Showing posts with label health care. Show all posts
Showing posts with label health care. Show all posts

Wednesday, March 16, 2022

JAMA: "State control over health outcomes shows no signs of waning"

"The COVID-19 pandemic removed any doubt that state policies can affect health outcomes. East Coast states (eg, New York, New Jersey) that responded to the first wave of the pandemic in the spring of 2020 with strict protective measures achieved relatively quick control of community spread within as much as 8 weeks,9 and they blunted subsequent surges by reinstating those policies. 

In contrast, states that had spent decades opposing public health provisions were among the most resistant to COVID-19 guidelines and took active measures to resist restrictions. Some elected officials made a political issue out of challenging scientific evidence, embracing dubious theories, and labeling public health safeguards as infringements on personal freedom. Conservative governors used preemption to reverse efforts by mayors and school districts to control local transmission rates.

These policy choices may have been associated with increased COVID-19–related morbidity and mortality. States that rushed to curtail lockdowns in the spring of 2020 experienced more protracted surges in infections and disruptions to their economies.9 In 2021, excess deaths were disproportionately concentrated in states where resistance to COVID-19 vaccination was prevalent. 

For example, excess death rates in Florida and Georgia (more than 200 deaths per 100 000) were much higher than in states with largely vaccinated populations such as New York (112 per 100 000), New Jersey (73 deaths per 100 000), and Massachusetts (50 per 100 000). States that resisted public health protections experienced higher numbers of excess deaths during the Delta variant surge in the fall of 2021 (Figure). Between August and December 2021, Florida experienced more than triple the number of excess deaths (29 252) as New York (8786), despite both states having similar population counts (21.7 million and 19.3 million, respectively).10"

Continue reading the report in the Journal of American Medicine (JAMA) 
 https://jamanetwork.com/journals/jama/article-abstract/2790238

Figure.  Weekly Excess Death Rate (per 100 000) in Selected States, 2021
Figure.  Weekly Excess Death Rate (per 100 000) in Selected States, 2021

Tuesday, March 15, 2022

State News Roundup: health care costs; early childhood education; transit system electrification

What this report will mean for the Town budget remains to be seen. We heard last week (Joint Budget Subcommittee meeting) that the Town is expecting to get the new health care rates in a couple of weeks. Both Town and School budgets forecast an increase of 5-8 percent: 

"After years of ever-increasing spending on health care that left policymakers struggling to contain costs, Massachusetts finally found the key to lowering spending on health care: a global pandemic.  
Ironically, spending on health care declined by 2.4 percent in Massachusetts in 2020, an unprecedented drop that can be attributed to fewer people seeking care during the COVID-19 pandemic, according to a report released Monday by the Center for Health Information and Analysis."
Continue reading the article online

A logical extension of MA law to include early childhood education in the overall education system to bring about more equity is going to cost.

"MASSACHUSETTS’S EARLY CHILDHOOD education system is unaffordable and inaccessible to too many families, and it will cost an estimated $1.5 billion a year to improve it, according to a report released Monday by a special legislative commission looking at the economics of early education and care.  
The commission, led by Education Committee co-chairs Sen. Jason Lewis and Rep. Alice Peisch, calls for expanding the subsidies available to families while increasing financial support to childcare centers themselves and their workers. But it stops short of calling for universal public pre-kindergarten, as some activists have been calling for. "

Moving the public transit system to reduce the use of fossil fuels is timely and necessary:
"WARNING THAT the pace of electrification underway for the MBTA’s bus fleet is “too slow for the Legislature,” a top senator is newly forecasting that his chamber plans to make the transportation sector a focus in upcoming climate legislation.

Sen. Michael Barrett, who co-chairs the Telecommunications, Utilities and Energy Committee, told leaders of the Baker administration’s transportation secretariat on Friday that he expects a forthcoming Senate bill will make another pass at requiring the T to transition its bus network to full electrification by a specific date.  "
Continue reading the article online

State News Roundup: health care costs; early childhood education; transit system electrification
State News Roundup: health care costs; early childhood education; transit system electrification

Sunday, January 16, 2022

Senator Becca Rausch’s Mid-Session Beacon Hill Review

As your voice and advocate in the State Senate, I am very proud to share several 2021 accomplishments, including a robust COVID-19 response, billions of dollars invested into our communities, and the advancement of critically needed reforms through the legislative process on Beacon Hill.

Safety for You and Your Family: My top priority has been advocating for measures that keep you and your family safe and stable throughout this public health crisis. Last year alone, my team and I helped more than 500 constituents access government benefits and supports, including unemployment assistance and food security. I also hosted monthly virtual office hours, senior coffees, and two youth legislative forums to remain accessible to constituents through the ups and downs of this pandemic.   

In addition to crafting and advocating for school masking legislation and the COVID-19 Vaccine Equity Act, I also worked in partnership with public health experts, community organizations, and my legislative colleagues to pressure the Baker Administration to implement policies to keep our communities safe and local economy afloat through this crisis. Our achievements included universal masking in all K-12 schools, paid time off for families and caregivers taking children to COVID-19 vaccination appointments, implementing a COVID vaccine pre-registration system for mass vaccination sites, and delivering a multi-pronged COVID-19 Action Plan to the Governor.

Safety during these difficult times also means addressing violence and discrimination. Amid the rise of conspiracy theories and disinformation about vaccines and COVID-19, we have also seen an alarming spike in antisemitism, racism, and xenophobia on social media, in our public schools, and from elected officials. It is our collective responsibility to call out hate and injustice whenever we see it. I collaborated with Robert Trestan, Executive Director of ADL New England, to pen a GBH commentary piece explaining the rise in antisemitism within the antivax movement here in Massachusetts and across our nation. As your State Senator, I have publicly condemned abject acts of hate, offered to engage in constructive dialogue in communities, secured tens of thousands of dollars to fund diversity, equity, and inclusion work in our district, and voted to support the Genocide Education Act, now law, which requires that genocide education be taught in Massachusetts public schools before the end of high school. Unfortunately, COVID-19 is not the only pandemic we’re up against.

Funding Our Communities’ Recovery: The Legislature passed a $4 billion bill to allocate federal American Rescue Plan Act (ARPA) funds to equitably invest in our continued recovery from the COVID-19 crisis. This bill delivers broad spectrum supports for our communities’ health, including mental and behavioral health, housing security, our environment, and workforce development. I secured numerous amendments to support our district and the Commonwealth at large, including targeted funding to assist women re-entering the workforce, providing post-traumatic stress care for medical personnel, and $1,000,000 in investments for local housing, transportation, water infrastructure, and other projects in our district.

I secured several victories in the FY 2022 budget as well, including $500,000 for local projects across our district, a pilot program for a statewide youth mental health support text line, funding for the Department of Public Health to hire personnel with expertise in combatting vaccine hesitancy, and funding for New Hope’s new domestic violence shelter and an updated facility for the Attleboro Center for Children.

Legislative Victories: The gears of the legislative process are turning, and many bills are moving through their respective committees. Committees must take action on every timely filed bill by February 2, 2022, so we can expect an increase in floor votes and legislation headed to the governor’s desk in the coming months.

My Senate colleagues and I have already advanced some game-changing bills. In October, we passed comprehensive election reform legislation, strengthened by adoption of several amendments I filed. The bill provides election day voter registration, permanent mail-in voting, improved jail-based voting access, and upgrades to our elections infrastructure. My amendment work also elevated issues still left to address, like ballot drop box ratios and paid time off for voting. We also passed the Mental Health ABC Act to improve access to culturally competent care, support and boost our Commonwealth’s mental health care workforce, reduce barriers to emergency treatment, and more. This month, we again passed a bill to make government-issued IDs more accessible to people experiencing homelessness to facilitate access to critically needed services across our Commonwealth. These bills now await action by the House.  

As Senate Chair of the Joint Committee on Environment, Natural Resources and Agriculture (ENRA), I also worked to pass the law that improves conditions for egg-laying hens while keeping our egg supply available and affordable.  

Moving Forward: There is still so much work to be done. This session I filed more than 40 bills designed to advance election reform, good governance, public health, reproductive justice, climate action, and intersectional justice and equity. This month, my lead climate action legislation cleared the Joint Committee on Telecommunications, Utilities, and Energy, and I anticipate more favorable reports on my bills in the coming weeks. My team and I continue working hard on your behalf to shepherd these bills through the legislative process.  

It is my great honor to represent the Norfolk, Bristol and Middlesex District in the Massachusetts State Senate, and I’ll continue putting my proven leadership to work for you. Please reach out to me if you need assistance, have thoughts on policy, or want to check in. My office phone number is 617-722-1555, my email is becca.rausch@masenate.gov, and you can sign up for a personal office hours appointment at beccarauschma.com/office-hours. I also invite you to join me for my district-wide virtual town hall conversation on Monday, January 24 at 7 PM (sign up at www.beccarauschma.com/town-hall).

As we begin 2022, I wish you and your loved ones strength, health, resilience, and joy. I look forward to everything we will accomplish together this year.  

Senator Becca Rausch represents the Norfolk, Bristol and Middlesex District, comprised of Attleboro, Franklin, Millis, Natick, Needham, Norfolk, North Attleborough, Plainville, Sherborn, Wayland, Wellesley, and Wrentham. Senator Rausch serves as the Senate Chair of the Joint Committee on Environment, Natural Resources, and Agriculture and the Senate Vice Chair of the Joint Committee on State Administration and Regulatory Oversight. 

Senator Rausch to host Virtual Town Hall - Jan 24, 2022 - Register now to participate!
Senator Rausch to host Virtual Town Hall - Jan 24, 2022 - Register now to participate!

Tuesday, September 21, 2021

Boston Globe: "Caring for new moms shouldn’t depend on who pays the bill"

"Hollywood celebrities brought the issue of postpartum depression out of the shadows, but that does little to help the moms in poverty who are trying to cope with an infant and feelings of overwhelming sadness at the same time.

Their struggle is a far lonelier one, made more difficult by federal Medicaid rules that limit the medical treatment covered by that insurance to 60 days past the birth of the child — despite a strong body of evidence that for many women the symptoms may not appear for months and can last for a year or more.

There are efforts in Washington to change the rule, and Massachusetts is among several states that have applied for a federal waiver that would allow its MassHealth program to offer coverage for a full 12 months past a birth. But there’s been no action on either so far."
Continue reading the article online. (Subscription maybe required) 
From left: State Senator Michael J. Rodrigues, Senate President Karen E. Spilka, and Senator Julian Cyr unveil the Mental Health ABC Act on Jan. 6, 2020.PAT GREENHOUSE/GLOBE STAFF/BOSTON GLOBE
From left: State Senator Michael J. Rodrigues, Senate President Karen E. Spilka, and Senator Julian Cyr unveil the Mental Health ABC Act on Jan. 6, 2020.PAT GREENHOUSE/GLOBE STAFF/BOSTON GLOBE


Sunday, September 19, 2021

CHIA Report: "‘Frequent flyers’ account for 9.4% of ER visits"

"As state policymakers seek ways to slow the growth in health care costs and improve access to care, a new report by the Center for Health Information and Analysis on emergency department usage highlights some areas policymakers may want to look at.

The report, released Thursday, is the health policy agency’s first statewide report on how emergency rooms are being used. It analyzes data from 2016 through 2019, before the COVID pandemic. CHIA executive director Ray Campbell said it is meant to provide a baseline for government, health care providers, researchers, and insurers to better understand how the emergency room is being used. "



CHIA Report:  "‘Frequent flyers’ account for 9.4% of ER visits"
CHIA Report:  "‘Frequent flyers’ account for 9.4% of ER visits"

Wednesday, August 25, 2021

In Heat vs. Humidity debate, humidity wins

Good timing for this article given the heat wave baking the area. It is nicely done and interactive so spend a few minutes to review and understand. It doesn't matter whether you accept climate change or not, dealing with humidity is a requirement to remain healthy.

"When it comes to heat, the human body is remarkably resilient — it’s the humidity that makes it harder to cool down. And humidity, driven in part by climate change, is increasing.

A measurement of the combination of heat and humidity is called a “wet-bulb temperature,” which is determined by wrapping a completely wet wick around the bulb of a thermometer. Scientists are using this metric to figure out which regions of the world may become too dangerous for humans.

A term we rarely hear about, the wet-bulb temperature reflects not only heat, but also how much water is in the air. The higher that number is, the harder it is for sweat to evaporate and for bodies to cool down."
Continue reading the article online (subscription maybe required)
https://www.washingtonpost.com/world/interactive/2021/climate-change-humidity/?itid=orw-hp-2021

For those working outside or participating in athletic activities, tips to stay healthy

In Heat vs. Humidity debate, humidity wins
In Heat vs. Humidity debate, humidity wins

Wednesday, July 21, 2021

Invisible Stories - #8 - "Tending to the Wounds of Homelessness During the Coronavirus Pandemic"

"We all agree. Wounds must be healed"

Mark Horvath (@hardlynormal) tweeted on Sun, Jul 11, 2021:
Invisible Stories is a mini-doc series that goes beyond the rhetoric, statistics, political debates, and limitations of social services to examine poverty in America via a medium that audiences of all ages understand and can't ignore. 

Link to the 8th of the series: https://youtu.be/SmQhqFxiBWU

For more about Wound Walk OC  = https://woundwalk.org/

Link to the series: https://t.co/Y0NRNIujar 

Shared from Twitter:   
 https://twitter.com/hardlynormal/status/1414284287034155020

Note: I met Mark at a social media conference many years ago and have been following his work. This series is very well done. Yes, the series is set in LA but homelessness is an issue all around us whether visible or not. 

Tuesday, July 20, 2021

Invisible Stories - #7 - "Suitcase Joe Captures the Humanity of Skid Row"

"It needs to be done, and it needs to be done right"

Mark Horvath (@hardlynormal) tweeted on Sun, Jul 11, 2021:
Invisible Stories is a mini-doc series that goes beyond the rhetoric, statistics, political debates, and limitations of social services to examine poverty in America via a medium that audiences of all ages understand and can't ignore. 

Link to the 7th of the series: https://youtu.be/7YG8KMFGA4c

More photos of the life on Skid Row by Suitcase Joe   https://suitcasejoephotography.tumblr.com/

Link to the series: https://t.co/Y0NRNIujar 

Shared from Twitter:
   https://twitter.com/hardlynormal/status/1414284287034155020

Note: I met Mark at a social media conference many years ago and have been following his work. This series is very well done. Yes, the series is set in LA but homelessness is an issue all around us whether visible or not.

 

Sunday, July 18, 2021

"we need to reach a new level of public understanding about health, disease, risk and probability"

We’re soon going to have to make our own choices about social distancing, wearing masks and travel. When the legal enforcement of rules is lifted, the way in which each of us deals with the risk of Covid-19 will be down to personal judgment. But how well equipped are we to make these decisions?

Graphs and data can help explain things, but what’s also needed is a deep understanding of how science works, and, perhaps most important of all, a sense of how to weigh up the odds of coming down with the disease and how it might affect us. Not in an abstract way, but in our day-to-day lives. And what many people don’t realise is that COVID-19 is just the start. 
.... 
To equip us for all this, we need to reach a new level of public understanding about health, disease, risk and probability. Some of this should be taught in schools, colleges and universities, of course, but there needs to be more. During the pandemic, we have seen a huge increase in the number of scientists discussing their work in public. Now, as the UK government formally lifts restrictions, we must not retreat from this exposure. Rather, we must embrace science as a vital part of our culture even more than we do now. At stake is not just our health and wellbeing, but our sense of what it means to be human.
Continue reading the article online (subscription maybe required)
Progress in human biology is accelerating at an unprecedented rate, and there’s no sign of it slowing down.’ Photograph: Yuri_Arcurs/Getty Images
Progress in human biology is accelerating at an unprecedented rate, and there’s no sign of it slowing down.’ Photograph: Yuri_Arcurs/Getty Images

Thursday, July 15, 2021

Invisible Stories - #4 - "Ktown for All Helping Homeless People in Los Angeles’s Koreatown"

Mark Horvath (@hardlynormal) tweeted on Sun, Jul 11, 2021:
Invisible Stories is a mini-doc series that goes beyond the rhetoric, statistics, political debates, and limitations of social services to examine poverty in America via a medium that audiences of all ages understand and can't ignore. 

Link to the 4th of the series: https://youtu.be/_Gvp3NUBB_A

Link to the series: https://t.co/Y0NRNIujar 

Shared from Twitter:
 https://twitter.com/hardlynormal/status/1414284287034155020

Note: I met Mark at a social media conference many years ago and have been following his work. This series is very well done. Yes, the series is set in LA but homelessness is an issue all around us whether visible or not. 


Wednesday, July 14, 2021

Invisible Stories - #3 - "Echo Park Lake's Homeless Community: 'Where Are We Going to Go'"

Mark Horvath (@hardlynormal) tweeted on Sun, Jul 11, 2021:
Invisible Stories is a mini-doc series that goes beyond the rhetoric, statistics, political debates, and limitations of social services to examine poverty in America via a medium that audiences of all ages understand and can't ignore. 

Link to the 3rd of the series: https://youtu.be/iY3LwDH72-c

Link to the series: https://t.co/Y0NRNIujar 

Shared from Twitter:   
 https://twitter.com/hardlynormal/status/1414284287034155020

Note: I met Mark at a social media conference many years ago and have been following his work. This series is very well done. Yes, the series is set in LA but homelessness is an issue all around us whether visible or not. 


Tuesday, July 13, 2021

Invisible Stories - #2 - "House Calls to Homeless People in Venice Beach"

"the intervention that counts is housing"

Mark Horvath (@hardlynormal) tweeted on Sun, Jul 11, 2021:

Invisible Stories is a mini-doc series that goes beyond the rhetoric, statistics, political debates, and limitations of social services to examine poverty in America via a medium that audiences of all ages understand and can't ignore. 

Link to the second of the series: https://youtu.be/8N2Ry_g15KA

Link to the series: https://t.co/Y0NRNIujar 

Shared from Twitter: https://twitter.com/hardlynormal/status/1414284287034155020

Note: I met Mark at a social media conference many years ago and have been following his work. This series is very well done. Yes, the series is set in LA but homelessness is an issue all around us whether visible or not.




Monday, July 12, 2021

Invisible Stories - #1 - "We Can't Let Homeless People Die: USC Street Medicine on Skid Row"

Mark Horvath (@hardlynormal) tweeted on Sun, Jul 11, 2021:
Invisible Stories is a mini-doc series that goes beyond the rhetoric, statistics, political debates, and limitations of social services to examine poverty in America via a medium that audiences of all ages understand and can't ignore. 

Link to the first of the series: https://youtu.be/RWVt_arzYoA

Link to the series: https://t.co/Y0NRNIujar 

Shared from Twitter:
 https://twitter.com/hardlynormal/status/1414284287034155020

Note: I met Mark at a social media conference many years ago and have been following his work. This series is very well done. Yes, the series is set in LA but homelessness is an issue all around us whether visible or not.

Invisible Stories - #1 - "We Can't Let Homeless People Die: USC Street Medicine on Skid Row"
Invisible Stories - #1 - "We Can't Let Homeless People Die: USC Street Medicine on Skid Row"

Sunday, May 23, 2021

Washington Post: "Explaining HIPAA: No, it doesn't ban questions about your vaccination status"

"As the Centers for Disease Control and Prevention continues to relax safety measures for people who are fully vaccinated against the coronavirus and the country begins to reopen, many employers, businesses, families and friend groups are finding themselves in the at-times uncomfortable position of having to ask about others’ vaccination statuses."
"HIPAA, also known as the Health Insurance Portability and Accountability Act of 1996, and its subsequently added Privacy Rule include provisions to protect a person’s identifying health information from being shared without their knowledge or consent. The law, though, only applies to specific health-related entities, such as insurance providers, health-care clearinghouses, health-care providers and their business associates."
Shared from The Washington Post:  Continue reading the article online  (subscription may be required)   https://twitter.com/washingtonpost/status/1396178093463805952

Sunday, April 25, 2021

Updated CDC guidance on cleaning


"Cleaning with a household cleaner that contains soap or detergent reduces the amount of germs on surfaces and decreases risk of infection from surfaces. In most situations, cleaning alone removes most virus particles on surfaces. Disinfection to reduce transmission of COVID-19 at home is likely not needed unless someone in your home is sick or if someone who is positive for COVID-19 has been in your home within the last 24 hours."
Continue reading the article online

Updated CDC guidance on cleaning
Updated CDC guidance on cleaning

For additional info from the Town of Franklin

Thursday, April 22, 2021

What are the fixed costs of the Town of Franklin budget?

As part of the continuing series to prepare for the Finance Committee budget hearings (which begin next week) and the Town Council budget hearings (in May), check out the link to the details on the history of the fixed costs year over year from FY 2004 to FY 2022.

The chart depicts the fixed costs of the budget year by year from FY 2004 to FY 2022.  

What are the fixed costs?

  • Liability Insurance
  • Employee Benefits:
    • Pensions
    • Health/Life Insurance/non school
    • Retired Teacher Health Ins
    • Non GIC - School Retirees
    • Workers Compensation
    • Unemployment Compensation
    • OPEB
    • Medicare


What are the fixed costs of the Town of Franklin budget?
What are the fixed costs of the Town of Franklin budget?

Prior posts

Town of Franklin - budget growth and split between municipal and schools - FY 2012 to FY 2022

School budget, executive summary by School Superintendent Sara Ahern

 

Tuesday, March 16, 2021

FM #492 - Senator Becca Rausch - 03/11/21 (audio)

FM #492 = This is the Franklin Matters radio show, number 492 in the series. 

This session of the radio show shares my conversation with Senator Becca Rausch

We had our conversation via conference bridge to adhere to the ‘social distancing’ requirements of this pandemic period.

We talk about: 
Last meet/recorded Aug 14, 2020 on the Franklin Town Common
How are you doing?
 
Priorities this year
Vaccine equity/ post pandemic
Voting rights

Links to the Senator’s pages as mentioned during our conversation are provided in the show notes.  

Our recording runs about 41 minutes, so let’s listen to my conversation with Senator Becca Rausch. Audio file = https://player.captivate.fm/episode/4bf800a4-d8a6-4568-8c6e-2748f8e7d523 


--------------

Senator Becca Rausch home page:   https://www.beccarauschma.com/ 

Her issues page:  https://www.beccarausch.com/issues    

Leadership Lunch series celebrating women in March on Facebook Live: https://www.facebook.com/beccarauschMA/posts/748458989143885

Sign up for a spot during one of her virtual ‘office hours’  https://www.beccarauschma.com/office-hours 

From the archives: our conversation recorded in August 2020
https://www.franklinmatters.org/2020/08/fm-331-senator-becca-rausch-81420-audio.html  

--------------

We are now producing this in collaboration with Franklin.TV and Franklin Public Radio (wfpr.fm).

This podcast is my public service effort for Franklin but we can't do it alone. We can always use your help.
 
How can you help?

  • If you can use the information that you find here, please tell your friends and neighbors
  • If you don't like something here, please let me know

Through this feedback loop we can continue to make improvements. I thank you for listening.
 
For additional information, please visit   Franklinmatters.org/  or www.franklin.news/

If you have questions or comments you can reach me directly at shersteve @ gmail dot com

The music for the intro and exit was provided by Michael Clark and the group "East of Shirley". The piece is titled "Ernesto, manana"  c. Michael Clark & Tintype Tunes, 2008 and used with their permission.

I hope you enjoy!

------------------

You can also subscribe and listen to Franklin Matters audio on iTunes or your favorite podcast app; search in "podcasts" for "Franklin Matters"

Senator Becca Rausch (Twitter profile image)
Senator Becca Rausch (Twitter profile image)


Monday, March 15, 2021

What gets funded is a question of priorities, but who sets them? “Let’s face it, we don’t have ribbon cuttings when we replace a pipe"

A good interactive article at Washington Post on how we miss the boat in funding the basics.
"In the shadow of its exceptionalism, America fails to invest in the basics. 
Stunning advances in medicine and technology have come
alongside systemic breakdowns in infrastructure and health.

.... 

America can put a rover on Mars, but it can’t keep the lights on and water running in the city that birthed the modern space program. It can develop vaccines, in record time, to combat a world-altering illness, but suffers one of the developed world’s highest death rates due to lack of prevention and care. It spins out endless entertainment to keep millions preoccupied during lockdown — and keep tech shares riding high on Wall Street — but leaves kids disconnected from the access they need to do their schoolwork. "

Continue reading the article online (subscription may be required)

Sunday, March 14, 2021

Franklin TV: Scope - This is huge!

by Pete Fasciano, Executive Director 03/14/2021

While recording a recent session of our weekly radio program ‘More Perfect Union’ I noted a reaction from our roundtable panelists to my somewhat casual comment. We were discussing the nettlesome issues around the vaccine rollout. I was not criticizing either Charlie Baker or Joe Biden.  I was addressing the unprecedented enormous challenges they are facing.

The key word to keep in mind: unprecedented.

The challenges of the pandemic are indeed unprecedented in scope.

When scrambling to address today’s emergency today, it’s almost impossible to fully anticipate the downstream emergent needs of tomorrow.  “Warp Speed” was a simplistic response – throw some money at the private sector and hope. The science came through, but it wasn’t backed with a forward plan for the follow-on logistics.

Scope:

Administering the three vaccines will require ≈450MM (million) doses to ≈300MM willing Americans.  (Yes, I’m more than willing.)  At 5 minutes per, that’s ≈37.5MM person/hours or ≈4.7MM 8-hour days.  That means between now and mid-June we need at least ≈52 thousand trained personnel working 7 days/week. No slack time.

A best-case working assumption – 15 workers per site.  (Clearly not the case.)  This means that vaccines must be distributed timely as needed to ≈4K sites. Logistics. Considering small sites with 1 or more workers – it’s more like ≈20 thousand sites? That’s how Biden’s team estimated a need for 20K pharmacies and health centers. The President’s team clearly understands logistics, science and math.

Joe also recently arranged to stockpile vaccine for all Americans who want it by the  end-of  May.   Now  the  challenge  is  getting  that  vaccine  into  arms. They  are ramping up and organizing that Herculean effort as quickly as possible. The challenge? Create a temporary national organization having 50 thousand trained staff. All hands on deck who can vaccinate – from dentists to optometrists; from EMT’s to midwives; from veterans to veterinarians.

SoW – The Scope-of-Work: The pandemic – It’s big. It’s complex. It’s also unstable. We’re asking the Biden administration to work a miracle. He promised 100 million doses in arms in 100 days. A reasonable goal, It got done by day 60. Recall that when Joe took office, he asked us all to mask up for 100 days. A reasonable request. Are we all doing our part?

During our radio session I quipped –  Good,  Fast.  Cheap.  Pick two.

You want Good & Fast? It won’t be Cheap. 
You want Fast & Cheap? It won’t be Good. 
You want Good & Cheap? It won’t be Fast.

A corollary observation about shaping the scope of any endeavor. When it’s all over you’ll get to explain one thing:

High Expense Why it costs so much.
Poor Quality Why it works so bad.   (-and/or looks so ugly.) 
Late Timing Why it’s not done yet.

The first is often the easiest to explain. We are attempting to accelerate the pace, to literally buy time. In this case, time is not only money; it’s also lives. We are in an urgent fight to save lots of lives. We’re scrambling to save our national economy and personal livelihoods. Time is not on our side, yet we have no other choice but to fight the good fight. Time is a terrible taskmaster. We the electorate also can be terrible taskmasters, seeking affordable, instant perfection from political leaders.

The  total  $6,000,000,000,000.00  (trillion) government  bailout  cost  will  average $1,700.00 in annualized per capita cost for every single American over the next decade. That’s $7,000.00/year for a family of four. Scope.

Consider these numbers as well:

Total Value of U.S. Homes: $130,000,000,000,000.00 
Annual U.S. Domestic Product: $21,000,000,000,000.00
The Federal Government runs on $3,360,000,000,000.00 (16% of GDP.)

The Feds spent almost 2X their annual budget trying to save us. That’s – um, a lot? More specifically, it raises the total projected Fed budget to 19% GDP for a decade. Now, to be perfectly unclear, if all the economists were laid out end-to-end, they wouldn’t reach a conclusion.  ( – unknown)  Economics is known as the dismal science, and I’m pretty dismal at it. Thus, I can’t opine as to how our national economy will absorb the cost and continue to grow. However, that too, is actually possible.

Hopefully, it will grant us all brighter days ahead.

But, for now – the cost of salvation is dear, non-negotiable, but absolutely necessary. 

And – as always –
Thank you for listening to wfpr●fm. 
And, thank you for watching.


Listen to "Toward A More Perfect Unionon Monday’s at 11 AM, 2 PM and 8 PM at wfpr.fm or 102.9 on the local area dial.

Get this week's program guide for Franklin TV and Franklin Public Radio (wfpr.fm) online

Coincidently, for confirmation on this line of thought, The Hill summarizes "The Five Things That Must Be Done to Get People Vaccinated"

Franklin TV:  Scope - This is huge!
Franklin TV:  Scope - This is huge!



Saturday, February 6, 2021

Scammers are scheming as HealthCare.gov reopens

Consumer Alerts from the Federal Trade Commission

by Colleen Tressler, Division of Consumer and Business Education, FTC

The Coronavirus pandemic has not only had a dramatic health impact, but also an economic blow as many Americans are now unemployed — and uninsured. As a result, the U.S. Department of Health and Human Services (HHS) has re-opened HealthCare.gov for a "Special Enrollment Period," from February 15, 2021 – May 15, 2021. 

This Special Enrollment Period will give people who need health care coverage the chance to sign up. But it also gives scammers a new chance to call, email, send letters and texts, trying to get your money — and your personal and financial information.

Read more -> https://www.consumer.ftc.gov/blog/2021/02/scammers-are-scheming-healthcaregov-reopens?utm_source=govdelivery

This is a free service provided by the Federal Trade Commission.