My 94 year old Grandma (fiancé’s Grandma) was just charged... $400 for a #COVID19 test!!

F*#^ing Criminal!

Most qPCR tests cost <$10 in reagents. Add few $ for labor/equipment.

Many commercial labs charging >$50 / test are usually preying on ppl and taking advantage.
It was not any sort of special send out overnight or anything test. It was a regular test. She went and got it in person, etc.
It was not the clinical charge.

It was not part of a bigger workup.
Her insurance is paying for it. But... this should never be the case.
Testing for #COVID19 is a social and public good. It is not going to help the person getting infected not get sick. It is to help the infected person not get others sick.

In the wealthiest country on earth, no person should pay for a Covid test.

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More from @michaelmina_lab

18 Dec
THREAD:

Incredible new study results for rapid antigen test by ⁦@AbbottNews⁩ BinaxNOW

In KIDS and adults; with symptoms and fully asymptomatic.

Sensitivity:
100% at Ct <25
98.6% at Ct <30

Specificity 99.4% - 100%

1/

mass.gov/doc/binaxnow-a… Image
The study above, by @NiraPollock and others, is incredibly important because it proves that these tests do not care about your symptoms, they only care about the virus. And that they work in kids as well as adults.

The former issue is critically important...

2/
Currently @US_FDA requires that for these tests to be used at home OTC, they need to demonstrate explicitly that they work in asymptomatic people.

But this is completely unnecessarily burdensome - plus finding asymptomatic people shedding virus is very difficult!

3/
Read 6 tweets
15 Dec
THREAD:

First at-home rapid test w FDA EUA! This is a great milestone! Congratulations to @EllumeHealth on this triumph. The EUA for this at-home test should be celebrated. I am supportive & have used it myself! I want to put this in context...

npr.org/sections/coron…

1/10
This is a terrific milestone. An OTC rapid test is a great advance. It means some will have access to much needed test to help know status, without going through barriers of an MD.

Since many are asking, this is not quite THE public health screening test I'm calling for.

2/10
Inside, @Ellume (right) has simple but powerful paper strip test. It requires battery, circuits, sensors, and bluetooth with a mobile phone. Thus, not quite THE mass public health screening test that will scale for frequent use by millions (i.e. vs simple one on left).

3/10
Read 12 tweets
14 Dec
It PAINS & infuriates me that we continue a path of INACTION beyond a vaccine

Deaths are increasing. Yet our leaders CHOOSE to do nothing

The nation should be in an uproar!

We could ALL know our infection status daily & stop #COVID19

Instead our leaders choose dying
Pathetic.
Vaccines are great - But not getting to everyone now - and not for many months.

We have a tool now that could allow society to run MUCH safer.

Holidays spent MUCH safer
Stores and restaurants open and MUCH safer
Schools MUCH safer

This is doable, now-if our leaders wanted it.
Today, we have US companies making millions of rapid tests that people COULD be using to:

Know if their child is bringing SARS-CoV-2 virus back from school
Safely go to work, dine at restaurant, shop for groceries.

Instead US companies are forced to ship them overseas.
Read 5 tweets
12 Dec
There aren't many bipartisan items in Congress these days

But there is one thing
• Frequent • Accessible • Rapid • At-Home Testing

To help curb the spread of #COVID19

On Wednesday I spoke first to the @Heritage Foundation and immediately after to the @NewDemCoalition

1/
Here is a link for the first talk, with the @Heritage Foundation - I believe there is a video recording of the event there, with @paulmromer and Doug Badger, moderated by Marie Fishpaw

2/
heritage.org/public-health/…
Read 4 tweets
9 Dec
One of my favorite scientific themes is the identification of within-host immune kinetics from population data.

The divergence of the curves following pfizer #COVID19 vaccine at around day 10 demonstrates perfectly the time required for antibody secreting cells to proliferate
the data for this graph - and the graph itself is from fda.gov/media/144245/d…
Here, we identified the immunological consequences of measles infections on immunity based on population level data.

science.sciencemag.org/content/348/62…
Read 4 tweets
2 Dec
Have a #COVID19 test results that took more than a few days after the swab was taken??

Throw it out and refuse to pay!

A lab result delayed more than a couple days isn’t just not useful, it’s misleading and dangerous!

A test with a 4+ day turnaround should have EUA revoked.
The only way it’s useful is if it’s positive. Remember, start the isolation clock from the time of the swab. Not the result.
Also, I’m not blaming the labs here. Im highlighting a massive systemic problem.

Though I will say that all clinical labs have a responsibility to accept only specimens that they can process within a clinically relevant time. A 7-day turnaround does more harm than good.
Read 5 tweets

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