Articles Posted in Preventive Care

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.

bar-150x150Taxpayers have put billions of dollars into long-term care rescue. Congress and the White House have deadlocked over further assistance, with a key stumbling block — as expressed by the foot-dragging Senate Majority Leader Mitch McConnell — focused on demands for greater protections for health care workers and enterprises, as well as business in general, from legal accountability for their work during the pandemic.

This is sham reasoning to stall desperately needed aid, for example, for schools and the jobless.

Small businesses, including the mom-and-pop long-term care facilities, put a demonstrably low priority on needing protection from liability lawsuits, according to a new study by Emily Gottlieb and Joanne Doroshow at the Center for Justice and Democracy at New York Law School. The researchers based their findings of multiple surveys of small business operators, with many of those questions posed by business groups themselves.

cnndocsconditionreport-300x148Falsehoods, even when loudly repeated, do not magically become true. The Covid-19 pandemic rages across the United States, and the facts do not support in any way the myth that the nation is “rounding a corner” in seeing the disease diminish its destructive course or magically disappearing.

The toll of the coronavirus is ripping toward 210,000 deaths and more than 7.3 million infections, with those figures likely understated.

As the Washington Post reported of its data analysis:

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.”

dcstreet-300x199Officials in the nation’s capital have approved a broad-based plan to crack down on the dangers that motorized vehicles pose to pedestrians, cyclists, other drivers, and whole neighborhoods.

The District of Columbia City Council acted in response to spiking fatalities and injuries — harms that have increased not only locally but nationwide, as the Washington Post reported, noting this has been “a troubling national trend that became even more pronounced this spring and summer during the pandemic shutdowns. People were driving less, but [road] crashes were more deadly.”

Even as DC Mayor Muriel E. Bowser has pushed her “Vision Zero” road safety plan, the newspaper reported:

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.

chicagoscooter-300x200Officials in the nation’s capital are working quietly to improve the regulation of e-scooters, aiming to ensure the trendy devices are available across the District of Columbia and don’t pose hazards to pedestrians, especially those with disabilities.

But is it also time for politicians to grapple with a rising  safety issue: Is it time to require their riders to wear a helmet?

Doctors from the Mayo Clinic and the Emory School of Medicine recently published their findings about scooters, based on scrutiny of the latest data that is coming from the U.S. Consumer Product Safety Commission’s National Electronic Injury Surveillance System. They looked at cases from 2014 to 2019, especially those treated in emergency departments (EDs) and reported:

debtcomsurvey-300x254Americans have made health care a central concern of the upcoming elections with excellent reasons. Their nightmares about this issue are getting worse, not better:

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