Crum says in order to meet the stress on the system, he's signed an update to the state's public health emergency that would give health care providers access to... committees. Something about transferring patients.
The State of Alaska has implemented crisis standards of care throughout the state. It was only briefly mentioned by Crum, where he was talking about opening up access to "committees" and waiving some liabilities.
Important to note that much of this won't come online until later in the month. All the new contractors still need to go through a streamlined certification.
"Our top priority is to protect our health care system and we've demonstrated that (through daily meetings)," says Public Health director Heidi Hedberg.
Dr. Anne Zink opens up by recognizing the health care workers who've been struggling to meet the surge and have been "violently attacked at times."
"We are at the worst place in the entire pandemic."
Zink with some basic overview of the statistics. Basically put: The hospitalizations are younger and staying longer (because older people tend to die faster).
The average age of unvaccinated hospitalizations is 44. Vaccinated hospitalizations is 66.
Dunleavy, who has refused to issue a disaster declaration because of the politics: "I think it has been politicized across the board and think it's unfortunate. ... Even in the health care field, you have folks with different opinions."
Questions: Are the accusations against the health care facilities unwarranted?
Dunleavy: "My experience is the capacity is very tight." But then adds it's because of burnout and hiking accidents. "The last thing I want to do is become melodramatic."
What about masking or other mandates when the cost of not taking them is so high?
Dunleavy: "There's all kind of costs when you take one route. ... The health care part was going to be difficult but the ramifications for society are going to be there much longer."
Zink adds that she and her team "has been able to speak truthfully about the science."
She adds that her team is about the science and numbers. Dunleavy is about the policy.
Then Dunleavy pops in again to go after critics of his administration: "It's all about elections and campaigns for these people ... that's a pox on their house!"
The state has spent $2M on rapid at-home tests. Zink says it's needed because K-12 schools don't have the staff/resources to do adequate on-site testing.
Asked about what the state can do to help combat burnout/collapse of the health care system, Hedberg says it's important to have mental health support for them... as well as getting outside and being active.
Asked whether there'd be a line where he'd consider health mandates?
Dunleavy says it's about individuals being able to take care of themselves with a vaccine and monoclonal antibodies. "We'll just deal with it when it comes our way."
Margie notes that the governor is talking out both sides of his mouth, calling the virus serious but keeps on talking about how scientists are split and people are right to be questioning things.
She also asked what kind of feedback he's hearing.
Dunleavy: ""Everyone thinks I'm doing a fantastic job and there's nothing to change... I'm kidding. ... I wish there was a straight line to a solution"
He again "strongly" urges people to get vaccinated.
Asked about the state's crisis standards of care, Zink says there's not actually any such law on the books. She says it's primarily about allocating physical resources, noting that ICU nurses are caring for 2x the normal load and ICU folks being treated in other settings.
Question from the Frontiersman: Dunleavy, will you ever do more than strongly suggest vaccinations?
Dunleavy: "Alaskans know we have a vaccination. I've taken the vaccination. I've said Alaskans should seriously consider getting vaccinated. ... I'm not going to cajole Alaskans."
Then he goes back to "no moar politicization of the pandemic."
"The state's job is to make sure our system is viable and doesn't collapse. ... It's the individual's job to make a decision for themselves."
So the answer to the question of "Will you ever do anything more than 'strongly suggest' people consider getting vaccinated?" is "NO."
After saying that natural immunity will be a key part of it, he's asked whether he's taking a "hands-off" approach to the pandemic:
Dunleavy it's not hands off! "We wouldn't have been the first to get this vaccination moving"
(The tribal health care system that did that.)
In closing, Dunleavy reiterates that the big problem with the hospitals is the burnout and unwillingness to work in the rest of the industry.
He's still pissy about the politicization of the pandemic (by the liberal side of things): "There's a lot of stuff happening in the blogosphere. ... Not to profit off the misery of Alaskans."
Board's first question to Reudrich is about "Problematic drawing around southeast." Specifically because his proposal whole break up Saxman and Ketchikan.
The court has already said it's "impermissible" under prior attempts.
Happening now. Oral arguments in AFN's lawsuit challenging the Dunleavy administration's expansion of the Constitutional Budget Reserve sweep to include the Power Cost Equalization program.
The key issue here is what is/isn't subject to the sweep. Previous decision said it has to be in the general fund AND available for appropriation by the #akleg.
Under a 2019 opinion by former AG Clarkson, Gov decided if it was LIKE the general fund, then it was the general fund.
Unsurprisingly, this hasn't been implemented equally across the board with a lot of questions about whether Clarkson's expanded understanding would also mean the Alaska Permanent Fund's earnings reserve account and several others should also be swept.
Out running an errand now, but the #akleg fiscal working group is underway with today’s hearing with Revenue Commissioner Lucinda Mahoney. Sounds like it’ll be more focus on the constitutional amendment (the one they’re gonna spend $250k on).
Sounds like they’ve got some new fiscal model to debut today.
So far, Mahoney is talking about consistency in the size of the dividend… something that the PFD has never had (and also opposed by some far-right folks who few like it’d turn the PFD into an entitlement)
Sen. Hughes says maybe actually the PFD has been historically steady if you apply inflation.
The #akleg join fiscal plan working group is underway. On today's agenda: ISER Director Ralph Townsend with a presentation about the economic impacts of taxes and PFD cuts.
Townsend says people get fixated on the number whenever an economist is before them. He says the focus should be on managing Alaska's resources:
-Human capital
-Private capital
-Public infrastructure
-Public financial assets (the Perm. Fund)
-Natural resources
He says government is in large part balancing the good things (roads, infrastructure, services, education, etc) against the negative effects (like taxes).
"Good policy does make a difference in the long run. ... But anytime we make a change, it has short-run costs."
In the House and Health and Social Services Committee, Phil Hofstetter of Petersburg Medical Center says they had more covid-19 cases following the expiration of the disaster declaration than they DURING THE REST OF THE PANDEMIC.
He says that travelers started to ignore travel requirements and individuals started to ignore masking mandates, etc. Behavior was changing, he said, because there was no more public health emergency.
He says the hospital is at capacity for covid-19 treatment. #akleg
They've had to close schools after getting through the pandemic without having any significant closures.