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COVID-19 and the States

We have ALL your misinformation, plus some TRUE FACTS and SCIENCE.
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Kendra
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Re: COVID-19 and the States

#251

Post by Kendra »

Idaho, last March.
Idaho, today.
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Re: COVID-19 and the States

#252

Post by Volkonski »

“If everyone fought for their own convictions there would be no war.” ― Leo Tolstoy, War and Peace
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Re: COVID-19 and the States

#253

Post by Slim Cognito »

Forgive my ignorance, but all this transferring patients regionally - who pays for that? I'm guessing the insurance company? Can they refuse?
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Re: COVID-19 and the States

#254

Post by LM K »

Slim Cognito wrote: Thu Sep 16, 2021 12:16 pm Forgive my ignorance, but all this transferring patients regionally - who pays for that? I'm guessing the insurance company? Can they refuse?
Exactly!

I doubt there's a solid answer to your question. My guess? A ton of taxpayer money.

Insurance will pay for some of those who are transferred. But insurance companies are slowly changing their policies. Most (perhaps all?) were paying 100% for covid hospitalization. Now insurers are not paying 100% for all customers. Unvaxed customers are charged the standard copay.

The average unvaxed covid patient costs $20,000 per hospital stay. Most Americans will have a hard time coming up with copays or more, especially because they haven't been working while they're sick.


New analysis estimates $5.7 billion price tag for treating unvaccinated Covid-19 patients in the last 3 months
A new analysis published Tuesday estimates that preventable costs for treating hospitalized, unvaccinated Covid-19 patients reached $5.7 billion over the last three months.

This most recent data takes into account the surge in hospitalizations seen in August, which study authors estimate accounted for $3.7 billion of preventable spending alone.

The data analysis from the Kaiser Family Foundation found, using data from the Centers for Medicare and Medicaid Services, as well as studies on health care costs, that each preventable Covid-19 hospitalization costs about $20,000.

According to KFF's analysis of data from the US Department of Health and Human Services and the US Centers for Disease Control and Prevention, the US saw 287,000 preventable Covid-19 hospitalizations from June to August.

The study authors used "preventable" hospitalizations to refer to hospitalizations of unvaccinated adults for Covid-19 treatment primarily, while accounting for any post-vaccination infections that would have been expected if this population had been vaccinated.

These numbers together yield a total of $5.7 billion spent on preventable hospitalizations over three months. The study authors said this number is likely a conservative estimate of costs.

"This ballpark figure is likely an understatement of the cost burden from preventable treatment of Covid-19 among unvaccinated adults," the authors said.

The study did not account for outpatient care costs, and some data indicates inpatient health care costs for Covid-19 treatment may be higher than the $20,000 figure used.
:snippity:
Taxpayers are on the hook for keeping hospitals staffed. Travel nurses and doctors are very expensive. OR has deployed the National Guard. I suspect that field hospitals are paid for by taxpayers.

Then there is the non-economic costs. Hospitals are full. EMTs can't answer emergency calls because they're treating patients in their vehicles until their ER can admit the patient. Once patients are admitted to the ER, they wait in the ER for a very long time, sometimes days. COVID patients require more care time than most other patients. Thus, ERs aren't able to treat any emergent cases in a timely manner. Ambulatory patients wait in their cars until an ER can admit them.

There's a lot more, but I'll stop here.
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Re: COVID-19 and the States

#255

Post by Kendra »

Yeah, I heard that on the local news radio this week. Insurance companies were picking up the tab(s) and dropping the copays, but now that the vaccine is readily available, they're running out of sympathy.
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Re: COVID-19 and the States

#256

Post by AndyinPA »

Kendra wrote: Thu Sep 16, 2021 3:13 pm Yeah, I heard that on the local news radio this week. Insurance companies were picking up the tab(s) and dropping the copays, but now that the vaccine is readily available, they're running out of sympathy.
...as are many of us.
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Re: COVID-19 and the States

#257

Post by Kendra »

Boom!


BREAKING: Seattle and King County restaurants and bars will require proof of COVID vaccination (or negative test) starting next month. The health order also covers gyms, movie theaters and music venues.
Washington.
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Re: COVID-19 and the States

#258

Post by AndyinPA »

Florida

https://www.sun-sentinel.com/coronaviru ... story.html
Florida passed 50,000 COVID-19 deaths on Thursday, 535 days after the state recorded its first death, as the state increased its overall death count by 1,554.

The state also reported 9,760 new confirmed cases of the virus, a drop from the past two days that sunk the 7-day average to 11,816, the lowest since July 22, according to Thursday’s data from the U.S. Centers for Disease Control & Prevention.

And on Thursday, the number of people hospitalized for COVID in Florida dropped below 10,000 for the first time since late July, a 19% decline over the past week, according to data from the Florida Hospital Association.

The large number of new reported deaths were spread out over the past two weeks. Deaths are counted on the day they occur, not the day they are reported, and can take up to two weeks or more to be reflected in the data.
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Re: COVID-19 and the States

#259

Post by AndyinPA »

California

https://www.washingtonpost.com/health/2 ... a-variant/
The delta variant of the coronavirus roared into California midsummer, striking hard even in places where many people were vaccinated. Cases spiked. Hospitals again began to swell with patients. The daily death toll climbed into the triple digits for the first time in months.

But after a season in which the highly transmissible variant wreaked havoc on the nation, California is reporting sustained progress against delta.

Earlier this week, California dropped from “high” to “substantial” virus spread, according to the Centers for Disease Control and Prevention. It later bounced back up, but total new cases per 100,000 residents are still lower than any other state. The change in CDC designation — a barometer of how well states are doing in combating the virus — was celebrated by public health officials, who suggested it was a signal that California could be close to a turning point.

An aggressive push for vaccines, coupled with masks mandates at the local level and a public largely willing to go along with them, appear to have helped flatten the state’s curve, experts said.
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Re: COVID-19 and the States

#260

Post by LM K »

My county.
Lane County has requested a refrigerated trailer to store bodies following a recent surge in deaths, health officials say.

The surge in deaths was partly driven by COVID-19 but also by traffic fatalities and overdose deaths, according to Lane County Public Health.
:snippity:

But health officials say this is not a new problem. The number of annual deaths in Lane County has been rising steadily over the past decade.
:snippity:

"In my career, I've never seen any type of refrigeration trucks ever brought into the state of Oregon that I've ever been aware of," Burns said.

The county said it's trying to buy a trailer to keep even after the pandemic ends. The trailers cost between $5,000 and $100,000, according to Lane County Public Health. The price will likely be driven up due to supply shortages caused by the pandemic.
:snippity:
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Re: COVID-19 and the States

#261

Post by Lani »

Re the cost of hospitalization for Covid-19 -

Nevada man billed $80,000 for lengthy COVID hospital stay

https://www.khon2.com/coronavirus/nevad ... ital-stay/
LAS VEGAS (KLAS) – James Sweeney has insurance, but after spending more than 100 days in the hospital battling COVID-19, he now faces a bill of more than $80,000.

Sweeney, 63, was unconscious and on a ventilator at St. Rose Dominican Hospital, Siena Campus in Henderson from November 2020 to February 2021. When he awoke and asked about his bills, he says he was told that insurance was covering it.
:snippity:

But the actual bill arrived, it showed a long list of out-of-network claims, which his insurance will not cover. Sweeney says he now owes more than $80,000 to providers.
:snippity:

Sweeney claims the total billed cost of his stay was around $2 million.
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Re: COVID-19 and the States

#262

Post by Uninformed »

Is there any likelihood of medical insurance companies adopting the policy that failure to be vaccinated, by those eligible and note exempted, constitutes contributory negligence? I believe most insurance contains such clauses.
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Re: COVID-19 and the States

#263

Post by Lani »

Regarding Sweeney's bill, the vaccine wasn't available in November 2020.
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Re: COVID-19 and the States

#264

Post by Volkonski »

“If everyone fought for their own convictions there would be no war.” ― Leo Tolstoy, War and Peace
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Re: COVID-19 and the States

#265

Post by LM K »

Lani wrote: Fri Sep 17, 2021 5:02 am Re the cost of hospitalization for Covid-19 -

Nevada man billed $80,000 for lengthy COVID hospital stay

https://www.khon2.com/coronavirus/nevad ... ital-stay/
LAS VEGAS (KLAS) – James Sweeney has insurance, but after spending more than 100 days in the hospital battling COVID-19, he now faces a bill of more than $80,000.

Sweeney, 63, was unconscious and on a ventilator at St. Rose Dominican Hospital, Siena Campus in Henderson from November 2020 to February 2021. When he awoke and asked about his bills, he says he was told that insurance was covering it.
:snippity:

But the actual bill arrived, it showed a long list of out-of-network claims which his insurance will not cover. Sweeney says he now owes more than $80,000 to providers.
:snippity:

Sweeney claims the total billed cost of his stay was around $2 million.
I've been wondering about out-of-network bills. If a patient from Oregon is sent to Utah, none of the Utah providers or companies will be "in network". But the patient had no options but to go to Utah.
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Re: COVID-19 and the States

#266

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The days of full covid coverage are over. Insurers are restoring deductibles and co-pays, leaving patients with big bills.https://www.washingtonpost.com/business ... 9d41d6ac89
Sep 18, 2021 at 5:41 p.m. EDT
Large insurance companies waived cost-sharing for coronavirus care in 2020, but it has sprung back in 2021
:snippity:
In 2020, as the pandemic took hold, U.S. health insurance companies declared they would cover 100 percent of the costs for covid treatment, waiving co-pays and expensive deductibles for hospital stays that frequently range into the hundreds of thousands of dollars.

But this year, most insurers have reinstated co-pays and deductibles for covid patients, in many cases even before vaccines became widely available. The companies imposed the costs as industry profits remained strong or grew in 2020, with insurers paying out less to cover elective procedures that hospitals suspended during the crisis.

Now the financial burden of covid is falling unevenly on patients across the country, varying widely by health-care plan and geography, according to a survey of the two largest health plans in every state by the nonprofit and nonpartisan Kaiser Family Foundation.

If you’re fortunate enough to live in Vermont or New Mexico, for instance, state mandates require insurance companies to cover 100 percent of treatment. But most Americans with covid are now exposed to the uncertainty, confusion and expense of business-as-usual medical billing and insurance practices — joining those with cancer, diabetes and other serious, costly illnesses.

(Insurers continue to waive costs associated with vaccinations and testing, a pandemic benefit the federal government requires.)

Image

:snippity:
“There was no federal mandate for insurers to cover all the costs for covid treatment. Insurers were doing it voluntarily,” said Krutika Amin, a Kaiser Family Foundation associate director who researchers health insurance practices.

Last year, according to the Kaiser Family Foundation, 88 percent of people covered by private insurance had their co-pays and deductibles for covid treatment waived. By August 2021, only 28 percent of the two largest plans in each state and D.C. still had the waivers in place, and another 10 percent planned to phase them out by the end of October, the Kaiser survey found. Its survey this year of employer-sponsored plans reflected similar patterns.

:snippity:
“Insurers may have also wanted to be sympathetic toward pains patients, and some may have also feared the possibility of a federal mandate to provide care free-of-charge to COVID-19 patients, so they voluntarily waived these costs for at least some period of time during the pandemic,” the Kaiser Family Foundation report said.

“The inhumanity of our health-care system and the tragedies it creates will now resume and will now cover this one group that was exempted,'' he said. “The U.S. health-care system is sort of like a game of musical chairs where there are not enough chairs, and some people are going to get hurt and devastated financially.”

:snippity:
UnitedHealthGroup, UnitedHealthcare’s parent company, reported $15.4 billion in profits in 2020, up from $13.8 billion in 2019.
:(
Read it all at https://www.washingtonpost.com/business ... 9d41d6ac89
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Re: COVID-19 and the States

#267

Post by LM K »

I want the federal gov to block any and all "out of network" charges. When you're too sick to talk, you're too sick to debate which state's hospital you're being transferred to.
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Re: COVID-19 and the States

#268

Post by AndyinPA »

https://www.theguardian.com/us-news/202 ... time-covid
Alabama is shrinking under the onslaught of Covid-19, its chief medical officer said, as deaths in the state outnumber births for the very first time.

Speaking to reporters in Montgomery on Friday, Dr Scott Harris said: “Here in Alabama, we continue to see deaths at a really high rate … 2020 is going to be the first year that we know of in the history of our state where we actually had more deaths than births.

“Our state literally shrunk in 2020, based on the numbers that we have managed to put together, and actually by quite a bit.”

Harris said Alabama had recorded a preliminary total of 64,714 deaths in 2020, compared with 57,641 births.
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Re: COVID-19 and the States

#269

Post by Volkonski »

“If everyone fought for their own convictions there would be no war.” ― Leo Tolstoy, War and Peace
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Re: COVID-19 and the States

#270

Post by Kendra »

I believe these two siblings grieving their father's death are from WA. Don't miss the end about the YT videos their father was watching...

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Re: COVID-19 and the States

#271

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https://www.msn.com/en-us/news/us/alask ... ar-AAOILDU

ANCHORAGE, Alaska (Reuters) - Alaska, which led most U.S. states in coronavirus vaccinations months ago, took the drastic step on Wednesday of imposing crisis-care standards for its entire hospital system, declaring that a crushing surge in COVID-19 patients has forced rationing of strained medical resources.

Governor Mike Dunleavy and health officials announced the move as the tally of newly confirmed cases statewide reached another single-day record of 1,224 patients amid a wave of infections driven by the spread of the highly contagious Delta variant among the unvaccinated.

The Delta variant is “crippling our healthcare system. It’s impacting everything from heart attacks to strokes to our children if they get in a bike accident,” Dr. Anne Zink, Alaska’s chief medical officer, said at a news conference with Dunleavy.
Maybe the state should pull back their advertising campaign about what a great place it is to travel right now. I see it here at least once a day.
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Re: COVID-19 and the States

#272

Post by LM K »

AndyinPA wrote: Wed Sep 22, 2021 11:03 pm https://www.msn.com/en-us/news/us/alask ... ar-AAOILDU

ANCHORAGE, Alaska (Reuters) - Alaska, which led most U.S. states in coronavirus vaccinations months ago, took the drastic step on Wednesday of imposing crisis-care standards for its entire hospital system, declaring that a crushing surge in COVID-19 patients has forced rationing of strained medical resources.

Governor Mike Dunleavy and health officials announced the move as the tally of newly confirmed cases statewide reached another single-day record of 1,224 patients amid a wave of infections driven by the spread of the highly contagious Delta variant among the unvaccinated.

The Delta variant is “crippling our healthcare system. It’s impacting everything from heart attacks to strokes to our children if they get in a bike accident,” Dr. Anne Zink, Alaska’s chief medical officer, said at a news conference with Dunleavy.
Maybe the state should pull back their advertising campaign about what a great place it is to travel right now. I see it here at least once a day.
The entire state! :shock:

I don't think the average person understands that crisis care standards apply to all patients, not just covid patients.
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Re: COVID-19 and the States

#273

Post by LM K »

WaPo is providing this article free of charge.

Hospitals overwhelmed by covid are turning to ‘crisis standards of care.’ What does that mean?
Long-feared rationing of medical care has become a reality in some parts of the United States as the delta variant drives a new wave of coronavirus cases, pushing hospitals to the brink.

Alaska and Idaho have activated statewide “crisis standards of care,” in which health systems can prioritize patients for scarce resources — based largely on their likelihood of survival — and even deny treatment. The decisions affect covid and non-covid patients. Some health care providers in Montana have turned to crisis standards as well, while Hawaii’s governor this month released health workers from liability if they have to ration care.

Some states have no crisis standards of care plans, while others just created them during the pandemic. The common goal: Give health-care workers last-resort guidance to make potentially wrenching decisions. But people disagree on the best calculus.

“We only end up needing crisis standards of care when our other systems have utterly failed,”
said Emily Cleveland Manchanda, an assistant professor of emergency medicine at Boston University School of Medicine.

What do crisis standards of care look like?
The emergency room at Providence Alaska Medical Center in Anchorage was so packed recently that patients waited in their cars for care. Physician Kristen Solana Walkinshaw told The Washington Post last week that her team had four patients who needed continuous kidney dialysis and only two machines available.

In Idaho, health officials said, crisis care standards may mean that patients end up treated in hallways or tents. Elective and nonurgent surgeries have been delayed at one hospital. There may be fewer nurses and doctors caring for more people. Patients may wait hours to get what they need or have to transfer to another hospital far away — though health leaders caution that neighboring states are struggling with an influx of coronavirus cases, too.

The resource crunch could also force health-care workers to give beds or ventilators to those most likely to recover. If resources become extremely tight, they can consider universal do-not-resuscitate orders for hospitalized adult patients who go into cardiac arrest.
:snippity:

How are patients prioritized?
Hospitals typically operate on a first come, first served basis. In a crisis — a hurricane, mass shooting or multicar crash, for example, as well as a pandemic surge — they must triage by prioritizing some patients over others to save the most lives.

Different plans take different approaches, but there are common themes. Most typically start by scoring the health of major organs such as the brain, heart, kidney and liver. They may take into account people’s chances of recovery, their
life expectancy and even their “essential worker” status.

“Exclusion criteria” can instruct health-care workers to withhold care from certain groups — patients in cardiac arrest, for instance, or those with severe dementia. Then others are ranked with scoring systems and sometimes a series of “tiebreakers.”

Doctors ask: How badly are patients’ organs failing? Do they have other diseases such as cancer, Alzheimer’s, or kidney damage requiring dialysis? Some plans also give priority to those who are pregnant, younger people or badly needed health-care staff. Patients are typically evaluated throughout their stay in the hospital to check if their priority should change.

Hawaii’s point system takes stock of both short-term and long-term survival with a rubric that states two values: “Save the most lives” and “Save the most life-years.”
:snippity:

What parts of the crisis plans are most controversial?
Disability rights groups have filed complaints about crisis standards of care that they argue amount to illegal discrimination, and others have raised concerns about discrimination against the elderly.

“Using the categories of age to determine whether someone receives care is wrong. Plain and simple,” AARP Idaho State Director Lupe Wissel wrote in a recent post criticizing Idaho’s decision to make age a “tiebreaker” for limited resources. “The estimation of potential ‘life years’ an individual has does not equate to the value of a life.”

Scholars also worry that crisis standards of care will feed into long-standing inequalities in access to health care, because scoring systems are allocating resources based partly on health conditions that disproportionately afflict certain groups. Black Americans, for instance, are much more likely than White Americans to have kidney disease.
:snippity:

Where have crisis standards of care been used?
Arizona and New Mexico were the only states to declare crisis standards of care earlier in the pandemic, according to an August paper published by the National Academy of Medicine.

But experts note there is more to the story. Resources have been rationed without any official shift to crisis standards.

As a winter coronavirus surge slammed Los Angeles, for instance, ambulance crews were instructed to save oxygen and to treat patients on the scene rather than bring them to the hospital when they had little hope of survival.

:snippity:
I'm getting really pessimistic about the pandemic. In May, we started to get a peek of what the post-pandemic world could be. 6-8 weeks later, delta hit. The pandemic numbers are as bad or worse than waves 1-3.

I did my part. I'm fully vaxed. I always wear a mask. I upgraded my mask. I socially distance. I stay home. (2 meals in restaurants since March 2020.) I work hard with my union to keep my campus safe. I travel only for essential reasons.

But I still might die from a car accident that would likely have been survivable because of crisis care standards. Because our country couldn't work together.
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Re: COVID-19 and the States

#274

Post by Volkonski »

That article is scary.
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Re: COVID-19 and the States

#275

Post by Volkonski »

“If everyone fought for their own convictions there would be no war.” ― Leo Tolstoy, War and Peace
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