Coronavirus variant update: and on to the BA.4/5 wave Last week the CDC update showed variant “Ba.1.1.526” increasing quickly to 6.6% of all cases. Although they did not note it, I wrote that this was almost certainly Ba.4/5; they simply had not made the change yet. Well, this week they did. This morning’s “nowcast” update of variants shows Ba.1.1.526 having vanished, with Ba.4/5 having taken its place, and having doubled to 13% of all cases in...
Read More »Coronavirus transitioning ever so gradually into a less fatal endemic condition
Coronavirus dashboard for June 6: transitioning ever so gradually into a less fatal endemic condition The economic calendar is very light this week, with no significant news until Thursday, so let’s take this opportunity to update the situation with COVID-19. First, as of one week ago subvariant BA.2.12.1 continues to increase very slowly its share of overall cases, up to 59% nationwide: (Dan here…graphs can be enlarged at Bonddad blog…click...
Read More »The real reason nurses are leaving
From the Boston Globe comes this opinion piece on part-of-what-is-wrong with the hospital system: “Ask any bedside nurse what the worst part of the job is, and chances are they won’t even mention bodily fluids or patients’ insults. The answer I hear most often is the same as mine: “charting.” Accurate, timely charting of nearly every patient interaction, assessment, and intervention is mandatory. Arguably, it’s the requirement that matters most...
Read More »Senator Manchin Telling a Story
Senator Manchin has a million excuses for doing “nothing.” I am not sure why the rest of the Dems do not out him. Biden has negotiated with Manchin in private which I would not do as it leaves Manchin the ability to tell the story, a story each time he changes his mind. There was a lot of hope for this administration as they had the majority in both bodies. One person is holding us back. Democrat in name only? Why? Maybe because if he were...
Read More »Coronavirus dashboard for May 20
Coronavirus dashboard for May 20: signs of a peak in BA.2.12.1 in bellwether jurisdictions; is BA.4/BA.5 next? With no significant economic data today, let’s take a look at where the BA.2.12.1 COVID wave is. Nationwide cases (thin line below) have increased about 3.5x from their bottom of roughly 26,700 five weeks ago, to just over 100,000. Meanwhile, deaths (thick line) appear to still be in the process of making a bottom at under 300 per...
Read More »Your Subsidy Expires? What You Will Pay for Healthcare Insurance
As is typical, Charles Gaba at ACA Signups.net has the answers to the question. Charles does a lot more of this type of analysis such as the Healthcare’s Three – Legged Stool, ACA Enrollment, Risk Pools, etc. All three of these are at Angry Bear. I am not sure why Michigan state and federal legislators are not knocking on his door for direction on healthcare. By that comment, I am not talking about commercial insurance exclusively. Ok, the...
Read More »Coronavirus dashboard for May 13: the virus will gradually become less lethal
Coronavirus dashboard for May 13: the virus will gradually become less lethal – because you can only die once, COVID-19 is still a pandemic and will gradually transition to an endemic. A year ago I thought that between nearly universal vaccinations and an increasing percentage of the population already infected, the virus would wane into a background nuisance by now. No more. I am now thoroughly convinced that an unending series of variants...
Read More »Medicaid Estate Recovery imposed on Medicaid enrollees
Andrew writes on healthcare, mostly the PPACA plan and the various metal plans, and the latest gig (ARPA) resulting in lower costs for anyone under 250% FPL and lower costs for anyone higher than 400% FPL. All made possible due to Biden and Democrat’s American Rescue Plan Act of 2021. It will expire EOY 2022 and I doubt Manchin will help with it. Without it and other aid, This all could have been a 2008 Redux. Mostly, what you will catch me...
Read More »A Woman’s Right to Safe Healthcare Outcomes
In April 2019, “I finished an article entitled A Woman’s Right to Safe Healthcare Outcomes.” I spent six weeks reading about this for a group which asked me to write on it from a male’s perspective. It took me all of that time. I could have doubled the size of the article I wanted to write to get the information out there. There was much to be said about the dangers women face becoming pregnant and giving birth. What prompted the resurrection of...
Read More »Making the physician sausage
I started teaching medical students in 1988 and have been an instructor and course director for one or more first-year med school courses continuously since 1990. When I started, there were two full years of pre-clinical course-work. Now we’re down to a year and two-thirds and there are plans to shrink further. Some medical schools in the US already only have a single pre-clinical year. Personally, I thought the pre-clinical lectures and exams...
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