Coronavirus prep

1242243245247248498

Replies

  • ReenieHJ
    ReenieHJ Posts: 9,724 Member
    The event in Sturgis ended only 10 days ago. Not nearly enough time for all the people who got it there to show up positive. Lack of consideration for others, and selfishly, potentially, exposing others to something that could seriously affect anyone’s health, is appalling. Especially when it could have been avoided. The attitude that “it’s not so many” is resounding at colleges, universities, weddings, rallies and other get togethers throughout this country. If you can’t find a reason to do what’s right, think about the healthcare workers who deserve surcease from this. Compassion for others seems to be lacking over desire for a short time of fun. Much of it preventable through face coverings, social distancing, and basic hygiene. It’s not forever, just until they find a better treatment, or hopefully a vaccine. One preventable case is one too many. Lives matter. ❤️

    Very well said, thank you.
  • MikePfirrman
    MikePfirrman Posts: 3,307 Member
    edited August 2020
    The lack of a consistent, coordinated plan even within a city/county is frustrating. Each organization is trying to CYA, but in doing so may just push the problem on to others.

    Case in point: local(ish) soccer tournament in a smaller city somewhat near me. Outside, spectators required to social distance, coaches/managers/players get temp checks and symptom check forms, no tents allowed, everyone to wear masks coming in and out of field, parents only allowed on field 5 min bf game time, players need to mask while sitting out (I’d say on the bench, but they took out all the benches, so instead of an easily cleanable metal one they make teams bring their own foldable fabric ones that aren’t easily sanitized). So, mostly making sense, trying to be as responsible as reasonably possible while putting on an event like this. Each group is pretty much keeping to itself, minus the players actually on the field.

    What is not making sense is that we cannot stay at the (enormous) field complex bt games, even socially distanced and w our own household to rest/eat lunch. So instead of us staying to ourselves outside, all of those people will go where? To restaurants or to walk around shops to kill four or five hours indoors bc it’s hot as blazes and we aren’t allowed to park ourselves under a tent in the complex. So the tournament will likely report no infections, but the local McDonalds or Chili’s will have a sudden outbreak.

    As a former soccer parent (I miss those days!), I can't imagine. The only thing you could do is eat at the food trucks that show up and sit in your car, maybe go to a mall inside masked. Yeah, the restaurant part is the scariest thing to me. Soccer kids and parents, jam packed at tables. I guess I would just bow out of that, despite the violent protests of my kids. I'd pick up carry out and eat in the car or SUV. Very hard for all parents with kids in sports right now. And for the kids too. I feel for you.
  • lynn_glenmont
    lynn_glenmont Posts: 10,091 Member
    The lack of a consistent, coordinated plan even within a city/county is frustrating. Each organization is trying to CYA, but in doing so may just push the problem on to others.

    Case in point: local(ish) soccer tournament in a smaller city somewhat near me. Outside, spectators required to social distance, coaches/managers/players get temp checks and symptom check forms, no tents allowed, everyone to wear masks coming in and out of field, parents only allowed on field 5 min bf game time, players need to mask while sitting out (I’d say on the bench, but they took out all the benches, so instead of an easily cleanable metal one they make teams bring their own foldable fabric ones that aren’t easily sanitized). So, mostly making sense, trying to be as responsible as reasonably possible while putting on an event like this. Each group is pretty much keeping to itself, minus the players actually on the field.

    What is not making sense is that we cannot stay at the (enormous) field complex bt games, even socially distanced and w our own household to rest/eat lunch. So instead of us staying to ourselves outside, all of those people will go where? To restaurants or to walk around shops to kill four or five hours indoors bc it’s hot as blazes and we aren’t allowed to park ourselves under a tent in the complex. So the tournament will likely report no infections, but the local McDonalds or Chili’s will have a sudden outbreak.

    As a former soccer parent (I miss those days!), I can't imagine. The only thing you could do is eat at the food trucks that show up and sit in your car, maybe go to a mall inside masked. Yeah, the restaurant part is the scariest thing to me. Soccer kids and parents, jam packed at tables. I guess I would just bow out of that, despite the violent protests of my kids. I'd pick up carry out and eat in the car or SUV. Very hard for all parents with kids in sports right now. And for the kids too. I feel for you.

    I think we’re going to bring our tent and find a public park to eat in and bring some card games or a DVD player so we can relax between games. It’s going to be brutally hot, but oh well. I’ll have four sweaty boys and stinky soccer and cross country stuff in the car, so no way am I going to hang in there for hours! The stink alone might do me in.

    I’m just thrilled mine only play outdoor sports—soccer, cross country, and baseball. A friend’s daughter plays volleyball and they have to wear masks while playing. She said it is so uncomfortable and gross bc the masks get sweaty and stuck to their faces and it’s hard to breathe through a wet mask.

    Somewhere (that seemed like a good source at the time, but absolutely can't remember where) I read that wet masks are not as effective. Like, really, really not as effective.
  • GaleHawkins
    GaleHawkins Posts: 8,159 Member
    jenilla1 wrote: »
    Diatonic12 wrote: »
    My community's been conducting wastewater testing since the 1st of May. We're on the cutting edge due to millions of tourists that pass through, increasing by a million every single year. Problem now, none of them are leaving. They're buying every parcel and acre they can get their hands on. Enormous homes going up everywhere you look. Big money folks are buying it all and moving from the coastal regions in droves.

    Everyone wants what we have but they'll turn into what they've came from. It's hard for the locals to think about.
    My parents see that in Idaho as well - people from big city CA coming in droves for the small town life. They are buying up everything available, for cash. Makes it hard for anyone else to get a foot in the door.

    I can empathize. I'm from what was once a small rural community in California. It was beautiful. When I was a kid, gazillions of people from back East and the midwest started pouring in and whole regions were developed and built out. Trashed out and over-run, IMO. Now, a lot of those transplants and the kids of those transplants are moving on to "fresher" pastures. It's not "Californians" specifically wrecking the place. It's Americans in general - just people from all over the place moving in hoards to develop new places. California just happened to be the stop before yours...

    Sounds like the East to West migration in reverse.
  • GaleHawkins
    GaleHawkins Posts: 8,159 Member
    I just read an article from Bloomberg Business week about some businesses instructing employees not to discuss cases of other employees who have Covid-19. This practice is being justified by employers because of hipaa regulations. I would think that employers would want other employees to be aware of coworkers that have the disease, so they can do everything humanly possible to prevent contracting Covid, and the spread in, and outside, the workplace. Instead, some employers are threatening “disciplinary actions”. The article sites the right for others to know about cases of infected coworkers as safety violations in the workplace and not covered by hipaa regulations. Some employers are telling employees with COVID-19, not to inform coworkers. This has been the trend across the country among employers. There have been thousands of complaints to OSHA regarding this. This concerns me and is a dangerous, for people in the workplace, as well as the general public.

    The rights of others seem to be overlooked more and more in this pandemic.
  • MikePfirrman
    MikePfirrman Posts: 3,307 Member
    Saw this while working this morning. Looks interesting. They are looking at it coupled with Remdesivir as an antiviral therapeutic.

    https://www.folio.ca/antiviral-used-to-treat-cat-coronavirus-also-works-against-sars-cov-2-u-of-a-researchers/
  • Gisel2015
    Gisel2015 Posts: 4,185 Member
    Saw this while working this morning. Looks interesting. They are looking at it coupled with Remdesivir as an antiviral therapeutic.

    https://www.folio.ca/antiviral-used-to-treat-cat-coronavirus-also-works-against-sars-cov-2-u-of-a-researchers/

    Remdisivir seems to have limited treatment profile, not very good for early infections. Desamethasone seems to be doing better.


    COVID-19 Treatments: Remdesivir Disappoints, Antiviral SPL7013 And Monoclonal Antibodies Interesting For Prevention/Early-Stage Treatment
    https://seekingalpha.com/article/4371155
  • missysippy930
    missysippy930 Posts: 2,577 Member
    https://www.bloomberg.com/news/features/2020-08-27/covid-pandemic-u-s-businesses-issue-gag-rules-to-stop-workers-from-talking?utm_source=url_link

    Here is the link to the story. Towards the end of the article it refers to HIPAA. Companies are trying to prevent employees from talking about Covid cases of infected employees because of what the employer claims are privacy/confidential issues. Legal or not, employers have been getting away with this. Many thousands of complaints have been filed with OSHA, and State Agencies. Understaffed agencies to investigate allegations.
  • kshama2001
    kshama2001 Posts: 28,052 Member
    https://www.bloomberg.com/news/features/2020-08-27/covid-pandemic-u-s-businesses-issue-gag-rules-to-stop-workers-from-talking?utm_source=url_link

    Here is the link to the story. Towards the end of the article it refers to HIPAA. Companies are trying to prevent employees from talking about Covid cases of infected employees because of what the employer claims are privacy/confidential issues. Legal or not, employers have been getting away with this. Many thousands of complaints have been filed with OSHA, and State Agencies. Understaffed agencies to investigate allegations.

    I think employers are being deliberately obtuse about what HIPAA regulates, assuming employees don't know and won't look it up.

    https://www.bloomberg.com/news/features/2020-08-27/covid-pandemic-u-s-businesses-issue-gag-rules-to-stop-workers-from-talking

    In many cases, workers say their bosses have cited employee privacy to justify the gags, including federal privacy laws such as the Health Insurance Portability and Accountability Act of 1996. But such laws don’t require companies to silence employees on safety matters.

    On the contrary, federal laws, including those that created OSHA and the NLRB, guarantee employees the right to communicate about and protest their job conditions.

    The federal bodies have failed to make companies obey the law. Many thousands of OSHA complaints about coronavirus safety issues have yielded citations against just two companies—a health-care company and a nursing home—totaling about $47,000.
  • AnnPT77
    AnnPT77 Posts: 34,168 Member
    https://www.bloomberg.com/news/features/2020-08-27/covid-pandemic-u-s-businesses-issue-gag-rules-to-stop-workers-from-talking?utm_source=url_link

    Here is the link to the story. Towards the end of the article it refers to HIPAA. Companies are trying to prevent employees from talking about Covid cases of infected employees because of what the employer claims are privacy/confidential issues. Legal or not, employers have been getting away with this. Many thousands of complaints have been filed with OSHA, and State Agencies. Understaffed agencies to investigate allegations.

    The HIPAA mention in the article is fairly lukewarm. Reading it, I think this is more of a "work rules" issue.

    IMU, employers can impose a surprising variety of rules on employees, including rules about what they may do in their private lives, and treat those as firing offences. I suspect it's possible that employers' "rights" in that regard may have weakened since I was involved with that sort of thing in my employment, but I don't know to what extent. Of course, what's legal, and what employers get away with, or try to get away with, are different things.

    Perhaps one of our attorneys or HR professionals here will offer their more informed opinion about the permissible scope of employment rules that can be imposed on employees, and be firing offenses, these days - preferably someone in the US, since that's the context we're discussing.
  • lynn_glenmont
    lynn_glenmont Posts: 10,091 Member
    AnnPT77 wrote: »
    I just read an article from Bloomberg Business week about some businesses instructing employees not to discuss cases of other employees who have Covid-19. This practice is being justified by employers because of hipaa regulations. I would think that employers would want other employees to be aware of coworkers that have the disease, so they can do everything humanly possible to prevent contracting Covid, and the spread in, and outside, the workplace. Instead, some employers are threatening “disciplinary actions”. The article sites the right for others to know about cases of infected coworkers as safety violations in the workplace and not covered by hipaa regulations. Some employers are telling employees with COVID-19, not to inform coworkers. This has been the trend across the country among employers. There have been thousands of complaints to OSHA regarding this. This concerns me and is a dangerous, for people in the workplace, as well as the general public.

    Unless there's been a recent dramatic reinterpretation, or there's something unusual about these businesses, they would not be "covered entities" under HIPAA. "Covered entities" are health care providers, related health care clearinghouses, and health plans. The privacy rules portion of HIPAA applies only to "covered entities".

    I say this based on having been a participant in my employer's HIPAA implementation, so received a good deal of education about its provisions, but there is a summary here:
    https://privacyruleandresearch.nih.gov/pr_06.asp

    I can visualize *very unusual* situations where an employer might possibly have some HIPAA privacy rules obligations sort of as an employer, but IMU a normal employment situation isn't one of them. IMU, just being an employee of something like a health care provider wouldn't be enough, either, with respect to this "tell the co-workers or don't" stuff.

    I'm not a deep legal expert on this stuff. If someone here is, they should speak up. However, it's a thing that I coincidentally needed to understand much more fully than Joe Average does.

    For sure, in the current crisis, HIPAA is being used as an explanation for things that are howlingly ridiculous BS (like why a store can't ask if someone has a medical condition that prevents mask use).

    I'm sure that it's 100% not true that because HIPAA is about "health care privacy", it must mean that anything about my health that I might want to be private (or that someone else wants to stay secret) must be protected by anyone or everyone, can't be asked about, etc.

    I think if your employer "self-insures" to cover medical care for employees that they would be a covered entity (i.e., they don't provide medical insurance through an insurance company but instead pay claims for employees' medical services directly out of the company's pocket, and thus would be seeing the claims and listed services). I've never actually known of a company that did that, but it's a theoretical possibility.

    Even before this crisis, I heard anecdotes of companies' using HIPAA as a reason not to be transparent about health risks to employees or customers. You already used the language I would have chosen (ridiculous BS), but you get extra points for "howlingly". :smile:
  • kshama2001
    kshama2001 Posts: 28,052 Member
    AnnPT77 wrote: »
    I just read an article from Bloomberg Business week about some businesses instructing employees not to discuss cases of other employees who have Covid-19. This practice is being justified by employers because of hipaa regulations. I would think that employers would want other employees to be aware of coworkers that have the disease, so they can do everything humanly possible to prevent contracting Covid, and the spread in, and outside, the workplace. Instead, some employers are threatening “disciplinary actions”. The article sites the right for others to know about cases of infected coworkers as safety violations in the workplace and not covered by hipaa regulations. Some employers are telling employees with COVID-19, not to inform coworkers. This has been the trend across the country among employers. There have been thousands of complaints to OSHA regarding this. This concerns me and is a dangerous, for people in the workplace, as well as the general public.

    Unless there's been a recent dramatic reinterpretation, or there's something unusual about these businesses, they would not be "covered entities" under HIPAA. "Covered entities" are health care providers, related health care clearinghouses, and health plans. The privacy rules portion of HIPAA applies only to "covered entities".

    I say this based on having been a participant in my employer's HIPAA implementation, so received a good deal of education about its provisions, but there is a summary here:
    https://privacyruleandresearch.nih.gov/pr_06.asp

    I can visualize *very unusual* situations where an employer might possibly have some HIPAA privacy rules obligations sort of as an employer, but IMU a normal employment situation isn't one of them. IMU, just being an employee of something like a health care provider wouldn't be enough, either, with respect to this "tell the co-workers or don't" stuff.

    I'm not a deep legal expert on this stuff. If someone here is, they should speak up. However, it's a thing that I coincidentally needed to understand much more fully than Joe Average does.

    For sure, in the current crisis, HIPAA is being used as an explanation for things that are howlingly ridiculous BS (like why a store can't ask if someone has a medical condition that prevents mask use).

    I'm sure that it's 100% not true that because HIPAA is about "health care privacy", it must mean that anything about my health that I might want to be private (or that someone else wants to stay secret) must be protected by anyone or everyone, can't be asked about, etc.

    On the related subject of people claiming that HIPAA and the ADA give them the right to not wear a mask if they claim a disability, with such individuals often claiming it is illegal to even ask what the disability is.

    The ADA has issued a statement which says that a business can indeed ask what the disability is for the purpose of making reasonable accommodations (for example, someone with a breathing issue would need different accommodations from someone who gets panic attacks when their face is covered or someone who needs to see lips to sight-read) and that in any case “reasonable accommodations” doesn’t mean you get to not wear a mask. An example of reasonable accommodations might include curb-side pickup, or having someone shop for you, or wearing a face shield instead of a mask. It never means the disabled person just gets to ignore the rule and endanger others.

    Yes, there is an employee at my Walmart with a disability who wears a shield instead of a mask.
  • AnnPT77
    AnnPT77 Posts: 34,168 Member
    AnnPT77 wrote: »
    I just read an article from Bloomberg Business week about some businesses instructing employees not to discuss cases of other employees who have Covid-19. This practice is being justified by employers because of hipaa regulations. I would think that employers would want other employees to be aware of coworkers that have the disease, so they can do everything humanly possible to prevent contracting Covid, and the spread in, and outside, the workplace. Instead, some employers are threatening “disciplinary actions”. The article sites the right for others to know about cases of infected coworkers as safety violations in the workplace and not covered by hipaa regulations. Some employers are telling employees with COVID-19, not to inform coworkers. This has been the trend across the country among employers. There have been thousands of complaints to OSHA regarding this. This concerns me and is a dangerous, for people in the workplace, as well as the general public.

    Unless there's been a recent dramatic reinterpretation, or there's something unusual about these businesses, they would not be "covered entities" under HIPAA. "Covered entities" are health care providers, related health care clearinghouses, and health plans. The privacy rules portion of HIPAA applies only to "covered entities".

    I say this based on having been a participant in my employer's HIPAA implementation, so received a good deal of education about its provisions, but there is a summary here:
    https://privacyruleandresearch.nih.gov/pr_06.asp

    I can visualize *very unusual* situations where an employer might possibly have some HIPAA privacy rules obligations sort of as an employer, but IMU a normal employment situation isn't one of them. IMU, just being an employee of something like a health care provider wouldn't be enough, either, with respect to this "tell the co-workers or don't" stuff.

    I'm not a deep legal expert on this stuff. If someone here is, they should speak up. However, it's a thing that I coincidentally needed to understand much more fully than Joe Average does.

    For sure, in the current crisis, HIPAA is being used as an explanation for things that are howlingly ridiculous BS (like why a store can't ask if someone has a medical condition that prevents mask use).

    I'm sure that it's 100% not true that because HIPAA is about "health care privacy", it must mean that anything about my health that I might want to be private (or that someone else wants to stay secret) must be protected by anyone or everyone, can't be asked about, etc.

    I think if your employer "self-insures" to cover medical care for employees that they would be a covered entity (i.e., they don't provide medical insurance through an insurance company but instead pay claims for employees' medical services directly out of the company's pocket, and thus would be seeing the claims and listed services). I've never actually known of a company that did that, but it's a theoretical possibility.

    Even before this crisis, I heard anecdotes of companies' using HIPAA as a reason not to be transparent about health risks to employees or customers. You already used the language I would have chosen (ridiculous BS), but you get extra points for "howlingly". :smile:

    FWIW, my "company" (a university) self insured. But - and I think this is common, maybe not universal - they used a health insurance company as an intermediary. The university paid the claims costs (and presumably some administrative fees, though I never read the contract), but the intermediary dealt with all the billing, medical billing codes, co-pays, provider network to the extent applicable, and all that specialized stuff. The U considered it financially advantageous to assume the risks (of fluctuating health costs, vs. paying a standard amount per employee for regular insurance, which transfers the risk to the insurance company), but the U didn't want to add the administrative complexity of handling all the billing details.

    In that "self insured" scenario, the university was *not* a covered entity, even for most/all of what was involved on our side of the administrative processes. Obviously, this is very situation specific, so I can't speak for other scenarios' details. I did become aware of some other institutions who were also using 3rd party administrators/intermediaries in a similar way, but had no reason to look into wildly different cases.

    The extent to which the U was a covered entity turned out to be much narrower than we had originally expected. Mostly, it was the clinical centers associated with the med schools, their pharmacies and similar health care support functions, and the student health center (basically a clinic).