Posted on 10/15/2014 2:57:33 AM PDT by Whenifhow
Dr. Betsy McCaughey appeared on Fox just after she had attend a CDC conference call with hospitals this afternoon.
Host Stuart Varney asked her what it would take to set up 50 hospitals to be ready for Ebola.
McCaugheys answer is stunning.
According to her, after the CDC outlined its preparation strategy, one hospital administrator responded, What youre telling us would bankrupt my hospital! She said that that administrator represents a Southern California hospital.
McCaughey noted that there was no word on the call of who would pay for hospitals to get themselves ready for Ebola patients.
And then she added: Treating one Ebola patient requires, full time, 20 medical staff. Mostly ICU (intensive care unit) people. So that would wipe out an ICU in an average-sized hospital.
In the case of Texas Presbyterian, McCaughey says that the hospital cordoned off its ICU to care for Thomas Eric Duncan and sent the rest of its ICU patients to other area hospitals. She added that many communities will not have multiple hospitals to choose from, so one Ebola case could cripple ICUs in small towns.
But the most important thing, McCaughey said, is that doctors and nurses are not ready for the challenge of using this personal protective equipment even if you see them with the helmet, the respirator, the full suits, as the CDC said on the call today, even all that equipment is not enough to guarantee the safety of health care workers because it is so perilous to put it on and particularly to remove it once its become contaminated.
McCaughey said many of those on the call were daunted by the expectations, the separate laboratory next to the isolated patients, all kinds of all kinds of adjustments, where to put the waste. Many states wont even let you dispose of this waste from such a toxic disease.
Watch McCaugheys segment.
Don't let them in the country to begin with!
But what do I know?
The way it will bankrupt hospitals is no patients will want to go to those facilities with any other problem....
Maybe Obama has just calculated that ObamaCare is going to crash due his mismanagement and would rather have Ebola crash the system first so he has an excuse to blame the implosion on./S
So could Obama blame Ebola for the collapse of the health care system in America rather than Obamacare? Rather convenient.
The National Ebola Center For Disease Control In Washington DC.
Send us your poor, Ebolaed Masses with slumped shoulders and google glasses.
Too late to call DC politicians
FEDGOV REFUSES to do its job.
Protecting US citizens is out the window.
The degenerate bastards from both parties are running for the tall grass, all they care about is getting reelected and not doing or saying anything that would be considered politically incorrect and cost them their seats.
Time for the US military to step up and institute a provisional military government is at hand
Frieden is a NYC communist democrat
Tobacco control
Upon his appointment as Health Commissioner in January 2002, Frieden made tobacco control a priority,[19] resulting in a rapid decline[20] after a decade of no change in smoking rates.
Frieden established a system to monitor the citys smoking rate, and worked with New York City Mayor Michael R. Bloomberg to increase tobacco taxes,[21] ban smoking from workplaces including restaurants and bars, and run aggressive anti-tobacco ads and help smokers quit.[22] The program reduced smoking prevalence among New York City adults from 21.6% in 2002 to 16.9% in 2007 a change that represents 300,000 fewer smokers and could prevent 100,000 premature deaths in future years.[20][23] Smoking prevalence among New York City teens declined even more sharply, from 17.6% in 2001 to 8.5% in 2007, and is now less than half the national rate.[24]
The workplace smoking ban prompted spirited debate before it was passed by the New York City Council and signed into law by Mayor Bloomberg.[25] Over time, the measure has gained broad acceptance by the public and business community in New York City.[26][27] New York Citys 2003 workplace smoking ban was among those following Californias ban in 1994. Frieden supports increased cigarette taxes as a means of forcing smokers to quit, saying tobacco taxes are the most effective way to reduce tobacco use.[28]
Frieden supported the 62-cent Federal tax on each cigarette pack sold in the United States, introduced in April 2009.[29]-Wiki
Let’s face it, our medical system is set up to treat the 99% people who are walk-ins and 1% who require intensive care. If the percentages change to even 97%/3% the system will collapse. Also, unprepared hospitals will find themselves with an unprecedented labor shortage as health workers stay home or quit for their own safety. We the masses will be sick at home or wherever we’re staying. If we’re lucky family members will nurse us or if we’re not we’ll do for ourselves as long as possible. (This apocalypse brought to you by Barak Obama and the Democratic party. Be sure to remember them in your prayers.)
Well, Obama has certainly taken care of health care costs!
It’s here- O’BAMA’S Ebola: “The Change You Can Believe In.”(period)
Take it in stride ...
http://blogs.cdc.gov/cdcdirector/2014/10/02/why-u-s-can-stop-ebola-in-its-tracks/
For all healthcare workers (from the cdc link above)
112. October 14, 2014 at 2:24 pm ET - Lawrence Herbst
Dear Dr. Freiden,
I recognize that the CDC has no enforcement authority. However its recommendations and guidance obviously carry great weight. As I read the CDCs recommendations for health care worker precautions in caring for patients with ebola infection, I am concerned regarding the lack of rigor in making specific recommendations for the types of personal protective equipment (PPE) and procedures for doffing and donning PPE. Ebola is a CDC-BMBL Biosafety level-4 agent. CDC should at least be strongly recommending Biosafety-level 3 PPE!
Recommendations posted on the CDC website (most recent dated June 2014) recommend gloves, mask, water resistant gown, face shield. However, given the high infectious titer in fluids (Emesis, urine, fecal, blood) and potential for environmental persistence for days in moist organic matter, as well as low infectious dose, I would hope, that you are upgrading the recommendations and will post them quickly. Meanwhile I respectfully urge the CDC to strengthen its recommendations as follows:
1. All recommendations should be musts [statements such as extra precautions might be considered are just useless!]
2. All gloving procedures should be double glove procedures with outer gloves decontaminated (bleach) and removed first and then the last pair removed after all other PPE. Gloves should be taped to the cuffs of the gown.
3. All gowns should be complete coverall types with integrated shoe covers (Tyvek jumpsuits) to cover any clothing that would continue to be worn after leaving the patients room!. Why: Because high titer fluids (vomit, blood, urine) splashed onto surfaces (bedrails, floor) may contaminate shoes, pant legs, etc.
4. Masks should be something better than surgeons masks (these are designed to protect the patient from the HCW more than vice versa). N95 at least is designed for wearer protection from droplet exposure (and required for BSL-3 agents!!!- ebola is level 4!!!).
5. All PPE should be sprayed with disinfectant prior to exiting the room. A buddy should be required to assist with donning and doffing PPE. The advantage of a full jumpsuit is that it can easily be rolled inside out (contaminated side inward) as it is removed.
I sincerely hope that the CDC is already making ungraded recommendations based on the unfortunate virus transmissions to nursing staff in Texas and Spain. In my opinion it is not particularly useful to evaluate accidents by assuming that an existing SOP would have been 100% effective, if only it had been properly followed. We are wiser to examine this from the perspective that the SOP was followed perfectly and that maybe this virus is not behaving exactly as we expect and then find ways to improve the SOP. Cost of implementing enhanced PPE that is closer in line to BSL-3 / 4 may be more expensive, but those suggested above are not that expensive!
Our understanding of ebola virus transmission is based on only a few decades experience and a small number of self-limiting outbreaks in that time. This outbreak may be different and our PPE recommendations should respect the fact that we do not know everything about this virus and its behavior in human populations.
In addition to the extra costs a hospital might have in gearing up to treat Ebola patients, there is the hidden financial aspect that I personally don’t believe any prospective patient that had a choice in where they get admitted would actually choose an Ebola Hospital. It goes against all logic and human nature.
What prospective mother-to-be would choose to have her baby at one of the 50 CDC Ebola Hospitals?
Just in, Another healthcare worker in Dallas positive with Obola.
You’re close to being correct in saying that this will bankrupt hospitals because patients will tend to avoid them while treating Ebola and afterwards. I know this first-hand. Wife just had a diagnostic procedure and decided not to go to Dallas Presbyterian, even though that is where her doctor normally practices.
However, there’s another reason: the affected hospitals lose their entire ER revenue flow. ER is normally a hospital’s cash cow. Even if they maintained normal patient flow in other hospital operations, they go bankrupt.
If Dallas Presbyterian had not mishandled the Duncan case initially, I’d say that they had a huge claim on the Federal government for its incompetence. However, both Dallas Presbyterian and Obama Administration deserve blame for this blunder ... a potentially world-historical blunder that could make hospital bankruptcies a footnote in 21st Century history.
I’m refuse to believe that a single patient with ANY condition would require 20 full time staff. That’s just laughable!
Since there obviously no Ebola care pncanlan prior to Duncan’s death... trying to ramp up and make every hospital Ebola ready is STUPID...
How about as one poster said - don’t issue them visa’s in the first place.
Okay -— so how about an area or regional Ebola care center for say Dallas - Fort Worth ... have one maybe two getting ramped up with state and federal aid..
But this way be logical so it won’t be followed.
Yes and no. ER can be a huge money loser for a hospital, depends on the payer mix. If you have a large No Pay uninsured population, and large Medicaid (welfare) population you can lose lots of money. I recently worked in an ER where 1/3 of the patients were no pay, we say almost zero revenue out of them, and they were probably the most demanding patients we saw, as mother of one patient told us “spare no expense I want nothing but the best for my (27yo) Baby!....
Come on now, you aren’t supposed to make sense. You are supposed to suspend common sense and believe your overlords as they march you to the death chambers.
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