BREAKING: One of the largest hospital systems in the United States gave race more weight than diabetes, obesity, asthma, and hypertension combined in its allocation scheme for COVID treatments, only to reverse the policy after threats of legal action. 🧵

freebeacon.com/coronavirus/ho…
SSM Health, a Catholic health system that operates 23 hospitals across Illinois, Missouri, Oklahoma, and Wisconsin, began using the scoring system last year to allocate scarce doses of Regeneron, the antibody cocktail that President Trump credited for his recovery from COVID-19.
The rubric gives three points to patients with diabetes, one for obesity, one for asthma, and one for hypertension, for a total of six points. Identifying as "Non-White or Hispanic" race, on the other hand, nets a patient seven points, regardless of age or underlying conditions.
Patients had to score at least 20 points to receive Regeneron.

In a Dec. 30 email to physicians, SSM Health said it would use the same rubric for Sotrovimab, a monoclonal antibody treatment that has proven effective against the now-dominant Omicron variant.
Those plans appear to have changed, however, after pressure from the Wisconsin Institute for Law and Liberty, a conservative legal nonprofit that on Jan. 14 threatened SSM Health with a lawsuit.
Hours after the group demanded SSM "immediately suspend the use of" its "immoral" and "illegal" risk calculator, the health system told the Wisconsin State Journal that the "race and gender criteria are no longer utilized."

madison.com/wsj/news/local…
In a statement to the Washington Free Beacon, SSM claimed that the scoring system "was changed last year," and that its Dec. 30 email had "inadvertently referenced an expired calculator."
At the same time, it defended its use of the scoring system, saying that "early versions of risk calculators across the nation appropriately included race and gender criteria based on initial outcomes."
The health system's announcement comes as conservative legal groups are gearing up to fight race-based triage schemes in court, and as states are backing away from such policies.
freebeacon.com/coronavirus/mi…
The triage plans almost certainly constitute illegal race discrimination, several legal scholars told the Free Beacon. Amid the uproar, Minnesota removed race from its prioritization scheme; Utah's scheme, a state health official said, was being "reevaluated."
According to an internal memo obtained by the Free Beacon, the SSM scoring system was "based off the Utah Hospital Association and Utah Health Risk Stratification criteria," which automatically gave two extra points to minority patients—the same amount as diabetes and obesity.
The now-defunct rubric is much more radical, prioritizing healthy minorities over white patients with many of the largest risk factors for COVID-19. scribd.com/document/55290…
A 49-year-old white woman with hypertension, obesity, diabetes, and asthma would only get 19 points under the rubric, just shy of the 20 point threshold for antibody therapy. But a 50-year-old black woman with no underlying health conditions would receive 22 points.
The "ethical justification" for this policy, SSM said in the internal memo, is that "COVID-19 has had a disproportionate impact on...certain racial/ethnic minorities in the United States." But in the states where SSM operates hospitals, the story is more complicated.
According to the Wisconsin health department, whites make up 81 percent of the state's population but account for 84 percent of its COVID deaths. Hispanics and Asians, on the other hand, account for a disproportionately low share of the state's deaths. dhs.wisconsin.gov/covid-19/dispa…
And while blacks, Hispanics, and Asians are more likely than whites to be hospitalized for COVID, they are less likely to die of it, according to a recent analysis of 4.3 million patients. jamanetwork.com/journals/jaman…
Other studies have found that racial disparities in COVID outcomes disappear when researchers control for comorbidities and income.
"Black race was not associated with higher in-hospital mortality than white race," an analysis in the New England Journal of Medicine concluded, "after adjustment for differences in sociodemographic and clinical characteristics on admission." nejm.org/doi/full/10.10…
A study of Maryland and District of Columbia hospitals likewise found no relationship between race and severe disease "after adjustment for clinical factors." acpjournals.org/doi/10.7326/M2…
"A patient's race is not a disease, symptom, or co-morbidity," said Dan Lennington, a lawyer with the Wisconsin Institute for Law and Liberty. "It's amazing that we even need to say it, but doctors should treat the individual patient, not the skin color."

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More from @aaronsibarium

14 Jan
NEW: Minnesota will no longer use race to decide who is eligible for monoclonal antibodies, after a story by yours truly sparked widespread outrage about the state's guidelines.

Utah may also be backtracking—but New York is standing its ground.🧵

freebeacon.com/coronavirus/mi…
MN quietly updated its prioritization scheme on Jan. 11, one day after former Trump administration advisor Stephen Miller told Fox News that he was considering "legal action" against the state.

The old system (left) gave "BIPOC status" 2 points. The new system (right) does not.
Miller's organization, America First Legal, had already threatened to sue New York over that state's race-based triage scheme; the group on Wednesday added Minnesota and Utah to the list, calling their rationing policies "blatantly racist, unconstitutional, and immoral."
Read 12 tweets
7 Jan
New York, Minnesota, and even Utah are rationing scarce COVID-19 therapeutics based on race. But the idea for racial triage wasn't hatched in local health departments; it came directly from the Food and Drug Administration. 🧵

freebeacon.com/coronavirus/fo…
First, a little detail on these triage plans. In Utah, "Latinx ethnicity" counts for more points than "congestive heart failure" in a patient’s "COVID-19 risk score"—the state’s framework for allocating monoclonal antibodies. coronavirus-download.utah.gov/Health/Utah_CS…
In Minnesota, health officials have devised their own "ethical framework" that prioritizes black 18-year-olds over white 64-year-olds—even though the latter are at much higher risk of severe disease. health.state.mn.us/diseases/coron…
Read 25 tweets
16 Dec 21
NEW: The Biden administration will offer bonuses to doctors who "create and implement an anti-racism plan" under new rules from the Department of Health and Human Services, which also reward doctors for "trauma-informed care."

freebeacon.com/biden-administ…
Effective Jan. 1, Medicare doctors can boost their reimbursement rates by conducting "a clinic-wide review" of their practice's "commitment to anti-racism." govinfo.gov/content/pkg/FR…
The plan should cover "value statements" and "clinical practice guidelines," according to HHS, and define race as "a political and social construct, not a physiological one"—a dichotomy many doctors say will discourage genetic testing and worsen racial health disparities.
Read 22 tweets
16 Dec 21
This would be much less of a worry if more people were vaccinated, which is why I do not find it scandalous to pass (some degree of) moral judgment on the willfully unvaxxed.
That the public health authorities have thoroughly discredited themselves provides a partial excuse for irresponsible behavior. It does not justify it.
I do not expect or want conservatives to embrace a formal policy of medical triage based on vaccination status, or even to support mandates.

I do want them to say, calmly but clearly, that the vast majority of unvaccinated Americans are doing something irrational and immoral.
Read 4 tweets
14 Dec 21
NEW: Boston University is requiring all students and faculty to affirm that they should "intervene" if a woman is complimented on her husband or encouraged to have children, guidance transmitted during a mandatory Title IX training this semester. 🧵

freebeacon.com/campus/boston-…
The training included multiple-choice questions that had to be answered correctly in order to complete it. Some questions were empirical—"How often do you think people make false allegations?"—while others asked about the appropriate course of conduct in a given scenario.
Faculty who did not complete the training would "not be eligible for merit-based salary increases," the school said in an email, with further penalties possible for "continued non-compliance." Students who did not complete it would "be blocked from registering next semester."
Read 25 tweets
12 Dec 21
I am sympathetic in principle to (certain) Covid restrictions, and to (certain) critiques of ossified Reaganism. But Covid poses a real problem for conservatives trying to define themselves in opposition to the Reaganite Right.
Even if you like lockdowns, the FDA, NIH, and CDC have spent the last two years vindicating, over and over again, every imaginable warning about government incompetence and bureaucratic malevolence. It’s hard to look at Covid and think: “see, the government CAN do things.”
There are counterexamples, of course. Warp Speed was triumph (though private corporations did most of the leg work), and the US did some of the most aggressive economic stimulus in the world. But these exceptions seem to prove the Reaganite rule.
Read 8 tweets

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