Died of Global Epidemic of Corona and More Dying in USA

19 cases have died. Why is global epidemic prevention racing, but the United States is just a trot?

In the past few days, the number of diagnoses of new crown pneumonia in the United States has continued to rise, and public concerns have become more apparent. As of 6:00 pm on March 7, Eastern Time, 445 cases of positive coronary pneumonia have been reported in the United States, including 19 deaths. The states most affected by the outbreak, Washington, California, and New York, have each declared a state of emergency. In addition, the "Extreme Princess" cruise ship outside the San Francisco Bay of California is not very optimistic. The cruise ship carried about 2,500 passengers and 1,100 crew members. Of the 46 people currently on board, 21 were confirmed.

Poor detection directly "pulls up" the fatality rate

As the epidemic continues to intensify, public dissatisfaction with the US government's response to the epidemic has also increased. Inadequate testing in the previous stage has been the most criticized issue.

Dying and Died of Global Epidemic or Pandemic of Corona and More Dying in USA

A few weeks after the first confirmed case appeared in the United States, the CDC not only set a high threshold for testing, but also severely lacked reagents for the detection of New Coronavirus in the United States. Many U.S. health experts are concerned that there may be many undetected cases of the infection in the United States because of the poor detection in the previous stage.

William Schaffner, an infectious disease expert at Vanderbilt University School of Medicine, said that in terms of the new crown virus test, other countries are racing, and the United States is pacing. "New Crown Virus has been circulating in the United States for several weeks, and we have not detected it because we have not performed appropriate tests," said Matthew McCarthy, a resident at Will Cornell Medical College in New York City. Howard Foreman, a Yale professor and medical management expert, even told Business Insider that it's not impossible for 100,000 people in the United States to be infected.

Another consequence of poor detection is that it directly "pulls up" the mortality rate of new coronary pneumonia in the United States, which in turn increases public anxiety about the epidemic. Based on current data, the mortality rate of new coronary pneumonia in the United States exceeds 4%. The Forbes magazine website published an article on the issue, stating that the United States is currently one of the countries with the highest mortality caused by the new crown virus because of the small number of confirmed cases and the large number of elderly who have recently died in Washington State. The author of the article emphasizes that this phenomenon does not occur because the US new crown virus is stronger than the viruses in more than 70 other countries, but the detection level in the United States has been very low, resulting in a small denominator of the number of confirmed cases.

The US government naturally attaches great importance to the mortality rate of the epidemic, because it is directly related to the public and the market's emotions when facing the epidemic. A few days ago, President Trump himself strongly questioned the death rate data given by the WHO. In an interview, Trump stated that he was intuitively told that "3.4% is a wrong number" and that he believed the fatality rate would be well below 1%. Regarding the Trump administration's attempt to "downplay" the threat of the epidemic, former US government officials have criticized that "this irresponsible remark creates a false sense of security that endangers public health."

CDC statistics are very scratching

Another problem that has caused the American public to scratch their heads is the current CDC statistics on confirmed cases of new coronary pneumonia. At the time of writing by the reporter, 400 confirmed cases of new crown pneumonia in the United States have broken through, and at this time the relevant number on the CDC official website is still at 213, and most states only use the general "1-5 cases". To summarize. This puzzles many people who thought they could get the most comprehensive information from the CDC website.

In fact, the CDC's official statistics have been seriously lagging since the first confirmed case in the United States. Until last week, the CDC official website only updated the data every Monday, Wednesday, and Friday. Starting from March 2nd, the update frequency of the CDC is adjusted to be released at noon every day from Monday to Friday, but the data released on that day is as of 4pm the day before. In the context of the rapid spread of the US epidemic, the number of confirmed cases counted by the major mainstream media in the United States is often more than 100 cases different from the data released by the CDC. Perhaps because of the delay of the CDC, many colleges and universities in the United States and even some non-governmental organizations have also become “self-reliant” and joined the team of statistically confirmed diagnoses.

What has been the role of Centers for Disease Control and Prevention (CDC) regarding corona epidemic?

In addition to the problem of delay, another practice of CDC that caused a lot of vomiting was to remove the "tested people" and "negative test results" from its statistics page from March 2. The CDC has been criticized for lack of detection capabilities before. The move to remove the two statistical items happened exactly after the U.S. government promised to expand the scope of the test. Therefore, many people questioned that the CDC deleted the two statistics to avoid them. The government promised to fail to implement the blows.

The reporter who first exposed the matter was a journalist named Judd Legham, who wrote on his personal Twitter that "the CDC has stopped publishing the number of people who have been tested for the new crown virus in the United States ... this is a coverup." Subsequently, Wisconsin Democrat Rep. Mark Pokan sent a letter to the CDC director asking for data to be made public. "Americans are dying," Pokan wrote in the letter. "We should know how many Americans have died of New Crown Pneumonia, and we should know how many people have been tested for New Crown virus." On the 3rd, Pokan tweeted Declaring that it had not received a response from the CDC, scolded: "The American people have the right to get answers ... your silence is deafening!"

Faced with turbulent criticism, Nancy Messinier, director of the National Center for Immunization and Respiratory Diseases, explained at a 3rd telephone conference call: "As more and more tests are conducted in states, these numbers (referred to by The two removed) will not represent the actual situation nationwide. " Messenier emphasized that the statistics are faster in the states, and if there is a discrepancy between the CDC and the statistics of the states, then the data of the states are the latest. Messoniye also said that the CDC will continue to track the number of new crown virus detections, but will not disclose these numbers in real time. Obviously, this PR did not address many people's concerns. The reporter, who was the first to question, tweeted after the meeting that the CDC did not say whether, when and how many people would be tested for the new crown virus.

If an uninsured person becomes infected, dare to go to the hospital?

While more and more ordinary Americans are worried about the spread of the epidemic, many people also have to worry about another very realistic issue-if they have symptoms of respiratory disease, can they afford to go to a medical institution to test for new crown virus? Affording the medical bill that comes with it?

For the past few days, regarding this issue, the Trump administration has always emphasized that the CDC and public health agencies around the country will provide the public with free detection of new crown virus infection. This is true, but it does not eliminate public concerns. To improve testing capabilities, the US Food and Drug Administration has now delegated authority to allow qualified hospital laboratories across the United States to develop and use their own testing reagents. This means that in the next step, the American public will seek New Coronavirus testing, which will be more likely to be performed in commercial medical institutions, and these institutions are likely to bill the corresponding services.

American Medical Experts View on Epidemic Expenses

According to the inventory of American medical experts, the public is likely to face various types of expenses such as testing fees and emergency fees when they go to commercial medical institutions to test for the new crown virus. Once the doctor is diagnosed, he will further face medical expenses and even hospitalization expenses. These costs are often not low, and it is not impossible to have sky-high bills. Recently, a man in Miami developed symptoms of respiratory disease after returning from China to the United States. He was tested in a hospital and was found to be infected with seasonal influenza (not new coronary pneumonia). The man then received a bill in excess of $ 3,700. After a Pennsylvania father and daughter were withdrawn from Wuhan to the United States, they were quarantined as required by the US government, received certain medical services as required, and finally received more than $ 3,900 in medical bills.

How much money the person seeking medical treatment ultimately needs to pay for the bill depends on whether there is medical insurance and whether it is adequate. According to Time magazine, more than 27 million Americans currently do not have any form of medical insurance, and even more are inadequate. A large number of U.S. public-owned medical insurance has high deductibles, which means that insurance companies will not help pay for medical expenses until a certain amount of medical expenditure is reached. The Capitol Hill reported that the average deductible for a medical insurance plan purchased through an employer is approximately $ 1,650. Experts pointed out that the financial burden may lead some people to abandon the new crown virus test, which may lead to further spread of the virus.

For a long time, a large number of studies have shown that insufficient or no insurance has made many Americans afraid to seek medical treatment. The "Quartz" website reports that the average medical expenditure of American residents in 2017 was $ 1,122, which is much higher than the average of OECD countries. At the same time, Americans have seen doctors much less often, with an average of 4 doctor visits in 2017, and an average of 6.8 in OECD countries. Time magazine quoted a Fed survey that showed that nearly 40% of American adults said they could not use cash, deposits, or a more easily repayable credit card to cope with a $ 400 emergency. Medical experts also said that during this epidemic, high deductibles will have a greater impact on patients' willingness to seek medical treatment, because most medical insurance deductibles start a new calculation cycle from January, which means that at this stage, Many Americans will likely need to pay for themselves if they seek medical treatment for new coronary pneumonia.
Global Pandemic in USA

The epidemic is coming

Some states are trying to prevent the public from delaying medical treatment because they cannot afford economic costs. For example, the New York State Government issued a directive requiring health insurance companies in the state not to require medical care providers to share emergency room costs, emergency care costs, etc. related to the new crown pneumonia outbreak. But such regulations do not cover all types of health insurance, and the number of people who benefit from them will be limited. For example, most federally regulated employers' health plans are not covered by the directive. In addition, it is reported that the Trump administration is also considering the use of a national disaster relief plan to pay hospitals to provide treatment for patients with new coronary pneumonia without medical insurance. But so far, the measure has not been officially released.

In general, the complex medical insurance system and high medical costs in the United States will objectively exacerbate the difficulty for the United States to respond to the new crown pneumonia epidemic. Richard Beiser, who served as the acting director of the CDC when the United States responded to a pandemic in 2009, wrote in the Washington Post that the ability of ordinary Americans to protect themselves and their families in an epidemic depends on their income, access to health care Factors such as opportunities and immigration status will expose many long-term issues. Georgetown University professor Sabrina Colette said: "Our health care system has many loopholes and it is not designed to respond to a public health crisis such as the new crown pneumonia epidemic."

Post a comment