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side-problem of not having centralized healthcare: caregivers laid off during a pandemic
Posted by: deckeda
Date: April 10, 2020 09:07AM
The subject line is my conclusion about this story where hospitals are laying off staff due to all the "deferred or non-urgent" procedures being cancelled.

[www.washingtonpost.com]

And you may say well OK, if they're not urgent then yes let's divert those resources ...

And I'd say yes of course except you're thinking of the surgeries but forgetting about the people who do them. THEY aren't being "diverted" into fighting covid-19. (That's why I included the link for you to read ... )

And you may say well OK but what does that have to do with government-funded healthcare structures that depend less on insurance companies? Because I read your mind, you socialist.

And I'd say the answer lies in the question and to please come back to class better prepared when discussing. ;)
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Re: side-problem of not having centralized healthcare: caregivers laid off during a pandemic
Posted by: Lemon Drop
Date: April 10, 2020 10:44AM
And some providers are just continuing to work without pay, including my brother.
His family practice clinic is open but not doing most of the routine care that generates their billing. The docs are forgoing salary for at least 2 months so they can pay the nurses and rest of their staff without laying them off. They only have enough PPE because a local business donated 1,000 medical masks to them.
They've applied for relief through the CARE act but are not sure if they will qualify.

As for what others who are not unemployed may do (not practice owners like my brother ) if they cannot figure out a way to work in support of the anti-virus effort, then they either live on their savings or go on unemployment.

Too bad they are not like public school teachers. They are all still getting paid 100% even though they are working significantly less and very differently than they did before.



Edited 1 time(s). Last edit at 04/10/2020 10:52AM by Lemon Drop.
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Re: side-problem of not having centralized healthcare: caregivers laid off during a pandemic
Posted by: Sarcany
Date: April 10, 2020 11:07AM
Quote
deckeda
side-problem of not having centralized healthcare: caregivers laid off during a pandemic

I thought this was going to be about at-home caregivers.

After my dad's stroke, he needed at-home nursing visits every day. What are people doing in this situation?



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Re: side-problem of not having centralized healthcare: caregivers laid off during a pandemic
Posted by: deckeda
Date: April 10, 2020 11:22AM
re: local businesses donating masks

We have 2 “newspapers” in this tiny town, neither of which has hardly any online presence. Click on the site and you see high school sports stories from months ago. On the home page.

One of them has zero coronavirus coverage, only linking to a state site about stats. The other has one story stating they will “be there for us,” and another announcing our first death (but no infection numbers) and a third about a 12 yr old making masks.

I’m wondering what our 2 auto parts stores or two hardware stores have done, if they’ve donated any masks. We’re not there, yet.
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Re: side-problem of not having centralized healthcare: caregivers laid off during a pandemic
Posted by: deckeda
Date: April 10, 2020 11:26AM
Quote
Sarcany
Quote
deckeda
side-problem of not having centralized healthcare: caregivers laid off during a pandemic

I thought this was going to be about at-home caregivers.

After my dad's stroke, he needed at-home nursing visits every day. What are people doing in this situation?

Sorry, that was my attempt to not use the same word (healthcare) twice. My grandmother had some in-home nursing not affiliated with a hospital. I don’t recall how that works, or if those ancillary sorts of workers have somehow been touted elsewhere but I doubt it. Ya can’t magically become a hospitalist of course.
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Re: side-problem of not having centralized healthcare: caregivers laid off during a pandemic
Posted by: Lemon Drop
Date: April 10, 2020 11:37AM
Quote
Sarcany
Quote
deckeda
side-problem of not having centralized healthcare: caregivers laid off during a pandemic

I thought this was going to be about at-home caregivers.

After my dad's stroke, he needed at-home nursing visits every day. What are people doing in this situation?

My Mom has a daily caregiver at her home. She has the same person M-F and we're comfortable with that person because she has no kids at home and is not going out other than working for my Mom - her husband is doing the shopping. I'm extremely grateful for her. The agency she works for is in regular contact with us regarding their policies, I think they are just doing the best they can in a very difficult situation.
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Re: side-problem of not having centralized healthcare: caregivers laid off during a pandemic
Posted by: JoeH
Date: April 10, 2020 11:49AM
Quote
Sarcany
Quote
deckeda
side-problem of not having centralized healthcare: caregivers laid off during a pandemic

I thought this was going to be about at-home caregivers.

After my dad's stroke, he needed at-home nursing visits every day. What are people doing in this situation?

One of my sisters is a visiting nurse, she is still doing her rounds of patient visits. But on occasion she has had to call to see if they could send someone else to cover for one or more of her stops. Last time was at an assisted living retirement location. There the patient wasn't the problem, she found out that a couple of the facilities workers had been tested as COVID-19 positive and had been on that floor. She had to go home and do a full change of clothing, etc. before going to another.
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Re: side-problem of not having centralized healthcare: caregivers laid off during a pandemic
Posted by: AllGold
Date: April 10, 2020 02:24PM
Urgent care offices have almost no business right now. I assume much of the same is generally true for family practice doctors.

Quote
deckeda
We have 2 “newspapers” in this tiny town, neither of which has hardly any online presence. Click on the site and you see high school sports stories from months ago. On the home page.

Newspapers are really hurting. Almost all businesses are closed which means newspaper ad revenue is nearly zero.



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Re: side-problem of not having centralized healthcare: caregivers laid off during a pandemic
Posted by: RgrF
Date: April 10, 2020 02:36PM
Urgent care offices have almost no business right now. I assume much of the same is generally true for family practice doctors.

Our doctor closed his office, kept the staff on payroll and went to tele-med calls for patients.
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Re: side-problem of not having centralized healthcare: caregivers laid off during a pandemic
Posted by: Acer
Date: April 10, 2020 02:42PM
Mrs Acer, RN, has been called off due to low census, and that hasn't happened in years. They are a COVID hospital, but the delays in anything remotely elective or delayable has otherwise nearly emptied the place. To prevent losing employees, they are "protecting" PTO, meaning, yes, you get paid, but it won't cut into personal accrued PTO. The market for nurses is very tight. They don't want to lose nurses to local competitors neither now, should COVID spike, nor later, when they will be utterly swamped to catch up.
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Re: side-problem of not having centralized healthcare: caregivers laid off during a pandemic
Posted by: p8712
Date: April 10, 2020 04:56PM
Quote

Too bad they are not like public school teachers. They are all still getting paid 100% even though they are working significantly less and very differently than they did before.

A teacher friend told me that teaching long distance has been the most excruciating, difficult kind of teaching she's done. They're not sitting on their butts. They earn their pay.
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Re: side-problem of not having centralized healthcare: caregivers laid off during a pandemic
Posted by: Lemon Drop
Date: April 10, 2020 05:12PM
Quote
p8712
Quote

Too bad they are not like public school teachers. They are all still getting paid 100% even though they are working significantly less and very differently than they did before.

A teacher friend told me that teaching long distance has been the most excruciating, difficult kind of teaching she's done. They're not sitting on their butts. They earn their pay.

I don't doubt that, my point is that they have income security despite a serious disruption to their normal work life.

My 2 best friends are public school teachers, both 2nd grade. They meet with their classes 2 days a week now, for a couple of hours. They check turned in work during the week but have many students who are not turning anything in Their work week is about a third of what it was before. I realize this is not the same for all teachers and did not intend to disparage the profession. Sorry about that.
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Re: side-problem of not having centralized healthcare: caregivers laid off during a pandemic
Posted by: deckeda
Date: April 10, 2020 07:16PM
Wait, where are there schools open? Is the in WA or SC where you are, Lemon?
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Re: side-problem of not having centralized healthcare: caregivers laid off during a pandemic
Posted by: Lemon Drop
Date: April 10, 2020 07:44PM
Quote
deckeda
Wait, where are there schools open? Is the in WA or SC where you are, Lemon?

this is Washington, they are doing distance learning for the rest of this school year, so they are "open" but not using the buildings. They "meet" via google classroom or Zoom.

Isn't this what most schools are doing?
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Re: side-problem of not having centralized healthcare: caregivers laid off during a pandemic
Posted by: deckeda
Date: April 10, 2020 10:34PM
Quote
Lemon Drop
Quote
deckeda
Wait, where are there schools open? Is the in WA or SC where you are, Lemon?

this is Washington, they are doing distance learning for the rest of this school year, so they are "open" but not using the buildings. They "meet" via google classroom or Zoom.

Isn't this what most schools are doing?

I have no idea actually. Ours has been canceled for 4 weeks entirely. TN still doesn't know if it will cancel the rest of the school year. In rural areas like ours there's no way to do it online. Some of us have good Internet connections, some don't and are far-flung. Funding is a major issue. No laptops provided to anyone.

There's one school district IT guy and he serves multiple roles. Email to the school district? He gets them (although of course each teacher has a school email address). Receive updates about the school district on FB or the school district's app? He sent them.

Any FB post about school being canceled due to weather, or a teacher prep day, or anything else that interferes with the free daycare provided by the State typically results in a flood of complaints.

March 9, the first post pleading for them to close the schools, full of ALL CAPS, emoji, hashtags. She copied/pasted that like 5 more times in the ensuing days. No one else wondered why schools were open.

Everything was otherwise normal here until the 2nd week of March. Kids were let out early Friday the 13th in case anyone wanted to travel to Murfreesboro to see our Girls' H.S. basketball championship tourney. They won, advancing to the Final again.

But when the 13th arrived, only parents of the players would be allowed to watch the game. That was when the NBA posited having games without spectators ... which was kind of like, "Wait, if this is that serious, then maybe it's serious enough not to do a whole bunch of other things."

There was a mattress sale of some kind?? to be held in one of the school gyms that Sun despite people starting to show up in public with the occasional mask and I mean everybody was using the Purell pump at the Walmart entrance by then. I thought, wow, paranoid much? (true). sad smiley

March 14. The mattress sale is canceled due to "expected low turnout." That FB post finally starts people yelling at each other, wondering why game and mattress sales are canceled but not school, defending the district for leaving school open, wondering why parents are given "more notice" (of what?) and so on.

One person, apparently young, contributed things such as "It’s a virus. Not a plague" and in a response to someone aware of Italy and offering a warning, added,

"... we’re not there and won’t be. The US also has a better system going because we caught it before it got too bad. We’re taking precautions so we don’t end up like Italy. There is NO reason for our schools to close. The Vice President already said that the chance for severe illness is extremely low. We have nothing to worry about."

<sigh>

March 16. School canceled until end of March. Two FB posts, one in English with 90 comments about now-what-do-we-do-about-everything. Someone offers to help watch kids (free daycare), blissfully unaware that the reason kids are being kept apart doesn't somehow apply to bringing them back together in HER house. Priceless.

The identical post made in Spanish garners zero comments.

And then the school board said a few more days off, and keep the Spring Break sked, so how does April 13 sound instead? Eventually the Governor said April 24th would be better.

TN has partnered with PBS to offer 2 hours of edu programming taught by TN educators.

March 31 a note went out about paychecks for subs, bus drivers et al and special instructions for which door to use and to have someone else pick up your check if you are sick. "DO NOT COME TO THE OFFICE IF YOU ARE SICK."

There was to be an April 3-4 special "drive thru" accommodation for Seniors to pick up their cap/gown orders for graduation. And then once Gov. Lee finally issued the stay-at-home, that too was added to the many cancelations.

A few days ago there was another school board meeting, this time by Zoom. 90-some people tried to join it; many could not or could not hear. The IT guy made a FB post, basically saying there was no news about when schools may reopen.
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Re: side-problem of not having centralized healthcare: caregivers laid off during a pandemic
Posted by: Lemon Drop
Date: April 11, 2020 11:12AM
Wow - yes. We have major equity and access problems with distance learning.

I've heard Pelosi talking about rural broadband as a needed infrastructure improvement that will be included in the next phase of emergency big funding. We desperately need this and that need been made very clear in this pandemic.

Even when there is access (the wealthier school districts around Seattle made sure every student had a tablet or laptop) there is still the process itself. Nobody knows if younger students can be effectively taught from a distance. I think it's going to be 100% dependent on whether the parents can support it at home and act as substitute teachers. Many can do it but a number of kids will just be way behind. It's going to be an interesting social experiment to see how we fix this, if we fix this.
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Re: side-problem of not having centralized healthcare: caregivers laid off during a pandemic
Posted by: Acer
Date: April 11, 2020 11:57AM
Even supposedly wealthy public districts who want for little still serve significant pockets of low income families, at least they do here in da 'burgh. The logistics of supporting those families internet and hardware are daunting, money or no.
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Re: side-problem of not having centralized healthcare: caregivers laid off during a pandemic
Posted by: sekker
Date: April 11, 2020 12:39PM
Quote
Acer
Even supposedly wealthy public districts who want for little still serve significant pockets of low income families, at least they do here in da 'burgh. The logistics of supporting those families internet and hardware are daunting, money or no.

Yes, indeed. They are trying to find ways to provide wifi hot spots for homes with no internet.

This is just a terrible time to be poor or to be unlucky to be born into a poor family.
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Re: side-problem of not having centralized healthcare: caregivers laid off during a pandemic
Posted by: hal
Date: April 11, 2020 04:07PM
Quote
deckeda

I have no idea actually. Ours has been canceled for 4 weeks entirely. TN still doesn't know if it will cancel the rest of the school year. In rural areas like ours there's no way to do it online. Some of us have good Internet connections, some don't and are far-flung. Funding is a major issue. No laptops provided to anyone.

There's one school district IT guy and he serves multiple roles. Email to the school district? He gets them (although of course each teacher has a school email address). Receive updates about the school district on FB or the school district's app? He sent them.

etc

Thanks for that blow by blow account. Here in CA, it was MUCH different. Suddenly the first California cases where here... a couple of days later, Santa Clara county made the first closure moves in the country. A few days later, the governor closed the rest down. Not quite that simple, but it all moved VERY fast here. Your story tells a stark difference.
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Re: side-problem of not having centralized healthcare: caregivers laid off during a pandemic
Posted by: DeusxMac
Date: April 11, 2020 04:49PM
Quote
hal
Here in CA, it was MUCH different. Suddenly the first California cases where here... a couple of days later, Santa Clara county made the first closure moves in the country. A few days later, the governor closed the rest down. Not quite that simple, but it all moved VERY fast here.

Chronology not quite correct.
There's been a difference between dates of declarations of "local health emergency", various levels of required closures, and "shelter in place" orders, stretching out over 2 months.

[en.wikipedia.org]
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