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Started By
Message
re: The Testing Debacle
Posted on 4/11/20 at 12:26 am to Hopeful Doc
Posted on 4/11/20 at 12:26 am to Hopeful Doc
quote:
Do you want:
1) good
2) fast
3) cheap
You get one up front and can generally expand to 2 within a few months. All 3 is not a fast process.
When I made that pitch, I only allowed two choices, as you say, all three negates number 2.
quote:
Here's to hoping that $100K of today's retirement dollars is worth more than $10K in 2060 dollars.
At least you have 40 years to recover. Those of us who have already put in 40 years hope 10k today = 10k next week.
0
Posted on 4/11/20 at 3:05 am to lz2112
quote:
The Testing Debacle
What debacle?
Scenario A: Youre scared, no symptoms, but want to be tested, and cant
How does not testing effect your medical treatment?
Scenario 2: Youre showing mild symptoms, but cant get tested. Youre told to stay home
How does not testing effect your medical treatment?
Scenario III: Youre showing classic symptoms, but no test is available. The hospital immediately admits you
How does not testing effect your medical treatment?
Scenario Four: Youre showing mild symptoms, get tested. Youre told to stay home. Your results come back positive. Youre told to continue staying home
How does that test effect your medical treatment?
Scenario (I've lost count): Youre showing classic symptoms, and tested, and immediately admitted. Youre treated for 3 days, and then the test comes back postive
How does that test effect your medical treatment?
Because there is no vaccine or known treatment for this specific virus. Knowing or not knowing cannot possibly change the treatment of your symptoms
Posted on 4/11/20 at 4:26 am to Ace Midnight
quote:
Trump (and WHO, CDC, NIH, etc.) was flying blind due to Red China's deliberate disinformation campaign and opaque security measures. But, his instincts were good, overall. Forget what he said on twitter, his actions kept this from being a much worse deal for us as a nation.
CDC (correctly) didn't trust the WHO and other international testing protocol. The decision to go forward with their own test was the right (or at least a reasonable) call at the time. Then they bungled the initial execution. Trump (and the team, that includes his rock star decision to recall Birx) quickly realized the obsolete CDC testing protocol model wasn't going to work. So, Trump, by sheer force of will mobilized private industry against this pandemic.
Something those policy wonks and most past Presidents raised by this same swamp of bureaucracy and red tape wouldn't have been able to do.
He deserves credit for functioning as the elite level executive he is. Identify risks/opportunities, figure out the chokepoints in productivity and throughput and elevate performance channels. He had to quickly come up to speed on all of this and has outperformed everyone's expectations.
Again - the key to Trump is focus on what he does NOT what he says. His performance deserves an A or A- grade and has literally saved American lives by the hundreds of thousands.
Now /\ THIS /\ is as accurate and dispassionate description of Trump's performance as I have ever seen, and matches my innate appreciation of the job he has done
And when you toss in the fact that he performed this well in the face of UNPRECEDENTED levels of personal hatred, irrational resistance, open sedition, and a propaganda-devoted media makes his performance border on the miraculous.
I can envision no other POTUS in history, save Lincon, who could have done as well. (not sure how the founding generation of leaders would have reacted to this current level of malicious hatred and irrational resistance.)
Posted on 4/11/20 at 4:35 am to Hopeful Doc
quote:
Do you want:
1) good
2) fast
3) cheap
You get one up front and can generally expand to 2 within a few months. All 3 is not a fast process.
Don;t know where you picked that up.
That was the watchword in the aerospace industry during my 35 years of involvement. If formed the basis of all we did - but there was an axiomatic realization that all 3 are impossible.
The statement was:
"You can have it good, fast, or cheap.
Pick any two."
This works for any defined result.
Anything else is merely aspirational - i.e. a prayer.
Posted on 4/11/20 at 4:39 am to RobbBobb
lack of testing probably didn't change much in the way of sick people getting treatment
The difference it would make is the planning and allocation of resources so that they could be more efficiently deployed.
That way we aren't making tens of thousands of ventilators to send everywhere, when we could have done with a few thousand if we knew better where they did, and did not, need to be.
The difference it would make is the planning and allocation of resources so that they could be more efficiently deployed.
That way we aren't making tens of thousands of ventilators to send everywhere, when we could have done with a few thousand if we knew better where they did, and did not, need to be.
Posted on 4/11/20 at 4:47 am to Hopeful Doc
quote:
Plenty of layers could be pulled out without much harm.
But do you want a healthcare system and government designed to respond to 99.999% of the anticipated problems or a 1 in 100 year event?
I wouldn't want a government designed to deal with the problems we are facing today on a daily basis. That would be so many extra offices and positions.
Bad shite will always happen.
The response has been generally good. There's room for improvement, always. Assigning blame is wasted energy. Critiquing specific responses could be beneficial if done through the appropriate channels (spreading locally, calling representatives, etc).
I agree with this synopsis.
Assigning blame during the firefight should be reserved for executive action to remove mal-performing individuals and ignoring ineffective 'regulations.'
After-action review of a crisis is always a good idea - providing it is undertaken to actually gather data that informs the future planning to avoid any major blunders that occurred along the way. But convening such a panel with the intent to "pin the blame for this on someone (notably a political enemy) should be shunned from the git-go. And certainly nobody with a warped sense of 'justice' like Adam Schiff should ever be allowed to even read the final report - let alone author it.
quote:
A government that has responses to health pandemics in place is a government with too many people being paid to think about too many things that won't happen.
And with /\ that /\, I'll say - well done
Posted on 4/11/20 at 6:09 am to Jinglebob
quote:
We lead the world in testing.
LINK
2.5 million tests to date.
#2, Germany, has 1.3 million tests.
Based on the population we're testing 1/273, the Germans 1/90. I still can't go in to work and get a patient tested based on suspicious symptoms and clinical judgment unless they are admitted, on a ventilator, or live in a nursing home. Department of Health rules.
Posted on 4/11/20 at 6:38 am to lz2112
quote:
This New Yorker article does an outstanding job
Stopped right there.
Posted on 4/11/20 at 12:00 pm to davyjones
quote:
S Korea
South Korea put tracking devices on people who tested positive and also those they'd been in contact with. (Basically ankle monitors) to ensure compliance with their quarantine.
Posted on 4/11/20 at 12:04 pm to davyjones
quote:
Could you explain how in this country testing is the silver bullet that it's claimed to be?
It’s not. Testing locations are closing up countrywide for lack of utilization.
Posted on 4/11/20 at 12:31 pm to the808bass
Yessir. And the media and other sundry talking heads continue their desperate efforts to bang the testing drum. Especially now that they've smoothly backed off of the ventilator drum beating. At least they think.
And consider the cute little catchphrase Pelosi kept chirping....."test test test". Knowing full well that it was never going to be the blanket, nationwide, everyone should be tested as she was insinuating. Also knowing full well that it isn't even feasible. Being the "shrewd operator" that she thinks she is, she was planting seeds to come back and proclaim how Trump dropped the ball on "test test test". Unfortunately for her things are becoming a bit more clear, and her little smokescreen is quickly going away. "Lack of preparedness for testing early on" is slipping away with it as well.
And consider the cute little catchphrase Pelosi kept chirping....."test test test". Knowing full well that it was never going to be the blanket, nationwide, everyone should be tested as she was insinuating. Also knowing full well that it isn't even feasible. Being the "shrewd operator" that she thinks she is, she was planting seeds to come back and proclaim how Trump dropped the ball on "test test test". Unfortunately for her things are becoming a bit more clear, and her little smokescreen is quickly going away. "Lack of preparedness for testing early on" is slipping away with it as well.
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