The next Covid-19 crisis in May and our lack of leadership in the health sector

Biden’s management just announced on May 11 that it would end our pandemic emergency declaration, which could only control physical care and the economy. Paralyzed by vacancies in key leadership positions in physical care, what will be the “end” of the Covid-19 physical emergency?Look like and who will match it?

President Trump first declared the emergency declaration on March 13, 2020, and it has been renewed several times. The White House’s announcement goes hand in hand with a bill in the House of Representatives calling for a prompt end to the emergency declaration on an unfounded confidence that the Covid-19 pandemic is over. The WHO still classifies Covid-19 as a global emergency while acknowledging that the pandemic may be at a “transition point”.

The May 11 date fulfills Health and Social Services Secretary Xavier Becerra’s promise of 60 days to complete and increases it to 90 days. One only wants to recall the chaos engendered by allowing individual state reactions in the early months of the pandemic to realize how reckless such a “plan” will be. Without national coordination, finalizing the declaration will have a disastrous effect on all fitness segments. care and many sectors of the economy. Consider the following.

First, when continued enrollment ends, 16 million people will lose Medicaid policy and enhanced federal investment in Medicaid. The loss of advanced investment also means that pandemic food stamp benefits will expire for more than 42 million people. Benefits will expire with relief of at least $95 consistent with the month for the user enrolled in the Supplemental Nutrition Assistance Program (SNAP). The loss of the food subsidy comes at a time when food costs have risen by 10. 4% over the past twelve months.

Second, the Emergency Use Authorization (EUA) for all COVID-19-related drugs, controls, booster shots, and treatments will be canceled. Once an EUA is revoked, the FDA can grant full approval, but this procedure generates considerable expense and can take months. or even years. Without full FDA approval, the insurance policy is questionable. If the insurance policy is reduced or denied, hospitals, providers and patients will have to shoulder the monetary burden. The kits will no longer be free.

Third, doctors will no longer be able to prescribe medications like Adderall, Xanax and hormone treatments through a telehealth consultation. Patients will want to see a doctor on the user to download their prescriptions. Many of them, who have established relationships with telehealth providers, would prefer to place new caregivers for in-house visits, which can result in free time, long waits and, in all likelihood, long-distance travel. expenses, or both.

Fourth, a virus constantly mutates to maintain its ability to infect and resist host defenses. As a result, we expect new variants of SARS-CoV-2, the virus that causes Covid-19 infections, to continue to emerge. For example, the new dominant strain (XBB. 1. 5) is a more contagious but not more fatal variant than its predecessor, but remember, more contagious means more infections. More infections means we want to prepare for a backlog of hospitalizations and deaths. It is inconvenient to take from the existing “limit” of just under 500 deaths from covid-19 per day.

Fifth, our physical care infrastructure is not very flexible. Patients suffering from heart, respiratory and traumatic injuries will have to compete for remedies and beds with any accumulation in the number of Covid-19 patients. As hospital occupancy exceeds capacity, especially in branch emergencies, the quality of patient care is replaced. The maximum apparent replacement is the number of people held in the aisles of the emergency branch (boarding at the emergency branch) and the cancellation of admissions and elective procedures due to lack of availability of beds.

Other adjustments in Washington similar to leadership in fitness care compound those problems. The White House has just announced plans for a new (COS) leader who will have full hands to respond to debt ceiling fights, a volatile economy, congressional disputes, controversies over classified documents, re-election pressures, etc. When it comes to health care questions, who will they turn to for answers and advice?

Typically, the answer would be the Chief Scientific Officer (CSO) of the White House Covid-19 Response Team, the Director of the National Institutes of Health (NIH), and the Director of the National Institutes of Allergy and Infectious Diseases (NIAID). Inexplicably, lately he has that option.

The CSO, Dr. David Kessler, has just left this position. His departure was preceded by those of NIH Director Dr. Francis Collins and NIAID Director Dr. Anthony Fauci. The CSO seat is vacant and the NIH and NIAID have “interim” positions. Directors. Acting NIH Director Dr. Lawrence Tabak emphasized this point by signing his correspondence: “Performing the duties of the director of NIH. “

It’s a harmful situation. Continuity in fitness care leadership is imperative. The CSO advises the President on the coordination of national pandemic strategies. from locating cures for cancer to the emergence of newer, faster diagnoses. The director of NIAID conducts and supports fundamental and implemented studies to save it and treat infectious diseases, including pandemics.

Instead of taking a “mission accomplished” stance, it’s imperative that those leadership positions in fitness care be filled to avoid a self-inflicted fitness care crisis that will further destabilize an already faltering economy.

Fictional directors can do little more than make sure the lights stay on and paychecks are printed. Placeholders lack genuine authority and are not apt to present, or implement, the visionary methods needed to lead those vast and critical agencies facing ever-changing challenges.

Our physical care infrastructure and needs support. States may be offering a lot, but it is not reasonable and inefficient to put the entire burden on them. A national strategy, coordinated through key medical advisers, is essential.

This lack-in-action technique for fitness care leadership appointments is what we were promised two years ago. Putting placeholders at the rate of the most difficult transitions is a definition of a self-inflicted injury and represents an unfortunate addition to the long list of preventable injuries. crises that have followed Covid-19.

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