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The Healing American Healthcare Podcast
The Healing American Healthcare Podcast

Episode 14 · 8 months ago

Vaccine vs. Virus in the US

ABOUT THIS EPISODE

Ed Eichhorn & John Dalton, editors of The Three Minute Read™, give an update on the US’s vaccine vs. virus race with statistics and success rates for vaccines currently on the market and give updates on the trials for new ones. They also touch on the Biden Administration’s and the healthcare industry’s plans for moving towards universal healthcare and further mitigating Covid-19. 


Want to join our mailing list? Text HEALHEALTHCARE to 22828 to get started. And be sure to go to healingamericanhealthcare.org to learn more about The Healing American Healthcare Coalition™. 

Music: 

"The Discovery" 

by The Lemming Shepards 

Exzel Music Publishing (freemusicpublicdomain.com) 

Licensed under Creative Commons: By Attribution 3.0 

http://creativecommons.org/licenses/by/3.0/ 

Welcome to t thre Gina Ran podcast, I'mJohn Do editor of the twice monthy newsletter of the healing Americanhealth care coalition. Joining me once again is an ICORN. The coalitions, Cofounder and couple Anthor of healing American health care a plan to providequality here to wall, while sading one trillion dollars a year. The morningJohn, it's good to be with you again today, well between us and I havenearly a century of healthcare experience and we're still trying tofigure out and neither watch the tream that it readed a year ago to Sumriesome of their critical issues affecting busy coalitions and physicians as theystruggle through Thi spandemic today new summer, as a hundred thirty, twoarticles from fifteen diffrent sources on eight topics, including physicianpractices, insurance, goverage drug course and, of course, the pandemic.President Ind took off US fifty seven days ago and wasted no time indeclaring war on the pandemic. besigned ten executive warter that first day tojump start is national covid nineteen strategy today or than seventy threemillion Americans have received at least one F, those of vaccine. So,let's dive into the issue and see how this war on the pandemic is gone. Wehave five articles, four of which deal with various clinical issues and thenthe final one the healthcare industry seeks coming round with buying iswriting. TEDI cons, wheelhouse and he'll be Joinin us to discuss thatarticle. The first article is bout, Yu PMC on your three for fight againstcoed entitle itwas in modern elth, persFebruary. Twenty eight issue title fighting COPET ON THREE FRONTS: theUniversity of Pittsburgh Medical Center health system. Now in westernPennsylvania, H University of Pittsburgh, medical CERNTE heall systemis the aitune pound arilla anywhere west of Harrisburg. They have thirtyfive hospitals and ninetysand employees, and what that gives them is a criticalmass to be able to invest in research efforts and finding ways to deal betterwith some of the issues that they're merging there is a pocess at MINUSIS,the TEADM found Arilla, but they are also making some progress in terms oflooking at our best to deal with with thissues like the panda. So the firstone is general masking. They took a closer look at mask strategy, includingfantastic for hen, ninety five masks and availability, and they found thatthere were a number of reareas mhoce. They coul improve the use of masks sothei degree in preparenis needed to be a match higher on nongoing bases, on contact, traceer UBM t created acontact tracing at that has allowed the heal system to say ahead of the game onthe coronavirus. Nearly all of their employee exposures did not come fromcontact within the health system, but really from community events outside ofwork. We ve got there from their chief quality officer, Tary Maneran, who saidour contact tracing at really allowd us to contain the things the third area where YOUBMC was aheadof the curve is on mass vaccination. They had already researched, was toaccelerate mass vaccinaations and tested their approaches with unifuensof vaccine in getting vaccinated in the forl for the seasonal flu. When thepannemic began, they already had a structure in place to mass vaccinate.Their employees as well as work, is in nearwy health systems. Again AcosanCherry Maner. She talks again about how this is hell, facilitate getting peoplevaccinatd by mid February. Engty percent of their healthcare employeeshad completed their first nose of the...

...vaccine, and UBFC is now making thatcapability available to other non PMC hospitals and healt systems. The secondarticle is he subject that we first looke at back last August with twoarticles in our ogist issue that the dealt with wrong call, covid symptomsand actually now there's a definition for what is a long horn is a person whosuffers from symptoms of Goin nineteen for longer than two weeks and generallyfor several months, and that all this issue we talked about a Neua scientista then an ar crammy a tirty eight who was not able to return to her yeuroscience Alad in London. This is the end of July. She had contracted the Covinnineteen in March, Tos suffering from brain fog, occasional musculardifficulties, and so formostly had not been able to return to work. That issue.We also talked about the wrong term healthcare course that will beassociated with Covinnineteen, and in that article we also talked aboutmillions of dollars. In course, and H, Lrong Term Care Course, we alsocommented about Mount Sina, leaving a multi center trial to monitor patientswho had long coid and two gots from that article. We calt a doctor, grinaryPoland, his a CO, nineeen expert and Mao clinning e warn that some of thepossible wrong term of facts can even affect patients oare a symtematic andhave mild cases quote. I think it's an argument for why we take this diseaseso seriously we're going to need to studyin Thoe as vigorously as we didthe accute symptoms. Dr Anthony Found. You also pitched intalking about wrong Colin, an call a grain, fiht, fantigue and difficultyand concentrating this is something we really need to look seriously at now.We're seeing much more on the subject, for example, New York Times edittorialboard member Marige at a case of covid that resulted in Longcoin symptomsafter getting her first vaccine dos to weeks later, she felt much better inthe we've seen her interviewed on occasion on Cable TV News, a UK survefound thet. Sixteen percent patient said their long. COVID symptoms haveimproved like two weeks after the first tose, so that's encouraging news: Yell Universie Akigo Ewasaki PhD againa a person Wev coting before previous artles. He has succested studying threepotential mechanisms that drive along covid is that a persistent viralresevor is viral, fragments or remens that drive information or is an oderimmune response induced by the infection? Stanley Weiss, an infection diseasespecials here in New Jersey and reors New Jersey, medical school agrees withIwassacki quote the way you progress, son, science and medicine, is that youtake observations from expert observers and pursue them with scientific rigor,and that's very important that we do that on the overgrown Hollas Front,because remembering back to insurance before the affordale charact insurance,underwriters, wone to Chary Fif, the risks whoill wrong. GOIN now is a preexisting condition. Next to Aurthole in the issue dealtwith the nofafacts vaccine, as from the from roiners on Marcial. Eleven no vexvaccine is ninety six percent effectivelyhis original coronavirus.Eighty six percent versus the British variant in a UK trial that UK tri will roll more than fifteenthousand people age. Eighteen, eighty four but assess the vaccine's efficacyduring a period with high transmission E K Virus Virus Varan B, one one, sevenow, we're scirculating winely,...

...including here in the US what they findNoavatin vaccine, was ninety six percent effected against the originalvariant. The one that we've seen most prevalem over the course of last yearwas enty, six percent effective, protecting against the B one undred andseven vary. However, in South African it was only fifty five percent effectstill good, but against us have African variant. It did fully prevent severeillness. Now No ax expects therare thirty hzand Peron clinical trial inthe US and Mexico to have complete data by early April. The factsane could be clear for ousinthe US as soon as May. If yous regulators decide, the UK data isenough to make a decision. However, that's probably a long shot for the FDAto accept anothero nations that it would be to use an overwork wordunprecedented, so that's less likely to happen, but once the US trials arecompleted, it's likely that no evacts ultimately would get an emergency used.Authorization within the US having the Nofax Vaccine Availle well gave us yetanother weapon in the vaccine, firstvirus race to recovery. Youalready have three with MDERNIF fiser and single dos James, gay vaccsine.Ultimately, when the know ax vaccine is approved for using us, it's anothersingle dose vaccine that iy helpful in Ithis race to recovery, Bot the sametime as tremin to rein everybody's inboxis. On Tuesday, The New York Timesmorning report had an interesting char. That really shows how this vaxineversus virus race is progressing. So, let's say minutes to look at this chartshows how vaccines are slowing, the spread of the coronalvirus, the change in new daily Covid nineteencases, premillion residents over the last month from Febuary fourteenthmarch fourteen the countries listed are listed in sequente of the doses givenper hundred people and, as you know, Israel has been the most agrgressive interms of it: vaccine, roll ot and at March Fourteenh that Aminster, Ohundred and six dellsis o hundred people, and you can see how drmaticallythe number of cases dropped because of this aggressive vaccine, ministrationunited, our memoris sixty eight for hundred Bratan, which, unlike the restof the Eitho, was very iggressive in hi scroll ow because of the concerns aboutthe V on one seven variant. That has had a a major positive effect in termsof the number of new deily cases. Chile, for some reason, has gone in theopposite direction, although theire vaccine thoses were up to thirty fivefor hundred people, US at thirty two hundred check this morning. That's nowabout thirty four ofour hundred. You see that the race to recovery is on thenumber of the daily casees still too high, but coming down steadily watbouthalf what they were at the peak in the winter serv, so it' very important thatwe get those shots into arms. As of yesterday, something like a hundred andthirteen million doses had been administered in the US on the day thatpresent bid was a neomuraten. That mumber was sixteen point, five million.So that's quite a change over the last fifty seven days. Next, article deals with an issue thatwe first talked about back in September is from the hill and it was written byJoseph Joy on March. Fourth, most virus deaths record in nations with highobesity levels, and I this is an analysis and then the lincolns betweenthe mecity and Covid nineteen as something we first thoughkt about backin September issue. There was an Auti of the asssociated press, doctorsstudying why obcity may be tie o...

...serious Covin Nineteem, and itmentioned some of the studies that were then showing that highwining mas indexis or a significant complicating condition for those who can tracted Cov.Nineteen, so let's look at the article, the World Ebesity Foundation, which isan organization I didn't even realize existent Pi so of this article. Theyare affiliated with World Health, ormaization and they're located inLondon. They put out on anuaport that looks at firtually every country in theworld and they found a connection between increase covid nineteen deathsand high ovesiturates and is acos from the report. Comparingcountries around the world. We find a closest association between deaths whogo in nineteen and the prevalence of overweight in the adult population. The connection betwe increased Resk ofsevere coin nineteam cases or death. An higher viding way was observed acrossmultiple countries, but much less so in many of the poover countries in theworld and w there's been a lot of concern about vaccine distibution tomany of the poorer countries. For a number of reasons. They are in muchbetter shape with respect to Covon nineteen than is much of the OECD andwill see some of those connections in a minute. A recent US study reported thatAl these people were twice as likely to be hospitalized. Ok, O nineteen and sixtimes more likely to die after developing disease, so it is a majorconcern. A Brookin STANC decision study agrees with the world oresityfederations. fitings quote a large part of the positive correlation betweenincome and deaths. FERMILION is due to the ACI distribution and obesity, sowet's sin o look at the US and dad from the POR ovse federations and you report, and this was extracted from theirreport. The first table is ore than they present for every country in theworld as of January one, and that one o five point: Sixsai Coen, despe hundredthousand paulation is consistent with the numbers that we can file as aDecember. Thirty first in the US, as of two thousand andsixteen sixty seven point, nine percent more than two out of three Americanadults is to overweight and obesity. That's a body mass index grated in thethirty thirty six point: two percent of us are obese and you guys populationoneiand sixty five. SIXTEEN POINT: Six! That's one of the differences betweenmajor OECD developed countries and the developing world. We see a lot lessoverweight, a lot less obesity and lot ofour percentage of population oversixty five on years. In many of those poor countries you doing betterigoidnineteen than our weight. They also resat the table for eachcountry that shows the thsandy ten target and Wo Thousand and twenty fivepretictive prevalence a number of cases of obesity and overweight. So for theUS in two Thousan and ten, then were about one out of three males and oneout of three females was overweight in two thousand and twenty five thousandnumbers are projected to go up to a forty four point: two twenty fourpointy four percent and more troubling trend, obesity and children, ND fittwenty point, one percent in two thousand and ten and close to honedred four O by twothousand and twenty five. Now, looking at the CDC data, whichsurprised me in one thousand nine hundred and ninety five thebec rate inAmerica was fifteen point, six percent, so one out of six hundred out of sevenadults was obeast that roomjap One thousnine Ted Point: eight percent intwo thousand on out of five adults and twenty three point: seven percent in ofive, almost one out of four adults. So...

...clearly the Fast Fil nation is geningitself to death, and this next articlet's Rightin, you, theWol House, and he comments before you tagl this one. I think the articlesthat you cover John Certainly are important with respect to covid andwhere we stand today and how organizations have worked to, you knowtry to keep their employee safe. While dealing with patience. This articleappeared in modern health care on March eighth by Lola Butcher, it's entitledHealthcare Industry Gearing Up to find common ground with Biden generally, the healtcare industryagrees with the BINDE administration. The current Tom Priority has to be thecovid nineteen pandemic, followed by increasing insurance coverage in support of that and their commonground lobbies. Representin providers payers and employers form theaffordable coverage coalition, whose goal is to achieve universal healthcoverage through a number of steps. Let me digress a little bit here and tellyou who is in this coalition. It includes America's health insurance plans, theAmerican Academy of Family Physicians, the American Benefits Council, theAmerican Hospital Association, the American Medical Association, the BlueCross Blue Shield Association, the Federation of American hospitals andthe US Chamber of Commerce and when they formed their group in Fenruary,they put out a document and I'd like to share the first paragraph with you togive you a sense of the magnitude of this new lobbying organization. Theyrepresent the nation's doctors, hospitals, employers and healthinsurance providers. Collectively, the organization includes hundreds ofthousands of individual physicians, thousands of hospitals and hundreds ofemployers and health insurance providers that serve hundreds ofmillions of American patients, consumers and employers every dayacross the United States. That makes them a very, very powerful group, andyou know, theyare interested working with the president's administration toanhance ACA premium Subsonese and providing centers for ore states toexpand Medicaid. This includes things like they support tax credits and closesharing reductions, insurance of fordability automatic and facilitatedenrolmen federal funding for outregion enrollment incentive to close the lowincome coverage gap and preventing increases in the number of uninsuredand those things all aline with their overall mission, or the shared missionsof this number of lobbies that represent such a large percentage ofhealthcare providers and insurance providers and employers. Now, while they agree on many things,members of this coalition do not agree with creating a public option thatwould allow people to buy into Medicare or reducing a medicare eligibility agetand sixty. In fact, they site a survey from two thousand and nineteen thatsuggests that a government run medicarelike option would lead tonearly eight hundred million in provider payment cuts over ten years.While eutization was growing. Now you think about it. For a moment, they arevery supportive, as all obbyous are of things that are good for the members ofthe lobby. They want more patience, they want those patients to be paid for,and certainly physicians, that see, the patients would like to be paid.Hospitals would have less unpaid care...

...that they don't want, employers wouldhave more covered employees and those things are all good for healthcare, butthey're, especially good for that lobby. A Medicare like option or a publicoption is good for Americans, but it's not as good for this lobbying group.Now, if you're going to have more people on Medicare, you have to look atthe trust fund and the article reports that the Medicare Trust Fund isprojected to have insufficient funds to cover its obligations within threeyears. At the beginning of thousandand twenty four and in response to thatcommonwell funds C Eo, Doctor Blominfhal, said that if Congress wantsto give more people the coverage that Medicare offers there are ways to fundit. It's just a matter of finding the political will to do so now during the pandemic. The articlealso reports on the expansion of telling health to fill the gap and itsmade healthcare more accessible and more affordable, especially in ruralcommunities, and there is a general bipartisan support on this issue, aswell as on drug pricing. The American Hospital AssociationsSenior Vice President for policy, said we're going to need help from Congressto remove some of the key barriers in order to make tella health continuebeing used, as it has during this public health emergency. Now, of course,the lobbying organization for the phormaceutical industry is not on board.With all of these things there, a representative said that governmentprice setting is a bright line that the industry is unwilling to cross. Theybelieve that their success in rapant vaccine development provides the cloutneeded to oppose price controls, but we also should understand that for many ofthem who have developed new drugs and vaccines, they received payment fromthe federal government to do that. John reported on Novavaxs in an earlierarticle, Nova Vax, is steaming ahead to make vaccines in preparation forgetting approval for their use, but they were also paid one point: sixbillion dollars from the United States federal government to do so. So we needto keep these issues balanced between what the government is paid for andwant the lobbyist to representing for the industries that they represent.It's also important to understand that there have been a lot of workforceissues associated with the pandemic. It is severely strained America'shealthcare word force and, in fact, to help with part of that a bill inDecember authorized Medicare to fund a thousand additional physician,residency slast and is is very important because the Association ofAmerican Medical Colleges predicts a shortage of up to about a hundred andfortythousand physicians by two thousand and thirty three, and they seethis as an n opportunity to begin to address this projected shortage becauseto project the shortage means people have to go to medical school graduatefrom medical school and do their internships an going to practice.That's a very long, leaning time so having a thousand additional residencyseats makes good sense. In a time like this, the buill that was recentlypassed, the American restgew plan actually provides for funding for ahundred thousand additional public health workers and they are going to besorely needed as we address growths and care over the next several years. Wealso wanted to share with you that there was a recent study by a populace,which is a Massachusetts think tank, and the study that we are referencinghere was conducted very recently. It...

...was conducted from January Twenty Fontto January twenty eighth and it found that across race, gender income,education and generation after the two Thousan and twenty presidential vote,there is a great agreement in America's long term national priorities,regardless of whether a person is a Republican or a Democrat or whichpresidential candidate they voted for the leading one among these was highquality health care as a necessity, not a privilege, and there was also anoverwhelming commitment to individual rights and upholding equal treatmentfor all tat. That doesn't necessarily mean that would be equal outcomes veryinteresting article. In fact, there's a quote at the beginning of that that Ithought I would share that relate the Welle lobbying we talked about in thisarticle. The quote is from Abraham Lincoln in eighthen. Fifty eight- andhe said public sentiment is everything with public sentiment. Nothing can failwithout it, nothing can succeed and I think all of these efforts for lobbyingorganizations to make their points in support of the bide initiative and alsowhere they disagree, are really important for the public to embrace andunderstand, as these efforts go forward than you had. So where is the Coalition for thepublic? That's Theki question mean that that's an all American room that youtalked about for the affordable care coalition and ther ams a lautable allbin of it self serving and the somewhat one dimensional some of their aims makea lot of sense. For example, they are talking about the things that we canall endorse and support, such as Automaagon fasilitated Anroman, to getnew individuals, a role wit, medicat and Prenon Free Mori pace plans and efislhe Ben Roman for any remaining on Thesur. Let's an your Biden has openedup how care dod go through March Thery. First, they were starting to fundnavigators. Again, that's all of this stuff theyr talking about preventingincreases in the unensured to help prevent I or in O, lass or at risk of alosing employer, VI. Health. coverge will becoming uninsured and fundingcover benefits and that kind of stuff, that's all good for that coalition, butwho's really looking aut for the patients and making sure that thepublic needs are met, and now enough of the editorializing ban spending thirtyfive years on boards of Notfor Provit, hospitals that have to run Werto C room,O thousnd, a four seven except whate e, the patiens cone through the door. Iget a little bit upset bit some of the tem obvious and their rather entranshdpositions. We really need a simple hig and streamline healthcarng, get rid ofsome of that Administrativin Cinigo waste, and let me talk you more aboutthat in future issues. Speaking of future issues, if you have morrain doneso, please take our healthcare survey at the MN area of L, not healingAmerican healthcareduct or we're interested in your incigsive euse infuture. PODCAST will be sharing feedback with our listeners on issuesHan include universal healthcare versus medicaare for all and then we'll belooking at some of the legislatute poposes e. currently moving through thecongress. We talk about the ICORN Hic anol care plan that can say up to atrillion dollars a year for American health. Here? U We talk aboutprescription, drog pricing and much much more. This morning we saw theannouncement that Amazon is moving out with its teller health proposal andwill be making their jool platform available to all American businessesagain tell my health is here: Tis Stay so we'll be discussing some of that inour future podcast. So thanks again for listening, ther issues, an particularinterest that you would like to see covered, please fe Afreid, to contactus if you're interested in joining our...

...mailing US thes heel health care at te,two to GT to Eigt, to get O amailing tist until next time wash your handswatch your distance and wear a ask thanks for joinings.

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