[HN Gopher] Unvaccinated Covid patients cost the U.S. health sys...
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       Unvaccinated Covid patients cost the U.S. health system billions of
       dollars
        
       Author : toomuchtodo
       Score  : 14 points
       Date   : 2021-09-14 21:45 UTC (1 hours ago)
        
 (HTM) web link (www.kff.org)
 (TXT) w3m dump (www.kff.org)
        
       | taxesandeath wrote:
       | Nothing gets me more horny in the but than some good old covid
       | numbers.
        
       | walterbell wrote:
       | https://www.theatlantic.com/health/archive/2021/09/covid-hos...
       | 
       |  _> ... roughly half of all the hospitalized patients showing up
       | on COVID-data dashboards in 2021 may have been admitted for
       | another reason entirely, or had only a mild presentation of
       | disease ... this study suggests that COVID hospitalization
       | tallies can't be taken as a simple measure of the prevalence of
       | severe or even moderate disease, because they might inflate the
       | true numbers by a factor of two ... referring to decisions about
       | school closures, business restrictions, mask requirements, and so
       | on, "we should refine the definition of hospitalization. Those
       | patients who are there with rather than from COVID don't belong
       | in the metric."_
        
       | ivraatiems wrote:
       | So many false equivalencies being made in the comments here.
       | 
       | Unvaccinated people are simultaneously people with a right to
       | care despite their bad choices, and people whose bad choices are
       | harming them and those around them. No dissonance or hypocrisy
       | required to believe both are true.
       | 
       | The hard part, acknowledging that, is reducing that harm.
       | 
       | And yes - I believe choosing not to be vaccinated against COVID
       | is a bad or even immoral choice, depending on the reasons. I
       | understand why someone would, but I don't support it, and I don't
       | have to in order to think people who make that choice are still
       | worth something as people.
        
       | taxesandeath wrote:
       | Why the downvote? Are you homophobic against gay sex?
        
       | Thorentis wrote:
       | What are we going to do now, ban smokers from the health system
       | because they take up more cancer beds? Ban obese people because
       | they didn't stop eating? Ban people who don't exercise because
       | it's easy to do, and provably lowers chance of disease? Don't
       | respond to car accidents due to speeding since it was
       | preventable?
       | 
       | As soon as you start excluding people from the health system
       | because of lifestyle choices, you are deciding who should live
       | and die.
        
         | Factorium wrote:
         | Actually, smokers and obese actually save Governments money on
         | healthcare and pension costs, because they die earlier:
         | 
         | https://taxfoundation.org/new-study-shows-smokers-and-obese-...
         | 
         | "According to the research, a person of normal weight costs on
         | average PS210,000 over their lifetime, a smoker just PS165,000
         | and an obese person PS187,000."
        
         | nielsbot wrote:
         | Who says we won't care for these people? This says their choice
         | not to get vaccinated is costing billions.
         | 
         | Re: Cigarettes and seatbelts are bad analogies. Society (via
         | the government) has made moves to reduce smoking and encourage
         | seat belt wearing. Looks like the same is now happening for
         | vaccinations with Biden's new mandates.
         | 
         | Finally, the US healthcare system already decides who should
         | live or die... either intentionally or structurally.
        
         | relax88 wrote:
         | If there was a safe and effective vaccine against lung cancer
         | and obesity do you think your argument would be as strong?
        
           | nradov wrote:
           | There is a safe and effective vaccine against cervical
           | cancer. Hospitals still care for unvaccinated cervical cancer
           | patients.
           | 
           | https://www.cancer.gov/news-events/cancer-currents-
           | blog/2020...
        
             | toomuchtodo wrote:
             | The HPV vaccine is given to boys and girls for free in
             | Australia, and they're on their way to eradicating cervical
             | and other cancers associated with HPV. Vaccines are
             | compulsory to receive child care and family tax benefits.
             | 
             | https://www.thelancet.com/journals/lanpub/article/PIIS2468-
             | 2...
        
         | bdibs wrote:
         | Triage exists for a reason, and it seems reasonable to apply
         | that here. If you want to accept the risks of your "lifestyle
         | choice", you should be the one who faces the consequences by
         | being lower in priority for healthcare. If I exercise and eat
         | right, when I need an ICU bed I should be given priority over
         | someone who accepted the risk of eating fast food three times a
         | day, surely?
        
           | nradov wrote:
           | Regardless of the moral issue, due to EMTALA hospitals are
           | legally required to care for unstable patients regardless of
           | whether they made unhealthy choices. Changing that would
           | require an Act of Congress.
        
             | toomuchtodo wrote:
             | You can dump covid patients with low odds of a positive
             | outcome off support equipment (vents and ECMOs) when
             | healthier patients come in for treatment and equipment
             | supply is constrained. This is already occurring.
        
               | Andys wrote:
               | This could be a way that systemic pro-vax bias reinforces
               | the statistical outcomes.
        
               | [deleted]
        
               | Fjolsvith wrote:
               | Especially in Israel, where their coronavirus spread
               | reaches new heights [1], despite 78% of their population
               | being innoculated! [2]
               | 
               | 1. https://www.timesofisrael.com/health-ministry-chief-
               | says-cor...
               | 
               | 2. https://www.haaretz.com/israel-news/israel-vaccine-
               | data-how-...
               | 
               | They have to do something because the vaccine just isn't
               | stemming the tide!
        
               | keyboardCowBoy wrote:
               | They are also giving boosters out. Someone please explain
               | why Israel is struggling with COVID-19?
        
         | toomuchtodo wrote:
         | I assume insurers could choose to not cover the treatment costs
         | for a condition if you decided not to get vaccinated. Exposing
         | someone to the full cost of an avoidable expense is a solid
         | method of disincentivizing reckless behavior during a pandemic
         | (smoking and obesity are not comparable).
         | 
         | If you can prove vaccination status, of course, costs should
         | still be covered for hospitalization, as you made the very
         | little effort to derisk.
        
           | nradov wrote:
           | Your assumption is wrong. Any medical insurance plan
           | regulated under the Affordable Care Act (Obamacare) is not
           | legally allowed to deny coverage or raise premiums based on
           | vaccination status.
           | 
           | According to the CDC, obesity is a significant risk factor
           | for COVID-19.
           | 
           | https://www.healthcare.gov/how-plans-set-your-premiums/
           | 
           | https://www.cdc.gov/mmwr/volumes/70/wr/mm7010e4.htm
        
             | toomuchtodo wrote:
             | Wow, that's disappointing, but not surprising for American
             | healthcare (don't cover everyone, but no personal
             | responsibility expectations from those who are covered).
             | We'll just have to let the fire burn through the forest I
             | suppose and eat the costs from these people until travel
             | and employment vaccination mandates kick in.
        
               | felistoria wrote:
               | Obesity costs the US healthcare system 147 billion per
               | year. We need Health Passports right now if cost is an
               | issue. 5.7 over 3 months is nothing compared to the cost
               | of obesity.
        
             | topkai22 wrote:
             | It does, however, apparently allow for employers to charge
             | employees more for insurance under a "wellness" scheme.
             | This is how Delta is charging unvaccinated employees
             | $200/month.
             | 
             | Edit- I am also familiar with wellness incentives/charges
             | around smoking, obesity, and exercise.
        
       | 71a54xd wrote:
       | The sad part of this narrative, including cursory information
       | both from this article and what mainstream outlets report, is the
       | notion that only a certain racial subset of the country is
       | "unvaccinated". I'm vaccinated and I find it troubling that so
       | many, especially those in my minority demographic, still cite
       | invalid information as a reason to not become vaccinated.
       | 
       | Even as a member of a minority group, the notion that we'd deny
       | healthcare to any group of people especially when there's a
       | connotation of race (yes, even if the narrative is meant to be
       | against uneducated poor white people) is fundamentally wrong.
       | 
       | The feigned empathy for the unvaccinated is down right appalling
       | in this country. One day, we're cheering that white trump
       | supporters are dying en-masse from covid. And now, the calls to
       | continue draconian measures until an overwhelming percentage of
       | people are vaccinated is basically criminal.
       | 
       | This is obviously going to be downvoted, but it's time to really
       | think about what choices we make now could lead to in a not so
       | distant future. If Australia is what 5 years into the future
       | holds, I'm not too interested in remaining in this country.
        
       | toomuchtodo wrote:
       | "The analysis estimates that the preventable costs of treating
       | unvaccinated patients in the hospitals total $3.7 billion in
       | August, almost twice the estimates for June and July combined.
       | The total preventable costs for those three months now stand at
       | an estimated $5.7 billion."
       | 
       | https://www.healthsystemtracker.org/brief/unvaccinated-covid...
        
         | mandmandam wrote:
         | > $5.7 billion
         | 
         | Or, 0.0007 Afghanistan Wars.*
         | 
         | * For those who do the math, I'm including the interest.
        
       | OJFord wrote:
       | Just what the world (and especially, I hesitate to say as an
       | outsider, the USA?) needs - more divisiveness!
       | 
       | While we're at it: obesity, lung cancer, liver issues, diabetes,
       | skin issues, addiction issues, some mental health issues, broken
       | bones! - all to varying extents often/can be caused by certain
       | choices.
       | 
       | Ban them all, only what, acts of God and (resp. including)
       | genetics treated here?
       | 
       | (Just to perhaps head off _some_ of the hate: I 've nothing to do
       | with the US health system, and am 'fully' vaccinated.)
        
         | Barrin92 wrote:
         | the world doesn't get less divisive because you ignore the
         | burden that people have on resource limited public health
         | systems. Hear no evil, see no evil, speak no evil?
         | 
         | You're exactly right that not being vaccinated is not unique in
         | this regard. Which is an argument for more intervention. People
         | should obviously be treated even if their illness is a
         | consequence of choice, but this also implies we can have a say
         | in what people do. Population health is always a collective
         | matter, as this pandemic shows. We all share the same
         | ecosystem.
         | 
         | Singapore spends 6% of its GDP on healthcare compared to 20% in
         | the US. In Singapore the live expectancy is 83 years, the
         | highest in the world. Some American states rank below mainland
         | China, the nation ranks below Cuba.
        
           | OJFord wrote:
           | Well I think it does, because saying 'people making decision
           | X costs us Y' _creates_ a division.
           | 
           | Not to say that education, rehabilitation, etc. as
           | appropriate doesn't have its place alongside treatment. And
           | I'm by no means holding up US healthcare (or expenditure on
           | it) as a model system.
           | 
           | (I'm commenting from the UK - in broadest possible terms, our
           | political left thinks our NHS is great and the model system -
           | just needs more spent on it; the right thinks the NHS is
           | great and Singapore has the model system.)
        
         | Fjolsvith wrote:
         | All those people who don't take their multivitamins are making
         | my multivitamin not work. We need to force multivitamins on the
         | unsupplemented.
        
       | felistoria wrote:
       | Obesity costs $147 billion per year according to the CDC.
       | 
       | People should need health passports to eat fast food or buy
       | unhealthy foods. /s
        
         | topkai22 wrote:
         | If there was a safe, low cost shot to prevent obesity I'd get
         | it in a second.
        
           | felistoria wrote:
           | There is actually a very safe and free method to prevent
           | obesity. It's called eating a healthy diet. Count calories
           | and watch the pounds fall off. If you really want to speed up
           | the process you can throw in some exercise.
        
             | rowanG077 wrote:
             | How is something you need to actively do every day and has
             | a significant impact on your QoL even comparable to a two
             | time shot. Honestly it's very hard to take post like this
             | seriously.
        
               | felistoria wrote:
               | What is hard for me to take seriously is that everyone
               | just wants a pill or a shot to solve their problems. If
               | you are obese, COVID is one of many things that
               | could/will kill you. Every human has to eat but they have
               | a choice to eat healthy or unhealthy foods. Just eat
               | healthy and your obesity will go away.
        
       | Andys wrote:
       | Wasn't the cost of the vaccines even more billions?
        
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       (page generated 2021-09-14 23:02 UTC)