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I am not amortizing anything. The impact of the COVID pandemic on society over a short period of time is huge. The impact of the diseases caused by obesity, etc over a long period of time is even more huge. Why force accountability for one but not the other?

No man is an island when it comes to lots of things.....not just communicable diseases. That's the whole point here. It appears as though you didn't get that I was actually agreeing with the idea. I just took it a bit further and said that if we are going to be fair and logically consistent...

Speaking strictly on principle (practically is another thing, of course), I agree 100%. People should be held responsible for the consequences of their choices. But why limit it to those who won't be vaccinated? Why not apply it to everyone with a BMI over 30? Who smokes cigarettes or drinks...

Isn't that the truth. Nothing keeps me at work late or gets me being called back in more often than a damn lap chole.

I mean, you aren't wrong about that. Big difference between this type of thing being done locally vs. federally.

“A republic, ma’am……if you can keep it”. One of the many problems with government by fiat is that the only limiting principle is whatever the executives can get away with. Something is broadly accepted as a reasonable idea now, and then when the other team is in charge they not only use the...

And no one ever suggested that they were. This whole line of discussion was a response to the idea that hospitals somehow want their EDs to be overcrowded because they somehow profit from long wait times.

But isn’t that kind of the point of our system of government? If legislation can’t be passed, there is a reason for that.

The jab matters a lot because even though you can still get the virus once you’ve had it, you are way less likely to develop a viral load sufficient to cause severe illness.

Look, the point here is that it isn't any financial incentive to having an overcrowded ER with long wait times. ED care is expensive to provide, a large proportion of those patients are uninsured, the all important Press-Ganey scores suffer, and no one wants to work there. There is no secret...

There is a difference between saying a hospital is running in the red and saying that one of their major departments is running in the red. Obviously there could be exceptions, but ER's that are attached to hospitals are definitely not net revenue generators in most cases. When you say...

An overcrowded ED filled with uninsured frequent flyers is not a revenue generator for a hospital - quite the opposite.

The hospital that I work for for is now owned by the largest health system in the country (HCA) and they told us early on that they would not mandate vaccinations unless forced to by the government. So they mandated them when the order first came out and then rescinded the mandate when it was...

You are correct, and this has been true for years. Not every airway requires a VL but the problem is, it is impossible to know which one will until you've already pushed the NMB, at which point it is (not infrequently, in the case of an emergent tube) almost too late unless you have really...

It seems unlikely to me that the attorneys who wrote this article are the only ones in the country who are familiar with EMTALA. Or that ANY of the other lawyers who contract with EMS agencies or staff attorneys for health systems have ever considered this. JUST these guys, huh? Decades after...

Some of the claims made in this article seem dubious. For instance, if it were true that it is a violation of federal law for EMS providers to remain with the patient while waiting for handoff and that it is likely also a Stark law violation (eye roll - is EVERYTHING we don't like a Stark law...

That law is a nursing union thing that of course purports to be about patient safety but really is about nothing more than creating more jobs for RNs.

This is actually very common. When I was new in EMS I worked inner city and there were two large hospitals in my zone whose parking lots we were regularly dispatched to for various reasons.

Yes. How about a person who actually has education and experience in business and organizational management?

Here's one recipe for creating employees with bad attitudes: Start with mostly young, immature people who have little life or work experience and seem to have an ever increasing sense of entitlement Attract them to a profession with implications of excitement and glamor, when it is actually...