Posted in CDC, Education, News From Washington, outcomes, outcomes measurement, Patient Safety, Prevention, Uncategorized

Crucial Facts About COVID-19: Transmissibility, Death Rates, and Raw Numbers – Foundation for Economic Education

“…elderly people and those with chronic ailments are extremely vulnerable to COVID-19. Furthermore, the disease is highly transmissible, which means it could spread like wildfire and overwhelm hospitals without extraordinary measures to contain it. This would greatly increase its death toll.

However, such precautionary measures often have economic and other impacts that can cost lives, and overreacting can ultimately kill more people than are saved.”

The facts show that:

  • The death rate for people who contract COVID-19 is uncertain but is probably closer to that of the seasonal flu than figures commonly reported by the press.
  • The average years of life lost from each COVID-19 death are significantly fewer than common causes of untimely death like accidents and suicides.
  • The virus that causes COVID-19 is “very vulnerable to antibody neutralization” and has limited ability to mutate, which means it is very unlikely to take lives year after year.
  • If 240,000 COVID-19 deaths ultimately occur in the United States, the virus will rob about 2.9 million years of life from all Americans who were alive at the outset of 2020, while accidents will rob them of about 409 million years—or about 140 times more than COVID-19.

https://fee.org/articles/crucial-facts-about-covid-19-transmissibility-death-rates-and-raw-numbers/

Posted in big government, Dependency, Economic Issues, emotional intelligence, Evidence-based Medicine, Free Society, Government Regulations, Leadership, Liberty, Patient Safety, Policy Issues, Prevention, Protocols, Uncategorized

Corona-snitches thrive in lockdown Europe – POLITICO

“Sociologist Patrick Bergemann, author of “Judge Thy Neighbor,” a book that analyzes denunciations in Inquisition-era Spain, Imperial Russia and Nazi Germany, said that snitching and semi-authoritarian behavior often surge in times of crisis.

“Fear-based denunciations are motivated by a perceived threat against individual or common safety,” he said. “Traditionally, they’ve been targeted against a group — outsiders, immigrants — but in this case people are afraid of a virus, so it’s less clear-cut.”

Bergemann, an assistant professor of organizations and strategy at the University of Chicago, said that fear-based snitching is often also tainted by spite, with many attempting to settle old scores by filing reports — including false ones — against rivals.

“In Nazi Germany, 42 percent of the denunciations were false. Authorities debated changing the system, but they ultimately decided to keep it because it was great for keeping everyone in line.”

https://www.politico.eu/article/coronavirus-lockdown-snitches-thrive-in-europe-reports-watchmen-spying-neighbors/

Posted in Access to healthcare, American Exceptionalism, Consumer-Driven Health Care, Dependency, Direct-Pay Medicine, Direct-Pay Practice Models, Doctor-Patient Relationship, Economic Issues, Free Society, government incompetence, Government Regulations, Health Insurance, Healthcare financing, Independent Physicians, Medical Costs, Medical Practice Models, News From Washington, DC & Related Shenanigans, Organizational structure, Patient Choice, Patient Safety, Patient-centered Care, Policy Issues, primary care, Quality, Technology, Telemedicine Trends, Third-Party Free Practices, Uncategorized

Shelter In-Place Care: Another “Box Checked” for the Value of Direct Primary Care

HEADLINE:

FCC Unveils COVID-19 Telehealth Program, Updates Connected Care Pilot

The Federal Communications Commission is using $200 million in funding from the CARES Act to launch a new program to help providers access the broadband resources they need to support telehealth programs.

Wow, the government has discovered remote digital technology medical care!  Although, maybe a little late. What would we do without those innovative minds in D.C. ?!?

But there’s a better solution that’s been up and running for more than a decade; private citizens being free to act and chose what services they value.  It is a solution which occurred organically when an innovative supply side acted to solve other people’s problems within a cooperative marketplace driven by mutual benefit.  It is called Direct Primary Care (DPC). And it is only possible because we still have some semblance of healthcare freedom within our society.  No thanks to Washington, D.C.

But step aside, the FCC with money to burn is coming to the rescue after COVID is already in full crisis mode.

The DPC Consumer Guide -- Now Available for office/clinic use and and an educational/marketing resource for your patients.Never mind that Direct Primary Care physicians have routinely integrated remote care technology platforms into their practices for a more than a decade.  And set aside the fact that revenue in a DPC business model doesn’t rely on office visits (the opposite of social distancing) to trigger a billable encounter, the claim against which is paid out of a grossly over-priced pre-paid 3rd party fund that we call health insurance.  Instead, the Direct Primary Care physician is paid to be available to solve problems, answer questions, triage illness/injury, provide treatment and advice via the most appropriate venue for each patient.

And last, no disrespect meant to the media outlet below for featuring this story.  They are just reporting the healthcare news, as is their mission.

logos

https://mhealthintelligence.com/news/fcc-unveils-covid-19-telehealth-program-updates-connected-care-pilot

Posted in Access to healthcare, CDC, Disease Prevention, Education, Evidence-based Medicine, FDA, News From Washington, outcomes, outcomes measurement, Patient Choice, Patient Safety, Uncategorized, Unsettled Science

FDA to Study Hydroxychloroquine for COVID-19 | MedPage Today

The drug is currently approved for malaria and also for rheumatoid arthritis and systemic lupus erythematosus, which is its main use in the U.S. It’s therefore available to be prescribed off-label, and some clinicians have already said they’re using it on COVID-19 patients. But neither Hahn nor other task force members addressed whether enough hydroxychloroquine is on hand to treat large numbers of coronavirus cases. Convalescent plasma is another treatment the FDA is considering for COVID-19, said FDA Commissioner Stephen Hahn, MD.

Convalescent plasma and the immune globulin that it contains is another possible treatment the agency is considering, Hahn added. “FDA’s been working for some time on this,” he said. “If you’ve been exposed to coronavirus and you’re better — you don’t have the virus in your blood — we could collect the blood, concentrate that and have the ability, once it’s pathogen-free, to give that to other patients, and the immune response could potentially provide a benefit to patients. That’s another thing we’re looking at; over the next couple of weeks, we’ll have information and we’re really pushing hard to try to accelerate that.” Such treatments have been effective in Ebola, for example.

Source: FDA to Study Hydroxychloroquine for COVID-19 | MedPage Today

Posted in American Exceptionalism, American Independence, American Presidents, big government, Economic Issues, Free Society, government incompetence, Government Spending, Government Stimulus, Job loss, Leadership, Liberty, Patient Safety, Philosophy, Policy Issues, Rule of Law, Uncategorized, Unemployment

Panic Has Led to Government “Cures” That Are Worse than the Disease, History Shows – Foundation for Economic Education

Smoot-Hawley and the New Deal are hardly the only examples of government actions making a panic worse.

Thomas Sowell recounts several instances in which governments turned small problems into major ones by using blunt force—often price controls—to respond to public panic about rising costs of a given commodity.

One of the more famous examples of this is the gasoline crisis of the 1970s, which started when the federal government took a small problem (temporary high costs of gasoline) and turned it into a big one (a national shortage).

As Sowell explains, however, there was not an actual scarcity of gasoline. There was nearly as much gas sold in 1972 as the previous year (95 percent, to be precise).

Similar examples kind be found throughout history, from the grain shortages in Ancient Rome brought about by Diocletian’s “Edict on Maximum Prices” to the mortgage crisis in 2007.

It is no coincidence that crises—foreign wars, terrorist attacks, and economic depressions—have often resulted in vast encroachments of freedom and even given rise to tyrants (from Napoleon to Lenin and beyond). In his book Crisis and Leviathan, the historian and economist Robert Higgs explains how throughout history, crises have been used to expand the administrative state, often by allowing “temporary” measures to be left in place after a crisis has abated (think federal tax withholding during World War II).

Like an economic panic, pandemics incite mass fear, which can lead to flawed and irrational decision making.

https://fee.org/articles/panic-has-led-to-government-cures-that-are-worse-than-the-disease-history-shows/

Posted in Education, outcomes, outcomes measurement, Patient Safety, Policy Issues, Prevention, Protocols, Uncategorized

Are medical errors really the third most common cause of death in the U.S.? (2019 edition) – Science-Based Medicine

The claim that medical errors are the third leading cause of death in the US has always rested on very shaky evidence; yet it’s become common wisdom that is cited as though everyone accepts it. But if estimates of 250,000 to 400,000 deaths due to medical error are way too high, what is the real number? A study published last month suggests that it’s almost certainly a lot lower and has been modestly decreasing since 1990.

https://sciencebasedmedicine.org/are-medical-errors-really-the-third-most-common-cause-of-death-in-the-u-s-2019-edition/

Posted in Access to healthcare, advance-pricing, Direct-Pay Medicine, Direct-Pay Practice Models, Entrepreneurs, Healthcare financing, Independent Physicians, Medical Costs, Medical Practice Models, out-of-pocket costs, Patient Choice, Patient Safety, Patient-centered Care, Policy Issues, Price Tansparency, Quality, Uncategorized

Transparent Pricing for Medical Emergencies | The Emergency Center

What the status quo apologists and the naysayers said was impossible, is a reality:

Emergency services with transparent pricing and NO surprise bills!

“Always staffed with board-certified physicians, ICU- and ER-trained nurses, X-ray technologists and helpful administrative personnel, The Emergency Center offers the same comprehensive emergency care and treatment as a hospital ER, without the wait. State-of-the-art CT, ultrasound, x-ray, and lab services on-site combined with compassionate care provides an unparalleled patient experience.

The Emergency Center and OnDEC Health have partnered together to offer direct contracts for emergency room visits, urgent and primary care, plus telemedicine. OnDEC Health’s innovative direct contracting opportunities save employers significant dollars on ER claims, while offering their members 24/7, no-wait access to premier concierge style freestanding ERs and more.”

Peyton Vooletich

Director of Business Development

https://www.theemergencycenter.com/fort-worth-er/

Posted in Access to healthcare, advance-pricing, Direct-Pay Medicine, Direct-Pay Practice Models, Entrepreneurs, Healthcare financing, Independent Physicians, Medical Costs, Medical Practice Models, out-of-pocket costs, Patient Choice, Patient Safety, Patient-centered Care, Policy Issues, Price Tansparency, Quality, Uncategorized

Transparent Pricing for Medical Emergencies | The Emergency Center

What the status quo apologists and the naysayers said was impossible, is a reality:

Emergency services with transparent pricing and NO surprise bills!

“Always staffed with board-certified physicians, ICU- and ER-trained nurses, X-ray technologists and helpful administrative personnel, The Emergency Center offers the same comprehensive emergency care and treatment as a hospital ER, without the wait. State-of-the-art CT, ultrasound, x-ray, and lab services on-site combined with compassionate care provides an unparalleled patient experience.

The Emergency Center and OnDEC Health have partnered together to offer direct contracts for emergency room visits, urgent and primary care, plus telemedicine. OnDEC Health’s innovative direct contracting opportunities save employers significant dollars on ER claims, while offering their members 24/7, no-wait access to premier concierge style freestanding ERs and more.”

Peyton Vooletich

Director of Business Development

https://www.theemergencycenter.com/fort-worth-er/