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Doctors Say Shortage of Protective Gear Is Dire

nytimes.com

121–130 of 145 posts

Re: Doctors Say Shortage of Protective Gear Is Dire

#121

If this article was dated January I might care. Everyone in the hospitals from nurses to management knew exactly what is coming but did nothing. And nothing has even happened yet, wait till the virus actually arrives in a few weeks. Did any hospital plan or ask for help properly? Did any nurses union raise the issue? Anyway they have numerous studies from Africa where they can't afford equipment, rather than the lack…

Nurses and other staff are not there to make decisions based on firsthand geopolitical and epidemiology research. They have enough day-to-day work to do. This information should be provided to hospitals and other healthcare workers from higher up. This level of resource use / need may be even above what the local management should analyse, because ideally there would be regional stock available to shift to the clinic…

I agree with you regarding client-facing staff, and think the parent post has misplaced lack of concern. However, I also think the post makes an important underlying point about hospital administration generally and "where their heads were at."

Increasingly a lot of hospital administration is very profit-focused. Not all but maybe most; where it's not, it's increasing, and where it's not supposed to be it often is, but hidden.

What this means is that the focus of hospital administration is often not on epidemiology and public health, even though it should be. It should include that more. It's focused more on squeezing out the maximum from each provider in terms of billable hours and patient contacts. When you're focused on stuff like that, you're not thinking about public health.

And so we have the consequence of that now. I don't think this is the only problem -- there's also government overregulation, rent-seeking provider monopolies that artificially restrict supply of services, and lack of coverage for patients -- but it's part of it. In general, at an abstract level, healthcare in the US has become very focused on protecting the interests of the established system, and less so on the interests of citizens and patients. It's a house of cards with several problems at once, getting hit by the perfect storm.

Re: Doctors Say Shortage of Protective Gear Is Dire

#122
post #120

Earlier quoted context omitted.

Sure, but why do all of the smaller firms absolutely need cash right now? If they sell to a government or large entity, payment is all but assured. Even if they have a high discount rate, they can factor that into the price. There's no way they all need the money now to remain in operation.

We are way past discount rates here. Firms without enough cash won't survive. Even if you double or triple the price, it doesn't help if you're out of business when they pay weeks or months later. That's why some kind of financing is needed for larger orders that need like $ 1/4m to 1m in outlay first.

Can Chinese banks provide bridge financing? You'd think they would be happy to, since half of them are state-owned and China is in a position to help other countries afflicted by Coronavirus.

The bank can give the mask company money now. Once the American NGO receives the masks, it can directly pay the bank. That way the bank does not have to worry about the mask company stealing its collateral. The bank might even offer to pay for the provision of masks as a donation from China.

Re: Doctors Say Shortage of Protective Gear Is Dire

#123

I keep seeing articles like this pop up. During one of the first coronavirus press conferences, the White House invited CEOs from Walmart, Target, CVS, etc. – presumably to show strength of the private sector. On the flip side, why can't we enlist money and resources from the private sector to quickly fix some of these supply issues? For example: - Convert car factories to produce masks and ventilators. - Convert con…

Turns out N95 masks are quite high-tech, and even China is having trouble scaling up its production. They're made of a material, meltblown fabric, which only a limited number of factories are capable of producing. https://www.npr.org/sections/goatsandsoda/2020/03/16/8149292...

The problem is harder if we demand flexible fabric. That isn't how gas masks are done. With a canister filter, all sorts of options become possible. We could use sintered glass, ceramic, or metal. We might be able to use aerogel, diatomaceous earth, or metal foam. We could even go electronic, with a UV light.

Filters with greater air flow resistance can be used if we add a blower. Remember that the virus can enter via eyes. Eyes need protection. Eyes also need air, and it can't be humid or the protection will fog up. For this too, a blower would help.

Re: Doctors Say Shortage of Protective Gear Is Dire

#124

Earlier quoted context omitted.

Strategic stockpiles seem much more cost effective than autarky.

It is not about autarky, but diversification and resiliency of the supply chain. Automakers are experts at this - BMW cars made in USA (South Carolina) have US made parts and ones made in Germany have locally sourced parts from Germany, yet the ones made in South Africa have diversified sources - both local and international. If you're in the US, you can see this % of locally made parts right on the window price stic…

I imagine that unless it's 100%, the "% of locally made parts" is very poorly correlated with supply chain robustness.

If a BMW contains 99% local American parts, it's quite likely that much of the 1% are the hardest things to produce locally.

Re: Doctors Say Shortage of Protective Gear Is Dire

#125
post #91

Earlier quoted context omitted.

That seems like a complete non sequitur, but it reminds me of an old joke. 1. Elect people who don’t believe in government 2. Get shocked when they do a poor job. 3. ??? 4. Profit More seriously, I don’t think this is the kind of situation where people are ever going to be happy with how it’s handled. But, governments can do a better or worse job.

It doesn't matter if the people running the government believe in it or not. Central economic control doesn't work.

Every western country has used some central economic control continuously for the last 100+ years. Tariffs are ancient, but more modern tools like the FED or child labor laws are far from recent.

Saying they never work is clearly disingenuous.

PS: Unless you’re thinking of central planning aka communism and just using the wrong word.

Re: Doctors Say Shortage of Protective Gear Is Dire

#126
post #37

I do China sourcing and have decent access to 3-ply surgical masks and limited access to N95 masks. It's really hard to sell either of those to government bodies, even near cost. Already talked to the Red Cross, wholesale pharmacies and different ministries. They generally insist on payment on delivery, which we can't do for larger orders, as factories sell to whoever has the cash at the factory gate. Some also want…

Last I heard, my employer (large hospital in New York) is looking to buy. If you could reach out by email, I will pass it along to the relevant people. Thanks!

Re: Doctors Say Shortage of Protective Gear Is Dire

#127
post #35

Again severe failure on the govt’s part. Their inaction in when it was needed the most led to all these circumstances that makes it ripe for situations like these. As the number of infections spread and economic situation get worse these kind of things will get really really bad. Once the second and third order effects kick in it’s going to be a catastrophe. And our leaders answer to all of this is to give $1200 chec…

"why they are not fired and instead have to wait till next election." Because we still have laws, and elections. What do you want a military coup?

Honestly, right now? It might improve things. If literally the only thing they do is force a sensible election system, it’ll be worth it.

Re: Doctors Say Shortage of Protective Gear Is Dire

#128
post #127
post #35

Earlier quoted context omitted.

"why they are not fired and instead have to wait till next election." Because we still have laws, and elections. What do you want a military coup?

Honestly, right now? It might improve things. If literally the only thing they do is force a sensible election system, it’ll be worth it.

> If literally the only thing they do is force a sensible election system, it’ll be worth it.

If global history (even just the past 70 years) is any indication of the results, there's a very high chance a coup won't force a sensible election system. Let's not dream up this situation

Re: Doctors Say Shortage of Protective Gear Is Dire

#129

Again severe failure on the govt’s part. Their inaction in when it was needed the most led to all these circumstances that makes it ripe for situations like these. As the number of infections spread and economic situation get worse these kind of things will get really really bad. Once the second and third order effects kick in it’s going to be a catastrophe. And our leaders answer to all of this is to give $1200 chec…

> Again severe failure on the govt’s part. If you live in a democracy, then you are part of the government. You can't just blame other people for this.

I elected people to govern. If I have to govern for them, what exactly are they being paid to do again? Besides, what we need during a crisis is expedient, logical decision making, not incredibly slow and decentralized power.
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