We have 18 in Clermont County Ohio. About 12 in Brown County OH, Adams County might have a dozen in the county. Butler County here has a few, having several hospitals...Warren County im sure has less than Clermont.

Hamilton County, where Cincinnati is, has a lot more, but also nearly a million people in its land stamp..but home to several large systems. Hamilton County doesnt have the resources to treat all of southwest ohio. We already had more of our people die to fentanyl laced heroin than the entirely of Americans who died in the Vietnam War.

My hospital is in one of these rural counties. Apparently im the only case manager of any sort except who is setting up to work remotely. The one team is working together in one space, in the hospital, and they will be interacting with patients, and going back to their homes. They have been offered to work remotely but theyre boomers and they collectively scoffed at it, as did my counterpart. I bet ill be the only functioning one in a month's time because all of them will be working out their bilateral pneumonia and feel like theyre being waterboarded by Mr. Donald Rumsfeld himself.

I eagerly await the opportunity to show that i can manage the unit it took the five of them to manage. I'm competitive like that.

You keep minimizing this while nurses are having panic attacks and walking out of their jobs.

This post was edited by Skinned on Mar 25 2020 06:59am

How much cost a libertarian ICU bed per day ?

Nurses all over the world are panicking. This is not a uniquely American phenomenon. Because they know shit is hitting the fan. It's not so much minimizing things as it is putting them into perspective. This will be a shitshow all over the world, and we aren't doing ourselves any favors with leadership at the top, but the governors are stepping up to the plate like a bunch of champs.

Also: https://www.foxnews.com/politics/us-was-most-prepared-country-in-the-world-for-pandemics-johns-hopkins-study-found-in-2019



My exceptional healthcare will cover it, even if the feds don't, which it appears they will given the news overnight.

America fist !

Governors are doing well.

As for your exceptional healthcare, a utilization review case manager will argue to get the treatment you need based on medical advice to your insurance company but they will want you to leave the care setting too early while simultaneously ruling out flu through tests and bronchitis or demanding to see your passport now before they will pay for a covid test.

I'll let you in on a secret and that is there is no good health insurance in America. They are too limited by profitability. You will get treatment if there is money to be made off of you. It's hard to believe you don't have a problem with this as a moral person.

This post was edited by Skinned on Mar 25 2020 08:19am

it a bit twisted too, this whole "best healthcare preparation" narrative.

because, we were prepared better than others in the context of ICU beds per 100k. but we also failed to quarantine properly. so whereas we could have been in a REALLY good spot if society just shut down for 2 weeks right when it touched down, instead we did not. and even the advantage of ICU beds we have wont help fix the crisis.

2 weeks, that's all it would have taken. shelter in for 2 weeks, and it would have been a tiny curve. but nope. no we'll get months of waves and struggles.

I have good insurance. Should this surprise you?



@ bold: That appears to be a moot point now.

I don't advocate for insurance-paid healthcare, and I never have. I'm well aware that they add zero value to the system. I've advocated insurance purely as risk mitigation, like it's supposed to be. I've advocated for cash payment for services with transparent prices, and always have.

Someone tell me if I'm way off base here:

South Korea's numbers are reliable (they had widespread testing) and the bulk of it is in, since their peak is way behind them. In their case, 1.3% of their infected people died. And their health care resources didn't get overrun like Italy's.

In the US, since our health care resources will be overrun, we can't hope to do any better than South Korea's 1.3%. So let's just use that as the low end of the projection.

We know that the virus is going to get penetration long before the vaccine arrives. So: 330million total population x 70% of people get the virus x 1.3% of those people die = 3million deaths.

Is there any number here that could be any lower? Is there any scenario that doesn't have at least 3 million deaths?

what source are you using for a 70% infection rate generally across the population. not disagreeing, just curious.

https://youtu.be/dcJDpV-igjs

https://thehill.com/policy/defense/488547-california-projects-56-percent-of-the-population-will-be-infected-over-8-week <-- 56 percent in 2 months, we will be past the peak, but the vaccine is still a year away

https://www.ketv.com/article/what-percent-of-people-in-the-us-and-world-could-get-coronavirus/31261894 <-- this article says 40-70%, but so far what we're seeing in the US gives me no reason to think we will be preventing full penetration before the vaccine. At best, we flatten the curve so that the 70% penetration spreads out over 6 months.

Granted, I am not trying to pretend that these are anything other than broad projections and vague estimates. That's why I was being conservative with the mortality rate (using South Korea's 1.3%). Our health care system is obviously not going to perform like SK's. So if you want to halve the penetration rate and double the mortality rate, you still end up in the same neighborhood.

This post was edited by Kayeto on Mar 25 2020 09:29am