Monday, March 23, 2020

When the Claws Come Out




I love the cartoons, the emails and texts – people supporting each other. I am in awe of the medical professionals putting themselves at risk to mount triage and treatment centers. For those locked away in laboratories, computer sequencing COVID-19’s genetic code and generating prospective treatments and vaccines, I am truly humbled. To the Hollywood costume designers turning out in droves to make protective masks, I say “thank you.” I offer every delivery person bringing a package to my door the ability to get a squirt of hand sanitizer. I hear the sirens of first responders doing their jobs. I know that there are farmers, warehouse workers, truckers and grocery and pharmacy workers who understand how critical their jobs really are. The anonymous government bureaucrats, head down and dedicated to the task at hand – working past the chaos at the top – and our precious military personnel taking risks but working hard for the rest of us, are profoundly to be admired and respected. And so many others.


But then I see the crowds at the Los Angeles beaches (just closed), those wandering in large groups along the banks of the Potomac to admire the spring flush of cherry blossoms, the spring breakers on the few remaining open beaches, hikers in large groups in available parks (rapidly closing). Safe distancing? Hardly. Sheltering in place? Obviously not. Perhaps if these individuals were just making decisions for themselves, I just might understand. But they have become COVID-19’s cadre of infection delivery men and women (and children), able to bring that virus to those who did not vote to take that risk. Parents, people already in harm’s way doing their jobs, children and grandparents. Germany decided that, outside of those in a common household, two people were the biggest casual group allowed. For those who ignore the risks: Arrogant. Ignorant. Selfish. 


I watch on Amazon as my favorite instant oatmeal doubles, then triples in price. Surgical masks that cost under a dollar each now selling, even in bulk and even to needy government buyers, at seven times that. Toilet paper and paper towels? Hand sanitizer? Televangelist Jim Baker fraudulently selling a silver solution to kill the virus (pictured above)? And those few doctors, living up to Donald Trump’s on camera admission that those with connections would get the first and best treatments, ready to make a buck from those who can afford to pay. It might not even be technically price gouging, which is illegal in California. But…


“As people across the country were unable to get tested for COVID-19, a Santa Monica pediatrician emailed the parents of his patients with a pricey but tempting offer… For $250, they could buy a cheek-swab test for the virus to be administered at home, Dr. Jay Gordon wrote. The tests could be purchased by his patients’ parents even if they showed no symptoms or had no other reason to fear they were infected. Insurance most likely wouldn’t cover the cost, he wrote… Because he was getting only 100 kits, he asked that testing be limited to family members and ‘household staff.’… Gordon said he sold out almost immediately and has ordered hundreds more…


“But some private physicians and ‘concierge’ doctors are offering tests to their patients at a price. It’s hard to know how widespread the practice is, but it has sparked outrage as celebrities and professional athletes without symptoms have gotten tested while others of lesser means wait… Gordon said he is selling the tests to his clients because he has a duty to give them the best medical care possible. ‘I think it’s in the best interests of my patients,’ he said… Gordon — who has drawn criticism for defending the rights of parents who want to delay or refuse vaccinations for their children — said he believed the lack of testing was going to get ‘much, much worse.’


“Some physicians are skeptical that all the tests being offered are effective and criticize doctors who are charging fees for clients who want to be tested and have the money to pay… The Food and Drug Administration on Friday publicly warned that it has not authorized any at-home tests for COVID-19, the disease caused by the novel coronavirus…


“In Beverly Hills, Dr. David Nazarian, a primary care physician, said he’s been receiving an influx of calls since the coronavirus outbreak hit the U.S. But because he has a concierge medical practice — meaning he limits his clientele to “influential people, A-list celebrities, and CEOs” in exchange for more personalized care — he has been granting tests only to his existing clients… Nazarian’s yearly membership fee starts at $5,500 and can go up to $10,000.


“About a month ago, when COVID-19 cases were still primarily occurring overseas, Nazarian began looking into obtaining extra nasopharyngeal swabs and viral transport mediums — the materials needed to test for the coronavirus. As a result, he had about 50 available for his patients, which were administered during house calls by nurses wearing protective gear.


 ‘Because of a ‘massive shortage’ of testing kits, however, Nazarian decided to place an order for the rapid-test kits he said have been used in China and South Korea that produce results in a matter of minutes, not days… Nazarian said he expected the rapid tests, which involve taking blood samples, to arrive from China over the weekend, at which point he hopes to open a drive-through testing option available to any person willing to pay about $500 or $600.


“‘We have had a lot of new patients contact us who money wasn’t a factor for; they were willing to pay whatever was needed,’ he said. ‘But we’re not looking at this time in regards to ‘How can we make more money doing testing?’ or ‘Who we can charge more to do a test.’ It’s actually really trying to take care of the patients we already have and then figuring out how we can increase testing and do things for the good of the community.’” Los Angeles Times, March 23rd.


The President tells us that while he invoked the wartime emergency manufacturing control Defense Production Act, while he could force able companies to manufacture necessities, he would probably rely on voluntary corporate action and allow the “free market” to set prices. Prices for basics which taxpayers will have to accept. 


“Dr. Jeffrey Klausner, who said he was a voluntary clinical consultant with KorvaLabs… said that notions about free testing being available are an ‘illusion’ and that Americans have been unwilling to fund a healthcare system that might have been better prepared for the crisis… ‘We need to rely on the free market for our health response,’ Klausner said. ‘That’s America.’” LA Times.


Republicans and Democrats on the Hill battle for a much-needed stimulus package. Republicans emphasize bailing out and supporting big institutions, with token payments to individuals, while Democrats are drilling down on people first, institutions later. While all are sure a bill would pass, it was equally clear that rich powerful interests would ultimately be served first and most. “Asked if he would swear off receiving assistance for his own businesses, Trump demurred, saying that ‘it cost me billions and billions of dollars to be president’ and that he had gotten no credit for declining his annual salary.


“[Senate Majority Leader Mitch] McConnell [R-KY] was in a less conciliatory mood than Trump, blaming Schumer and House Speaker Nancy Pelosi (D-San Francisco) for derailing bipartisan negotiations… ‘We’re fiddling here, fiddling with the emotions of the American people, fiddling with the markets, fiddling with our healthcare.’” Makes you feel warm and fuzzy inside, doesn’t it? Americans just might have to weather this crisis with each other, looking for the good in most of us… but we need to start thinking like Americans again. As for our “leadership,” you decide.


            I’m Peter Dekom, and you can expect swift Congressional action because they all want to get out of Dodge, where some of their own members have tested positive for CV-19.


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