We have more ICU beds per capita than anyone else in the world by a longshot.
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If you're overwhelming that, which we are, then you're fucking up.
The shit part of the US system is cost for access and limited primary care services. Neither of these are particular involved in acute covid decompensation where EMTALA guarantees hospital access.
That's not how this works. Percents don't recognize raw numbers which is how you figure out bed utilization.
I'm coming off a month of spike in which non-covid patients have been unable to receive care because of the massive quantity of covid patients. They are almost universally unvaccinated and study after study shows a dramatically higher chance of hospitalization and death in the unvaccinated. Our hospital has lost millions because covid cases aren't money makers. They are just long stay medicine patients and that eats dollars where all the canceled elective surgeries are the money makers. It couldn't be done forever for sustainability in many ways including economically.
It doesn't matter if I have 70% vaccinated if I've got 30% unvaccinated that still can over run the healthcare system themselves. The fix here is vaccination. ORRRRRR that 30% needs to hurry up and get covid, which is what's happening, and they will die or develop antibodies. The problem with this approach is the above in which you shut down healthcare services for all of us. That's where your shared decision making comes from.
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If the unvaccinated were vaccinated, you'd see on average 29 times less hospitalization. That solves the healthcare overruns.
Once you stop hospital overruns the shared decision piece drops to only hurting those that can't get vaccinated. Until then the unvaccinated will have to quit acting like they live in vacuum. When Reagan guaranteed your access to healthcare via EMTALA, your health choices became everyone's business. But we won't let you die in the street over inability to pay.