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Why is US medical care not penetrated by Coronavirus?

Why is US medical care not penetrated by Coronavirus?

Source : Central Committee of the Communist Youth League 

Since the global fight against the Coronavirus pandemic, the United States, which has enjoyed the richest achievements of human civilization, has attracted worldwide attention. 

US anti-pandemic model has become a model of the global fight against the Coronavirus pandemic.

As of November 3, 2020, the United States had a total of 9549011 confirmed cases of Coronavirus and a total of 236,893 deaths. 

No matter which item, it deserves to be ranked first in the world, America Fist!

Someone once believed that the number of people diagnosed with Coronavirus in the United States was affected by the low test volume.

In fact, as of the end of June, the United States had conducted a total of 46 million new coronavirus nucleic acid tests, which was about half of the total number of tests conducted in China a month ago. 

Currently, the positive rate of new coronavirus testing in 13 states in the United States exceeds 10%. 

That is to say, for every 10 American residents suspected of being infected with Coronavirus, at least one person will be diagnosed with nucleic acid monitoring.

coronavirus treatment usa

Coronavirus treatment usa The high positive rate of Coronavirus test means that there are a large number of undiagnosed mild patients and asymptomatic infections in the entire American society-just like if you find two cockroaches in the kitchen, it means that there may be two thousand cockroaches in the room at a party. Up.

The COVID-19 antibody test for ordinary residents shows that currently about 7.5% of American residents are positive for COVID-19, and in some areas of New York, the indicator is as high as 20%. Most of these residents have not been diagnosed with Coronavirus, but recalled having symptoms of a severe cold in the past few months.

Obviously, with its strong national power, the United States is not afraid of a large number of confirmed patients and a larger number of potential infections.

It has carried the brand of “super diseased power” but has lifted the weight and basically maintained social order and stability. However, the Chinese Internet society’s description of the US’s anti-pandemic difference is “ice and fire”.

One is what everyone witnessed in the news media: there was a convoy waiting in front of the hospital, and some patients had to be treated in private cars in the parking lot. In New York City, where the pandemic was once severe, the hospital’s mortuary was insufficient.

A refrigerated truck for temporary storage of corpses was parked outside the back door of the hospital. The old New York neighbourhood and real estate tycoon Mr. Trump exclaimed, “I have never seen such a sight before; I have seen a similar situation on TV, but it was in a distant country, not in the United States.”

covid 19 treatment protocol usa

covid 19 treatment protocol usa In the suburbs of New York City, the government ordered prisoners to work by digging large pits on the uninhabited island of Hart Island to fill the coffins of the victims of Coronavirus pandemic. In New York, two thousand people died of Coronavirus a day. Many of them turned into a dust of the era without gravestones.

The other is what some friends in the circle of friends declared, “Coronavirus pandemic is not serious to the United States. Only the Chinese are more nervous. The old Americans do not even wear masks and work and play normally.”

The Dow Jones Index, the “barometer” of the US economy, also supports this view. Since March 25, the Dow has risen 40%. Although this “Dow Jones” is not the other “Dow Joans”, and the rise in the stock index is related to the Fed printing money into a large number of uninterested corporate bonds with a credit rating of “junk” and injecting capital into the stock market.

However, at least Mr. Trump, the U.S. Internet leader, does not have to use a cannon to send the US president to the sun just because the stock index drops a thousand points a day.

American patients who “do not trouble the hospital”

covid 19 treatment protocol usa

covid 19 treatment protocol usa In mid-April, the Chinese Experts and Scholars Association of Harvard Medical School distributed health packs provided by the embassy to local compatriots.

The strong American society and stable American medical system have now dealt with a large number of patients and provided precise treatment. The United States should understand Coronavirus better than any other country in the world. 

So, what is the real situation in the United States? The author consulted a friend who was doing postdoctoral research at Harvard Medical School in the United States.

A friend told the author that there is a big gap between the United States and China in the diagnosis and treatment of Coronavirus. In the United States, only severely ill patients are eligible to be hospitalized for treatment, while mild patients are taken home medication and self-isolated. 

“Although New York and other places were really nervous in April and May, and the hospitals at Harvard were overwhelmed, the situation in medical institutions is now relatively stable.”

Many friends who have studied in the United States have said that Americans are “shy” and don’t go to the hospital much. When a friend of the author was practicing medicine in China, he once heard that a foreign guest in the United States seriously asked the doctor to prescribe the state-controlled painkiller “tramadol.” Foreign guests said, “My mother told me since I was young:’Muscle hurts, take tramadol.

Bone pain, take oxycodone. Don’t call an ambulance if you bump into it.'” Both drugs are more addictive. Strong and powerful painkillers, in China, patients with terminal cancer dare to let go. 

United States accounts for only 5% of the world’s population, but consumes 80% of the world’s prescription opioids, which has little to do with the medical system.

According to a friend’s prompt, the author has further learned about the diagnosis and treatment of patients with Coronavirus in the United States.

how much does covid treatment cost usa

how much does covid treatment cost usa patients who need to be admitted to regular hospitals or at least in square cabin hospitals are not hospitalized in the US. 

In the United States, the number of hospital beds per 1,000 people has dropped from 9.18 in 1960 to 2.7 today, as the total population and the number of elderly people in need of medical treatment have grown substantially. 

With the advancement of medical technology and the total health expenditure accounting for up to 22% of GDP in the United States, many diseases that require hospitalization in other countries can be implemented in outpatient clinics, so that convalescent patients who need to be hospitalized can be transferred to cheaper community nursing homes or It was discharged home and followed up in the outpatient clinic.

Even if the patients with highly contagious Coronavirus disease are admitted, the discharge standards for patients in my country are:

1. Body temperature returns to normal for more than 3 days;

2. Respiratory symptoms improved significantly;

3. Two consecutive respiratory pathogen nucleic acid tests were negative, and the sampling interval should be at least one day.

coronavirus usa infection by state

coronavirus usa infection by state But in the United States, Trump was admitted to the hospital for Coronavirus not long ago and was discharged after three days of treatment.

Objectively speaking, the American model has increased the utilization rate of hospital beds. Make America Beds Accept Patients Again (make American beds accept patients again) and Keep America Beds Accept Patients (make American beds accept patients).

Mr. Trump drove out of the hospital while he was hospitalized with Coronavirus and waved to the supporters waiting for him outside the hospital. 

If Trump is not valued because of his special status, he may be treated at the “home” of the White House like Mrs. Trump who is also infected with Coronavirus. 

The United States is sparsely populated and has a large housing area per capita. Residents mainly travel by car. It is relatively easy to prevent the pandemic by maintaining social distance. This is a favorable condition for the United States to allow mild patients to recover at home.

There is no isolation, no work stoppage, entertainment and “night life” as usual. If you live in a place full of garden houses, drive alone in and out of a car, the area is so so sparse that you can’t even meet two or more customers waiting to check out at the checkout counter in the supermarket, and you won’t meet pedestrians wearing masks.

Give you “relaxation pills”, then the United States in your eyes is naturally “business as usual, only the Chinese are nervous”. It doesn’t matter if you have Coronavirus. The president said it is flu, and it can be cured with disinfectant; as long as it does not develop to severe…

Of course, unlike our country when treating severely ill patients with Coronavirus, a medical team composed of 20 people including 8 critically ill medical experts with the reputation of “Eight Immortals” guards an ordinary retired steel factory worker. Mr. Lampe and other senior Americans are not the same as most Americans. 

statistics from the US Centers for Disease

According to statistics from the US Centers for Disease Control and Prevention, between May and August 2020, 24% of deaths from Coronavirus in the United States were Hispanic or Latino, but Hispanics accounted for only about 18% of the total population of the United States; Africans accounted for 12.5% ​​of the total population of the United States, but in these four months, the number of deaths of African descent accounted for nearly 19% of the total number of deaths from Coronavirus.

Because the patients who need to be admitted to the hospital are only critically ill patients who account for 10% to 20% of the total number of patients, the United States has a large amount of redundancy in the face of Coronavirus. 

The shortcoming in the treatment of patients with Coronavirus in the United States lies in the number of beds in the ICU (intensive care unit). Currently, the United States has 34.7 ICU beds per 100,000 inhabitants. The total number of ICU beds in the United States is 120,000 and the per capita ICU bed resources are the first in the world. 

This is also the long-term progress made by the American medical community benefiting from highly developed capitalism. The hospital mainly treats patients in the acute stage of acute disease and the perioperative period of surgery.

High-intensity treatment not only has high income, but also allows the patient to vacate the bed as soon as possible to receive the next patient. 

Therefore, the investment density of medical institutions in the United States is relatively high, and ICU beds account for the largest proportion of beds in medical institutions in the world.

According to a study published by the University of California, Berkeley and other institutions in the academic journal The BMJ in May this year, the average hospitalization rate for recovered patients and patients who died of Coronavirus in the United States without a medical run The time was 10.7 days and 13.7 days, respectively. Among the 1277 patients with Coronavirus who were hospitalized, 42% were admitted to the ICU and 18% died of Coronavirus.

ICU beds as a shortcoming in the treatment

With ICU beds as a shortcoming in the treatment of patients with Coronavirus in the United States, the number of patients with Coronavirus hospitalized in the U.S. medical system is about 300,000. 

Taking into account the admission of other patients in the U.S. medical system, this data will be at least seventy to eighty thousand people. According to an 18% inpatient mortality rate, 10.7 days per person for recovered patients, 13.7 days per person for deceased patients, and 10% hospitalization for confirmed patients, the U.S. medical system can easily handle 70 to 80,000 confirmed cases of Coronavirus every day.

Now that there are tens of thousands of patients diagnosed with Coronavirus in the United States a day, as long as the medical resources can be allocated fairly and efficiently, it is hard to say, what is the negative impact of this patient on American society?

If all medical forces can be mobilized, the US medical system can cope with the treatment needs of 300,000 patients diagnosed every day. Of course, the United States has no habit of “mobilizing everything.” 

When the New York pandemic was tense in the United States

When the New York pandemic was tense in the United States, some medical capitalists in the United States were unwilling to treat high-risk patients with COVID-19, and hospitals did not seek medical treatment for non-COVID-19 patients, so the hospital fired medical staff to save costs.

It should be explained here that government responsibility and corporate responsibility are not the same. The U.S. government once sent two hospital ships to New York and Los Angeles, where the pandemic was severe at the time, that were “rapidly expanded on some social networks” to treat non-Coronavirus patients during the medical run. 

Although this kind of action that could easily lead to nosocomial infections and make the hospital ship repeat the tragedy of the “Princess” cruise ship was not accepted by the society, the two ships treated a total of 259 patients. 

Another American who believed it was fraudulent drove a locomotive and tried to launch a “911”-style terrorist attack, crashing into a hospital ship parked in Los Angeles, but failed.

Of course, what I need to declare here is that I oppose all terrorist attacks on medical facilities, whether it is an attack by ordinary people driving a locomotive or a drone attack by a professional soldier who is miles away from home.

US “self-regulation”

At individual times and regions, the US medical system does have signs of overload. For example, everyone is impressed. During the period when mass graves were dug in New York, it was common for medical institutions to use a ventilator to protect the lives of multiple patients. 

Although the medical profession in our country commented on this as “sweeping life”, because each patient using a ventilator must adjust the individual ventilator working parameters according to the patient’s condition and physical condition. 

Several patients share the same machine, and the machine parameters are set uniformly. In addition to the distance between the patient and the machine, some people will not be able to get enough ventilation, and some patients will have too much ventilation, which is “bloated” in the American anti-pandemic “.

However, United States has its own way of regulating.

For example, it happened in New York, USA, where medical runs and funeral services were penetrated in March and April this year. According to a report in April this year by the top medical journal “Journal of the American Medical Association” (JAMA).

The 5700 cases of Coronavirus in New York City recently (as of the publication of the paper), the mortality rate of severely ill patients admitted to the ICU who need to use ventilators was 88.1%. The average hospital stay is less than 5 days. 

At the same time, severely ill patients with Coronavirus in China used various rescue methods such as ventilators and ECMO to maintain their lives in the ICU, and were discharged after dozens of days of hospitalization.

The time it takes China to treat a critically ill patient with Coronavirus is enough time for an American ICU bed to replace more than a dozen patients…Keep America Beds Accept Patients!

Survival of the fittest

What’s more “welcoming” is that although the detection rate of COVID-19 antibodies among U.S. residents is much lower than 75% of the “herd immunity” achieved, it is now 7.5%; but millions of patients are millions of petri dishes, and Coronavirus The virus is evolving toward a low lethality. 

Coronavirus itself is an RNA virus that is extremely mutated. In the process of virus transmission, according to the natural law of “natural selection by nature, survival of the fittest”, strains that are more infectious but less lethal (not easy to cause the host to die prematurely) are more likely to infect more The patients reproduce and give birth, spread their offspring on the ground, and become the dominant species in the spread.

Not long ago, U.S. President Trump proudly announced that he had reduced the death rate of the Coronavirus in the United States by 85% from the beginning of the pandemic, although Trump’s views were refuted by the American academic community. 

A group of scientists, represented by Dr. Fauci, Director of the Institute of Infectious Diseases of the United States, cooperated with President Trump in advocating “masks are useless” in March to prevent the American people from causing social instability because they cannot buy masks. President Lampe’s anti-pandemic proposition.

Statistics do show that the mortality

Statistics do show that the mortality rate of Coronavirus in the United States was as high as 6.93% in the first quarter of this year, but it has fallen to 1.93% in the third quarter, and the mortality rate of critically ill patients has dropped from more than 60% to about 40%. 

Although this data is related to seasonal factors, it really shows that the US authorities are like a computer game player with no emotions, using the illnesses of seven million people and the lives of more than 200,000 people as performance points to achieve beautiful games.

Task “You have obtained a less harmful strain of the new coronavirus, which will be named after you”.

How low will the lethality of Coronavirus drop? Whether the U.S. medical system can adapt to the current anti-pandemic model for a long time and avoid medical breakdowns still needs to be tested in autumn and winter.

After all, the decline in the lethality of Coronavirus in the United States does have seasonal factors . Although the author hopes that the pathogenicity of the new coronavirus will further decline, it is not worth sacrificing human lives to achieve.

Of course, “worth” has different meanings in different value systems. The familiar “people first, life first” expounds a value concept that is completely different from the American “worthiness”.

Source: Central Committee of the Communist Youth League

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