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COVID-19咨询:重新打开成功〜上升趋势〜医院收入〜最后的话

2020年6月15日
要:分布
From: Pandemic Working Group
回覆:COVID-19:已成功重新打开〜上升趋势〜医院收入〜最后的话

成功重启
由于在上周末报道华尔街日报,即使许多国家在欧洲和亚洲已经从锁定涌现,他们迄今避免了冠状病毒病例的复苏。同样的趋势为在某些美国城市,如纽约市,经历了早期的爆发,实行抑制措施明显,实现了下滑的趋势,并正在重启无逆转。在欧洲,6月初,感染率公顷s dropped 80% since its peak in mid-April. As indicated by this WSJ graph (which shows cases per million on a seven-day trailing basis), Germany and Italy are experiencing single-digit cases per million. It appears, then, that where strict controls are not imposed from the start (as they were in South Korea), the disease, in a sense, must run its course. In regions that are recovering from earlier outbreaks, experts continued to warn against complacency, likening this to having put out a fire and then monitoring the situation to prevent hot spots from flaring up.

一种混合的故事在全球范围内
By contrast, WSJ reports that not all countries are enjoying downward pandemic trends. According to the WHO, the pandemic continues to spread rapidly, particularly in the Americas and South Asia; last Sunday set a single day record of 136,000 cases globally. In some cases, as with Brazil, these involve outbreaks that began later than Asia and Europe. In other cases, as with Iran, there has been a resurgence (the red line in the graph) to peak levels after the government rolled back many lockdown restrictions to revive its economy. And, even in places that were thought to have been “past” the virus, the pandemic is still showing signs of life. The New York Times reports that the city of Beijing, China, which had recorded 56 consecutive days of no infections, tracked down 79 cases over the past four days. All of the infected persons either worked or shopped at the bustling Xinfadi food market which employs 10,000 people and supplies 90% of Beijing’s fruit and vegetables. In an effort to get control of the outbreak, authorities closed Xinfadi and five other markets, locked down 11 residential communities and nine schools, and imposed tightened traffic restrictions.

是医院获得意外的收获?
最近,某些新闻来源已经被报道that domestic hospitals may be getting windfall payments for treating COVID patients which, in turn, would give them an incentive to mischaracterize illnesses and deaths as being coronavirus-related. We decided to check in with “factcheck.org” for their take on the matter. According to FactCheck, the original thread for this concern may have arisen from a televised quote from Minnesota State Senator Scott Jensen to the effect that Medicare was paying about $13K for a COVID diagnosis and about $39K for putting a person on a ventilator. In fact, according to FactCheck, Medicare pays for treatments based upon categories of illness and, in this case, coronavirus is in the category of severe respiratory illnesses for which, according to the Kaiser Family Foundation, Medicare would have paid about $13K back in 2017. Further, average Medicare payments for ventilator use exceeding 96 hours is about $40K.

但分析并没有结束。因为他们不得不预留容量治疗冠状病毒病例和延期等手续,很多医院都报告在过去三个月亏损。因此,不存在从暴利产生的增强盈利能力的证据。此外,尽管一些医院从CARES法治疗COVID患者得到援助,该援助部分支付给抵消治疗没有保险的病人产生的损失。此外,迄今为止,该CARES支付已经不是基于未来病人的诊断,但在过去的医疗经验。因此,经济不会出现创造一个诱因的误报诊断或开不必要的程序,病人。最后,在加州大学洛杉矶分校政策研究中心的杰拉尔德Kominski,的话表明,医生以这种方式从道德实践转移是说,他们“违反了他们的希波克拉底誓言”,并暴露自己潜在的民事和刑事处罚。

在侵染本人
最后,在上周研究在奥兰治县的面膜布订单的过程中,我有兴趣地注意到从尔湾居民报价(谁不得命名)谁等了几个星期在南海岸广场获得一个手表电池(可嘉observing social distancing) to the effect that he thought “masks are hurtful because you’re breathing in your own germs.” I know you are saying, “Oh, please.” But, this guy actually believes this. So, here is what we can say. If I am already infected with coronavirus (let’s say asymptomatically) and expelling viral particles into my mask, then inhaling my own germs is the least of my worries because – guess what – I cannot infect myself any further with something that I already have. I would hasten to add that we can spread the virus to others by sharing used face coverings, which is why we should wash or dispose of them after one use. In short, this man, who shows sense enough to avoid public contact during a pandemic – even to the degree of deferring the purchase of a watch battery – is harboring misinformation.

如果您对这个咨询,请联系任何问题或意见,无论是kellyw@亚博娱乐官网amvac.comortimd@亚博娱乐官网amvac.com

COVID-19咨询:重新打开成功〜上升趋势〜医院收入〜最后的话