Coronavirus (No politics)

[Orangeredblooded]

I'm not arguing with you, I know it's both sides. You've got people on both sides that argue hurr durr this is how free markets work but the reality is, healthcare is not a free market at all.

You’re right, it’s one side trying to get the most compensation from the group that will question any wording and placement of wording, they’re both wrong.

 

[Shades]

This making its way around social media. From an ER doctor in New Orleans I believe:

81% mild symptoms, 14% severe symptoms requiring hospitalization, 5% critical.

Worldwide 86% of covid19 patients that go on a vent die. Seattle reporting 70%.

So, 81% mild + 14% severe (hospitalized) = 95%.........and the rest, 5% = critical.

Or put another way: 81% are mild, ............and the rest 19% are hospitalized (14% severe + 5% critical).

The two pairs of bold numbers above match up very closely with the "active" and "closed" percentages in Worldometer.


Been wondering why the death rate (17%) on Worldometer closed cases is so much higher than the critical cases (5%) on active cases. If people are recovering from mild condition, then shouldn't the death rate in the closed cases be around 5% or less?

Been wondering what is the definition of "mild condition" on the Worldometer, and have been baffled that the % deaths of closed cases is so high (17%). Could Worldometer be lumping the "14% severe hospitalized" in with the mild cases?

If so, then something could be really troubling about the above numbers from the New Orleans ER, when coupled with the stats from Worldometer below.

Health care professionals, can you help clarify?

 

[TennTradition]

We’re testing more people, so of course we’re going to find more cases. It’s hard to fault medicine in the spread of a viral disease. The only prominent country (that also has a significant number of cases) that is doing “better” than us (mortality rate) is Germany, and our ratios are on par with South Korea, who have been lauded for their initial response.

Which numbers do you mean when you say they are par with South Korea?

 

[TennTradition]

So, 81% mild + 14% severe (hospitalized) = 95%.........and the rest, 5% = critical.

Or put another way: 81% are mild, ............and the rest 19% are hospitalized (14% severe + 5% critical).

The two pairs of bold numbers above match up very closely with the "active" and "closed" percentages in Worldometer.


Been wondering why the death rate (17%) on Worldometer closed cases is so much higher than the critical cases (5%) on active cases. If people are recovering from mild condition, then shouldn't the death rate in the closed cases be around 5% or less?

Been wondering what is the definition of "mild condition" on the Worldometer, and have been baffled that the % deaths of closed cases is so high (17%). Could Worldometer be lumping the "14% severe hospitalized" in with the mild cases?

If so, then something could be really troubling about the above numbers from the New Orleans ER, when coupled with the stats from Worldometer below.

Health care professionals, can you help clarify?

View attachment 268656

I think this is more than likely the result of being slow to clear people as recovered. In an expanding epidemic being a week slow to clear recoveries vs declare deaths will really distort those statistics.

 

[TennTradition]

Sucks to have a crappy healthcare system.

I actually thought Italy had a pretty decent HC system. Is that wrong?

 

[Shades]

I think this is more than likely the result of being slow to clear people as recovered. In an expanding epidemic being a week slow to clear recoveries vs declare deaths will really distort those statistics.

Thank you, and I really really hope you are right.

 

[DrRosenRosen]

Is it mandatory to get follow up tests? You get a positive. You go home and are feeling fine after a week. Are you required to get tested again?

 

[Regulator]

Which numbers do you mean when you say they are par with South Korea?

The ratio of deaths/positive cases.

 

[TennTradition]

The ratio of deaths/positive cases.

I wouldn’t put much stock in that number one way or the other. Some factors cause that number to be deflated and others cause it to be inflated. Depending on where you are in the epidemic expansion and what percentage of actual cases your testing is capturing, that particular ratio can be all over the place.

 

[Volbucky]

Is it mandatory to get follow up tests? You get a positive. You go home and are feeling fine after a week. Are you required to get tested again?

Id imagine not. I almost bet people are avoiding retesting if they are recovered to avoid getting out.

 

[kiddiedoc]

Is it mandatory to get follow up tests? You get a positive. You go home and are feeling fine after a week. Are you required to get tested again?

I have not seen anything about that. I would think that critical/inpatients would be more likely to be retested.

 

[JacketVol]

That would make sense if he hadn't said that he revised it down initially because they grossly underestimated the number of infected.

should’ve added that because THAT plays a part as well.

 

[DrRosenRosen]

I have not seen anything about that. I would think that critical/inpatients would be more likely to be retested.

For sure. But folks with mild symptoms, what's the point of retesting? Spend your weeks inside, feel better and move on. You'd never seen them as recovered, right?

 

[VolnJC]

For sure. But folks with mild symptoms, what's the point of retesting? Spend your weeks inside, feel better and move on. You'd never seen them as recovered, right?

Im sure follow-up tests are recommended but not mandated so that's always gonna be an issue with recovery rates

 

[Hoosier_Vol]

County I work in had its first death tonight. Subject was in their mid 50's and had multiple underlying medical issues.

 

[Orange_Vol1321]

 

[Orange_Vol1321]

BREAKING: FDA Approves Major Breakthrough In Fight Against Coronavirus



The Food and Drug Administration (FDA) issued an emergency authorization on Friday for a new coronavirus test that can deliver results in just 5 minutes and is so small that it can be used nearly anywhere.

Abbott Laboratories announced that their new test is the fastest test in the world, able to deliver “positive results in as little as five minutes and negative results in 13 minutes.”

 

[bag12day]

Compared to other countries our healthcare is overall better. You can complain about it, but I'm glad I live in the US and not Italy or Spain

Had a business law professor in college that said :
Our legal system is the worst imaginable...until compared to all others then it rises right to the top of the list.” I would say our healthcare system is similar and having a wife that retired after 31 years from a major pharmaceutical company last year as a research scientist somebody hit the nail on the head. Iirc (and I’m not waking her to ask) it took them approx 12 years to get from this looks promising, testing in vitro, inVivo, to clinical trials to green lighted by the fda. The negative there is we in the USA pay for all that drug discovery that is sold at a fraction of our prices around the world or given away for nothing.

 

[DynaLo]

Problem with our healthcare system...staring at a hospital bill that shows if you pay cash it’ll cost you around $3600 but if they bill your insurance it’s over $21k billed.

 

[VolnJC]

Problem with our healthcare system...staring at a hospital bill that shows if you pay cash it’ll cost you around $3600 but if they bill your insurance it’s over $21k billed.

We rarely use our insurance other than our routine physicals and a couple of RXs every 90 days. Wife had a sleep study and I got a bill thinking that was "before insurance" nope it was my part...crazy what one night in a study cost us even with insurance

 

[Coug]

They are saying another 3 weeks before we hit the peak of this

They've speculated that we are roughly 10 days behind Italy. So we got hopefully only another 9 days before our numbers begin to decline. We are in that 10 day stretch where the crap will just be hitting the fan everyday. Florida and Louisiana will be the states that drag behind all because of Mardi Gras and spring break.

 

[RikidyBones]

We spend more money on healthcare because politicians on both sides of the aisle have destroyed any semblance of a free market there via regulation, meaning only wealthy corporate hospitals and large insurance companies get a chance to thrive.

He's still wrong. We don't have more cases than China. But that Goo guy is a fake doctor so I guess you can't expect much.

Insurance companies dont "thrive" from healthcare. They have a .97 combined ratio. Meaning profit is maybe 3%.

 

[ButchPlz]

Insurance companies dont "thrive" from healthcare. They have a .97 combined ratio. Meaning profit is maybe 3%.

For one, a 3% profit is not bad.

Second, by thrive I mean even getting a chance to start up and grow. It would be next to impossible for you or me to go and start your own health insurance company, because it would be nearly impossible for us to navigate the process required to get started. And then once started, it would be next to impossible for us to follow the laws and meet every single legal compliance requirement there is.

Now, I am good with keeping people safe. But our legal environment in healthcare was essentially designed by the insurance companies to ensure that they don't have to innovate or worry about competition other than what's already out there. And hospitals are right there with them, with no incentive to change the status quo.

If our legal environment merely made it easier for alternates to exist, and you and I had the ability to price shop between hospitals and doctors, or use different cash payment options, things would improve so much.

Case in point, my wife and I shopped around for dental work in Peru- I had two badly chipped teeth repaired and both of us got full cleaning for $70 cash. She did a full lab panel with two doctor consultations for $100 at a private clinic. These types of options, and the ability to shop for healthcare, are virtually nonexistent here.

 

[davethevol]

Mystery In Wuhan: Recovered Coronavirus Patients Test Negative ... Then Positive

 

[RavinDave]

I think this is more than likely the result of being slow to clear people as recovered. In an expanding epidemic being a week slow to clear recoveries vs declare deaths will really distort those statistics.

Don’t forget there may be a lag time of 2 weeks or more, between the time a given case is identified (confirmed) and when it is resolved/recovered. So recoveries will always be lagging behind when the rate of spread is increasing.