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Showing posts with label shutdown. Show all posts
Showing posts with label shutdown. Show all posts

Tuesday, May 26, 2020




Over 500 Doctors Sign Letter Telling POTUS: 'Shutdown Was a Mass Casualty Event'

Over 500 Doctors Sign Damning Shutdown Warning to Trump: 'In Medical Terms...'
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Remember the scorn and derision heaped on anyone who said that the deaths caused by the shutdown might be just as problematic as the deaths caused by COVID-19?
We’re not laughing anymore — not with real unemployment likely at roughly 20 percent and estimates of deaths of despair creeping higher with each number we see.
And, if you’re one of those people who wants to listen to the experts, listen to these 500-plus doctors who signed a letter to President Donald Trump calling the shutdown what it is: “a mass casualty incident.”
The letter was written by Dr. Simone Gold, an emergency medicine specialist in Los Angeles.
“We are frustrated,” Gold said in an interview with Fox News Thursday, telling “America’s Newsroom” that “there are thousands and thousands of stories of patient harm” from the lockdown.
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In the letter, Gold compared the situation to triage.
“During a mass casualty incident, victims are immediately triaged to black, red, yellow, or green. The first group, triage level black, includes those who require too many resources to save during a mass crisis,” she wrote in the Tuesday letter.
“The red group has severe injuries that are survivable with treatment, the yellow group has serious injuries that are not immediately life threatening, and the green group has minor injuries.”
The red group, she wrote, is the one that gets the most attention.
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“Millions of Americans are already at triage level red. These include 150,000 Americans per month who would have had a new cancer detected through routine
screening that hasn’t happened, millions who have missed routine dental care to fix problems strongly linked to heart disease/death, and preventable cases of stroke, heart attack, and child abuse. Suicide hotline phone calls have increased 600%,” she wrote.
“Tens of millions are at triage level yellow. Liquor sales have increased 300-600%, cigarette sales have increased, rent has gone unpaid, family relationships have become frayed, and millions of well-child check-ups have been missed.
“Hundreds of millions are at triage level green. These are people who currently are solvent, but at risk should economic conditions worsen. Poverty and financial uncertainty is closely linked to poor health.”
This isn’t just abstract theorizing, Gold wrote. Instead, she provided examples that she or her colleagues have seen.
“Patient E.S. is a mother with two children whose office job was reduced to part-time and whose husband was furloughed. The father is drinking more, the mother is depressed and not managing her diabetes well, and the children are barely doing any schoolwork,” she wrote.
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“Patient A.F. has chronic but previously stable health conditions. Her elective hip replacement was delayed, which caused her to become nearly sedentary, resulting in a pulmonary embolism in April.”
Another nursing home patient had a stroke and has been receiving no rehabilitative care, causing him to lose weight and deteriorate instead of improving. Another college freshman is unable to return to normal life, which puts him at risk of alcohol and drug abuse, depression and “future financial uncertainty.”
“We are alarmed at what appears to be the lack of consideration for the future health of our patients. The downstream health effects of deteriorating a level are being massively under-estimated and under-reported. This is an order of magnitude error. It is impossible to overstate the short, medium, and long-term harm to people’s  health with a continued shutdown.”
“Losing a job is one of life’s most stressful events, and the effect on a person’s health is not lessened because it also has happened to 30 million other people. Keeping schools and universities closed is incalculably detrimental for children, teenagers, and young adults for decades to come. The millions of casualties of a continued shutdown will be hiding in plain sight, but they will be called alcoholism, homelessness, suicide, heart attack, stroke, or kidney failure. In youths it will be called financial instability, unemployment, despair, drug addiction, unplanned pregnancies, poverty, and abuse,” Gold wrote.
In her interview with Fox News, Gold said the evidence of the crisis is undeniable.
“I could read you heartbreaking story after heartbreaking story sent to me by physicians of patients that have died or suffered severe harm because they were afraid to go to the hospital and their own doctor’s offices were shut,” she said
Social media users have made the same point. One used a picture of Los Angeles County beaches, which were closed by the pandemic but reopened for the Memorial Day weekend, to illustrate the problem.


Another physician told California Public Radio that delays of regular care could mean a “massive wave” of cancer patients coming down the highway.
“The last couple months have been historically low as far as volume, as far as screening, as far as cancer surgeries, basically because patients are concerned and very anxious to be going to a clinic environment, a hospital environment, because of their concerns regarding COVID-19 … Many patients are concerned about coming to visit us, to be screened for cancer, to be surveilled for their previous cancers we’ve taken out,” said Dr. Costanzo DiPerna, a thoracic surgeon in Carmichael, California, just outside Sacramento.
“What I’m concerned about right now, not just for lung cancer but for all cancers, is are there patients out there that don’t want to come in because they’re afraid of getting COVID-19? And, so, they avoid mammograms, they avoid cat scans, they avoid colonoscopies … Then in two years we’re hit with this massive wave of patients that are all at a later stage of essentially incurable cancers.”
DiPerna wasn’t a signatory of Gold’s letter.
Yes, the number of people who have died of the coronavirus is massive. However, the number of those who will end up dying from a complete shutdown is, as of yet, unknown — and it could end up being just as problematic.
When stroke evaluations drop 40 percent during the COVID-19 epidemic, there’s a real problem. It’s not that we were suffering from too many stroke evaluations before the virus struck. Instead, it’s caused people to put off necessary medical care, either because of fears of the disease or because that care simply isn’t available.
Make no mistake: This is a crisis. It’s already too late to stop the deaths of despair and neglect of health that this will cause. The question now is how deep it goes.

Friday, April 3, 2020

If This "Pandemic" Lasts Past June, It Will Drive Many Companies Out Of Business

Poll: Large Number of Small Businesses Are on the Brink of Permanent Closure as Coronavirus Shutdown Takes Its Toll

Poll Shows Scary Number of Small Businesses on the Brink of Permanent Closure
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A new survey shows that the restrictions imposed to slow the spread of the coronavirus are causing major damage to the ranks of the nation’s small businesses.
In many jurisdictions across the nation, businesses deemed “nonessential” by state or local authorities have been forced to shut down.
The MetLife & U.S. Chamber of Commerce Small Business Index issued a special report Friday on a survey that found 24 percent of small businesses said they were temporarily shut down and another 40 percent expect to close over the next two weeks.
More alarming, however, is the fact that 43 percent of the businesses responding to the survey “believe they have less than six months until a permanent shutdown is unavoidable,” the report said.
In the retail sector, which accounts for a large percentage of small businesses, 51 percent said they do not think they can last more than six months.
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President Donald Trump has called upon Congress to act to support small businesses.
The survey found that 11 percent do not think they can stay in business another month, while 13 percent give themselves two months or less. Of the businesses surveyed, 19 percent think they will hold out between three and six months, while 16 percent say they think they will endure between six months and a year.
Do you think coronavirus measures that shut down businesses have gone too far?
62% (8 Votes)
38% (5 Votes)
The businesses surveyed do not believe this is simply a blip on the economic screen. The poll found that 46 percent of them believe it will take the economy at least six months and perhaps up to a year to recover from the coronavirus-induced restrictions that have impacted their businesses.
The survey found that 58 percent of small businesses are very concerned about the impact of the virus on their business, with the greatest concerns coming from service-sector businesses in the Northeast with 20 or more employees.
Fifty-four percent of the small businesses surveyed rated the American economy’s health as poor. Only roughly one in four respondents said the national economy was doing well, and only 32 percent believed the same locally.
According to the Chamber of Commerce, those figures represent a major drop; confidence in the national economy was 35 points higher in the previous quarter, reflecting the strength of the pre-virus Trump economy.
The business survey found that the remedy for the nation’s economic ills selected by the president is also their top choice. Fifty-six percent of the businesses surveyed said the best thing to help them would be a direct infusion of cash to the American people, something that Trump ensured was included in the coronavirus relief package he signed last month.
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The survey found that 30 percent of businesses said loans and financial aid in the relief package will be the most helpful to them, while 21 percent said payroll tax relief was the best help they could have.
The survey was conducted March 25-28 by Ipsos among a sample of about 500 small business owners.
The plight of the nation’s small businesses was also outlined in a recent Harris poll that found 71 percent of the small businesses surveyed reported their revenue had fallen in recent weeks as virus-linked restrictions have been imposed. Twenty-eight percent of businesses said their revenue was down 50 percent or more.
The Harris poll found that 10 percent of businesses surveyed said they had already gone out of business permanently.
The survey found optimism in short supply looking forward. Seventy-five percent of businesses said they could endure another month, but then came the drop-off in hope: Only 58 percent said they could survive for another three months, and 46 percent said they were confident they could make it for six months.
The Chamber of Commerce survey did find some hope looking forward, with 57 percent feeling positive about the overall health of their businesses and 23 percent saying they expect to hire people in the coming year.