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In The News: Nursing Facility Evacuated Due to Staff No Shows

Did you hear about this one? Link: Staff No-Shows, Deaths Hit California Nursing Facilities

I heard about this yesterday. A nursing facility a few miles south of me was evacuated when the staff failed to show up for work. According to this news report nearly 3 dozen residents have tested positive for COVID-19. After many employees failed to show up for the second day in a row, all 83 patients had to be evacuated and sent to different facilities.

These workers were criticized by the county public health officer:

“Nationwide all of our health care workers are considered heroes, and they rightly are,” said Dr. Cameron Kaiser, the county’s public health officer. “But implicit in that heroism is that people stay at their post.”

Kaiser said it’s up to state regulators to determine if the workers are punished for abandoning patients.

https://www.nbcsandiego.com/news/california/riverside-nursing-facility-evacuated-after-staff-no-shows/2301888/

However, others defended the workers stating that their fear of going to work without adequate protective equipment was understandable. The article I linked above, however, does not mention this as the specific reason for the large number of no-shows by staff.

Another article I found had this to say:

Natalie Visnick, a spokeswoman for the American Health Care Association, a nonprofit group representing more than 14,000 nursing homes and other care facilities, said the Riverside issue “signals a larger, pressing issue.”

“Health care workers in long-term care are having to put their lives (and their family members who they return home to) on the line every day for their residents,” she said in an email. “Meanwhile, nursing homes and assisted living communities continue to desperately need the resources that will help them battle this virus, including personal protective equipment.”

https://www.pressdemocrat.com/news/10884395-181/riverside-nursing-facility-evacuated-after?sba=AAS

This second article seems to imply that fear of catching COVID-19 due to insufficient personal protective equipment (PPE) may have been what led to the large number of no-shows. Later the article quotes the director for the county’s Emergency Management Department:

Bruce Barton, director of the county’s Emergency Management Department, made an impassioned plea for volunteers to work at nursing facilities, promising those who sign up will get adequate safety equipment and malpractice coverage.

“We are in immediate need for help to care for our most vulnerable patients,” Barton said. “Please come join us.”

https://www.pressdemocrat.com/news/10884395-181/riverside-nursing-facility-evacuated-after?sba=AAS

So let’s assume that the no-shows were due to lack of PPE. Do I blame these healthcare workers for refusing to show up? I have wrestled with this question ever since learning about what happened and I don’t claim to have an answer. I don’t think there is a “good” answer.

When I started this post I thought that by writing out my thoughts I would be able to process the information and possibly come to some sort of conclusion. But as I’ve typed away I don’t feel any closer to a neat and clean position on this all.

Many have compared this pandemic to a war.

Sometimes, in war, there are no neat and clean answers.

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Good job, Senators

After all the waiting and political posturing, today the U.S. senated voted no on a straight repeal of the Affordable Care Act (commonly known as Obamacare).

In the days leading up to this you heard many, including POTUS, urged the senators who had campaigned on repeal of the ACA to step up and deliver on their promise.

Today, the U.S. Senate voted not to repeal.

For those who had campaigned on the promise of repeal but decided to vote No because it hurt your constituents, I respect you.

Campaigning for something and then trying to follow through blindly despite learning how it hurts those you represent is — well to me, it isn’t doing your job at all.

The ACA isn’t perfect.

But a full repeal that would result in coverage loss for millions of Americans with no answer in sight is downright wreckless.

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Obamacare

I stopped by the grocery store tonight on the way home from clinic. I usually don’t take off my white coat until I get home. But I’m not about to wear my white coat and stethoscope around in the grocery store. So I got out of my car, took of the coat and scope, and tossed it back in the car.

Perhaps he didn’t see the white coat. But as I walked towards the door the man at the table yelled out to me, “Sir, petition to repeal Obamacare!.”

I walked over to see what it was all about. I’m not posting for or against the healthcare policies that were just put into place. What I am writing about is this guy’s reasons for the petition.

He summed it up this way (paraphrased):

What it comes down to is this: We weren’t allowed to vote on it. It was just shoved down our throats. They just shoved healthcare at us whether we want it or not.

 
I couldn’t help but smile. THAT is what it all comes down to?!? I looked at this obese man, likely a smoker, who would be old enough for medicare in 10-15 years. Clearly he hasn’t taken good care of himself. And he doesn’t want healthcare shoved down his throat? Who has to deal with all the chronic conditions due to his poor life choices and lack of preventive care when it all comes crashing down in his older years?

To be honest, I don’t know the details of the massive healthcare bill that was passed. And I probably disagree with many parts and agree with others.

But one thing it does push is preventive care at the primary care level. And I’m all for that.

Why are people against being given healthcare? I don’t get it.

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Celebs Speak Out: Protect American Insurance Companies

If you live in America and haven’t been a hermit for the past few months you will surely have heard about this whole healthcare debate. Here are some celebrities who are speaking out urging us to protect insurance companies (satire). The celebrities include Jon Hamm, Will Ferrel, and Olivia Wilde who have all joined to collaborate with Funny Or Die.

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On a side note, I had a lecture today where the lecturer said that he doesn’t believe there is an answer to our healthcare problems. Government’s solution is to try something we aren’t doing and see if it works. He noted that in the UK, there is also a healthcare debate with the National Health Service (NHS) and the British government is inviting American insurance companies to discuss ways to try something different (more like the American system) which will allow people to opt out of NHS coverage. Food for thought…

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Medical Tourism? Insurance may pay — MSNBC.com

Reference: MSNBC.com: Hip surgery in India? Insurance may pay

In the past few months I’ve been hearing about this medical tourism thing. It sounds really cool — maybe even exotic, doesn’t it? You go see the Taj Mahal, one of the seven wonders of the world, and stop by the local medical center for a tummy tuck, face lift, and skin peel. It gives the notion of someone coming back with that “vacation look” a whole new meaning.

If you read the article, the American medical experts warn that this isn’t the safest option. They feel that the United States is the place to receive some of the top healthcare in the world (in terms of quality, not price). And I’m inclined to believe them.

It’s rather sad that so many Americans are forced to seek healthcare outside our borders. It just illustrates how badly things have become.

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Wal-Mart and Healthcare

I’ve been hearing a lot about these quick-stop clinics staffed by nurse practitioners. I hear about them in the news or read about them online. They seem to be on the east coast or midwest. Or maybe I’m just not paying any attention to them here locally.

As someone going into a medical career, this is somewhat discouraging. I don’t see how a family physician can compete against an NP based solely on costs. It seems like the scope of nursing just keeps getting expanded more and more. I’m sure the nurses are elated about this. And their paychecks continue to rise as they get more specialized.

I don’t think we need to go back to the days were the doctors were kings of their wards and nurses stood whenever one came in the room. But I do think that scope of practice of nurses and doctors cannot overlap too much. Because let’s face it, the nurses will always be able to offer their services at lower costs. And, more often than not, they (nurses) have less debt coming out of school.

Amy from RNCentral.com sent me this post titled 20 Surprising Ways Wal-Mart Clinics Will Affect US Healthcare. It’s a good read discussing the pros and cons of Wal-Mart entering the health service industry by opening up clinics at their stores.

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Healthcare Comparisons

Well it looks like the Democratic nomination just keeps getting more complicated by the minute. Last night Clinton pulled off some victories in Texas, Rhode Island, and Ohio. A while back (in a post titled Hillary Healthcare 2.0)I wrote about the healthcare plan proposed by Hillary. My intention was to highlight the plan so that others who are interested in medicine might get a clearer picture of this. I had hoped to do a comparison of all the major candidates.

Well it looks like some other people have done the work for me. I found this site: Health08.org. It had all the candidates and what the proposed (as far as healthcare is concerned). Now, they only list McCain, Clinton, and Obama since they are the only ones left in the race. So just keep in mind that the site changes as the political landscape does. So if you’re reading this 10 years from now, they probably won’t have anything left.

Hope it helps for everyone getting ready for the November elections.