The Value(s) of Disposability in Health Care: Questioning the Tradeoffs of Safety, Efficacy, Efficiency, and Sustainability

Roughly 80 percent of healthcare’s oversized carbon footprint derives from the production, transportation, use, and disposal of a single-use medical supply chain. Yet as health care organizations try to practice ‘resource stewardship’ – that is, to move away from single-use disposable items toward sustainable use of durable items – they encounter widespread perceptions that disposability is a necessary virtue in modern health care. Caregivers, patients, and health-system managers fear that any move from disposability to sustainability must lead to trade-offs in safety (from infectious threats), efficacy (in pharmaceutical delivery) or efficiency (in cost-effectiveness).

This Levi Symposium will question these perceived trade-offs, disentangling legitimate evidential and moral reasoning from the inertia of convenience. Convening scholars and practitioners in bioethics, clinical practice, environmental justice, practice innovation, and health policy, we aim to host a multi-disciplinary exploration of how we can elucidate policy pathways that harmonize clinical safety, efficacy, and efficiency with sustainability.