The coming hospital crisis
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wrote on 9 May 2020, 02:33 last edited by
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wrote on 9 May 2020, 02:34 last edited by jon-nyc 5 Sept 2020, 02:35
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wrote on 9 May 2020, 02:36 last edited by jon-nyc 5 Sept 2020, 02:36
The economic devastation doesn’t seem to be a policy choice. At least mostly not.
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wrote on 9 May 2020, 02:46 last edited by
Yeah I don't think it matters to the economy whether people aren't going outside because of force or choice. Neither does it matter much to the discussion about whether it's good that everybody stays inside.
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wrote on 9 May 2020, 02:49 last edited byThis post is deleted!
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wrote on 9 May 2020, 02:49 last edited by jon-nyc 5 Sept 2020, 02:51
Usually the conversation is about policy. I think that Covid Doves in general have yet to concede the point that policy isn’t the problem, the fucking virus is.
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wrote on 9 May 2020, 02:51 last edited by
Social norms are no less important or effective than policies, and just as amenable to change due to discussion.
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wrote on 9 May 2020, 02:52 last edited by
A couple of other Sweden maps
Of course they look better when you compare them to France, Italy, Spain, Iran.
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wrote on 9 May 2020, 02:53 last edited by
So if hospitals are going broke, health insurance companies are booming, right?
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Usually the conversation is about policy. I think that Covid Doves in general have yet to concede the point that policy isn’t the problem, the fucking virus is.
wrote on 9 May 2020, 02:57 last edited byIt's not clear to me how policy relates to hospitals doing no business. I assume hospitals are considered essential and not covered by the lock down policies. Heck, even the place I work for isn't covered and we're hardly front line health care workers. So why are hospitals all but shut down these days?
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A couple of other Sweden maps
Of course they look better when you compare them to France, Italy, Spain, Iran.
wrote on 9 May 2020, 03:05 last edited by@jon-nyc said in The coming hospital crisis:
Holy shit. This is a pretty clear apples to Swedish apples map, no?
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wrote on 9 May 2020, 03:19 last edited by
It’s clear but if you put Sweden next to UK, Spain, Italy, France it looks fine.
Seems like density, culture, climate, etc would suggest the Scandinavian comparison is the apt one but maybe there’s a good reason that isn’t the case.
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wrote on 9 May 2020, 09:04 last edited by
Ms. Klaus was recently notified that her salary will be cut by 25% because the hospital lost so much money.
Next time hospitals here will be asked to cancel everything and prepare for a pandemic they’ll show the politicians their middle finger.
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wrote on 9 May 2020, 09:25 last edited by jon-nyc 5 Sept 2020, 14:05
@Rainman said in The coming hospital crisis:
So if hospitals are going broke, health insurance companies are booming, right?
The biggest part of heath insurance is simply claims management for ‘self-insured’ corporations. In other words, when IBM contracts (say) United Heathcare to provide health insurance to its employees, UHC administers claims but bills the underlying healthcare directly directly to IBM, along with their own administration fees.
So they might even be losing money, depending on how their contracts work.
It’s different in the individual and small group market, those act more like traditional insurance. But they are also dealing with fewer people able to pay claims so who knows how that’s netting out for them.
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Ms. Klaus was recently notified that her salary will be cut by 25% because the hospital lost so much money.
Next time hospitals here will be asked to cancel everything and prepare for a pandemic they’ll show the politicians their middle finger.
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It's not clear to me how policy relates to hospitals doing no business. I assume hospitals are considered essential and not covered by the lock down policies. Heck, even the place I work for isn't covered and we're hardly front line health care workers. So why are hospitals all but shut down these days?
wrote on 9 May 2020, 09:28 last edited by jon-nyc 5 Sept 2020, 09:32@Horace said in The coming hospital crisis:
It's not clear to me how policy relates to hospitals doing no business. I assume hospitals are considered essential and not covered by the lock down policies. Heck, even the place I work for isn't covered and we're hardly front line health care workers. So why are hospitals all but shut down these days?
They’re not shut down, they’re restricted in which services they can provide. The ‘no elective procedures’ is policy based and I believe is primarily due to a shortage of PPE.
But surely, like everything else, policy is only part of the story. Most people didn’t need to be told in April that bringing grandma to a busy urban hospital for cataracts wasn’t a good idea.
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Understandable, but only implementable if they don’t mind proceeding as normal but with no PPE.
wrote on 9 May 2020, 09:42 last edited by@jon-nyc said in The coming hospital crisis:
Understandable, but only implementable if they don’t mind proceeding as normal but with no PPE.
But maybe next time countries will have a strategic reserve of PPE and won’t have to. One would hope, right?
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Usually the conversation is about policy. I think that Covid Doves in general have yet to concede the point that policy isn’t the problem, the fucking virus is.
wrote on 9 May 2020, 15:20 last edited by Horace 5 Sept 2020, 15:20@jon-nyc said in The coming hospital crisis:
Usually the conversation is about policy. I think that Covid Doves in general have yet to concede the point that policy isn’t the problem, the fucking virus is.
I'm happy to not concede your notion that regardless of what our social response is, the effect of the response is the effect of the virus. I really don't think that's a reasonable notion.
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wrote on 9 May 2020, 15:33 last edited by
Elective surgery is generally not “optional”. Over time it is no longer elective. Ergo the demand destruction is not as bad and in fact the cases entering will be more complicated and more costly- I.e. more billable services. In the meantime some people will die before they see a doc or a hospital for sure.
Yeah, things are really bad but not nearly as bad for others. They will be hit much harder as we stay all stay home.
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@jon-nyc said in The coming hospital crisis:
Understandable, but only implementable if they don’t mind proceeding as normal but with no PPE.
But maybe next time countries will have a strategic reserve of PPE and won’t have to. One would hope, right?
wrote on 9 May 2020, 15:48 last edited by@jon-nyc said in The coming hospital crisis:
@jon-nyc said in The coming hospital crisis:
Understandable, but only implementable if they don’t mind proceeding as normal but with no PPE.
But maybe next time countries will have a strategic reserve of PPE and won’t have to. One would hope, right?
One would hope. But I also think states need to help themselves here.
