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PANDEMIC ALERT LEVEL
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Tracking the next pandemic: Avian Flu Talk

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Hazelpad View Drop Down
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    Posted: July 26 2020 at 7:37am
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ViQueen24 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote ViQueen24 Quote  Post ReplyReply Direct Link To This Post Posted: July 26 2020 at 8:41am

This is what has me speechless:

https://www.businessinsider.com/texas-starr-county-hospital-forced-choose-who-sent-home-die-2020-7


A Texas hospital is so overrun with coronavirus cases that officials say it will send the patients least likely to survive home to die



A hospital in Starr County, Texas, is so overrun with coronavirus cases that officials there said it would choose which patients to use its resources on and send those most likely to die back home to their families.


The Fort Worth Star-Telegram reported that Dr. Jose Vasquez — the health authority for Starr County — said the county was creating guidelines to help health workers decide how to use resources on patients with the best chance of survival.


Vasquez added that a committee would decide which patients were most likely to die at Starr County Memorial Hospital — the only hospital in the county — and would send them home.


"The situation is desperate," he said Tuesday. "We cannot continue functioning in the Starr County Memorial Hospital nor in our county in the way that things are going. The numbers are staggering."



Read more: There are 24 coronavirus vaccine candidates now in human trials. Here's how drugmakers see the race for a cure playing out in 2020.


Vasquez said the county sends coronavirus patients daily to other parts of Texas and to other states, but that hospitals in both Texas and nearby states were now overwhelmed.


Starr County Coronavirus

A medical evacuation helicopter in Starr County, where coronavirus patients are being flown to other hospitals. KVEO/YouTube

"There is nowhere to put these patients. The whole state of Texas and neighboring states have no ICU beds to spare for us," he said, Border Report reported.


The decision is reminiscent of the decisions made by doctors in Italy in March, when that country was being ravaged by the virus. They said they had to choose who to save because of limited resources.



Italy has since brought its outbreak under control.


Texas has become a coronavirus hotspot in recent weeks, with more than 331,000 cases and 4,700 deaths recorded.


Read more: Morgan Stanley just shared a detailed timeline of the coronavirus pandemic. Here's when analysts think the US will get a vaccine and let people return to work.


"We are going to have these committees reviewing each case," Vasquez said.



He added that for some patients, "We believe they will be better taken care in the love of their own family and home rather than thousands of miles away dying alone," CBS News reported.


Starr County had successfully fought the coronavirus in the early days of the pandemic.


But Vasquez said cases started to increase "in an exponential and alarming way" after Texas Gov. Greg Abbott decided to reopen the state from late April, CBS News reported.


Jose Vasquez

Jose Vasquez of the Starr County Health Authority during an interview about the county's coronavirus outbreak. KVEO/YouTube

Joel Villarreal, the mayor of Rio Grande City — one of the cities in Starr County — said, "What we did here was a model for the rest of the nation to follow, but it was lost."



Texas state data shows that the county, which has 64,000 residents, went from 642 coronavirus cases on July 1 to 1,519 cases on July 23.


Starr County Judge Eloy Vera issued an emergency stay-at-home order because of the coronavirus on Wednesday.


It said that people are "ordered to shelter-at-home in their residence" and that businesses are recommended and encouraged to suspend any activities that can't be done curbside, as a drive-thru, or as take-out.


Vera also wrote on the county's Facebook page on Thursday that the county was "seeing the results of socialization during the 4th of July, vacations, and other social opportunities."



"Unfortunately, Starr County Memorial Hospital has limited resources and our doctors are going to have to decide who receives treatment, and who is sent home to die by their loved ones," he said.


"This is what we did not want our community to experience."


He urged people to stay home: "We can turn this around in two weeks. WE CAN DO IT. STAY HOME as much as possible. God bless you."

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Newbie1A View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Newbie1A Quote  Post ReplyReply Direct Link To This Post Posted: July 26 2020 at 1:33pm

Wow... Both of these are terrible but - Viqueen - that is shocking... so few cases here (starting to rise slowly since opening back up) that I can't even imagine this.  Horrendous!!

If it's to be - it's up to me!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote ViQueen24 Quote  Post ReplyReply Direct Link To This Post Posted: July 26 2020 at 4:06pm
  1. I agree Newbie, they're both stupifying!
  2. I don't know where that 1 came from.  I'm gonna blame it on my Kindle being "special"  today !
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Post Options Post Options   Thanks (0) Thanks(0)   Quote carbon20 Quote  Post ReplyReply Direct Link To This Post Posted: July 26 2020 at 4:18pm

Originally posted by Newbie1A Newbie1A wrote:

Wow... Both of these are terrible but - Viqueen - that is shocking... so few cases here (starting to rise slowly since opening back up) that I can't even imagine this.  Horrendous!!

By what's happening in our eastern states,be very worried even if you have one case of community transmission.....

Hope your testing results come back quick and contact tracing is A1.....

And I think it's really important that if people are tested they should isolate till they get results......and get money from government to STAY PUT....

people over east here have been tested then carry on normal until the results.... 

.Dumb and dumber.....

Keep your heads down....






Everything we hear is an opinion, not a fact. Everything we see is a perspective, not the truth.πŸ––

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EdwinSm, View Drop Down
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Post Options Post Options   Thanks (1) Thanks(1)   Quote EdwinSm, Quote  Post ReplyReply Direct Link To This Post Posted: July 26 2020 at 10:14pm

I can see the problem the hospitals are in.  In other cultures it is acceptable for hospitals to send patients home so they can die with loved ones and family around them.   

But to send a person dying of covid-19 home will help to spread this to the family members.  It seems a poorly thought out problem, or it is a major cry for help from the hospital.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote ViQueen24 Quote  Post ReplyReply Direct Link To This Post Posted: July 27 2020 at 11:54am

Edwin, and that begs the question that I really hope some folks who are not Americans can answer for me...

in your country, would a Covid patient be sent home in this situation?  And if so, would there be adequate provisions made for the patient's comfort as they make the transition?  Because nothing of that sort was mentioned, and reading into it, I would guess that in America, patients would be provided with whatever their insurance would cover, leading to situations where possibly the dying patient would be left to suffer in some way, with family watching.  Some of you folks read of my account in Older People Alarm Their Adult Kids in the General Discussion section of this site, how badly our local hospital dealt with my mum's illness, sending her home when she had no business being here.  One of my arguments was my mother was short of breath and crying in pain from her hip.  I couldn't stand to listen to that, and that was one of the many reasons her PCP ordered her back to the hospital.  If, in these situations, the person is at home, how much suffering should we expect them and their loved ones to bear?

Secondly, as you mentioned, Edwin, the article didn't mention any provisions being taken to protect healthy loved ones at home.  Are there any?  And if not, in WHAT UNIVERSE do you send someone home in this condition?   It's unconscionable, an abomination, and a travesty.  This is not the America I grew up believing in.

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Post Options Post Options   Thanks (1) Thanks(1)   Quote carbon20 Quote  Post ReplyReply Direct Link To This Post Posted: July 27 2020 at 3:34pm





No it wouldnt happen here,

We have universal health cover.....

Your insurance dosnt run out if you lose your job.....or get too sick !! 

We are not communists....

Once your admitted to hospital they have a 

"Duty of Care"

 you can't leave unless a doctor signs off ,

When your well enough

To leave.....

Or in a box if that's the case.........


One thing I can't understand about America is your total lack of health far for your own people.....

We pay a Medicare levy on our tax,so we do pay into a central fund ,and if your sick you show your Medicare card they take number you covered for medical ,

Please don't think I'm having a go at your system.   Just pointing out ours ,you decided which is better, 

And if you think your could be improved VOTE for change.....

Just saying.....πŸ˜‰

P.S. my cousin  (English expat)lives in Wisconsin,she works, but if she needs a doctor she flies to UK....nuff said......



Everything we hear is an opinion, not a fact. Everything we see is a perspective, not the truth.πŸ––

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Post Options Post Options   Thanks (1) Thanks(1)   Quote KiwiMum Quote  Post ReplyReply Direct Link To This Post Posted: July 27 2020 at 3:48pm

Here in NZ we also have universal medical care. It's funded by our taxes. We have to pay to see a doctor, which is about $48 for an adult. This is a subsidised cost, otherwise it would be $200. You get a 15 minute consultation, but it's often longer if needed. I can phone up on any day and get an appointment the same day. All hospital care is free. If you have an illness or an accident requiring hospitalization, you get it immediately. If you need an operation you have the option of going privately and being seen straight away and you pay the full cost or your medical insurance (if you have it) picks up the tab. So it can mean that if you can't afford it, you need to wait on the public system which can take time. 

I had an op in Jan this year which I had on the public system and I waited 4 months for. It wasn't urgent. The care I got was amazing, four days in hospital. It should have been 3 but I reacted  badly to the drugs so they kept me in. I was in a 2 bed ward, and each nurse on the ward had 4 patients under her care, which I thought was great. I had a choice of meals, a TV, a bed by a sunny window. Really it couldn't have been better. I also had a followup with my surgeon. 

Having lived in the UK I'd say that the system here is better, because in the UK the GP appointments are free too and they are overwhelmed. Here there are no such pressures on the system. People only go when they need to. Our medication is also subsidized and costs $5 an item.

Australia has a better system than us for medical insurance in that everybody pays the same premium regardless of age, so a 30 year old pays the same as a 70 year old which makes it affordable for all. We don't have that, and at 30 you pay a very low premium and at 70 it's cripplingly high. We need to copy Australia but it's been debated here a few times and never enforced. 

As for Covid 19, all testing and care is free. We are all encouraged to get tested even if we've only got a sore throat. We currently have about 25 cases all in border quarantine that have come into the country in the form of Kiwis returning home from abroad. We have no community cases at all, and no one in hospital with it. 


Those who got it wrong, for whatever reason, may feel defensive and retrench into a position that doesn’t accord with the facts.
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Post Options Post Options   Thanks (1) Thanks(1)   Quote carbon20 Quote  Post ReplyReply Direct Link To This Post Posted: July 27 2020 at 5:19pm





It's 45 dollars here to see doctor no time limit , you get $30 back from Medicare,usually transaction is done there and then   at the doctors reception....




Everything we hear is an opinion, not a fact. Everything we see is a perspective, not the truth.πŸ––

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Post Options Post Options   Thanks (1) Thanks(1)   Quote EdwinSm, Quote  Post ReplyReply Direct Link To This Post Posted: July 27 2020 at 10:52pm

From Finland:  I do not believe that patients would be sent home to die if they had corvid-19.  At this time there is plenty of bed space as of last night the country only had 5 people in hospital with corvid-19.


Here we paid a small amount (€41.10)  to see the doctor (after three visits at the health post the rest are free).  Seeing the nurse or therapist is only €11.40.   There is a small daily charge for hospitals (when my wife was last in it was €43.80/day).

Medicines are subsidised, if ordered by a doctor.  Normally 40%, but 65% in case of chronic illness (wife's asthma), but after about €650 one just has to pay €2.50 per prescription for the rest of the calendar year.  

Like other places with public health systems there is often a queue for operations, so the private sector is there for those who need a faster turn around.

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Post Options Post Options   Thanks (1) Thanks(1)   Quote carbon20 Quote  Post ReplyReply Direct Link To This Post Posted: July 28 2020 at 1:44am

On average everyone in Aus pays 1% of their taxable income towards Medicare.......

You can also have private insurance ,means you get seen quicker usually by same specialist as public system.....

Only problem with paying private is,

If you can do longer afford the premiums you end up in the public system anyway,so I'm all for a good public Medicare system....


Everything we hear is an opinion, not a fact. Everything we see is a perspective, not the truth.πŸ––

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