The essay briefly looks into the bioethical guide of extreme triage and resource allocation based on known co-morbidities (i.e., obesity, hypertension, and diabetes). I invite to reflect upon how a focus on individual responsibility under COVID-19 occludes major structural problems while silencing the social factors behind the heath disaster that we are witnessing today. The essay argues that chronic diseases are not merely the result of genetic makeup or individual choices but are instead profoundly linked to poverty, systemic racism, structural violence, and lack of care. Debates on extreme triage guidelines and resource allocation illuminate a series of ethical shortcomings that preexisted COVID-19. Even if guidelines clearly state that criteria such as race, gender, or class will not be taken into account when deciding how to allocate limited medical resources, these categories are deeply linked to health disparities, and therefore, on people’s possibilities of surviving the pandemic.