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I honestly don't think it'll really happen. If it does, I imagine we'll really hear an uproar from the 'healthcare is a right' crowd. If they want to do it then I'm all for it but let's do it for other things like smoking, obesity, etc.Comment
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Haven't posted in a while.Things are pretty bad in Eastern Iowa. The hospitals are full and pts are being held in the ED 24-36 hours waiting for a room. This of course increases the delays for non-COVID and non-urgent patients. I am seeing patients in the office that would normally have been admitted but we're trying to handle as outpatients. I would say 75% of admissions are unvaccinated but there is a significant number of vaccinated too.
We're still doing elective procedures except for ones where post-op ICU is likely. I am not involved with the inner workings of the hospital but my impression is we are limited more by lack of staff than lack of rooms. In past peaks the plan was to create more temporary inpatient and ICU rooms but that's not really being discussed now.
What I don't know but would like to know is what percentage of the vaccinated COVID admits have had a booster, and what percentage are very elderly or significantly immunosuppressed. My hunch is that the unboosted, the elderly, and the immunosuppressed are that majority of the vaccinated COVID admits, but that is just a hunch.👍 2Comment
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Experts in psychology and behavioral economics weigh in on why financial penalties will convince some, but not all, to get vaccinated against COVID-19.
Starting in July 2022, Nevada's health insurance plan for public employees will include a surcharge for covered workers and their adult dependents who are not vaccinated against the coronavirus.
Yes, it is absolutely a right -- just have to bare the the cost of that right. Yes slippery slope. Continuing airlines analogy: Additional Fees: assigned seating, electronic checkin, some even tried to charge for toilet access (kid you not). Only bags has really stuck in mainline airlines.
This may play out the same way -- we shall see how 2022 shakes out.
As many throughout the spectrum as said, we have to learn to live with Covid. Yes, and there's a financial cost for our choices on how we choose to live with it.👍 2Comment
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As for the "healthcare is a RIGHT!!!" crowd, how does that work if not enough people are willing to work in healthcare? Do we draft people to fill those unfilled positions?👍 2Comment
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https://www.latimes.com/california/s...id-vaccination
About 34,000 students have not yet complied with the COVID-19 vaccine mandate in the Los Angeles Unified School District — and there’s no longer enough time for students who have not gotten their first shot to be fully vaccinated by the Jan. 10 start of the second semester, portending significant disruption to their education as they will be barred from campus.Comment
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https://www.latimes.com/california/s...id-vaccination
About 34,000 students have not yet complied with the COVID-19 vaccine mandate in the Los Angeles Unified School District — and there’s no longer enough time for students who have not gotten their first shot to be fully vaccinated by the Jan. 10 start of the second semester, portending significant disruption to their education as they will be barred from campus.Comment
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Yeah smoking already has a surcharge with my employer, and I believe my residency and med school did as well. I have to submit a yearly form for both my spouse and I. We get a discount on our insurance if we get enough "wellness points" yearly by having a waist circumference below a threshold, healthy BMI, LDL/HDL/TG in normal range, etc.
I have no problem financially incentivizing behaviors that lead to reduced costs.
Regarding healthcare being a right vs privilege, American culture has not yet decided on which option they want to go with. Health care exists as both simultaneously in different parts of the health care system at different times. Conflict arises sometimes when parts collide. This contributes significantly to the as-yet-to-be-optimized state of healthcare.👍 4Comment
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If you smoke, are obese and don't exercise, and now are unvaccinated - you will pay a higher premium than your colleagues.
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I think the current admits for delta are the very elderly. And all the instances of more than milder COVID in the vaccinated group that I have heard got well with antibody infusion and did not require prolonged hospital care or die. Yet today one of my patients is going to the funeral of her friend's spouse. 61 years old, healthy. No one asked but you can guess what his vaccination status is with 99.99 % confidence in accuracy
Last edited by Kamban; 12-10-2021, 04:52 PM.👍 3Comment
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I believe Singapore is doing this.👍 1Comment
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It will certainly impact hospitals now Fed hasn't renewed huge financial supports to COVID impacted hospitals which ironically happens to be in Red heavy states. Those impacted hospitals are going to really feel it with high margin elective surgeries being deferred and going to make their own hard decisions on access/service to its citizens.
This is all playing out for most of 2022 and will be more a driving force in conversation than anything in Nov 2022 as that's when open enrollment happens. People vote their pocketbook first and foremost. Healthcare drove the conversation in 2018 mid-terms. It'll do it again for 2022 for different reasons.👍 1Comment
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Not necessarily. Everyone in our group pays the same as long as it's the same category of coverage (single, family, etc.). They do have some programs where you can earn a discount through the year but any smoker, obese person, or someone that doesn't exercise could easily get the same perks as someone who is healthy and exercises.Comment
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That would be an interesting scenario and should chop the healthcare is a right argument at the knees.Comment
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