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Medicine Privacy United States

Hospitals Tell Doctors They'll Be Fired If They Speak Out About Lack of Gear (bloomberg.com) 310

schwit1 shares a report from Bloomberg, commenting: "And the claim that this is about protecting 'patient privacy' is b***shit." From the report: Ming Lin, an emergency room physician in Washington state, said he was told Friday he was out of a job because he'd given an interview to a newspaper about a Facebook post detailing what he believed to be inadequate protective equipment and testing. In Chicago, a nurse was fired after emailing colleagues that she wanted to wear a more protective mask while on duty. In New York, the NYU Langone Health system has warned employees they could be terminated if they talk to the media without authorization."

Doctors are a famously independent profession, where individual medical judgment on what's best for the patient is prized over administrative dictates. That's reared its head during the Covid-19 outbreak, with many physicians, nurses and other health-care workers taking to social media to express deep concerns about the lack of protective gear or much-needed patient-care equipment like respirators. Some posts have gone viral and are being shared hundreds of thousands of times, often tagged with #GetMePPE. Privacy laws prohibit disclosing specific patient information, but they don't bar discussing general working conditions.
The report notes that not all hospitals are blocking staff from talking to the press. "New York's Mount Sinai has been scheduling media interviews for nurses, physicians and trainees to help the public understand the severity of the crisis," reports Bloomberg. "The University of California San Francisco Medical Center has gotten hundreds of such calls and encouraged workers to talk to reporters."
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Hospitals Tell Doctors They'll Be Fired If They Speak Out About Lack of Gear

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  • by OldMugwump ( 4760237 ) on Wednesday April 01, 2020 @07:01PM (#59898846) Homepage
    I'm sure it's just impossible for a MD to find a job these days. Something smells fishy.
    • Actually it is. Since hospitals are generally hemorrhaging cash with the lack is outpatient elective surgery they are continuing to pay most doctors, nurses, techs, and other staff. Most groups that I have friends in are on a hiring freeze because they don't know how long this will last and it's hard to predict a budget. I'm sure they would let you work for free, they need the help!
      • by MightyMartian ( 840721 ) on Wednesday April 01, 2020 @07:22PM (#59898934) Journal

        How's that for profit model working out for the US? Up here in Canada we're asking recently retired doctors to return to work.

        • Similarly in New York City, apparently.

          However, to your wider point, the public health plan for most of the U.S. is "Don't Get Sick".
        • How's that for profit model working out for the US? Up here in Canada we're asking recently retired doctors to return to work.

          And many of them will, but to be fair we have a serious lack of supplies here as well. Saw one of Quebec's health representatives saying they are burning through PPE at 10 times the normal rate, and it has not even gotten as bad as it is going get to yet.

          The people in charge of contingency planning are the ones who should be fired. Should create a lot of job openings globally in the coming days.

          • No Canadian hospital or jurisdiction is threatening to fire doctors for reporting on low supplies.

            • No Canadian hospital or jurisdiction is threatening to fire doctors for reporting on low supplies.

              Good thing, because a lot of Canadian health care workers are complaining about low supplies.

          • You can plan for contingencies but someone has to pay for the supplies. The bean counters ultimately decide just how much is planned for and what, if anything, is stockpiled. The bean counters may be money grubbing capitalists, politicians that would rather raid the contingency funds for X, the public that doesn't want to pay for it, or bureaucrats that are too afraid of the Chairman to tell the truth. It will be interesting to see which of those will be doing the most grandstanding about the failure of the

  • It is BS (Score:4, Insightful)

    by Kitkoan ( 1719118 ) on Wednesday April 01, 2020 @07:05PM (#59898856)

    While I might feel different about hospitals in other countries, I think in the USA, this is BS

    While in other countries, hospitals are government funded (and so wouldn't have been approved to buy this if they have someone like Trump denying the issue until its late), the US medical system isn't government run and so they should have been able to understand and react in advance, understanding that at best they have enough protective gear, at worst, they have a stock pile and wouldn't need to re-stock for a while. (The tests are a bit of a different issue). Instead, they never bothered to buy up until now. And now its biting them in the ass, and they are on damage control to hide their own inability to think ahead (and only think of the month's PPE budget is in the expected range)

    • Re: It is BS (Score:4, Informative)

      by ravenshrike ( 808508 ) on Wednesday April 01, 2020 @07:16PM (#59898914)

      Hospitals are subject to all sorts of restrictions as to how much oversupply of medical gear and number of beds they are allowed to have at both the federal and state level.

      • Re: It is BS (Score:5, Informative)

        by uncqual ( 836337 ) on Wednesday April 01, 2020 @10:58PM (#59899414)

        Citation required to support that such restrictions apply not only to beds and expensive diagnostic equipment such as MRIs but also to non-capital expenditures such as scrubs, bandages, gloves, tubing for vents (or even vents themselves).

        Oh, wait, I'll provide you with a link [ncsl.org] that shows what each state requires a Certificate Of Need (CON) for. Happy hunting looking for states that require a CON to buy scrubs, masks, gloves, or even ventilators.

        For those states that require CONs at all, some typical requirements are that they are needed to:

        • Construct or move a nursing home or hospital
        • Change bed capacity
        • Substantially modify or increase scope or type of health services rendered
        • Make capital expenditures of various amounts (varies - sometimes $1.5M, sometimes much more such as $10M)
        • Acquire additional medical equipment over some amount (often well over $1M - and ventilators are much less than any of the limits I noticed)

        Show me where disposable or other non-capital expenditures to provide existing services are limited.

      • by gl4ss ( 559668 )

        that does sound like a bunch of bullshit? it does sound like an excuse someone came up with for why they can't buy 3 years worth of masks and instead should invest the money in the stock market for larger gAiInS.

    • by hey! ( 33014 )

      In business, cash is king.

      If you're a CEO and report to a board, you're judged by your quarterly and annual numbers. Tying up cash in a rainy day stockpile is not going too make you look smart, especially since none of your competitors are doing it either.

    • While in other countries, hospitals are government funded (and so wouldn't have been approved to buy this if they have someone like Trump denying the issue until its late), the US medical system isn't government run and so they should have been able to understand and react in advance, understanding that at best they have enough protective gear, at worst, they have a stock pile and wouldn't need to re-stock for a while.

      Actually it is the private system that is much less likely to spend money that won't have some sort of immediate return on investment. When government does it, detractors call it a "waste of money".

  • by Anonymous Coward on Wednesday April 01, 2020 @07:07PM (#59898866)

    January20: "I know more about viruses than anyone."
    January 22: "We have it totally under control. It's one person coming in from China. It's going to be just fine."
    February 2: "We pretty much shut it down coming in from China."
    February 24: "The Coronavirus is very much under control in the USA⦠Stock Market starting to look very good to me!"
    February 25: "CDC and my Administration are doing a GREAT job of handling Coronavirus."
    February 25: "I think that's a problem that's going to go away... They have studied it. They know very much. In fact, we're very close to a vaccine."
    February 26: "The 15 (cases in the US) within a couple of days is going to be down to close to zero."
    February 26: "We're going very substantially down, not up."
    February 27: "One day it's like a miracle, it will disappear."
    February 28: "We're ordering a lot of supplies. We're ordering a lot of, uh, elements that frankly we wouldn't be ordering unless it was something like this. But we're ordering a lot of different elements of medical."
    March 2: "You take a solid flu vaccine, you don't think that could have an impact, or much of an impact, on corona?"
    March 2: "A lot of things are happening, a lot of very exciting things are happening and they're happening very rapidly."
    March 4: "If we have thousands or hundreds of thousands of people that get better just by, you know, sitting around and even going to work â" some of them go to work, but they get better."
    March 5: "I NEVER said people that are feeling sick should go to work."
    March 5: "The United States has, as of now, only 129 cases and 11 deaths. We are working very hard to keep these numbers as low as possible!"
    March 6: "I think we're doing a really good job in this country at keeping it down⦠a tremendous job at keeping it down."
    March 6: "Anybody right now, and yesterday, anybody that needs a test gets a test. They're there. And the tests are beautifulâ¦. the tests are all perfect like the letter was perfect. The transcription was perfect. Right? This was not as perfect as that but pretty good."
    March 6: "I like this stuff. I really get it. People are surprised that I understand it⦠Every one of these doctors said, âHow do you know so much about this?' Maybe I have a natural ability. Maybe I should have done that instead of running for president."
    March 6: "I don't need to have the numbers double because of one ship that wasn't our fault."
    March 8: "We have a perfectly coordinated and fine tuned plan at the White House for our attack on CoronaVirus."
    March 9: "This blindsided the world."
    March 13: "National emergency, two big words."
    March 13: "When you compare what we've done to other areas of the world, it's pretty incredible."
    March 13: "Five million (tests) within a month... I doubt we'll need anything near that."
    March 13: "I don't take responsibility at all."
    March 14. "It's something that nobody expected⦠it's one of those things that happened. It's nobody's fault."
    March 15: "This is a very contagious virus. It's incredible. But it's something that we have tremendous control over"
    March 17: "I have always known this is a real, this is a pandemic. I've felt it was a pandemic long before it was called a pandemic⦠I've always viewed it as very serious."
    March 19: "If we had an honest media in this country, our country would be an even greater place."
    March 19: "It could have been stopped, could have been stopped pretty easily if we had known, if everybody had known about it⦠Nobody knew there'd be a pandemic⦠of this proportion."
    March 25: "Nobody could have ever seen something like this coming."
    March 25: "It's hard not be happy with the job we're doing, that I can tell you."
    March 26: "I don't believe you need 40,000 or 30,000 ventilators. You go into major hospitals sometimes, and they'll have two ventilators. And now all of a sudden they're saying, âCan we order 30,000 ventilators?"

    • by beep54 ( 1844432 )
      Well done, sir, well done!
    • "You should feel lucky Hillary isn't President right now. If she was you wouldn't be getting any money. That money would be sitting there not doing anything. Nothing. And you'd be back at work doing whatever. Going wherever. Instead of staying home and getting free money. Isn't this better?" - Agent Orange

    • Thank you!
    • My god, SNL couldn't have made up a skit like that over multiple openings if they tried!

      I hope the Dems pick up on this during the election. I mean they had quite a tutorial from the Republicans on the last election.

  • Comment removed based on user account deletion
    • Are hospital administrators really that stupid?

      Yes, they are that stupid and more. Hospitals used to be run by senior, experienced doctors, but the rise of the professional hospital administrator means that they are now run by people with no medical training or experience at all. This has inevitably turned into a hotbed of cronyism, incompetence and corruption. For the most part, current hospital administrators do not have the training or capability to meet the current crisis intelligently.

      I'm aware of several major hospitals where the senior medical

  • Or at least delay. Should people just assume that there ain't enough medical facilities to address the cases and hospitals get overwhelmed, shit is going to hit the fan in ways we can't even imagine yet.

  • 1HB for dockers coming US people get the loan bill 750K+ better get the mc job and start taking cash out of the till to pay it off.

  • by rsilvergun ( 571051 ) on Wednesday April 01, 2020 @07:14PM (#59898902)
    and we're all at will employees. At least that's what every boss I've ever had has told me when I brought up safety violations, even if it wasn't a right to work state.

    We've been chipping away at worker rights & protections for 40 years. Elections Have Consequences.
    • As one former Engineering Director told those of us left after a layoff: "We are ALL temporary employees."

      I guess the real question is where OSHA is in all of this? Is there anyone left manning the station there, or have they also been partisan-labotomized by the right as well? It seems that we at least used to have the right to demand that our work environments not be dangerous or make us sick. At least not too many years ago when I was last around manufacturing the bosses still feared being written up

    • "Right to work" is a silly name that has everything to do with who has to pay union dues and nothing to do with being an at-will employee. However, the same states may have both rules.

  • by WhoBeDaPlaya ( 984958 ) on Wednesday April 01, 2020 @07:16PM (#59898916) Homepage
    Seriously. This is the type of third-world attitude BS I moved TO the US to avoid.
  • All the healthcare workers should go on strike now. I think things will change in about 3 seconds.
    • A sure fire way to bring back the draft. Remember the Korean War?

      • A sure fire way to bring back the draft. Remember the Korean War?

        So all your sick people will then be treated by people who are there against their will?

        "The beatings will continue until morale improves".

  • Fuck the Seattle Times. I will NOT be tracked.
  • by msauve ( 701917 ) on Wednesday April 01, 2020 @07:24PM (#59898946)
    Next up - hospitals complaining about a lack of doctors and nurses.
  • by beep54 ( 1844432 )
    Tell the truth and you get fired at a time when doctors and nurses are desperately needed? Dear hospitals: stop taking your cues from Trump. It ain't healthy.
  • I might be wrong, but aren't Mt. Sinai and the UC San Francisco hospitals public hospitals? I know they're both teaching hospitals.
    Were the hospitals that fired those people public or private? Might that account for the difference in policies?

  • Idle threat much? (Score:5, Insightful)

    by Austerity Empowers ( 669817 ) on Wednesday April 01, 2020 @07:42PM (#59899022)

    You wanna fire doctors now when you need them? Or later when they can sue your ass effectively?

    Doctors and nurses can walk on water right now, all they have to do is say 'boo' to a reporter.

  • they could be terminated if they talk to the media without authorization

    Talking to media without authorization has been a (potentially) fireable offense for ages.

    It makes sense, that this is especially so in times of anxiety and swirling conspiracy theories.

  • ...play the blame game while the ship is sinking. How about everyone pulling together, stop trying to PR-spin everything, & tell the world how things really are? Transparency & truth at every level is how governments & healthcare services can get through this. If there are dire shortages, the world needs to know so that people who can help can step up and... help!
  • If you're going to copy China with regards to the handling of COVID-19, copy their containment lockdown and hospital construction efforts. Don't copy their censorship.
  • Every time I've seen a doctor they send a bill separate from the hospital's. It would be nice if they actually worked for the hospital instead of this death by a million papercuts bullshit.

    • by PPH ( 736903 )

      When we get single payer national health insurance, all the doctors will be GS-12s. Problem solved.

  • Because it's an emergency and the need for personnel is desperate, any doctor, nurse or medical tech who openly criticizes a hospital for some verifiable cause and gets fired will have job offers from ten other hospitals the next day.

    • The hospital administrator who fires any doctor during this pandemic unless the doctor is killing people, needs to be arrested!

      If some idiot can be arrested for yelling FIRE or another idiot can be arrested for telling people to freely ignore reason and go infect people then an idiot administrator should be arrested for putting people's lives at risk! This isn't even like the doctor did anything wrong; even if they did something horrible; short of the police arresting the doctor, they should be immune from

  • shouldn't really be all that hard in current situation.

  • by Tom ( 822 ) on Thursday April 02, 2020 @06:26AM (#59900042) Homepage Journal

    I got some firsthand reports from Russia this morning that astonished me, and I was wondering why Putin can handle this crisis better than any western politician can. I want to share what I heard, because whatever you think of the guy, he's not stupid. And his government is the first outside Asia that seems to be doing things right. I'm ashamed for my government and wish they'd show they're better than the Russians - but sadly they aren't.

    First, he gave a no-nonsense speech clearly explaining the situation, in simple language, without any of the "won't be so bad" or "we've got this" propaganda. He said there'll be dead. He said these are the actions coming. He didn't do this salami-strategy shit they did in Europe where on Wednesday they say there won't be curfews and on Saturday they announce them and the week after the make them more strict. Everyone in Russia knows what's coming. That is good crisis communication (disclaimer: I do sometimes train incident response and crisis management, but in another context).

    Russia has seperated its regions, including sub-regions with the major cities such as Moscow or St. Petersburg. Travel outside your home region requires documents stating you work elsewhere etc.

    There are ambulances and police standing everywhere, you can get masks from them and you can get tested for free and without conditions. Europe still tests only suspect cases who were in contact with infected or recently travelled to Italy or China. It's ridiculous.

    If your government does worse than Russia, I think it's safe to say that your government has failed you.

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