Articles Posted in Clinical guidelines

oxylabel-300x180So, who doesn’t daydream a little about money? Maybe even big money. Just imagine a scenario where, if you could put up $3,000, you could keep $13,000, or if you forked over $30,000, and walked away with $130,000? So how great would it be if you paid $3 billion but could stuff $13 billion into your pockets?

What a deal! Of course, it depends on whose perspective you look at it from.

Federal prosecutors and a bankruptcy court may give a plutocratic family that deal, along with a hard-to-imagine get-out-of-jail free card, news organizations report.

covidtestswab-282x300The federal agency that regulates nursing homes and other long-term care facilities not only has cracked down on them with tough new requirements for coronavirus testing of their staff. The Centers for Medicaid and Medicare Services also has flogged its plan to provide facilities with testing equipment and sample tests.

While owners and operators have grumbled about the whole process, the state of Nevada has gone a step further: Enough, its health officials have decided. They briefly halted as unacceptable the CMS tests for the virus because they say they are flawed and may put nursing home residents at risk.

Besides casting yet more doubt on CMS’s poor pandemic response with long-term care facilities,  Nevada’s balk — rescinded abruptly after federal threat — may offer an important take-away to members of the public, already flooded with findings about the novel coronavirus:

antibodiesregeneron-300x157Well, there he goes again (as President Reagan used to say): President Trump, whose White House has become a coronavirus hot spot and who has clearly played a role in a super spreader event, is hyping yet another medical treatment for Covid-19.

He has referred to his own viral infection as “a blessing from God,” used the C word (as in “cure”) and has called an incipient therapy used on him as a “miracle.” So, now Americans may be racing to reference works to learn more about coronavirus care with monoclonal antibodies, specifically those developed by the Big Pharma firm Regeneron. It is headed by Dr. Leonard Schleifer, and as CNN reported:

[Schleifer] and President Trump are acquainted: The CEO has been a member at Trump’s golf club in Westchester, New York, and his company also received $450 million in government funding in July as part of the president’s Operation Warp Speed plan to quickly develop a vaccine and other treatments for Covid-19 … Trump also recently owned shares of Regeneron (REGN) [as] listed as assets on Trump’s 2017 filing with the U.S. Office of Government Ethics, though [not] on the president’s most recent filing for 2020.”

govhogan-283x300Maryland will take the lead among states in the area in re-opening nursing homes and other long-term care facilities from months of coronavirus-related closures to family members, guests, and other visitors.

Gov. Larry Hogan (shown, right) acted as the state, for the first time in months, reported that October started with zero Covid-19 fatalities and 76 of Maryland’s 227 nursing homes had active coronavirus cases — down from 130 on Aug. 5, the Washington Post reported.

After struggling through some of the worst outbreaks in long-term facilities in the area, Maryland will put significant resources into safeguarding nursing homes as they reopen, Hogan said.

burningcash-300x200Taxpayers and lawmakers have ensured that the federal Health and Human Services agency operates with roughly $2 trillion in discretionary and mandatory funding. This means the agency can employ about 80,000 staffers, many of them top experts in medical science, health care policy, and public health.

This concentration of expertise and experience, however, may mean less than ever.

That’s because just one man, and his hand-picked few, insist that they hold the absolute power to make life and death decisions for more than 330 million Americans, especially when it comes to health care and government spending on it.

benzos-300x180Signs abound that the coronavirus pandemic has really stressed out Americans. Dentists say they are seeing a surge in patients needing care for jaw-clenching and teeth grinding. Doctors report treating increased numbers of patients who have shed abnormal amounts of hair due to fear and anxiety about getting sick with Covid-19, losing a job as part of the disease’s economic shocks, or losing friends or loved ones to illness.

But there also is an increasingly worrisome way to deal with the mental health challenges of the coronavirus: prescription drugs, specifically the class of medications known as benzodiazepines. “Benzos,” as they commonly are known, are widely “prescribed for anxiety, insomnia, seizures, panic disorders and other health problems,” the New York Times reported.

“They are also often given before certain medical procedures. They slow brain activity, causing sedation or calming effects. The drugs are enormously popular. In 2019, according to the agency, roughly 92 million prescriptions for benzodiazepines — such as the highly prescribed Xanax, Klonopin and Ativan — were dispensed in the United States.”

wyden-150x150https://www.protectpatientsblog.com/wp-content/uploads/sites/69/2020/09/Bob_Casey_Jr._official_photo-150x150.jpgThe White House and Senate Republicans have failed to protect more than 1.3 million Americans in nursing homes and other long-term care facilities, with persistent inaction contributing to the rising toll of Covid-19 deaths and infections among the institutionalized — months after the crisis in long-term care exploded into the public consciousness.

Those are the new findings of Bob Casey and Ron Wyden, two ranking Democratic U.S. senators serving on the Aging and Finance committees, respectively. They issued their harsh criticisms and a minority staff report they requested and based on information from the Trump Administration. The Washington Post quoted Casey:

“This report lays bare the devastating cost that American families have paid as a result of the Trump administration’s incompetency and Republican inaction. The crisis in our nursing homes, which residents and workers and their families are experiencing every day, demands immediate action.”

dementiadiagram-300x204Even as news organizations reported that the coronavirus pandemic has taken a grievous toll on seniors institutionalized with dementia, a presidential panel on nursing home care split over common sense but limp recommendations on how the nation might reduce Covid-19’s savaging of the old, sick, and injured in long-term care facilities.

The unsurprising, 180-plus pages of recommendations from the Coronavirus Commission on Safety and Quality in Nursing Homes to the Trump Administration and specifically its long-term care facility watchdog Centers for Medicaid and Medicare Services (CMS) included calls for: “More money for testing, for personal protective equipment (PPE), for registered nurses, for infection control training and staff salary increases,” the Washington Post reported.

Seema Verma, the CMS chief who has led a calamitous federal response in long-term care that has left at least 77,000 vulnerable residents dead — 40% of all the coronavirus fatalities in the nation — and not quite a half million infected, tried to spin the commission’s findings.

redfield
As the November elections draw near, let’s not lose sight of the flurry of developments in response to the politicization of the pandemic and the assaults by the Trump administration on medical science. Among them:

cmsseemav-150x150Nursing homes and other long-term care facilities now account for around 62,000 coronavirus deaths, 42% of the country’s total. So how is it possible that, months into the pandemic, owners and operators keep failing to fix well-known infection-control basics, like mixing healthy and infected residents and allowing poorly paid staffers to work at multiple facilities, carrying the disease from each to each?

On a side note, is it any comfort to frightened nursing home residents and outraged loved ones that Seema Verma, the nation’s chief regulator of long-term facilities, has obsessed, with taxpayer money, of course, on her image and public relations — spending on girls’ night bashes and face time with well-heeled patrons in her own party?

The independent, nonpartisan Kaiser Health News service deserves credit for piecing together various information sources to raise significant questions about not only nursing homes and long term care facilities but also hospitals and the care giving institutions’ infection-control procedures — notably whether, with all medical science knows now about Covid-19, facilities appropriately separate and isolate individuals with coronavirus diagnoses from others uninfected.

Patrick Malone & Associates, P.C. listed in Best Lawyers Rated by Super Lawyers Patrick A. Malone
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