Different families and individuals have different resources and face different underlying risk (that varies with surges) as does their need/ability to employ effective mitigations.
There is no simple, binary choice.
Jan 26 • 13 tweets • 7 min read
I am certain that the jeering anti-everything COVID deniers will show up at the next school board meeting demanding that masking end "no later than February 15" with this toolkit in hand as evidence to support their demands.
This post is for my healthcare workers, docs, surgeons, Nurses, aids, and ems, but also support staff.
There is no emergency in a pandemic
You as a healthcare worker are a force multiplier. Your training and experience is invaluable moving into this crisis. So, you're going to be faced with some very difficult moments. You're going to have to put your needs first.
I'm speaking specifically about PPE and your safety
Feb 13, 2020 • 13 tweets • 5 min read
“But in taking their cause to politicians, doctors have waged an extraordinary on-the-ground stealth campaign to win over members of Congress. Their professional credentials give them a kind of gravitas compared with lobbyists who are merely hired guns.”
Thanks @NPR for the encouragement to keep going! Sometimes democracy does actually work. Sometimes citizens meeting with their legislators & explaining #EMTALA and the unintended consequences of certain policies to our safety net and emergency care system works.
Not true @ezraklein. Doctors are not the enemy to “fight.” We aren’t a “problem.” And patients trust us because we devote 7+ years to rigorous, exhausting training and we actually take care of them. We provide invaluable services. Unlike their insurance company.
Uwe Reinhardt wrote: “If we...cut that take-home pay [of all physicians] by, say, 20%, we would reduce total national health spending by only 2% in return for a wholly demoralized medical profession to which we so often look to save our lives.”forbes.com/sites/physicia…
Dec 10, 2019 • 25 tweets • 8 min read
I read it. It sounded familiar - like it was ghostwritten by one of the lobby groups I’ve come to know quite well. The ones that take advantage of poor understanding of the financing and business of healthcare...and EMTALA. I’ll share some different data. 1/n
I work in MN, the state with the lowest rate of OON billing. My independent practice (50years old) doesn’t balance bill charges to the <2% OON patients we see. Yet we expect the benchmark you advocate for to drive us out of business. healthsystemtracker.org/brief/an-exami…