It’s even worse than that, at least in peds. Now the general peds residencies (at least in some places) have developed a community peds track and a hospitalist peds track, taking the same number of residents and essentially turning out half as many outpatient-qualified docs. I guess, I have to point out that when I was doing it there was really no such thing as “in-patient pediatrics” as a specialty, because the community docs covered the hospitals. No more. And the hospitalists also make a buttload more than we do, so we have not been able to recruit any new docs in years. Our youngest is 48, our oldest is me.(56) We have younger nurse practitioners, and that is probably where the whole field is going. Adult docs are in even worse shape. We have lost 5 adult docs in the last 18 months or so in my community with no one new coming in. SMH, I just don’t know where it goes.
https://talkingpointsmemo.com/edblog/speaker-of-nh-state-house-dies
A month ago New Hampshire Republicans reclaimed control of the state House of Representatives. Last week Rep. Dick Hinch (R-Merrimack) became the new Speaker of the House. Yesterday he died of COVID. It appears that a GOP caucus meeting on November 20th may have a superspreader event.
Biden COVID Adviser Likens CDC’s Holiday Guidance To ‘Best Ways’ To ‘Drive Drunk’
Also, people who should go to jail (but won’t, unlike people who shouldn’t go to jail, but will):
“How do we pretend to do the right thing until this drops out of the news cycle?”
“Let’s issue some arrest warrants we have no intention of serving.”
“But won’t people question why we didn’t just arrest these people at the scene of the crime?”
“Have you even read the news in the last 20 years? Journalists are imbeciles.”
I can’t find the podcast where I learned this, but after Hurricane Katrina some of the governors of southern U.S. states got in touch with Cuba and started sending medical students there to train. This was with a wee bit of cultural sensitivity training, of course, and the agreement that they would go to under-served U.S. communities for (IIRC) 2 years afterwards. Here’s an older article on the topic.
Given Cuba’s COVID-19 record of 70 times fewer deaths per million maybe it’s a model to consider (12.5 COVID deaths per 1m people, versus 877 per 1m in the U.S., so 280,000 Americans might be alive today if the 
had a system as good as that of 
. 
… kind of gives a new spin on their rallying cry: “Socialismo o muerte”)
Yeah, and we chose “muerte” Damn it.
it’s worse than fighter jets. we literally pay people to become soldiers to kill other people overseas, but it’s"socialism" to pay people to become doctors to save lives here.
( we do somehow manage to pay firefighters. i noticed - however - when my partner had to go to the hospital recently, that paying paramedics with public money is no longer a thing. gotta love private ambulance companies taking 911 calls )
This says Antietam’s death toll was 22,717. A ways to go.
That’s a combined total of deaths, wounded, and missing. The reported deaths on your wiki link shows 3,675 (2,108 Union, 1,567 Confederate).
Thanks for the clarification.
I always get confused by the “casualties”. I get it as of course wounded is worse for an army than dead, and missing could be runoff which is also worse.
Of course weapons are designed to disable and wound and suck up resources.
It’s not a mad stretch to think that maybe the army had it right: we’re so obsessed with the number of deaths a health threat forms (the Pinto, Covid 19) that we forget the nonfatal outcomes can be even more draining on society.
Early bird.
"At the end of the day, the committee voted on one question:
- Based on the totality of scientific evidence available, do the benefits of the Pfizer-BioNTech COVID-19 vaccine outweigh its risks for use in individuals 16 years of age or older? (Seventeen members voted ‘yes’ to this question, four voted ‘no,’ and one person abstained.)
Some of the key points of discussion during the meeting included:
- whether there is sufficient data from the Phase 3 clinical to authorize use of the vaccine in 16- and 17-year-olds. (The companies are seeking an indication that would allow teens in this age group to receive the vaccine.)
- whether the vaccine can prevent infection with asymptomatic disease
- whether certain patient populations like pregnant women and people with HIV/AIDS should receive the vaccine
- how the FDA should respond to reports of allergic reactions in two people who received the vaccine in the U.K. this week. (No allergic reactions were reported in the clinical trial, Pfizer executives told the committee.)"
I heard an infectious disease* expert say on CNN that from what he read in the Pfizer data is that the Pfizer trials specifically excluded participants who had reported any previous drug allergies/reactions. This is why they have no data.
(*Then again it may have been Gupta. It’s all a blur with the on-camera news docs at this point. I only remember the comment.)
Fuck. The morgues are full in Idaho:
https://www.idahostatesman.com/article247759065.html
Fuck. Tennesseans don’t believe the morgue trailers are real:
Fuck. COVID deaths data viz from Dr. Eric Ding is just staggeringly awful:
New York Times, 12-10-2020:
(not one-boxing, sorry)
I can imagine the panic of the people aboard. Now they must be relieved.
“imagine”
The two reactions were in individuals who had a history of severe allergic reactions in the past. Such individuals were disqualified from the trials, so not surprised this was not seen. What is currently unknown is, what kind of reactions in your history are red flags? I have a pretty nasty peanut allergy. Does that disqualify me? We do not know.
I’m allergic to cats. 
