The Trump Presidency | Biden Inaugurated

[Mystry]

A Texan hospital has created a panel to judge which patients get treated and which will be sent home to die because they have no more ICU capacity and cannot transfer anywhere close.

https://www.businessinsider.com.au/...me-die-2020-7?utm_source=reddit.com&r=US&IR=T

if there is any reason Biden is now seeing +1 polls in texas, i'd guess it's because of things like this.

Didn't Republicans talk about how the NHS had death panels and how America would have them if they had socialised health care.

 

[Ish]

Richest country in the world, ladies and gentlemen.

Also don’t forget GREATEST™️

 

[Maagge]

Also don’t forget GREATEST™️

It's just people exercising their liberty to go home and die in peace.

 

[Ish]

It's just people exercising their liberty to go home and die in peace.

Land of the free & home of the brave (cops are so brave that they use force against unarmed/elderly citizens on a regular basis)

 

[Rado_N]

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[Dr. Dwayne]

A Texan hospital has created a panel to judge which patients get treated and which will be sent home to die because they have no more ICU capacity and cannot transfer anywhere close.

https://www.businessinsider.com.au/...me-die-2020-7?utm_source=reddit.com&r=US&IR=T

if there is any reason Biden is now seeing +1 polls in texas, i'd guess it's because of things like this.

The first thing I questioned was why Business Insider Australia even cares? It has a bit of an echo chamber feel in that respect.

Fortunately they were good enough to put a link to a more local story: https://www.star-telegram.com/news/coronavirus/article244443257.html

It's a small county of 61,000 people with 29 bed COVID unit at their hospital. So they are absolutely going to have to make difficult decisions.

But I'd agree with your intepretation that Dems should gain in these areas from actions taken by Republican governements at the state and federal level, especially as Starr County had been handling things very well until the Governor re-opened the state.

 

[UnrelatedPsuedo]

The Portnoy - Trump interview was dumb as shit.

Very clever from the Trump team though.

 

[Anustart89]

The Portnoy - Trump interview was dumb as shit.

Very clever from the Trump team though.

That interviewer is playing Trump like a fiddle. Just feeds his ego right off the bat with the Ali G thing and Trump just laps it up and instantly loves him.

 

[UnrelatedPsuedo]

That interviewer is playing Trump like a fiddle. Just feeds his ego right off the bat with the Ali G thing and Trump just laps it up and instantly loves him.

Nah, Portnoy bent down and kissed his ring. The context with the Ali G comment was stated. He didn’t want to be perceived as a fake interviewer.

He sucked Trump off for 20 minutes.

 

[utdalltheway]

Ugh. That’s not a nice visual.

Anyway, I hear (not so cognitive) fatso left the bunker to play golf again.
It’s better than trying to fix this Covid-19 response, right?
Or maybe he thinks that out there at the golf club he’ll find the solution?

We get the ‘leaders’ we deserve.

 

[Cheimoon]

The Portnoy - Trump interview was dumb as shit.

Very clever from the Trump team though.

I see social distancing and face masks aren't really a thing at the White House.

 

[TheGame]

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[Beachryan]

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Jon Oliver did a (couple?) really good piece on how scary Sinclair is. People historically really trust their local news in the states, and due to the economics of the business, almost all of those stations are being acquired by Sinclair - which is pretty far down the rabbit hole in terms of right-wing insanity.

 

[kidbob]

Jon Oliver did a (couple?) really good piece on how scary Sinclair is. People historically really trust their local news in the states, and due to the economics of the business, almost all of those stations are being acquired by Sinclair - which is pretty far down the rabbit hole in terms of right-wing insanity.

Yeah I happened to watch it on youtube a couple of weeks, disturbing shit. They are buying up local news and forcing their scripts and talking points onto the crews that work there. That "Terrorist Watch" thing was absolutely ridiculous but stuff like that will work on some people.

 

[nimic]

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[RedTiger]

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The slope gets steeper and steeper.

 

[calodo2003]

A Texan hospital has created a panel to judge which patients get treated and which will be sent home to die because they have no more ICU capacity and cannot transfer anywhere close.

https://www.businessinsider.com.au/...me-die-2020-7?utm_source=reddit.com&r=US&IR=T

if there is any reason Biden is now seeing +1 polls in texas, i'd guess it's because of things like this.

So, death panels actually are becoming a thing in this country?

 

[Kentonio]

We wonder sometimes how so many Americans seem to believe pretty crazy shit, but is it really any surprise when it’s being pumped constantly into their homes and cars via TV and talk radio?

 

[calodo2003]

We wonder sometimes how so many Americans seem to believe pretty crazy shit, but is it really any surprise when it’s being pumped constantly into their homes and cars via TV and talk radio?

The massive influence of talk radio over the past five decades cannot be understated regarding the batshittery. Right wing-dominated AM radio was crucial in crafting & defining a large portion of the right as we know it today.

 

[Sky1981]

So, death panels actually are becoming a thing in this country?

To be fair triage in medical has been there since the dawn of times.

At one point you do have to prioritize.

Happens everywhere else where overcapacity happens.

 

[bleedred]

I am just curious as to the choice of Portland, when he deployed ICE. Is there any significance of why Portland, or it's just a coincidence?

 

[Cloud7]

As much as I'm critical about many things with respect to the Trump regime, and healthcare in America, deciding which patients are and aren't candidates for escalation of care and potential ICU management is a very normal part of daily life in a hospital, never mind during a global pandemic.

 

[Precaution]

I am just curious as to the choice of Portland, when he deployed ICE. Is there any significance of why Portland, or it's just a coincidence?

Very white democrat place, trial run which wouldn't get any heat in this environment if say they started in a predominantly black place

 

[entropy]

I am just curious as to the choice of Portland, when he deployed ICE. Is there any significance of why Portland, or it's just a coincidence?

It’s because Portland is one of those cities where people will show up to protests sincerely all month long and then go back to being racists.

 

[Cheimoon]

Very white democrat place, trial run which wouldn't get any heat in this environment if say they started in a predominantly black place

Yeah, no chance for Trump and the GOP in Portland or Oregon, so a great place to try this out and see how it goes.

 

[McGrathsipan]

To be fair triage in medical has been there since the dawn of times.

At one point you do have to prioritize.

Happens everywhere else where overcapacity happens.

Combat Medics are a prime example.

 

[Maagge]

As much as I'm critical about many things with respect to the Trump regime, and healthcare in America, deciding which patients are and aren't candidates for escalation of care and potential ICU management is a very normal part of daily life in a hospital, never mind during a global pandemic.

It's not normal to do so because your hospital is full for entirely preventable reasons though.

 

[Cloud7]

It's not normal to do so because your hospital is full for entirely preventable reasons though.

Depends on what you call entirely preventable reasons. People haven’t stopped getting sick for other reasons since Covid came along. My hospital is just as busy as we were before all this, with non covid related patients.

 

[africanspur]

It's not normal to do so because your hospital is full for entirely preventable reasons though.

To be honest, it does kind of depend though. I've got a couple of colleagues who work in the USA and, as long as you have the money, they seem to think pretty much everyone goes to the ICU and will get literally everything done, regardless of likely prognosis and futility, simply because that is the medical culture over there.

Medical culture in totally state based systems like the UK's are far more selective, as they are in most other insurance based systems as well (they are too in Australia for instance, where I've worked before).

So to go from a baseline where you're admitting pretty much anyone as long as they can pay (and often patients who wouldn't get admitted to ICU in other countries) to having t decide is a big culture shock for Americans and American docs. Its also why, as sensationalist as it sounds, our 'death panels' (which are really senior medical professionals) do kind of exist, in so much as we won't generally admit an 89 year old with terminal cancer, COPD, heart failure etc etc to an intensive care unit. In America, they very well might.

 

[Sky1981]

To be honest, it does kind of depend though. I've got a couple of colleagues who work in the USA and, as long as you have the money, they seem to think pretty much everyone goes to the ICU and will get literally everything done, regardless of likely prognosis and futility, simply because that is the medical culture over there.

Medical culture in totally state based systems like the UK's are far more selective, as they are in most other insurance based systems as well (they are too in Australia for instance, where I've worked before).

So to go from a baseline where you're admitting pretty much anyone as long as they can pay (and often patients who wouldn't get admitted to ICU in other countries) to having t decide is a big culture shock for Americans and American docs. Its also why, as sensationalist as it sounds, our 'death panels' (which are really senior medical professionals) do kind of exist, in so much as we won't generally admit an 89 year old with terminal cancer, COPD, heart failure etc etc to an intensive care unit. In America, they very well might.

I don't think panels only deals in Triage.

Most hospitals made decisions based on a panel to avoid liabilities, claims and malpractice. I think it's standard practice, anything that requires certain procedures have to be approved by a minimum of X people in a panel.

My inlaws needs a knee replacement, and they still use the panel to approve, even if it's only formalities.

 

[Cloud7]

To be honest, it does kind of depend though. I've got a couple of colleagues who work in the USA and, as long as you have the money, they seem to think pretty much everyone goes to the ICU and will get literally everything done, regardless of likely prognosis and futility, simply because that is the medical culture over there.

Medical culture in totally state based systems like the UK's are far more selective, as they are in most other insurance based systems as well (they are too in Australia for instance, where I've worked before).

So to go from a baseline where you're admitting pretty much anyone as long as they can pay (and often patients who wouldn't get admitted to ICU in other countries) to having t decide is a big culture shock for Americans and American docs. Its also why, as sensationalist as it sounds, our 'death panels' (which are really senior medical professionals) do kind of exist, in so much as we won't generally admit an 89 year old with terminal cancer, COPD, heart failure etc etc to an intensive care unit. In America, they very well might.

Is that the case in America? That anyone is a candidate for ICU if they’re willing to pay? As a doctor working in a hospital with a 10 bed (or something in that region) ICU that is insane for me to wrap my head around.

 

[africanspur]

Is that the case in America? That anyone is a candidate for ICU if they’re willing to pay? As a doctor working in a hospital with a 10 bed (or something in that region) ICU that is insane for me to wrap my head around.

Yeah, pretty much. Every patient gets every investigation possible and, when they were doing their residency and rotated through ICU (bear in mind we had gone to medical school in the UK and they had worked here for a bit beforehand), saw so many patients who would never have had a hope of getting to ICU in the UK. Tubed, ventilated, all kinds of ionotropic support, with no real hope for ever getting off multi-organ support. They're essentially a shell of a person, propped up by various machines and infusions.

Yet when he'd suggest that perhaps this wasn't the best thing for the patient, they'd roll their eyes and mention how we like killing patients in the UK.

Its such a litigious culture over there that the doctors don't seem to want to make any mistake or big decision. Everyone gets every scan and test and everyone gets admitted, even for minor things.

Also sorry, I should clarify. When I say pay, I mean through their insurance, not out of pocket. My other disclaimer is that he worked in a big city hospital. Whether its different in smaller hospitals in the USA, I don't know.

 

[Maagge]

Depends on what you call entirely preventable reasons. People haven’t stopped getting sick for other reasons since Covid came along. My hospital is just as busy as we were before all this, with non covid related patients.

Well, this is specifically about covid which several states in the US have decided they'll have more of for political reasons. When you do that and your beds are full of covid patients then all talk of treating some patients over others is something you've brought upon yourself regardless of what other diseases/injuries might show up at your hospital.
Of course it's normal for doctors to decide whether treatment is beneficial or not, but right now it seems like they'll have to make a decision to send someone home more often just because they've decided to fill their hospitals with covid patients. That was preventable in my book.

 

[Drifter]

Reagan Foundation demands Trump and RNC stop raising money off his image

https://www.rawstory.com/2020/07/re...-off-his-image-report/#comments_section_start

This comment sums it up nicely.

When a pile of puke tells a pile of shit to quit using it to look and smell better

 

[mav_9me]

To be honest, it does kind of depend though. I've got a couple of colleagues who work in the USA and, as long as you have the money, they seem to think pretty much everyone goes to the ICU and will get literally everything done, regardless of likely prognosis and futility, simply because that is the medical culture over there.

Medical culture in totally state based systems like the UK's are far more selective, as they are in most other insurance based systems as well (they are too in Australia for instance, where I've worked before).

So to go from a baseline where you're admitting pretty much anyone as long as they can pay (and often patients who wouldn't get admitted to ICU in other countries) to having t decide is a big culture shock for Americans and American docs. Its also why, as sensationalist as it sounds, our 'death panels' (which are really senior medical professionals) do kind of exist, in so much as we won't generally admit an 89 year old with terminal cancer, COPD, heart failure etc etc to an intensive care unit. In America, they very well might.

Is that the case in America? That anyone is a candidate for ICU if they’re willing to pay? As a doctor working in a hospital with a 10 bed (or something in that region) ICU that is insane for me to wrap my head around.

Yeah, pretty much. Every patient gets every investigation possible and, when they were doing their residency and rotated through ICU (bear in mind we had gone to medical school in the UK and they had worked here for a bit beforehand), saw so many patients who would never have had a hope of getting to ICU in the UK. Tubed, ventilated, all kinds of ionotropic support, with no real hope for ever getting off multi-organ support. They're essentially a shell of a person, propped up by various machines and infusions.

Yet when he'd suggest that perhaps this wasn't the best thing for the patient, they'd roll their eyes and mention how we like killing patients in the UK.

Its such a litigious culture over there that the doctors don't seem to want to make any mistake or big decision. Everyone gets every scan and test and everyone gets admitted, even for minor things.

Also sorry, I should clarify. When I say pay, I mean through their insurance, not out of pocket. My other disclaimer is that he worked in a big city hospital. Whether its different in smaller hospitals in the USA, I don't know.

So paying capacity /insurance status does not matter in hospital. Everyone gets the same care as an inpatient. I mean I don't even know where to find a patients insurance information.

And yeah typically when a family wants everything done most often patients will have everything done regardless of their long term prognosis. We always talk to the families and explain the situation and explain the suffering the patients might go through. A lot of times families obviously want their loved ones not to suffer. However sometimes for whatever reason if they want everything done more than likely we will do everything. Fundamentally for the reason you said about litigation. This is not a hill I want to die fighting on.

But doctors generally understand when we are being inappropriately too aggressive. most doctors I know understand what's best for patient and wouldn't roll our eyes at other Healthcare systems.

 

[calodo2003]

To be fair triage in medical has been there since the dawn of times.

At one point you do have to prioritize.

Happens everywhere else where overcapacity happens.

It was one of the right’s biggest talking points during the run in to Obamacare, that there would be governmental death panels created to gauge if a person should be able to receive any healthcare coverage. I want to say it was the renowned Mensa herself, Sarah Palin, that was attributed with this gem.

 

[Sky1981]

It was one of the right’s biggest talking points during the run in to Obamacare, that there would be governmental death panels created to gauge if a person should be able to receive any healthcare coverage. I want to say it was the renowned Mensa herself, Sarah Palin, that was attributed with this gem.

Well you can find any daily procedure and made a literally different narratives to it.

It's a pretty cheap tactics used by "journalist"

 

[calodo2003]

Well you can find any daily procedure and made a literally different narratives to it.

It's a pretty cheap tactics used by "journalist"

If this story gains traction, it would be curious to see how Republicans spin it now there’s one of them in the WH. It was one of the biggest Obamacare boogeyman stories of 2009, total bullshit, but lapped up by the right wing sheep.

 

[Sky1981]

If this story gains traction, it would be curious to see how Republicans spin it now there’s one of them in the WH. It was one of the biggest Obamacare boogeyman stories of 2009, total bullshit, but lapped up by the right wing sheep.

Tractions?

Trump has been very hypocritical about every single one of his tweets, doesn't even bother to spin things.

He's golfing as we speak btw

 

[calodo2003]

Tractions?

Trump has been very hypocritical about every single one of his tweets, doesn't even bother to spin things.

He's golfing as we speak btw

‘Traction’ meaning that this story was written by a foreign business journal; if this story starts getting visibility in this country’s media, I am curious to see the right’s reaction. It wouldn’t be Plump who I really care about, it would be the cabal of Republicans who were serving in Congress back then from whom I would be interested in hearing