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Mar 31 2020 04:08pm
Quote (Bazi @ 1 Apr 2020 00:01)
2nd wave = mute point given no country in the world is at that point. Pointless statement, further more I would go as far as to say the US will be far better prepared for a 2nd wave than any European country given the amount of imaginary dollars we have available, for better or for worse.

If you think 10 days out our mortality rate will even be 50% of France you are delusional. Don’t get me wrong 2% is high enough and our healthcare systems are vastly underprepared for what is hitting/going to hit us, but we aren’t anywhere close to European level of ‘under resourced’

I cannot speak for France but my experience with U.K. hospitals is that the standard of American medicine is undeniably higher than that of U.K. hospitals. They have an even smaller icu bed:population ratio than France. What I can tell you definitively is that the next time euro health consumer index comes out the rankings will certainly be adjusted


I will just tell you: 60 millions people with bad or no healthcare coverage, private lobbies, religion, and the bottom 90 which is prolly lower than french one. Structurally your country is fucked for this. Hopefully the low density can help.
What will happen in the long run ? With 1k or 1.5k they will prefer to do something else than paying for a doc even if they are a bit sick and very contagious.


Regarding US people i'm more worried by the treatment than the test.

Like, if anyone dare to argue about this:
US states or federal government are paying for the test but not for the hospital bill: the free market rules will be: make the maximum amount of tests possible, let's suck it to-the-max, to get the maximum amount of positive results / customers.
This is so bright, crystal clear, but which american could be enjoyed reading this ? I means if i'm private hospital CEO i will say: test the upper class & insured ones first, as many as you can :lol:

Let's hope reality is not that rude.
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Mar 31 2020 04:12pm
















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Mar 31 2020 04:28pm
Quote (Saucisson6000 @ Mar 31 2020 05:08pm)
I will just tell you: 60 millions people with bad or no healthcare coverage, private lobbies, religion, and the bottom 90 which is prolly lower than french one. Structurally your country is fucked for this. Hopefully the low density can help.
What will happen in the long run ? With 1k or 1.5k they will prefer to do something else than paying for a doc even if they are a bit sick and very contagious.


Regarding US people i'm more worried by the treatment than the test.

Like, if anyone dare to argue about this:
US states or federal government are paying for the test but not for the hospital bill: the free market rules will be: make the maximum amount of tests possible, let's suck it to-the-max, to get the maximum amount of positive results / customers.
This is so bright, crystal clear, but which american could be enjoyed reading this ? I means if i'm private hospital CEO i will say: test the upper class & insured ones first, as many as you can :lol:

Let's hope reality is not that rude.



You’re shifting points, in no place in my post did I say the average American is going to come out financially even. Middle America will be hurting and I personally don’t think they will bounce back as quickly as CNBC pundits are predicting. Our country is not setup for that and there will be dire financial consequences for the average American.

I’m talking purely from a medical care standpoint. Even homeless Bob off the street can walk into an emergency room and no hospital in this country regardless of what you hear about on the news will triage patients based on insurance. Homeless Bob will be triaged as appropriate and if he warrants intubation he will be promptly tubed. Yeah if he survives he will get shafted with a hospital bill I can’t fathom, but as I stated in the previous paragraph, that’s not the point I was making.
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Mar 31 2020 04:28pm
Quote (Saucisson6000 @ Mar 31 2020 04:36pm)
Arguing around testing is just your new low.


https://idioms.thefreedictionary.com/when+all+is+said+and+done





On the bright side:

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Mar 31 2020 04:33pm
Quote (Bazi @ 1 Apr 2020 00:28)
You’re shifting points, in no place in my post did I say the average American is going to come out financially even. Middle America will be hurting and I personally don’t think they will bounce back as quickly as CNBC pundits are predicting. Our country is not setup for that and there will be dire financial consequences for the average American.

I’m talking purely from a medical care standpoint. Even homeless Bob off the street can walk into an emergency room and no hospital in this country regardless of what you hear about on the news will triage patients based on insurance. Homeless Bob will be triaged as appropriate and if he warrants intubation he will be promptly tubed. Yeah if he survives he will get shafted with a hospital bill I can’t fathom, but as I stated in the previous paragraph, that’s not the point I was making.


So glad to hear that ! Let's see how things are going in the next weeks.
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Mar 31 2020 04:39pm
What's really surprising me is the difference between France's 3.5k+ deaths and Germany's 770. Germany has a higher population, a higher number of diagnosed cases, and France has enacted strict shutdown measures earlier than us. And their population is slightly less geriatric than Germany's. I really struggle to imagine that their 11 ICU beds per 100k vs our 25 per 100k is enough to explain such a drastic discrepancy.


I can understand the issue in Italy and Spain - they're even more geriatric, they have poorer air quality, the virus has most definitely been simmering and spreading under the surface for much longer in these two countries than in their European neighbors, they have a low number of ICU beds per capita, their healthcare system has suffered from austerity measures over the last decade, and they are struggling more with multiresistant germs. And their mortality of course went up once their system got overburdened .

So there is a multitude of potential contributing factors to the escalation in these two countries. But the discrepancy between France and Germany cant be plausibly explained by any of these factors, I'm still perplexed by it.

This post was edited by Black XistenZ on Mar 31 2020 04:39pm
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Mar 31 2020 04:50pm
Quote (Black XistenZ @ Mar 31 2020 05:39pm)
What's really surprising me is the difference between France's 3.5k+ deaths and Germany's 770. Germany has a higher population, a higher number of diagnosed cases, and France has enacted strict shutdown measures earlier than us. And their population is slightly less geriatric than Germany's. I really struggle to imagine that their 11 ICU beds per 100k vs our 25 per 100k is enough to explain such a drastic discrepancy.


I can understand the issue in Italy and Spain - they're even more geriatric, they have poorer air quality, the virus has most definitely been simmering and spreading under the surface for much longer in these two countries than in their European neighbors, they have a low number of ICU beds per capita, their healthcare system has suffered from austerity measures over the last decade, and they are struggling more with multiresistant germs. And their mortality of course went up once their system got overburdened .

So there is a multitude of potential contributing factors to the escalation in these two countries. But the discrepancy between France and Germany cant be plausibly explained by any of these factors, I'm still perplexed by it.


Their numbers are deflated a bit, last numbers I saw from them saw an admission rate of 6-8%

This is an absurdly low statistic, something all countries have in common is an overall admission rate of 10-18%

There might be other factors as well, but I think it’s safe to say this is one contributing factor
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Mar 31 2020 04:59pm
Quote (Black XistenZ @ Mar 31 2020 11:39pm)
What's really surprising me is the difference between France's 3.5k+ deaths and Germany's 770. Germany has a higher population, a higher number of diagnosed cases, and France has enacted strict shutdown measures earlier than us. And their population is slightly less geriatric than Germany's. I really struggle to imagine that their 11 ICU beds per 100k vs our 25 per 100k is enough to explain such a drastic discrepancy.


I can understand the issue in Italy and Spain - they're even more geriatric, they have poorer air quality, the virus has most definitely been simmering and spreading under the surface for much longer in these two countries than in their European neighbors, they have a low number of ICU beds per capita, their healthcare system has suffered from austerity measures over the last decade, and they are struggling more with multiresistant germs. And their mortality of course went up once their system got overburdened .

So there is a multitude of potential contributing factors to the escalation in these two countries. But the discrepancy between France and Germany cant be plausibly explained by any of these factors, I'm still perplexed by it.


Testing. Germany is doing 80k tests a day and catching the virus early. That makes treatments more effective.
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Mar 31 2020 05:08pm
Quote (dro94 @ 1 Apr 2020 00:59)
Testing. Germany is doing 80k tests a day and catching the virus early. That makes treatments more effective.


Not really. We are doing more testing, but we're long past the point where catching it early and issuing personalized quarantines can make a big difference. And even here, by far not everyone who is showing symptoms and wants to take the test can actually get one. I know several cases from within my family and closer friends where they were straight up rejected by their GP. There arent that many preemptive tests that could catch an infected person before he/she's showing symptoms.

( I, personally, didnt even bother going to a doctor or taking a test even though I most definitely have it too. Been self-isolating since the symptoms started to show 2 weeks ago. Now, 2 weeks later, the coughing is finally starting to go away... )

This post was edited by Black XistenZ on Mar 31 2020 05:09pm
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