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SteelCityColt

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Everything posted by SteelCityColt

  1. https://forums.colts.com/topic/65382-did-ebron-quit-on-the-colts/
  2. We’ve had a reported death of a 21 year old with no underlying conditions.
  3. One swallow does not an end of pandemic make. Other countries saw similar dips followed by ramp ups on subsequent days. Do you ever own when you state something as fact and get it debunked? I mean it's happened a lot in this topic and you conveniently ignore it. Then you wonder why people get frustrated with you.
  4. Why I don't disagree with some of this, the medical community is certainly questioning China's methods of counting.
  5. This was heartening to see over here: https://www.bbc.co.uk/news/uk-52029877
  6. Which is a fair thing to say, and to be honest probably is to offset panic. Leave the medical decisions to the professionals.
  7. No that’s just clinical practice, nothing to do with the nature of the overarching healthcare system itself. In the simplest level it’s all interpretations of “do no harm”,
  8. Completely agree, why I said I don’t feel it’s his call to make.
  9. Yes but the age sets a line in the sand where they assess differently. In your example the difference between 39 and 60 isn’t that great and without other complications, changes of survival probably not hugely different. But yes doctors have the right to make that kind of judgement call. The influence of age will be factored in alone with co morbidity etc. It’s a clinical decision. If there is not enough capacity to treat all, they will adopt a strategy that will produce the best net survival. This is why I’m so vocal about taking measures now to flatten the curve. It decreases the number of decisions like this.
  10. Well no.. because this is in existing clinical guidelines. Here it is anyway. For instance a doctor here won’t give an endoscopy on a 90 year old unless you’re talking very unusual circumstance due to the risk. But here we are talking doctors treating masses of individuals so they will be risk stratifying the entire cohort.
  11. There is a difference between a policy that limits or controls access by demographic, and the clinical decision process as who to gets treated first and how.
  12. I'm not sure that is his call to make. The attending physicians should have on the ground powers to decide on a case by case basis.
  13. Forget healthcare, these things worry me all round. I know it's a bit mad to say but we really don't take the long view as a species and this rock is finite in resource and space, so I think it's egregious in the long term that we're not pursuing sustaining habitation off Earth.
  14. There is a lot of factors that go into deciding what is/isn't available on the NHS. You'd have to cite specifics here to understand the nuance of why/why not. You mean in healthcare systems where you have to "pay". How does that spin out when you're uninsured. You always have the same choice here, i.e. to pay for a procedure. At least you have the fall back of free provision for a large amount of treatment. Agree, up front term prevention is the key, but that starts well before people even sniff a healthcare provider. I mean this now just into opinion unless you can cite any evidence. I could point you to the patient experience dataset for a quantifiable public view of the NHS. You're going to have to explain this one... if it was a private insurance provider paying for it, are you sure it was treatment via the NHS. Treat at NHS facilities by "NHS" staff does not always mean you were treated by the NHS. A blood draw should have been offered in primary care unless you're talking something specialised. The spending per capita on health is markedly higher the US compared to most similar countries (if memory serves), however the outcomes aren't proportionally "better". Just shows there's a whole lot more in play than just raw funding. For one thing, there literally isn't the staff to hire, because a gap has emerged between retirement rates and new qualifications of clinical staff here.
  15. The elbow bumps have been a small moment of levity in all this.
  16. False, the government does not this decision at all. Clinicians make the call, same as in the US and in every other medical setting. How are the old "left to die"? If you're referring to, the introduction of revised clinical treatment guidelines during a pandemic, that's the reality of dealing with this. If the US hit an Italy like scenario, you would see the same. They would shift treatment priorities to save the greatest number of people net. Sadly, that means it likely that the patients with lower chances of survival may well only receive palliation. I'm far from dumb when it comes to healthcare and it's provision. It's my profession.
  17. What happens when you don't have insurance in the US... I disagree strongly with your interpretation of how the NHS works, it's just not true.
  18. The Scandinavian approach (high taxation, high quality of government service provision), is interesting, as it works well, in those countries. I'm not sure with higher/denser population it scales. That's without considering some countries' populations would riot over the idea of being taxed that much. Believe me, one thing I've learnt, no matter how perfect a system/model you design, don't underestimate the ability of human nature to break it.
  19. I would agree it would be hard to change the system in the US, it's not so much the organisational changes, but equally the societal ones. There are however flaws in both approaches. If there was a perfect model, it would be adopted worldwide.
  20. Oh dear lord... What’s happening in Italy isn’t because it’s a government healthcare systems, it’s the same as any system overloaded with demand. If you have a similar situation in the US, medical services aren’t going to magically cope because you have private health insurance. As for the statement taken in isolation, there is no compelling evidence to suggest state funded health systems provide worse care. Far from it.
  21. It should just be "essential" shops. Food shops being very much essential, but the list also includes: Pharmacies Petrol stations Newsagents Bicycle shops Home and hardware stores Laundrettes and dry cleaners Garages Pet shops (??!) Post Offices Banks But the you get this happen... https://www.bbc.co.uk/news/business-52011915
  22. That's the catch 22, you need to have food shops open still as we're not geared up like a China to do state delivery of food... but then people haven't been sensible. It's a very weird feeling when you do go out. For example, yesterday, went on my allowed one run a day. Traffic quiet, but saw lots of pedestrians, with every encounter being a weirdly polite establishment of separation. Just felt so odd as it was a lovely spring evening yet the world is kinda going to madness.
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