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Rudy Giuliani got monoclonal antibodies. You probably can’t

nytimes.com

11–20 of 36 posts

Re: Rudy Giuliani got monoclonal antibodies. You probably can’t

#12
post #4

He's not an elected official or front-line worker. He's not a resident of the community that the Georgetown hospital serves. He's obese. Why did the staff responsible for triage decide that he gets priority over someone more essential, or someone not obese with a better chance of survival. From the article: > A physician with experience administering the new monoclonal antibodies, who didn’t want to use his name beca…

This is answered quite clearly in the article - because he's well connected. Largely that means people with money, but influence doesn't hurt either. He cut the line as a VIP. Is that ethically wrong? Probably. Is it new? Not even remotely.

> This is answered quite clearly in the article - because he's well connected. Largely that means people with money, but influence doesn't hurt either. He cut the line as a VIP.

> Is that ethically wrong? Probably. Is it new? Not even remotely.

The story here is not that corruption is "new." The story is that there were a total of 108 doses of this treatment allocated to Washington, and one of them went to someone with self-admittedly "very mild symptoms," and had a history of reckless behavior to boot. That rare treatment might have been able to save someone's life, but it instead went to someone who didn't need it and probably didn't deserve it. It's worth noting that this instance corruption happened and who was involved, so maybe someday something can be done about it or this sort of thing more generally.

It's really weird: whenever there's a story like this, people seem to climb over each other for the opportunity to note that corruption wasn't invented yesterday, like they're making some kind of important point.

Re: Rudy Giuliani got monoclonal antibodies. You probably can’t

#13
post #7

Earlier quoted context omitted.

Boris Johnson, PM of the UK, got his COVID care from the National Health Service, and while I imagine he got some VIP treatment, the delta between rich and poor in the US is the same as life and death. It's not an issue of an extra comfy pillow and a room with a view, it's being left to die because you can't afford treatment. Other countries don't do that.

It is not being left to die because you can’t afford treatment. It is bad enough that we don’t need to exaggerate.

> It is not being left to die because you can’t afford treatment. It is bad enough that we don’t need to exaggerate.

If you don't have the money to pay, hospitals in the US are only required by law to stabilize you. So, for instance, if you can't afford cancer treatment, you'll likely die of untreated cancer.

Re: Rudy Giuliani got monoclonal antibodies. You probably can’t

#14
post #7

It is better to be rich than poor. In other news, the sun rises in the east and sets in the west.

Boris Johnson, PM of the UK, got his COVID care from the National Health Service, and while I imagine he got some VIP treatment, the delta between rich and poor in the US is the same as life and death. It's not an issue of an extra comfy pillow and a room with a view, it's being left to die because you can't afford treatment. Other countries don't do that.

> it's being left to die because you can't afford treatment

What? Emergency rooms can't refuse people in the US.

Re: Rudy Giuliani got monoclonal antibodies. You probably can’t

#15
Very curious how monoclonal antibodies seem to be usable for a very wide range of applications.

I have been taking monoclonal antibodies every 2 weeks for more than a year now with Dupixent for atopic dermatitis. In my 30+ years on this earth only steroid creams ever worked to treat my eczema, that is until this monoclonal antibody treatment came along and for all intents and purposes completely cured me.

To know that a similar kind of treatment is used for covid is pretty mind boggling since both conditions have very little in common.

Re: Rudy Giuliani got monoclonal antibodies. You probably can’t

#16
post #12
post #4

Earlier quoted context omitted.

This is answered quite clearly in the article - because he's well connected. Largely that means people with money, but influence doesn't hurt either. He cut the line as a VIP. Is that ethically wrong? Probably. Is it new? Not even remotely.

> This is answered quite clearly in the article - because he's well connected. Largely that means people with money, but influence doesn't hurt either. He cut the line as a VIP. > Is that ethically wrong? Probably. Is it new? Not even remotely. The story here is not that corruption is "new." The story is that there were a total of 108 doses of this treatment allocated to Washington, and one of them went to someone wi…

> and one of them went to someone with self-admittedly "very mild symptoms,"

In fairness, the monoclonal antibodies have been shown to be ineffective when given by the point symptoms are severe. To save any lives, you'll need to give them to people with mild to moderate symptoms but significant risk factors.

e.g. "...Casirivimab and imdevimab are not authorized for patients who are hospitalized due to COVID-19 or require oxygen therapy due to COVID-19. A benefit of casirivimab and imdevimab treatment has not been shown in patients hospitalized due to COVID-19. Monoclonal antibodies, such as casirivimab and imdevimab, may be associated with worse clinical outcomes when administered to hospitalized patients with COVID-19 requiring high flow oxygen or mechanical ventilation...." https://www.fda.gov/news-events/press-announcements/coronavi...

Of course, this really sucks, because there's nowhere near enough to give to everyone who's high risk and has early COVID, while there might eventually be enough to give to people with severe COVID.

Re: Rudy Giuliani got monoclonal antibodies. You probably can’t

#18
post #9

It is better to be rich than poor. In other news, the sun rises in the east and sets in the west.

The definition of money is more or less “the capacity of access to goods”. What is the problem here?

A lack of empathy.

Re: Rudy Giuliani got monoclonal antibodies. You probably can’t

#19
post #7

Earlier quoted context omitted.

Boris Johnson, PM of the UK, got his COVID care from the National Health Service, and while I imagine he got some VIP treatment, the delta between rich and poor in the US is the same as life and death. It's not an issue of an extra comfy pillow and a room with a view, it's being left to die because you can't afford treatment. Other countries don't do that.

> it's being left to die because you can't afford treatment What? Emergency rooms can't refuse people in the US.

No, but they can still let you die after they stabilized you.

Re: Rudy Giuliani got monoclonal antibodies. You probably can’t

#20
post #7

It is better to be rich than poor. In other news, the sun rises in the east and sets in the west.

Boris Johnson, PM of the UK, got his COVID care from the National Health Service, and while I imagine he got some VIP treatment, the delta between rich and poor in the US is the same as life and death. It's not an issue of an extra comfy pillow and a room with a view, it's being left to die because you can't afford treatment. Other countries don't do that.

> Other countries don't do that.

That won't be the case for much longer.

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