Monday, May 11, 2020

Florida has only ten percent the nursing home deaths as NY State with about 70 percent the nursing home population of NY State-5/5/20, NY Post Editorial Board

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Unlike New York State, Florida isn’t keen on murdering its parents and grandparents: No Sunshine State patient can be discharged from a hospital into a nursing home without a negative test result,…even those who show no symptoms must be tested and confirmed negative.”

“States that have taken better precautions have seen far fewer nursing-home deaths. With a nursing-home population of about 70 percent of New York’s, Florida has seen about 10 percent as many nursing-home deaths.” 5/5/20 

On March 25, [NY State Gov.] Cuomo mandated that nursing homes admit active virus patients: “No resident shall be denied readmission or admission to the [nursing home] solely based on a confirmed or suspected diagnosis of COVID-19.” 

Even though Cuomo admits nursing homes are “ground zero” for the virus, he says, 

Nursing homes have “no right” to reject coronavirus patients, 4/23/20, NY Post…Per AP,  NY State is home to a third of the nation’s 10,217 virus-related deaths at nursing homes. 

Now Cuomo says he changed his mind: 

As of May 10, 2020, “Cuomo Reverses Nursing Home Directive to Take COVID-19 Patients, Requires More Staff Testing,” NBC New York 

“In a reversal of policy in place since March 25, “Hospitals cannot release patients to nursing homes in New York unless the patient tests negative for the virus, Cuomo said Sunday.” 

“New York Gov. Andrew Cuomo issued a series of new rules for nursing homes in hopes of curbing the spread of the coronavirus and protecting the health and safety of the state’s most vulnerable population. 

Since the start of the pandemic, more than 5,300 New Yorkers living in nursing homes have died from the virus, that’s according to a tally from the Associated Press. 

[As of May 10 Cuomo says he’s reversing his policy in place since March 25]. Hospitals cannot release patients to nursing homes in New York unless the patient tests negative for the virus, Cuomo said Sunday. The governor’s announcement is a reversal of sorts from a March order by the state’s health department requiring nursing home to accept [virus infected] recovering patients. 

Previously, the health department’s order stated [nursing homes] are prohibited from requiring a hospitalized resident who is determined medically stable to be tested for COVID-19 prior to admission or readmission.” 

“We’re just not going to send a person who is positive to a nursing home after hospital visit. Period. If there’s any issue, the resident must be referred to the department of health which will find alternative care,” Cuomo said Sunday. 

Last week, New York state reported more than 1,700 previously undisclosed deaths at nursing homes and adult care facilities in a tally that included for the first time people believed to have been killed by the coronavirus before their diagnoses could be confirmed. 

The tally, released late Monday, emerged as state officials faced scrutiny over how they have protected vulnerable residents from the coronavirus…. 

In total, New York holds the highest population of nursing home residents in the country – 101,518 – according to the governor, who called nursing homes “ground zero” for the virus. 

Going forward staff at nursing homes will be required to take two diagnostic tests each week to check for the coronavirus, Cuomo said. He also guaranteed the tests would be available to those employees. 

The elderly are undoubtedly the most vulnerable population at risk of dying from COVID-19. New York State health officials report 85 percent of all COVID-19 deaths are in people ages 60 and above. 

Daily Hospitalizations Down 

The numbers have echoed a familiar beat all week: daily hospitalizations are down and the number of people on ventilators continues to drop, but those positive indicators have not stopped the death toll from rising…. 

New York State reported 572 new hospitalizations on Saturday, the lowest number since mid-March…. 

[Nevertheless, Cuomo extended New York State lockdown order until June 7, 2020.

“NOW, THEREFORE, I, Andrew M. Cuomo, Governor of the State of New York, by virtue of the authority vested in me…“do hereby continue the suspensions and modifications of law, and any directives…for thirty days until June 7, 2020.”]
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Added: UK’s Ferguson clearly stated:People in the most vulnerable age group, 80 and older, could die if infected.” 

“The [UK] group has also shared its fatality estimates with the C.D.C., Dr. Ferguson said, including that eight to nine percent of people in the most vulnerable age group, 80 and older, could die if infected.” 

March 16, 2020, “White House Takes New Line After Dire Report on Death Toll,“ NY Times, Sheri Fink 

““We don’t have a clear exit strategy,” Dr. Ferguson said of the recommended measures. “We’re going to have to suppress this virus–frankly, indefinitely–until we have a vaccine.“”
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Added: 

4/23/20, “Nursing homes plead for more coronavirus tests," AP, New York 

“Neither the federal government nor the leader in nursing home deaths, New York, has mandated testing for all residents and staff. An industry group says only about a third of the nation’s 15,000 nursing homes have ready access to tests that can help isolate the sick and stop the spread…among their frail, elderly residents."

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Added: 

4/20/20, Cuomo didn’t know coronavirus patients are being sent back to nursing homes,” NY Post, Bernadette Hogan, Bruce Golding 

The COVID-19 readmission policy was adopted March 25 and was contained in a Health Department directive that says, No resident shall be denied readmission or admission to the [nursing home]solely based on a confirmed or suspected diagnosis of COVID-19,” Newsday reported last month. 

At the time, the head of the New York State Health Facilities Association, which represents the nursing home industry, described the policy as unprecedented and said it raised “significant concerns for nursing homes that don’t have coronavirus-positive residents or are at capacity.”
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Added: 4/23/20, Nursing homes have ‘no right’ to reject coronavirus patients, Cuomo says,NY Post, Bernadette Hogan, Bruce Golding 

New York’s nursing homes weren’t allowed to challenge a controversial order to admit patients with the coronavirus, Gov. Andrew Cuomo said Thursday — even though it’s been blamed for spreading the deadly disease among residents. 

They don’t have a right to object. That is the rule and that is the regulation and they have to comply with that,” Cuomo said during his daily briefing in Albany…. 

Health Commissioner Howard Zucker said during the briefing he was not aware that DOH had received any transfer requests.
Cuomo also defended his Wednesday remark that “it’s not our job” to provide nursing homes with personal protective equipment, saying, “We have given them thousands and thousands of PPE.” 

“It’s their primary responsibility like it’s a hospital’s primary responsibility. And hospitals ran into problems, nursing homes ran into problems.””… 

[Ed. note: False and unhelpful. Hospitals and nursing homes exist for different “primary” reasons and have different “primary responsibilities.” Nursing homes aren’t equipped or staffed to take hospital overflow. You don’t check into nursing homes to be treated for chest pains, get hip surgery, or be cured of a virus. Nursing homes provide “homes,” environments for people with non-contagious, incurable conditions, conditions that still allow them to enjoy life for a period of time. For example, dementia and arthritis are incurable. Persons with dementia can be a danger to themselves so require 24 hour supervision. Residents are paying to be in a safe place, a “home,” as the term “nursing home” suggests. Hospital facilities are available, but the purpose is to care for seniors with long term conditions that are non-communicable and to provide a safe home for them. Residents aren’t paying to be killed in a hospital specializing in communicable respiratory diseases. Nursing homes aren’t staffed with people with hospital skills. Placing virus patients in a separate location is best for all concerned].

(continuing): ““This is a national story, right? Turn on the national news any given time, and you have people saying ‘We can’t get enough PPE,’ right?” he added…. 

In a prepared statement, the head of the New York State Health Facilities Association, a nursing-home industry group, said that “nursing homes and assisted living providers and their residents have not been treated as a top priority for assistance with staffing, PPE shortages and COVID-19 testing.” 

“This was clearly evidenced by the state’s March 25 policy mandating that nursing homes admit hospital patients into their facilities that have a confirmed or suspected diagnosis of COVID-19,” CEO Stephen Hanse said. 

Hanse also echoed some of Cuomo’s own words in saying, “This treacherous virus spreads through nursing homes like fire through dry grass and the state’s March 25 policy served to unnecessarily to fan the flames of this fire.” 

“The governor stated that nursing homes are the state’s No. 1 concern,” he said. 

“This declaration must be followed up with full support and assistance from the state in the form of increased help in securing staff, needed PPE and priority testing for our residents and employees.””



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