Hospitals Face Critical Staff Shortages Within a Week

This week, 1 in 5 American hospitals anticipated a critical staff shortage within seven days, according to the U.S. Department of Health and Human Services. The ratio was a record as cases swell and patients flood facilities for a third time since the pandemic began.

North Dakota, Missouri and Wisconsin reported the highest share, each with almost half of its hospitals in need of medical staff as of Wednesday.

Covid Stats November 19

Daily New Confirmed Deaths Per Million

2,065 people in the US died yesterday. 

The number of cases hit 192,240,  a new record. Even worse, we have been setting new records for a week.

Yet, many still propose this is no worse than the flu. Some claim this  a scam perpetrated by George Soros and Bill Gates.

Family members of the 258,000 dead would disagree,

Comparison to the Flu

Yesterday, I did a comparison to the flu, recently updated to make a distinction between the infection fatality ratio (IFR) and case fatality ratio (CFR).

for discussion, please see How Does Covid Compare to the Flu?

Mish

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ohno
ohno
3 years ago

Our thanksgiving is canceled, an inlaws partner has it and is in the hospital and very sick. I know 2 others that had it. 1 got tired. 1 almost died and still isnt himself. My wifes friend called yesterday and is suspected of having it and has minor cold symptoms. I am, however, not a fan of lockdowns and masks and neither are several professionals from what I can gather. This stuff can be on surfaces everywhere. I’m also growing anxious over all this reset talk regarding Davos, the digital dollar and comments made by some of the elite recently regarding their vision of the future. I think they are all definitely taking advantage of the situation to the fullest on a global scale.

Jackula
Jackula
3 years ago
Reply to  ohno

The transmission of Covid is primarily from airborne aerosols. This has been known in the science literature since late Jan.

Eddie_T
Eddie_T
3 years ago
Reply to  ohno

Sorry to hear you’re being so directly affected…my best wishes for a complete recovery for your family members and loved ones. Please try to protect yourself and your family. Good luck….we’re all going to need it.

ohno
ohno
3 years ago
Reply to  Eddie_T

Thanks. Fort we’ve had no direct contact with them. My wifes friend was confirmed. She is doing ok at home. We dropped supplies off on her porch today.

Escierto
Escierto
3 years ago

America. Cursed by God and hated by men. Putin’s man Trump has succeeded!

njbr
njbr
3 years ago

@anda–the casualty type hasn’t changed from the beginning.

Deaths and serious illness are highest in the medically vulnerable and older.

Who the F do you think takes care of the medically vulnerable and older? It wouldn’t be the pool of the even more elderly and medically vulnerable.

Widespread PANDEMIC disease transmits to the people that care for and live with the medically vulnerable and older.

It shouldn’t be that difficult to reason out for a person like you who seems to write coherently.

The only thing your reasoning says, “it’s their fault and they don’t matter to me.”

Anda
Anda
3 years ago
Reply to  njbr

“Who the F do you think takes care of the medically vulnerable and older? It wouldn’t be the pool of the even more elderly and medically vulnerable.”

I did not understand, nor

“The only thing your reasoning says, “it’s their fault and they don’t matter to me.””

If you spend, what is it trillions now, AND close down the economy and people’s livelihoods, AND have hundreds of millions home bound

YOU are saying that for a fraction of that you could not figure out how to organise safety for a small portion of the population that is most vulnerable?

That is because you do not even want to consider this is possible , it does not suit you or your view . Fine, but don’t spend your time shooting down other people’s contributions as self justification.

There is a lot of frustration I’m not here to get unloaded on.

CaliforniaStan
CaliforniaStan
3 years ago
Reply to  Anda

” organise safety for a small portion of the population that is most vulnerable?” It is not a small portion of the population that is vulnerable. US adult obesity stands at 42%. And that’s simply one risk factor. Not to mention that people do get sick with no obvious risk factors.

Scooot
Scooot
3 years ago
Reply to  njbr

“saying that for a fraction of that you could not figure out how to organise safety for a small portion of the population that is most vulnerable?”

I don’t think that would work in the long run either @Anda. It would condemn a proportion of the population to isolation which would be very difficult to monitor and maintain: The young intermingle with 50 or 60 plus aged people for many reasons. Many in this age group run businesses and employ many people of all ages, they wouldn’t be able to carry on doing this so effectively. The more vulnerable that then get the virus would be held to blame because they didn’t isolate well enough. It would create great loneliness in one section of the community and more division generally. More “younger people” would get it and although most in this group don’t die from it, many get it badly enough to want to avoid it or suffer for weeks or months afterwards trying to recover. I don’t agree in principal to the idea either, it’s like saying to a group of people you must walk down a particular street because you might get mugged rather than dealing with the muggers.

I do agree however that a stop start economy is not a good long term fix, the problem is we don’t have a full proof solution.

Anda
Anda
3 years ago

Half of hospital admissions in the US are over 65, and many of the other half will be in vulnerable categories:

This is the failure. Vulnerable should be strongly encouraged to isolate until vaccine or eradication of virus, should be granted high protective measures.

Now hospitals are full of these patients.

It is very sad, and usable to implement various and further measures on everyone by those so inclined.

That is not just the US but most countries.

It is criminal.

CaliforniaStan
CaliforniaStan
3 years ago
Reply to  Anda

The problem is, well more than half of all Americans are either themselves “vulnerable” or live in close proximity with someone else who is. how do you grant high protective measures to that many people?

Anda
Anda
3 years ago

Hospital capacity is a hard limit that should be respected, that most will understand. It doesn’t seem like it is written firmly into the epidemic management plans ?

Mish :

I am wondering what your stance is with regard to vaccination, in terms of obligation. This is so we know very clearly in advance, not so as to argue because to my thinking each is entitled to their choice. That can obviously be turned around by saying that if others are not immune then they deny you your choice of moving safely in public – a bit like the argument for masks.

There are two major differences though, the first is that a vaccine will undoubtedly hurt some individuals, and secondly immunity requirement will nescessarily mean that proof of immunity be obligatory, and that will mean that greater identification requirements as well as barriers to activity are likely to be enforced. This would appear to be a form of incrementalism, as well as a transgression of the sanctity of the individual – to defend from others does not mean controlling them, or in short “do no harm”.

It is a simple question based on the above and so not losing the answer in endless hypothesis or detail.

(My own view is that individual choice is always priority, but that it might be understandable that lack of immunity might lead to certain temporary, reasonable, non-essential, restrictions for those not vaccinated/immune – if reasoning is clearly given by authorities for such)

In fact, it would seem.that those who would oblige others should just vaccinate themselves, and they have nothing to fear then ? You know there will always be a push though, “so as to eradicate completely within a given time frame”, or because “vaccines are not 100% and so to achieve proper effect on public all should be vaccinated “. The US is often looked to as example, the latest I hear is that the head of your crisis management is saying that those who do not vaccinate are a threat to public safety ? That obviously runs against my own view, yours ? A difficult question, maybe, though you might already be decided…

GeorgeWP
GeorgeWP
3 years ago
Reply to  Anda

Not keen on compulsory vaccination either. But peopel will need to wear the cost of chosing not to. A few people can opt out and not have much impact on the overall result. But they are in effect bludging off the people that do. If a large percentage doesn’t enroll then the problem doesn’t get fixed. I would suspect that in most places it won’t be compulsory. But people won’t be able to use public transport without a certification, maybe not public education facilities, entertainment or sporting venues, attend general medical facilities or work in jobs that require public interaction.

LM2022
LM2022
3 years ago

Since deaths lag infections by about 3 weeks and since the number of positive covid tests has doubled since the beginning of November, we should probably be expecting around 4,000 deaths a day by Christmas. Who knows what the daily death rate will be before we finally get Trump out of office. What a disaster!

Anda
Anda
3 years ago

“Some claim this a scam perpetrated by George Soros and Bill Gates.

Family members of the 258,000 dead would disagree” … even if either were involved in the creation or release of the virus ?

njbr
njbr
3 years ago
Reply to  Anda

Sad putz….

Anda
Anda
3 years ago
Reply to  njbr

Constructive ?

Carl_R
Carl_R
3 years ago
Reply to  Anda

In the debate over coronavirus, far too little focus has been put on the costs of the failure to control the spread. Locking down has costs. So does failure to contain the spread. My state never locked down. Cases are out of control. This week Business is back to -80%, just as it was in April. I’m open, but why?

Zardoz
Zardoz
3 years ago

They should start parking the refrigerated trucks full of corpses visibly in shopping area parking lots.

NewUlm
NewUlm
3 years ago
Reply to  Zardoz

Fear volume at 11 with that comment! Sadly 8k people die daily in the US, our funeral home network can handle this surge but lockdown orders are causing back-ups because the government has no clue what is essential.

Zardoz
Zardoz
3 years ago
Reply to  NewUlm

That’s the dumbest thing I’ve heard in a while. Congrats!

mrchinup
mrchinup
3 years ago

This is the way the rich cull the herd.

mrchinup
mrchinup
3 years ago

Gates wants 500 million on the earth the rest can die, stop whining. Are you hiding yet?

frozeninthenorth
frozeninthenorth
3 years ago

Mish the problems with Covid-19 are not american! The true outliers are South Korea and Japan probably because of cultural differences. Japanese and Korean regularly wear masks when sick and therefore are used to the idea, and don’t think their government is a dictatorship for asking them to wear them.

Canada looks a bit like an outlier, but it’s not. The numbers are rising very quickly and are far higher than in March and April. Canada’s infection rate is about 8,000 per million about 1,000 higher than the global average. Moreover, Canada’s health care system is also being taxed heavily and has far less excess capacity than the American health care system — the advantage America has of having a “gold plated” health care system that cost nearly 3x as much (as a percentage of GDP) than the Canadian health care.

On the bright side, Canada has aggressively hired health care workers for the past 18 months out of Asia and other regions. Who knew that immigration policy and health care shortages could be related!

threeblindmice
threeblindmice
3 years ago

I agree with all that – it’s a global problem. Yet, somehow, I thought we in the US could aspire to more than “we’re not worse than the rest of the world”. Is it Trump’s “fault”? Maybe partly but certainly not primarily. Also the fault of the CDC and the FDA, the Congress and NY and NJ and most government entities here. Why couldn’t the US ALSO been a positive outlier like Korea and Japan? I want to take consolation that we’re no worse than other countries, but damn, we’ve fallen a long way from landing on the moon and inventing the microchip haven’t we?

Casual_Observer
Casual_Observer
3 years ago
Reply to  threeblindmice

I blame the Trump administration and the political climate that was created by the Tea Party movement around 2010. The rise of antivaccers and similar movements occurred at the same time. Trump then started spreading all kinds of rumors about Obama’s birth certificate in 2012 and 2013. These people who don’t believe in science, vaccines and other modern advances should just leave the US and create their own country on a deserted island. Somehow all these people thought the ACA was an infringement on their rights and blamed Obama for their lot in life even though their lives got shittier long before that.

Carl_R
Carl_R
3 years ago

I think you’re crazy. FWIW, my ex wife was a tea party member, so I’ve met many of them. All were smart. None were anti-vax. None supported Trump. They simply supported smaller government.

I don’t think any of those issues are related. Though all have grown over the last twenty years, I think you are connecting dots that you shouldn’t be, and there is no relation between them:

  1. I think you can blame Rush, in the 1990’s for the idea that partisan news was appropriate.
  2. I think you can blame social media for the growth of conspiracy theories.
  3. I think you can blame the anti-vaxers on the vaccines themselves. Vaccines have been so dramatically effective, that people have forgotten what it was like before vaccines, and how serious things like pertussis, polio, etc, were, once upon a time.
Doug78
Doug78
3 years ago
Reply to  threeblindmice

We could have maybe but politically it wouldn’t have been possible. The East Coast got the European viral strains and the West Coast got the Asian viral strains of Covid-19. In hindsight it would have been much better to close all the borders in January-February, test and trace aggressively and a real quarantine for those infected. The CDC wasn’t even close to recommending these measures and their network of local resources had atrophied over the years.

Eddie_T
Eddie_T
3 years ago
Reply to  Doug78

I do agree with this…and while I don’t love Trump and I think he didn’t get much right, it was always going to be hard to keep a virus like this one from spreading here.

A vaccine about right now would be good. Bring it on. Nobody has to get vaccinated who doesn’t want to….but I do want to….and I can’t wait to get in line. Where do I sign up?

Doug78
Doug78
3 years ago
Reply to  Eddie_T

I put up here a few posts back a copy of the CDC’s plan for pandemics and it is very good but one of the most import parts was that local authorities would not let gatherings to take place and if the state authorities were incapable of that then they would call on federal troops to maintain order. That is necessary to contain the spread. As we all know many local politicians let crowds run wild and refused federal assistance. Once that happened I knew it was all over. the virus was able to spread unchecked. It was a good plan but a key part depended on competent local authorities and we didn’t get that. There were errors on all levels but some were much worse than others.

Lance Manly
Lance Manly
3 years ago
Reply to  Doug78

Obviously you don’t know how federal agencies work. The CDC did not respond well because the political appointees made bad decisions and set the wrong course for the agency. The rank and file career staff can only follow these morons.

Doug78
Doug78
3 years ago
Reply to  Lance Manly

If only it was that easy. Over time bureaucracies tend to become static and unimaginative.

Casual_Observer
Casual_Observer
3 years ago
Reply to  threeblindmice

I forgot to add that the era of conspiracy theories adapted by the Republican party started in 2010. When McConnell said 10 days after Obama was inaugurated that his only job was make him a one-term president, he created a climate where anything was tolerated by the right and Republicans in order to win. So this enabled the era of conspiracy theories of all kinds taking hold to people that otherwise never thought this way. The Republican party permitted all this. Then all the protests against Obama came in 2010 because he simply wanted to get better health care for people who had no health care. We were told government death panels would decide who lives and who dies. And that government would take over healthcare and every other aspect of life. Now we can’t even get people to wear masks and wonder why it happen.

Doug78
Doug78
3 years ago

I see you live for politics. Tell me. Do you buy your shoelaces only from Democrat approved companies?

humna909
humna909
3 years ago

Another outlier is Australia (and New Zealand). We have pretty much eliminated the virus. The cost being close borders and heavy city/state lockdown on the occasions it has resurfaced.

In terms of our culture and lifestyle and geographic spread we share lots of similarities with the US/Canada. Our government and politics is a mix in some aspects closer to UK/Europe in other US.

The US CDC probably had some of the most advance pandemic planning in the world. Unfortunately what good is planning is politicians don’t implement it.

The study of the failures and successes during this pandemic with be written in hundreds of books. But will we heed them the next time.

Johnson1
Johnson1
3 years ago

Your spot on regarding Asia. I read that the Asian countries did show a lot of resistance during SARS outbreak. But SARS had a 30% to 40% fatality rate so they needed to mandate masks and there was fear. From my understanding the second time around, they realized it was not such a big deal to wear masks as eventually there will be a day you will not need to wear a mask.

Eddie_T
Eddie_T
3 years ago

I just got the news this morning that a long time patient of mine passed away from COVID yesterday….a sweet, special needs (intellectually challenged) adult who lived in a group home….someone who was in the office just last month. Special needs patients are a vulnerable population…and we see a lot of them. I will miss her..she was always happy.

Too much BS
Too much BS
3 years ago

Protection works. In Kelowna total 283 or .02. Everyone wears a mask out of respect for others. We respect the fact that covid kills. No attitude about freedom to go out and spread our breath with whatever it contains to others. Stay Alive Wear a Mask.

Lance Manly
Lance Manly
3 years ago
Reply to  Too much BS

I passed through the Kelowna area in the early 2000s. Thought the place was great.

Casual_Observer
Casual_Observer
3 years ago

We are about to find out why it was important to do contact tracing and testing back in March when the first shutdown started. Many working at hospitals are simply worn out and burned out. Many who get really sick will soon find out that there is no hospital bed for them and will either die in the waiting rooms or at home.

NewUlm
NewUlm
3 years ago

Cases are already falling in the MW, hospitals have some very specific shortages not mass overflows. With the new outpatient treatments, we should quickly see the number going to the hospital drop over the next 6 weeks.

If you compare YoY hospital data, you will see this is a common time to have a hospital nearly full. Hospitals are NOT designed for excess capacity.

LawrenceBird
LawrenceBird
3 years ago

Well let’s see how the virus respects their freedoms!

randocalrissian
randocalrissian
3 years ago
Reply to  LawrenceBird

They are free to contract the virus and subsequently die as a direct result. Not much anyone can do to stop the determined ones.

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