Abstract
Abstract This chapter gives first an overview of the different approaches and ethical frameworks regarding the allocation of scarce resources in the USA versus in Europe, particularly during the early phase of the COVID-19 pandemic when uncertainty prevailed at all levels. Through observational data, media reporting, reviews, and interviews, the chapter gives a critical account of the harsh reality of triage during the early context of the pandemic in different countries with different healthcare systems. More or less explicit triage took place almost everywhere, often disguised into suboptimal care; excess mortality in nursing homes was a global phenomenon; countries who did well at the beginning were overwhelmed later. Finally, the chapter attempts to draw some lessons for future pandemics by learning from these cross-cultural experiences how to build trust and accountability to increase public support in situations of scarcity and uncertainty.
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