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Morning Briefing

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Thursday, Sep 23 2021

Full Issue

How To Ration Care? Exhausted Health Workers Face Most Difficult Calls Yet

The need to implement "crisis standards of care" has been a covid pandemic dread -- and is now a tragic reality for many hospitals in hard-hit areas. So how are such hard decisions made? And another consequence of an overwhelmed health care system: canceled elective surgeries delay necessary care for non-covid patients.

Long-feared rationing of medical care has become a reality in some parts of the United States as the delta variant drives a new wave of coronavirus cases, pushing hospitals to the brink. Alaska and Idaho have activated statewide 鈥渃risis standards of care,鈥 in which health systems can prioritize patients for scarce resources 鈥 based largely on their likelihood of survival 鈥 and even deny treatment. The decisions affect covid and non-covid patients. Some health care providers in Montana have turned to crisis standards as well, while Hawaii鈥檚 governor this month released health workers from liability if they have to ration care. (Knowles, 9/22)

Alaska officials outlined plans Wednesday to help hospitals with crisis standards of care if needed amid a surge in COVID-19 cases and announced short-term contracts for more than 400 health care personnel to relieve medical facilities with overtaxed staffs. State health commissioner Adam Crum signed an addendum to a public health emergency order that he said provides guidance to hospitals, care providers and local health authorities if the crisis standards of care are needed. (Bohrer, 9/23)

The largest hospital system in Central Massachusetts, UMass Memorial Health, ran out of intensive care beds Wednesday as critically ill patients with deferred chronic health problems and those stricken with COVID-19 overwhelm health care providers. Dr. Eric Dickson, president and chief executive of the system, described the situation as dire, but said patients are getting the care they need. UMass has hospitals in Worcester, Marlborough, Leominster, and Southbridge. 鈥淚鈥檝e been an emergency physician in [Worcester] for three decades, and I鈥檝e never seen it this bad,鈥 Dickson said. 鈥淚t鈥檚 creating enormous challenges in Central Mass., with COVID still on the rise.鈥 (Andersen and Lazar, 9/22)

In chronic pain, Mary O鈥橠onnell can鈥檛 get around much. At most, she manages to walk for a short time in her kitchen or garden before she has to sit down. 鈥淚t鈥檚 just frustrating at this point,鈥 said Ms. O鈥橠onnell, 80, who lives in Aloha, Ore. 鈥淚鈥檓 really depressed.鈥 She had been preparing for back surgery scheduled for Aug. 31, hoping the five-hour procedure would allow her to be more active. But a day before the operation, at OHSU Health Hillsboro Medical Center, she learned it had been canceled. 鈥淣ope, you can鈥檛 come, our hospital is filling up,鈥 she said she was told. (Abelson, 9/22)

In other news on the spread of the coronavirus 鈥

A rise in COVID-19 related deaths is overwhelming some Georgia coroners' offices and medical facilities. Several facilities are running out of morgue space right now due to the significant increase in COVID-related deaths. Some are even reaching out to the state for help because they don't have anywhere to store these bodies. (Hill, 9/22)

Michigan has recorded more than 1 million confirmed cases of COVID-19 since the start of the pandemic, the health department said Wednesday. The state crossed that threshold by reporting 6,079 new cases over the last two days. There have been at least 20,781 deaths in Michigan linked to COVID-19. (9/23)

A leading asthma patient group has issued a warning against an unproven coronavirus treatment circulating on social media that is leading some people to post videos of themselves breathing in hydrogen peroxide through a nebulizer. The Asthma and Allergy Foundation of America called the action 鈥渃oncerning and dangerous鈥 in a Tuesday blog post, emphasizing that it will neither treat nor prevent the virus and is harmful to the lungs. (Gregg, 9/22)

Civil rights leader Reverend Jesse Jackson left a Chicago rehabilitation hospital on Wednesday after being treated for Parkinson's disease following a breakthrough COVID-19 case,聽CBS Chicago聽reported. He spent nearly a month in treatment. ... Jackson, 79, and his wife Jacqueline Jackson, 77, both tested positive for COVID-19 in August and were treated at Northwestern University Memorial Hospital in Chicago, Jackson's civil rights organization Rainbow PUSH Coalition said on August 21. (Powell, 9/22)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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