Welcome! Log In Create A New Profile

Advanced

Covid-19: The nursing home disease...

June 24, 2020 08:57AM
COVID-19: The Nursing Home Disease
Phil Kerpen

Source: Darren McGee/Office of Governor Andrew M. Cuomo via AP

[townhall.com]

I recently testified before the House Select Coronavirus Subcommittee on the meltdown in nursing homes, which excluding New York (which deliberately underreports) now account for over 55 percent of deaths with COVID. The House Democrats' goal was to blame these high death rates on President Trump - but the blame should belong squarely to the handful of governors who presided over these disasters.

More than 60 percent of both nursing home deaths and total COVID-19 deaths occurred in just seven blue states with about 20 percent of the U.S. population: New York, New Jersey, Connecticut, Pennsylvania, Massachusetts, Illinois, and Michigan. The governors in each of these states ignored federal guidelines and pursued some version of the policy of admitting infectious patients to nursing homes as soon as they were clinically stable.

Nationally about 2 percent of the long-term care population has died with COVID-19 - but over 12 percent in Connecticut, 10 percent in New Jersey, 9 percent in Massachusetts, and about 4 percent in Illinois. Even New York's dishonest underreported number is 4.4 percent of the state's long-term care population.

Carnegie Mellon and University of Pittsburgh mathematicians showed back in March that efforts to shelter everyone would lead to a far higher death total than efforts focused on the elderly, but the liberal governors chose to ignore that reality - even as we've seen over 80 percent of COVID deaths among seniors.

New York's policy was implemented via a March 25 advisory that said: "No resident shall be denied re-admission or admission to the [nursing home] solely based on a confirmed or suspected diagnosis of COVID-19. [Nursing homes] are prohibited from requiring a hospitalized resident who is determined medically stable to be tested for COVID-19 prior to admission or readmission."

The Society for Post-Acute and Long-Term Care Medicine warned in response: "Unsafe transfers will increase the risk of transmission in post-acute and long-term care facilities which will ultimately only serve to increase the return flow back to hospitals, overwhelming capacity, endangering more healthcare personnel, and escalating the death rate."

This caution was ignored and the policy stayed in effect until May 10. New York presently reports 6,413 deaths physically in long-term care facilities. Adding hospital deaths, which the state refuses to report, would likely double or triple that number.

Similar policies in New Jersey, Massachusetts, Connecticut, Illinois, Michigan, and Pennsylvania - where the state health secretary moved his own mother out of a nursing home while sending infectious patients in - produced similar outcomes.

As Dr. Anish Koka described it: "Two weeks into the lockdown, Philadelphia hospitals had been emptied waiting for a New York-style surge that never came... But nursing home patients were treated like patients from the community who were too well to be admitted to the hospital - they were sent home. The consequences of keeping these patients at the nursing home meant the health system had to eventually deal with the entire nursing home being infected."

Pennsylvania now reports at least 4,345 long-term care resident deaths; all others are at least 2,054.

It isn't just state size. California nearly adopted substantially the same policy as the meltdown states, but reversed it just two days later - they didn't ignore the backlash. With a markedly different policy in place, including sending COVID-negative nursing home residents out of Los Angeles area facilities to the USN Mercy hospital ship to establish COVID-only facilities, the state so far has lost only 1.1 percent of its long-term care population, fewer total deaths in this cohort than little Connecticut.

By prohibiting readmission without effective infection control and deploying the national guard, adequate testing, and PPE, Florida reported long-term care COVID deaths at 1,664 as of June 21 - a quarter of New Jersey's, and 1.1 percent of the state's large long-term care population. Texas has fared even better, with less than half its COVID-19 deaths in long-term care and presently at only 0.6 percent of that population.

Most states are now finally making serious efforts to test their entire long-term care population.That's great, but if the CDC does not fix its definition counting any death in the presence of the coronavirus, nursing home residents with mild or asymptomatic infections will still show up in the count when they die of other causes. The median nursing home stay before death is just five months. If this definitional problem isn't fixed, deceptive counts will add to the problem of misperceived public fear.

We need honest reporting and counting to understand the risk of serious illness or death with COVID, and we need policies targeted to protect the vulnerable - not to scare the public. And the governors who presided over the carnage need to be held to account.
SubjectAuthorViewsPosted

  Covid-19: The nursing home disease...

Rams43211June 24, 2020 08:57AM

  Re: Covid-19: The nursing home disease...

zn71June 24, 2020 01:08PM

  Re: Covid-19: The nursing home disease...

Rams4327June 27, 2020 08:58AM

  Re: Covid-19: The nursing home disease...

RAMbeau66June 24, 2020 02:43PM

  Three questions, RAMbeau...

Rams4344June 27, 2020 09:17AM

  Three Answers. . .

RAMbeau53June 27, 2020 11:04AM

  Re: Three Answers. . .

Rams4334June 29, 2020 09:46AM

  . Exactly. . .

RAMbeau35June 29, 2020 10:40AM

  I get it very well....

roman1839June 29, 2020 10:53AM

  Unfortunately I agree with you on this point:

waterfield25June 30, 2020 09:13AM

  Re: Three questions, RAMbeau...

waterfield33June 27, 2020 11:48AM

  Re: Covid-19: The nursing home disease...

AlbaNY_Ram50June 24, 2020 03:14PM

  Re: A practical scenario

AlbaNY_Ram27June 25, 2020 01:09AM

  the real issue with nursing homes

zn47June 25, 2020 01:17AM

  Re: the real issue with nursing homes

Rams4341June 27, 2020 09:05AM

  Re: the real issue with nursing homes

zn38June 27, 2020 02:52PM

  Re: the real issue with nursing homes

AlbaNY_Ram34June 27, 2020 04:09PM

  Re: sliced another way

AlbaNY_Ram37June 28, 2020 03:55AM

  Re: the real issue with nursing homes

Rams4328June 29, 2020 09:51AM

  Re: the real issue with nursing homes

CeeZar28June 29, 2020 10:15AM

  Re: the real issue with nursing homes

AlbaNY_Ram23June 29, 2020 10:28AM

  Re: the real issue with nursing homes

AlbaNY_Ram25June 29, 2020 10:25AM

  Re: the real issue with nursing homes

Rams4323June 29, 2020 02:10PM

  Re: the real issue with nursing homes

AlbaNY_Ram23June 29, 2020 03:51PM

  Re: the real issue with nursing homes

Rams4331June 29, 2020 05:06PM

  Re: the real issue with nursing homes

AlbaNY_Ram35June 30, 2020 01:21AM

  Re: my last try

AlbaNY_Ram34June 30, 2020 09:04AM

  Re: my last try

zn32June 30, 2020 09:12AM

  Re: my last try

Rams4329June 30, 2020 12:59PM

  I'm a nursing home medical director......

NewMexicoRam26July 02, 2020 03:04PM

  Re: A practical scenario

Rams4342June 27, 2020 09:02AM

  Re: A practical scenario

AlbaNY_Ram47June 27, 2020 12:00PM

  Don’t be fooled. New data suggests that the lockdowns were a Colossal mistake...

Rams4342June 29, 2020 04:54PM

  Re: Don’t be fooled.....PJ Media is a far right political site

Rampage2K-43June 29, 2020 07:54PM

  Re: Don’t be fooled.....PJ Media is a far right political site

Rams4337June 29, 2020 08:15PM

  Re: Don’t be fooled.....PJ Media is a far right political site

Rampage2K-40June 29, 2020 09:04PM

  Re: Don’t be fooled.....PJ Media is a far right political site

zn47June 29, 2020 09:28PM

  National Mask Mandate Could Save The U.S. Economy $1 Trillion

zn33July 02, 2020 02:13AM

  Re: National Mask Mandate Could Save The U.S. Economy $1 Trillion

AlbaNY_Ram22July 02, 2020 03:16AM

  Re: National Mask Mandate Could Save The U.S. Economy $1 Trillion

zn24July 02, 2020 04:14AM

  protesting did not cause any spike in infections

zn40July 02, 2020 10:17AM

  Re: protesting did not cause any spike in infections...yeah, ok

Rampage2K-26July 03, 2020 09:49AM

  that's what the medical people are saying, like it or not

zn20July 03, 2020 10:02AM

  Re: that's what the medical people are saying, like it or not

Rampage2K-31July 03, 2020 10:14AM

  Re: that's what the medical people are saying, like it or not

zn21July 03, 2020 11:08AM

  Re: that's what the medical people are saying, like it or not

waterfield21July 03, 2020 11:12AM

  Re: that's what the medical people are saying, like it or not

zn17July 03, 2020 12:12PM

  Re: that's what the medical people are saying, like it or not

AlbaNY_Ram20July 03, 2020 11:33AM

  Re: that's what the medical people are saying, like it or not

Rampage2K-26July 03, 2020 11:58AM

  Re: that's what the medical people are saying, like it or not

AlbaNY_Ram17July 03, 2020 01:08PM

  Re: that's what the medical people are saying, like it or not

zn32July 03, 2020 01:25PM

  Re: that's what the medical people are saying, like it or not

AlbaNY_Ram23July 03, 2020 03:20PM

  Re: that's what the medical people are saying, like it or not

Rampage2K-20July 03, 2020 03:47PM

  Re: that's what the medical people are saying, like it or not

waterfield20July 03, 2020 05:18PM

  Re: that's what the medical people are saying, like it or not

zn24July 03, 2020 12:14PM

  "every covid patient was a" .

zn27July 06, 2020 05:50AM

  herd immunity may be 'unachievable' because antibodies disappear after a few weeks in some people

zn22July 07, 2020 04:46AM

  Herd immunity may be closer than you think

PHDram24July 07, 2020 05:09AM

  Re: Herd immunity may be closer than you think

Rampage2K-23July 07, 2020 07:25AM

  Re: Herd immunity may be closer than you think

zn20July 07, 2020 07:33AM

  Re: herd immunity may be 'unachievable' #2

zn19July 07, 2020 07:27AM

  Immunity may be more widespread than tests suggest

PHDram17July 07, 2020 08:31AM

  Re: Immunity may be more widespread than tests suggest

AlbaNY_Ram17July 07, 2020 09:14AM

  i didnt write the article nor the title

PHDram14July 07, 2020 09:39AM

  Re: Immunity may be more widespread than tests suggest

zn24July 07, 2020 11:39AM

  Re: herd immunity may be 'unachievable' #3

zn18July 07, 2020 08:49AM

  truth and scientific integrity

PHDram26July 07, 2020 09:43AM

  Type in Covid19 and any 3 numbers.....any 3

ferragamo7923July 07, 2020 07:08AM

  Re: Type in Covid19 and any 3 numbers.....any 3

Rampage2K-21July 07, 2020 07:19AM