Doctors refuse to treat the unvaccinated -- Welcome to the new ethical minefield

Discussion in 'Politics' started by gwb-trading, Sep 5, 2021.

  1. jem

    jem

    Claiming high efficacy the way you all do with your garbage stats is bullshit...
    90 percent (or so) of the people who were vaccinated would never wind up with serious Covid anyway.)

    Think about this..
    Its like being a hair transplant doctor and giving transplants to 96 percent of your clients who don't need hair transplants.

    Then saying, most of the people who had are hair transplants don't need new hair transplants for the first 6 months after surgery.

    ----


    Remember the data from that CDC study form July showed 96% of the people in ICUs have co morbidities and many more are there because of age..

    So the vast majority of the vaxxed would never be in an ICU anyway.
     
    #91     Sep 13, 2021
  2. jem

    jem

    https://www.theatlantic.com/health/...italization-numbers-can-be-misleading/620062/

    Researchers have tried to get at similar questions before. For two separate studies published in May, doctors in California read through several hundred charts of pediatric patients, one by one, to figure out why, exactly, each COVID-positive child had been admitted to the hospital. Did they need treatment for COVID, or was there some other reason for admission, like cancer treatment or a psychiatric episode, and the COVID diagnosis was merely incidental? According to the researchers, 40 to 45 percent of the hospitalizations that they examined were for patients in the latter group.
     
    #92     Sep 13, 2021
  3. gwb-trading

    gwb-trading

    Remember to thank the unvaccinated for your rationed care...

    When hospitals run out of beds, here's how they ration care
    https://www.cnn.com/2021/09/13/heal...ital-beds-staff-explainer-wellness/index.html

    Hospitals across the United States have been facing a crisis.

    As of Monday morning, more than 96,000 hospital beds are filled with Covid-19 patients nationwide -- contributing to the 77% of all hospital beds across the country being currently in use, according to data from the US Department of Health and Human Services. About 80% of intensive care unit beds are in use.
    Hospitals in some places are closer to capacity than in others.

    In Arkansas, Gov. Asa Hutchinson said in a briefing last week that there were only 23 ICU beds available statewide. "That's closer than we'd like, but it is better than what it has been. And so we continue to monitor that," Hutchinson said, adding that 27 new ICU beds will be coming online this month.

    In Kentucky, Gov. Andy Beshear laid out the severity of the Covid-19 spread in his state on CNN last week, saying that while hospitals are not yet at the point of needing to make tough choices about rationing care, "we are right at" or "quickly approaching that point."

    "We are in a really tough place, Kate," he told CNN's Kate Bolduan. "We've called in FEMA strike teams, the National Guard, we've deployed nursing students all over the state, we've taken over testing from hospitals just to free up additional people."

    And In Alabama, a mourning family has issued a plea to others to get vaccinated after Ray DeMonia, a Cullman, Alabama resident, died about 200 miles from his home, in a Mississippi hospital, because there were no cardiac ICU beds nearby. His daughter Raven DeMonia told his story to The Washington Post on Sunday.

    'Rationing health care is not new'
    When hospitals run out of beds or when staffing is low, tough decisions must be made on which patients get to be first in line for care. Overall, hospitals and health systems have plans on the table to address an overflow of patients and making such difficult decisions.

    "All hospitals and health systems have plans in place to deal with a surge in patients. These plans can include actions like adding beds, including in non-traditional areas of care in a hospital like a cafeteria or parking lot, shifting patients between hospitals, and working with their local and state health departments to find other sites of care," Akin Demehin, director of policy at the American Hospital Association (AHA), wrote in an email to CNN on Friday.

    "Sometimes this includes sending patients to hospitals in nearby states that may have the capacity to treat them," Demehin wrote. "One other option that some hospitals have taken is to scale back, or put a pause, on so-called elective procedures that are non-emergent and can be safely delayed for a period of time."

    Yet for the most part, hospital capacity is not only about how many beds are filled -- a hospital can usually add beds -- but many facilities are much more concerned about enough staffing to care for patients, according to Demehin.

    "Hospitals and health systems entered the COVID-19 pandemic already facing a shortage of skilled caregivers, and the last 18 months have exacerbated that," Demehin wrote, adding that AHA has called on the Biden administration to work as a partner in developing strategies to address the shortage of health care staff.

    Overall, decision-making around rationing care can look different depending on the type of medical facility -- a hospital or private doctor's office.

    "There are different decisions whether it's a doctor's office or an emergency room," Art Caplan, professor of bioethics at NYU Langone Health in New York, told CNN.

    "You have no right to be taken care of by a primary care doctor. There's still no right to health care that way -- the doctor has the ability to decline," Caplan said, adding for instance, that some doctors might decline to take Medicaid as a patient's insurance or might decline to treat patients who haven't received certain vaccines because that patient could pose a risk to the doctor or the health of other patients.

    Yet "in the ER, there's a federal law that says you have to accept anybody, even if they have no money, and stabilize them. It's called EMTALA, and it's been around for a while," Caplan said.

    "Rationing health care is not new in the American health care system," he added. "It's just Covid that's new, but not rationing."

    Who receives an ICU bed?
    The Emergency Medical Treatment and Labor Act or EMTALA requires hospitals with emergency departments to provide a medical screening exam to any person who comes to the emergency department and requests care. The law also prohibits hospitals with emergency departments from refusing to examine or treat people with emergency medical conditions.

    Now, during the pandemic, many of the Covid-19 patients filling hospital beds are unvaccinated. EMTALA obligations remain in place.

    "Hospitals generally do not take into account why a gravely ill patient is there," Caplan said. "The way in which it might become relevant is if you thought it was a predictor of a bad outcome."

    For instance, if a hospital is short on beds or mechanical ventilators, they can prioritize care for patients who are seen as more likely to respond to the care and survive -- meaning a 26-year-old Covid-19 patient with no underlying health conditions could be prioritized for care over a 90-year-old patient with lung failure and other medical problems, Caplan said.

    "Or, if being unvaccinated and having lung failure puts you at a worse chance of survival versus someone who just comes in with asthma and lung problems but are vaccinated," Caplan said. "Many places would give priority to the vaccinated asthma patient as opposed to the unvaccinated lung failure patient. What they're watching is outcome and likelihood of success."

    In hospitals that are so overwhelmed that they have to ration care, those decisions should not be based on whether or not a person chose to get vaccinated against Covid-19, Dr. Anthony Fauci said Thursday.

    "If you're asking, should you preference it for a vaccinated person versus an unvaccinated person, that is something that is always widely discussed, but in medicine I know that you don't prejudice against someone because of their behavior," Fauci, director of the National Institute of Allergy and Infectious Diseases, told CNN's Anderson Cooper.

    "You just don't do that in medicine," Fauci said.

    Fauci added that the decision about where to direct "scarce resources" must be based on a "medically sound" reason, "not in a punitive way for someone's behavior."

    'We're in a situation of limited resources'
    Throughout the pandemic, Covid-19 has strained the US health care system -- and hospitals continue to face difficult decisions on which patient takes priority when staffing is low and beds are full.

    "We're already making those choices and they're very difficult choices. I work in the intensive care unit. Many people have serious illnesses but not illnesses where they're going to die immediately, but serious illnesses where they need an operation and some of these operations are so serious that after surgery, they need to be in the intensive care unit for a day or two -- replacement of a heart valve, surgery for serious cancers like pancreatic cancer," Dr. Steven Brown, a critical care pulmonologist at Mercy Virtual Care Center in St. Louis, told CNN's Ana Cabrera on Thursday.

    "If the intensive care unit beds are all filled up with patients who are on ventilators because of their pneumonia, surgeries have to be postponed," Brown said. "We have situations where people may come into the hospital with a heart attack, and they have to stay in the emergency room for extended periods of time while waiting for a bed to open up."

    Unfortunately, in some cases, for a bed to become available means a patient has died.

    "It's a sad situation that we really haven't seen in American history in a very, very long time." Brown said. "We're in a situation of limited resources now, and when you have limited resources, we are in triage situations -- and some people may die as a consequence of this."
     
    #93     Sep 14, 2021
  4. jem

    jem

    remember to thank natural immunity and the low risk....


     
    #94     Sep 14, 2021
  5. gwb-trading

    gwb-trading

    It is the young, unvaccinated patients clogging the hospitals.
     
    #95     Sep 14, 2021
    userque and wrbtrader like this.
  6. wrbtrader

    wrbtrader

    More specific...the high-risk group are those LESS than 50 years of age and those Not Vaccinated (those than has not recovered from a prior Covid infection) here in 2021.

    Regardless, about 1/3 of the population have an underlying medical condition that they do not know they have and it can be exploited by Covid.

    Simply, the above represent a very large group of the population that's impossible to protect via those that preach...protect those in the high-risk groups.

    wrbtrader
     
    #96     Sep 14, 2021
  7. jem

    jem

    if only you all would produce some data..
    high risk vs low risk...

    how many in ICU and what for?

    We know moms take their kids to hospitals when they are sick.
    But what is the precent of healthy kids with severe covid.


    Is it worse than the flu...
    How long would a vaccine even make a difference?

    Science and data should be driving policy... not anecdotes.
    As we saw yesterday... zero deaths from Covid in the last year from
    Your own state of North Carolina.


    Bring the data.




     
    #97     Sep 14, 2021
  8. gwb-trading

    gwb-trading

    HIGH RISK = UNVACCINATED


    The data has been provided many times by multiple people. Go read it and educate yourself.
     
    #98     Sep 14, 2021
  9. jem

    jem

    not according the cdc you lying piece of shit...

    however I would note they have increased the amount of Americans in the category... its now at 60 percent. Telling us that 40% of Americans are obese.

    https://www.cdc.gov/media/releases/2020/p0625-update-expands-covid-19.html


    a. Older adults and people with underlying medical conditions remain at increased risk for severe illness, but now CDC has further defined age- and condition-related risks.
    ...
    b. COVID-19 risk related to age

    CDC has removed the specific age threshold from the older adult classification. CDC now warns that among adults, risk increases steadily as you age, and it’s not just those over the age of 65 who are at increased risk for severe illness.

    ...


    c. Recent data, including an MMWR published last week, has shown that the older people are, the higher their risk of severe illness from COVID-19. Age is an independent risk factor for severe illness, but risk in older adults is also in part related to the increased likelihood that older adults also have underlying medical conditions.
    COVID-19 risk related to underlying medical conditions

    c. CDC also updated the list of underlying medical conditions that increase risk of severe illness after reviewing published reports, pre-print studies, and various other data sources. CDC experts then determined if there was clear, mixed, or limited evidence that the condition increased a person’s risk for severe illness, regardless of age.

    There was consistent evidence (from multiple small studies or a strong association from a large study) that specific conditions increase a person’s risk of severe COVID-19 illness:

    • Chronic kidney disease
    • COPD (chronic obstructive pulmonary disease)
    • Obesity (BMI of 30 or higher)
    • Immunocompromised state (weakened immune system) from solid organ transplant
    • Serious heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies
    • Sickle cell disease
    • Type 2 diabetes
    These changes increase the number of people who fall into higher risk groups. An estimated 60 percent of American adults have at least one chronic medical condition. Obesity is one of the most common underlying conditions that increases one’s risk for severe illness – with about 40 percent of U.S. adults having obesity. The more underlying medical conditions people have, the higher their risk.

    CDC also clarified the list of other conditions that might increase a person’s risk of severe illness, including additions such as asthma, high blood pressure, neurologic conditions such as dementia, cerebrovascular disease such as stroke, and pregnancy. An MMWR published today further adds to the growing body of research on risk by comparing data on pregnant and nonpregnant women with laboratory-confirmed SARS-CoV-2 infection. Pregnant women were significantly more likely to be hospitalized, admitted to the intensive care unit, and receive mechanical ventilation than nonpregnant women; however, pregnant women were not at greater risk for death from COVID-19.



     
    #99     Sep 14, 2021
  10. gwb-trading

    gwb-trading


    A CDC Update from Thursday, June 25, 2020 -- before vaccines were available. Are you an idiot?
     
    #100     Sep 14, 2021