To the Furlough Question, we can look here.
Images from New York City depicted the dire need of nurses, but in other parts of the U.S., nurses were being furloughed during a pandemic.
As the U.S. battled the COVID-19 pandemic, government officials and hospital administrators stressed their growing need for nurses, especially early on, in places like New York City and other epicenters. News articles depicted both the dire need and difficult work environments through images of exhausted and weary nurses sleeping on their feet or across their workstation.
But in other parts of the U.S., the images looked much different. The scenes in New York City were contrasted with scenes in smaller cities and towns of nurses called off shifts or temporarily furloughed.
A persistent nursing shortage has been widely acknowledged and experienced across the U.S. in the past couple of decades. So why have nurses been furloughed during a nursing shortage and pandemic?
From March to April, many states suspended elective surgeries and issued varying degrees of shelter-at-home orders. While successful in helping flatten the curve and minimizing the spread of COVID-19, the effect on hospital revenue and nurse staffing was significant.
In May, the American Hospital Association (AHA) issued a brief stating that in the first 4 months of the pandemic it was estimated that hospitals and health systems lost $202.6 billion in revenue. In July, the AHA projected a total of $323 billion in losses for hospitals and health systems by the end of 2020.
These losses are due to the hold on elective surgeries, a slow restart of surgeries, the 19.5% average decrease in inpatient admissions seen across hospitals, and a decrease of 34.5% of outpatient visits. Even ED visits were impacted with a 10%-42% decrease in patient volumes.
Decreased patient volumes naturally lead to decreased staffing needs. Elective surgeries being cancelled led to closed ambulatory surgery centers, limited need for pre-operative, intra-operative, and post-operative staff and nurses in the hospital. This led to entire units being shut down due to lack of volume.
With decreased procedures, patient volumes, and need for staff, hospital administrators had to consider cost-saving measures.
The University of Cincinnati Medical Center is among many: The American Hospital Association recently predicted that U.S. hospitals and health systems would end up taking a $200 billion hit over a four-month period through June. Most of that money — $160 billion — is from lost revenue from more lucrative elective procedures.
"The only people who are coming into the hospitals are COVID-19 patients and emergencies," says American Hospital Association Executive Vice President Tom Nickels. "All of the so-called elective surgery, hips and knees and cardiac, etcetera, are no longer being done in most institutions around the country."
Nickels says hospitals are in a tight spot: "They're still having to have their institutions open. They are still caring for people who come in. They are still taking care of COVID-19. But that's an enormous amount of lost revenue."
The revenue losses will more severely affect poorer and more rural hospitals whose finances may be marginal in the best of times, Nickels says.
"That is certainly an existential threat," he says. "And I think [it] will threaten the ability of some of these hospitals to remain open."
It's not because Covid isn't packing hospitals. It's because Covid isn't big money like Surgeries and the like. People stopped getting those and procedures that actually make hospitals money because they didn't want to get sick. So Hospitals lost profit.
So to sum it up... Capitalism. Capitalism demands profit over lives.
And why should it be down? There are still people out there transmitting the virus. In greater numbers than last year, because there isn't any lockdown to stem the tide. If more people are out, more people will get it. If more people don't wear mask, the more people will get it. If more people ignore warnings because they are simply too 'fatigued', the more people will get it.
Remember what 2020 looked like at most times.
As an ex-New Yorker, that as creepy as smile.jpg. At no time of the day or even the year should New York look like that.
Anyway, there are still more unvaccinated people out there getting it because they are more exposed than ever. To put in perspective, we're talking about hundreds of people, all wearing masks and following guidelines of 2020... and comparing it to hundreds of thousands (millions, in certain cities) of people who gave up wearing masks and decided not to get the vaccine in 2021. But we're confused about how come the numbers are greater? Really? There are more people out there with less to no guidelines, not vaccinating themselves. Yes, numbers will go up. If viruses were sentient, this is exactly the scenario they would hope for in order to spread through us as much as possible.
There's nothing shocking about the numbers going up if we decide to continue doing what we're doing.
But we've reached the actual problem here. And you said it yourself.
"I can't believe".
You're not objective to this. Your mind is made up. You seek what validates your mindset and shun what doesn't. The 'Misinformation' you speak of is you shunning the CDC
, The Mayo Clinic
, actual world leaders on Health and Medicine who all say get the vaccine. That's as clear cut as you can get, because these are the people that almost all medical procedures stem from in the United States.
But a couple of people who have an agenda say "Nah, man, I'm going to do my own thing". And you're confused? Where is their funding? Where are their fellows? Where are their legion of researchers? Are they as profilic as the World Health Organization? Which, pro tip... they have the 'World' in their name, so I'm guessing not.
You are choosing not to listen. You are choosing to ignore what you don't want to agree with. And you are promoting this when people are dying from it.
Lastly, daily reminder, Covid has now surpassed the Spanish Flu to take the place as America's most deadly pandemic.
U.S. deaths make up roughly 14% of the nearly 4.7 million fatalities that have been reported worldwide in this pandemic to date.