Morning Briefing
Summaries of health policy coverage from major news organizations
Viewpoints: Lessons On Avoiding Another Crisis For Health Care Workers; Try Telling Cancer Patients To Socially Isolate Instead Of Getting Treatment
Health care workers at hospitals and nursing homes in Massachusetts were already protesting the lack of personal protective equipment to deal with COVID-19. Nurses in New York and New Jersey were photographed wearing giant plastic garbage bags for protection. And in the Port of New York, a container of 3 million N95 respirator masks ordered by Massachusetts was confiscated 鈥 diverted by federal officials. (5/15)
President Obama was bothered. It was the summer of 2009 and he was in a meeting at the White House to talk about preparations for an expected autumn outbreak of swine flu. Elbows on the table, he thumbed through the pages of a report on preparations for it. 鈥淪o,鈥 he asked no one in particular, 鈥渋f you guys are so smart, how come you鈥檙e still making this in eggs?鈥 he asked, referring to the nearly century-old process for making vaccines in chicken eggs. (Jason Karlawish, 5/17)
In the hospital emergency department where I work, we were starting to get used to our new normal, the regular flow of COVID-19 patients along with the everyday emergencies 鈥 heart attacks, strokes and trauma.And then, one of our own came into the emergency room sick. With COVID-19. (Mark Morocco, 5/17)
As I make my way into my building鈥檚 elevator after a long hospital shift, a neighbor throws his arm out to stop me. 鈥淪orry,鈥 he says, 鈥渙nly one person per elevator.鈥 Seeing my confusion, our doorman kindly but firmly corrects him. 鈥淭wo per elevator is fine.鈥 I take a step toward the open doors, but the passenger again holds up his palm. 鈥淧lease,鈥 he pleads, his eyes glancing frantically at my scrubs. 鈥淧lease, just take a different one.鈥 Speechless, I take the next elevator and arrive at my New York City apartment filled with my son鈥檚 toys, untouched since he and my wife moved out nearly 40 days ago. (Yamshon, 5/15)
With COVID-19 patients straining resources and so many health care workers falling ill, I assumed my seven years as a family physician would be met with enthusiasm by the medical community.I was wrong. For the past month, I鈥檝e spent hours looking for opportunities to help. I鈥檇 finish my day job and start sending emails to connect with networks of physicians. I looked in hard-hit New York but concentrated mostly in the San Francisco area, where I live. I quickly discovered plenty of opportunities for doctors like me overseas 鈥 but not in the United States. (E. Hanh Le, 5/15)
There is a checkpoint as you enter the Kimmel Cancer Center at Johns Hopkins Hospital in Baltimore, where I am being treated for cancer of the prostate and lymph nodes. With all but two sets of doors to the building locked shut, patients are corralled into an area roped off from the rest of the first-floor lobby. You are required to show your orange Hopkins patient identification card and proof that you have an appointment.Questions are asked. Questions that have become the norm in the new normal. 鈥淗ave you had a cough?鈥 鈥淗ave you visited New York or New Jersey in the last 14 days?鈥 (Richard Goggin, 5/17)
The Centers for Disease Control and Prevention made its first definitive statement last week describing a rare but disturbing condition in children related to Covid-19. Doctors in the U.K. first reported in April a spike in previously healthy children presenting with features similar to another rare condition, Kawasaki disease, whose symptoms include rash and fever and, later in its progression, inflammation of blood vessels. This is a reminder of how much we don鈥檛 know about Covid-19. We鈥檝e learned a lot over the past two months as Covid-19 became an epidemic, with 1.5 million Americans diagnosed and more than 90,000 dead. New insights have translated into improved care. This knowledge is saving lives and will be especially useful if infections flare up again.Yet such data on patients isn鈥檛 being streamlined and shared with the public quickly. (Former FDA commissioner Scott Gottlieb, 5/17)
The coronavirus has claimed yet another victim, one that isn鈥檛 counted in the daily casualty reports. The victim this time is good old-fashioned common sense. Convicts in some states are being set free because the virus can spread quickly inside a prison. Okay 鈥 but a Texas hairdresser with no criminal record whatsoever is sent to jail for opening her salon when she was supposed to keep it closed.聽Does this make sense?聽(Bernard Goldberg, 5/17)
The most promising solution we鈥檝e seen yet for leveling the nation鈥檚 ballooning income and wealth gaps 鈥 first-generation students earning bachelor鈥檚 degrees 鈥 appears to be unraveling. Because of COVID-19, thousands of low-income students are deferring and dropping college plans, indicate multiple student surveys. Or, they are scaling back from a four-year college to a community college, where the odds of ever earning a four-year degree plummet. (Richard Whitmire, 5/17)
As of last week, Texas鈥 374 registered nursing homes have seen 1,332 cases of COVID-19 with 478 resulting deaths among residents and staff. That accounts for 43% of all coronavirus deaths in the state, a sobering reminder of the vulnerabilities seniors face both from age and the communal life of a nursing home. Data we gathered from multiple sources, including The New York Times, AARP and the Kaiser Family Foundation, demonstrate just how serious the problem is, concluding the number of nursing home deaths make up anywhere from 25% to 50% of all U.S. COVID-19 deaths. The numbers, while imprecise, make it clear that we must focus greater attention on protecting people living in nursing care centers. (5/17)
Ohio coronavirus numbers released Thursday paint a shocking picture about rapidly rising coronavirus nursing home deaths. The 674 known coronavirus fatalities in Ohio long-term-care facilities now make up 44 percent of all coronavirus deaths in the state. And both the number and their percentage of all COVID-19 deaths in Ohio appear to be going up quickly.In the state鈥檚 prior weekly reporting May 6, there were 499 long-term-care deaths. That鈥檚 a 35% jump in fatalities in just one week. Further, it鈥檚 uncertain how accurate those numbers might be. Among other issues, the state has not mandated reporting on long-term-care coronavirus deaths prior to April 15. (5/17)