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surge capacity 
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Fri Apr 13, 2007 at 21:00:37 PM EDT
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(the next phase of the discussion... SusanC's series and this diary highlight, along with DRAFT Guidelines on Ventilator Allocation from NYS DOH for Public Comment, the ethical and practical implications of not having enough [fill in blank]. - promoted by DemFromCT)
It is widely acknowledged that care and support of pandemic patients by laypeople in their own homes will constitute either a large or the largest portion of care even for the very ill during a pandemic. Even when the words of presentations do not acknowledge this, the numbers always do.
We talk about rationing vaccine and anti-virals. We talk about triage within the health care system and how we can stretch the surge capacity using bubble gum and bailing wire. But who talks about those left outside the doors of the hosptials and alternative care sites and how they will make do and try to survive? What is our message to this group that will seriously outnumber the group allowed "inside" - possibly by as much as 10 to 1?
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