. However, equipment for long term dialysis was not widely available. In 1962 the first the first out-of-hospital dialysis center in the country was launched: Seattle Swedish Hospital's Artificial Kidney Center.[1]. The center needed to decide who would and wouldn’t receive this treatment. They created a panel to decide who would and wouldn’t receive treatment based on a measure of human worth (as opposed to medical need)[2].

This panel became known as a God committee because of beliefs that these panels were deciding between who would live and who would die. Other kidney centers around the country established similar committees, which were used until 1972, when Medicare implemented universal coverage of dialysis for end stage kidney disease[2]. These panels, and the problems with trying to measure social worth, have led to the development of modern bioethics.

The COVID-19 pandemic reignited discussion of how to decide who should receive access to medical care when supply is limited and demand is high. Although God committees no longer exist, they were used as an example of what not to do when selecting patients[2].

  1. ^ "Our History". Northwest Kidney Centers. 2014-07-03. Retrieved 2024-02-02.
  2. ^ a b c Satel, Sally (2008-06-07). "The God Committee". American Enterprise Institute. Retrieved 2024-02-02.

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