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Thread: Why didn't Governor Cuomo run for president

  1. #16
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    I see two issues..
    First is hoe the health care system operates.. Nursing/rehab centers are licensed to provide a level of care that does not require hospitalization. Nursing/rehab centers are for profit businesses. Nursing/rehab centers must take certain patients , Medicaid, who pay a rate lower than their desired rate. but if the Nursing/rehab center cannot handle the scope of a particular patient , to quote your link..
    From Breitbart.. "At the epicenter of the outbreak, New York issued a strict new rule last month: Nursing homes must readmit residents sent to hospitals with the coronavirus and accept new patients as long as they are deemed “medically stable.” California and New Jersey have also said that nursing homes should take in such patients. Homes are allowed to turn patients away if they claim they can’t care for them safely"

    but.. an empty bed is not bringing $$$ in.. so to refuse a patient may have compounding financial repercussions , remember they are for profit.

    Note: being married to someone who's BFF is in the middle of this $#it storm.. the system is broken.. many of the nursing/rehab centers can not perform to the levels that they claim that they can and are licensed to. Any decisions that Coumo made about health care were at the advice of his professional advisers..

    Second .. the new trend that we vilify a threat.. Coumo scares the snot out of the GOP.. so.. he has a target on his back.. school yard name calling may follow..

    Just my opinion.. i could be wrong..

    the North East is a different world than a lot of the US.. here, masks are required for entry into Costco or Walmart or a Grocery.. by law .. stores are one out, one in.. also our local news has a lot of national news.. the network news people will appear on the set of our local news..

  2. #17
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    “(C)omponding financial repercussions” would be introducing a source of SARS-CoV-2 into your facility packed with old people with ill health...which is what happened. And it happened at the same time numerous New York nursing home administrators were writing the state bureaucrats begging them not to do this to them and telling them why. Your theory that they willingly packed their facilities with questionable residents to make a buck needs a lot more evidence in the face of the noted contemporaneous pleas against the rule.
    ...............
    “You can vote your way into socialism, but you have to shoot your way out.” — Too fundamental to have an attribution


  3. #18
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    But that’s the way the business works.. ER must treat emergencies who arrive at their waiting room.. Nursing/rehab facilities are for profit businesses and are licensed to provide a certain level of care.. and empty beds bring in no $$$ ..

    And to quote your source.. From Breitbart.. "At the epicenter of the outbreak, New York issued a strict new rule last month: Nursing homes must readmit residents sent to hospitals with the coronavirus and accept new patients as long as they are deemed “medically stable.” California and New Jersey have also said that nursing homes should take in such patients. Homes are allowed to turn patients away if they claim they can’t care for them safely

  4. #19
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    It was not so simple for nursing homes in New York to refuse Covid-19 patients under the March rules. My reading of “stable patients” does not necessarily mean one who is Covid-19 free, yet they are forced to take them anyway or face having their license jerked unless they admit they are incompetent for patient care...an impossible conundrum for a nursing home business —

    ...On March 25, New York became the first state to issue a blanket rule prohibiting nursing homes from denying admission or readmission to residents because they are infected with COVID-19, and banned the facilities from testing patients for the disease before they are admitted. (The state had already required all facilities to isolate COVID-positive patients and prohibited staff from moving between treating those who are infected and those who are not.)

    “There is an urgent need to expand hospital capacity in New York State to be able to meet the demand for patients with COVID-19 requiring acute care,” the state said in its advisory, which requires “the expedited receipt of residents returning from hospitals.”

    Cuomo has defended the policy in the face of rising objections, saying Thursday that facilities that did not follow the rules for managing COVID patients would be investigated by state health officials and the state’s attorney general, which could result in fines or the facility losing its license.

    “They have to readmit COVID-positive residents, but only if they have the ability to provide the adequate level of care under Department of Health and CDC guidelines,” Cuomo said, referring to the Centers for Disease Control and Prevention.

    “If they do not have the ability to provide the appropriate level of care, then they have to transfer that patient or they call the Department of Health, and the Department of Health will transfer that patient,” Cuomo added. (At Thursday’s briefing, state officials said they had not received any such requests.)

    https://www.nbcnews.com/news/us-news...ients-n1191811

    Note: this week New York changed their rules requiring nursing homes to accept Covid-19 patients or admit incompetence. Why?

    New Rules —

    https://www.syracuse.com/coronavirus...announces.html
    Last edited by wacojoe; 05-14-2020 at 06:48 PM.
    ...............
    “You can vote your way into socialism, but you have to shoot your way out.” — Too fundamental to have an attribution


  5. #20
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    Hey I had a question in post #11. Pay attention. This is not about old people, this is about me

  6. #21
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    Quote Originally Posted by Phillbo View Post
    I'll ask the question again. What does Trump have to gain by debating anyone? Hell, every time he opens his mouth he is debating himself.... Someone please tell him to shut up and enjoy another 4 years.

    I'm thinking he's going to delay the election until the beer virus is gone anyway. Can he do that?
    I thought the question was a rhetorical one as everyone knows you can’t tell Trump anything, and he will debate (argue) with a sign post...and “no” he can’t delay the election and has said he has no desire to do so multiple times, the last yesterday.

    I feel obligated to engage in the rare occurrence when Phil joins a political thread.
    ...............
    “You can vote your way into socialism, but you have to shoot your way out.” — Too fundamental to have an attribution


  7. #22
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    Thank you for playing.....

  8. #23
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    Nursing homes: Now you are in my playground so sit back shut up and listen. Nursing homes are where we send old people to die because the families don't want the inconvenience of dealing with them. That is reality. Two they are for profit and with the exception of high end facilities for the well to do financially they are **** hole human warehouses run as cheaply as possible to make as much money as they can get away with. The staff is underpaid, under trained, and facilities are understaffed because medicare/ medicaid pays zilch.

    Hospitals are for profit too, they will keep someone only has long as their private insurance will dole out the big bucks for overpriced services. As soon as the cash flow stops 90 days for most PPO a week or so for medicare the hospitals dump them into the nursing homes.

    The elderly are now the ping pong ball getting hit back and forth to the hospital and the nursing home to keep the high flow of profitable cash coming in as the money clock restarts with each "new admission" This continues until they die of go home.

    The hospital share holders and the nursing home owners make money, everyone else gets shafted. Staff and patients alike in both facilities.

    Covid is insidious in that it is infectious yet asymptomatic at the same time for up to 3 weeks. No one has ever dealt with this before. Now add in what we here in Alameda County have found. In the nursing homes staff, even the nurses (usually foreign schooled that no one else will hire) only have basic rudimentary training in infectious disease prevention. We had to imbed public heath nurses and paramedics to teach and enforce the regs to quell the outbreaks in our facilities. We keep those covid positive but not requiring a ventilator at the nursing home in a quarantine wing to minimize the spread and exposures.

    We had the luxury of time, NY was learning on the fly, We looked at what worked and did not work from their trial and error under the onslaught. the wave hit us 4 week later. That four weeks bought us a lot. NY was ground zero, their population density is greater than anywhere else in the US. Don't bag on them with 20/20 hindsight

    Give it a month and watch what happens to the numbers in the Liberated states. lets see how well their services hold up and how their infection rates go.

    Yeah I'm pissed off, I'm stressed out. I'm on the front line of EMS every damn day and I am effing sick of the safe in their living room arm chair generals spewing Bull crap. I have lost friends, patients to this. it may kill me too

    so unless you are helping support the front line people Police, Fire, EMS, Nurses, Docs, the low paid essential service workers in some manner I don't know how you look yourself in the mirror RANT OFF
    Last edited by TriGuy; 05-15-2020 at 06:07 AM.
    "The only thing that we learn from torture is the depths of our own moral depravity"

  9. #24
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    Quote Originally Posted by TriGuy View Post
    ........Give it a month and watch what happens to the numbers in the Liberated states. lets see how well their services hold up and how their infection rates go. ..........
    Well said Tri. Scary part is what I left in your quote. 1-2 or more months of this is the scary part.

    Btw thanks for your service in this.
    Fred

    "Everyday I beat my own previous record for number of consecutive days I've
    stayed alive."

    'Take care of yourself, and each other.'

  10. #25
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    Quote Originally Posted by FredK View Post
    Btw thanks for your service in this.
    Amen, brother......Ben
    The future is forged on the anvil of history...The interpreter of history wields the hammer... - Unknown author...

  11. #26
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    Excellent rant Eric

    I can't even find anything to argue about ....and thank you
    "A pessimist sees the difficulty in every opportunity, an optimist sees the opportunity in every difficulty” ---Sir Winston Churchill
    "Political extremism involves two prime ingredients: an excessively simple diagnosis of the world's ills, and a conviction that there are identifiable villains back of it all." ---John W. Gardner
    “You can’t go back and change the beginning, but you can start where you are and change the ending.” ---C. S. Lewis

  12. #27
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    Eric.. thanks for all that you do..

    And thanks for an excellent description of nursing/rehab facilities..

  13. #28
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    Can’t imagine trolling for the virus everyday in an ambulance in service to the public. That’s a strange kind of risk management. “I don’t know where we get those kind of guys.”
    ...............
    “You can vote your way into socialism, but you have to shoot your way out.” — Too fundamental to have an attribution


  14. #29
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    Joe thats why not everyone can be a cop, firefighter, medic, soldier etc. Some of us don't cut and run when it hits the fan.
    "The only thing that we learn from torture is the depths of our own moral depravity"

  15. #30
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    Stay safe as you can...
    ...............
    “You can vote your way into socialism, but you have to shoot your way out.” — Too fundamental to have an attribution


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