Why I call it an epic failure of leadership in the US.
-Some countries had great leadership & are winning.
-Other countries failed despite trying their best.
We failed but didnt even try. Instead leaders mocked masks, disobeyed rules, insulted scientists, & tarnished CDC
We can live with an all out strategy that failed. Where we tried our best to test, trace. Where we clearly told people about important of masks once it became obvious that masks were important. Where we provided PPE & resources to hospitals.
But we don’t have a plan in November
But we have a unrelenting series of mixed messages.
A never ending stream of leaders minimizing the pandemic. Multiple events where safety rules are broken by people who should be implementing and promoting them.
That’s the difference between not trying and trying.
So we go into winter with many hospitals back to crisis mode. Many doctors and nurses demoralized.
We need to get back on track. This is a dangerous virus which beats even the best efforts. Half hearted or causal approaches will simply not do. #LeadershipMatters
So I hope we truly turn the corner soon. With a strategy on how to minimize cases, hospitalizations, ICU admissions, deaths, & long term complications.
With a plan to equitably distribute potential vaccines.
A way to provide new drugs to the public. Not just rich and powerful
This investigator-initiated, @NIH@theNCI funded trial addresses the role of quadruplets in myeloma. It tests the hypothesis that adding a 4th drug will mainly benefit patients who are MRD+ after triplet induction, and may not be needed in those who are MRD-
Slowly some CDC scientists and others are now coming out on the failures of the agency. It’s a little too late. We have lost >217,000 lives. Many of us called this out months ago. That’s when we needed scientists to speak up. @PSampathkumarMD@chadinabhan@CarolineYLChen
There is a group of people with excellent health insurance who hardly see a doctor or use healthcare resources: Doctors.
I don’t agree with the notion that people will abuse the healthcare system if they have good affordable healthcare coverage.
People go see a doctor if they have a health problem. They take medicines if they have a health problem. They get admitted to a hospital if they have a health problem.
There are better ways of having fun than going to a hospital.
There are always exceptions. For any system you create there will be a few people who abuse the system. But we can’t build systems around exceptions.
We need affordable universal healthcare. COVID shows us how your health affects others, and the health of others affects you.
1.5 million US households have a net worth >10 million. They could pay for their own healthcare.
For the remaining 100 million, healthcare is so expensive one serious illness can wipe out your entire fortune. Not something you can save enough for. We need universal healthcare.
For example, for the disease I treat, multiple myeloma the annual cost of medicines alone is $200,000 to 300,000 or more. This can go on for >10 years. Each new treatment costs $20,000 to $30,000 a month.
Add to it cost of doctors fees, hospitalizations, lab tests, and imaging.
We depend on being able to be insured, having affordable premiums, and having adequate coverage.
Any one piece that’s affected will be a huge problem.