Category Archives: H1N1 Pandemic

Thanksgiving and Health Care Reform Debates

In a scene I could only dream was being played out in formal dining rooms across the U.S., my T-day dinner conversation was about the healthcare reform initiative chugging through the Senate. Representing the left on this issue — a young college guy who’s new job is as a waiter at a fancy restaurant. On the right — a government employee with health insurance. As in the rest of the country — the balance of the guests were somewhere in between.

Hot topic: Medicare. One of the guests parents are both on Medicare. They have no idea how much their medical bills cost because they are all paid automatically, unless they somehow want a procedure not covered by Medicare, although I could not think of one. The discussion centered about how health care consumer attitudes might change if even medicare consumers had to sign a statement ordering, and signing off on each procedure, with full accountability of the price sitting in front of them.

I’m imagining a Health Care Compliance & Accountability form that each patient signs for each procedure like:

Angioplasty $8,500.00
Hospital Stay – 1 day -$5,000 – $7000.00
PLEASE — give me a night in a cabana in Mustique for a mere $1200!

The conversation over the vegetarian entrees veered recklessly from the “free health care for anyone, anytime” group to the “don’t change anything ever” group.
But neither group, interestingly enough, could price any common hospital procedures, even thought 1/3 of the group worked in a hospital… I surmise that unless you are directly involved in billing, there is little understanding of the costs of healthcare procedures, regardless of your insurance status.

End of life issues are something of much interest to me because I have already decided the EXACT DATE I’m heading out onto the ice floe to be eaten by either polar bears or killer whales, depending which group is not yet extinct by 2018 (the year I have already picked) for my eventual eating by wild mammals.

I admit that I do not understand why old people with terrible wrinkles and horrible diseases of their own making (think diabetes, congestive heart failure, etc.) want to prolong their very uncomfortable lives for another day or another week. I suspect that they do not, but since health care is just as much of a business as a dry cleaners or a fast food restaurant — the docs are trying to sell the procedure (whatever it may be) with MRI’s, CAT and PET Scans, and several weeks of observation — in the same way that the 17 year old at the drive thru tries to get you to “Supersize” your order. Follow the money.

Which is exactly why I did a risk assessment and decided to put additional controls in place to stay healthy!

Happy Thanksgiving.

Pandemic H1N1 – Part 2

This is my second post on the H1N1 flu. I have a daughter-in-law in the high risk category — she’s expecting twins in December and didn’t want to get the vaccine — but I did finally convince her. Also: while I was hosting my 150+ person webinar on how to handle the pandemic’s effect on your business — one of my employees came down with the ful. He was very sick for the first 3 days, and then slowly improving but still with a fever after five days.

We asked several questions during the webinar, which was very well attended by banks, hospitals, credit unions, and other companies. The one that surprised me was that only 40 percent of the people had a pandemic plan in place and about 20 percent didn’t know if they had plan or not. When we are discussing alternate staffing plans, the place where you might see the most impact is in the IT area. IT managers and network managers usually have knowledge not shared with the rest of the organization.

It’s easy to get a temp to fill in as a receptionist, to add a salesperson, or replace clerical or admin functions, but to get someone who knows your network and how all the configurations work is a trickier proposition — and FLASH — IT and network people also get the flu!

One of the amazing facts from the webinar was that older people — that is, anyone who was alive in 1957 or right after, has a very low chance of getting the H1N1 virus (unless they have another underlying condition like asthma). This is because a similar strain went around the world is 1957 and so people from the era are relatively immune.

Other considerations to contemplate during this pandemic is whether to relax your requirements for employees to have to get a written doctor’s excuse — doctors may not have time to write one — and employees who only have the flu, but are staying at home sleeping, may not have to visit a physician or hospital. Another aspect to consider is whether you would rather have people stay out LONGER, to make sure they don’t infect others in your company.

A company full is 20-40 year olds is probably going to have more absences because they have small children at home. If you look at the flu maps for the last four months in the U.S., you can easily see that the flu started in March-April 2009 and then died down when school was out. School in session resulted in the 2nd wave of the pandemic that is still increasing, as we enter into the usual flu season.

If all the data was analyzed, I’m quite sure they would find that the concentration of children in school, colleges and universities is a big driver in keeping the flu numbers increasing.

One disturbing note was — children may not be protected completely from the first vaccine, but may need a booster. I saw this on the news this morning, and, with vaccine in short supply anyway, the idea that boosters may be needed would be very unwelcome.

By the end of next week, we should get a better idea of the trending of the flu waves and that will help companies in planning for increases absences. At the beginning of H1N1, experts were predicting a 20-40% absentee rate — so don’t take your eye off this pandemic.