Facebook donates emergency reserve of 720k masks
reuters.com
reuters.com
“To help, Facebook donated our emergency reserve of 720,000 masks that we had bought in case the wildfires continued,”
I wish our hospitals' administration had as much foresight. I think this crisis is making it clear that management in health care is vastly overpaid.
When I heard the numbers, I figured they purchased extra so they could also supply them to the surrounding community so as to avoid drama about facebook employees having masks while few others did.
(I cannot remember my sources, sorry.)
In this situation, you assume the mask catches particles containing coronavirus. The mask becomes a biohazard pretty quickly. They could probably be safely disinfected and reused.
https://www.politico.com/news/2020/03/25/trump-coronavirus-n...
My other comment on this was flagged, which had far more links. I'm not 100% sure why it was flagged other than the voting revealed it to be very controversial.
If you trace through the hospital's costs, it seems like a bulk of healthcare money ends up in the pockets of medical device companies. In my opinion, it doesn't seem like competition is behaving naturally at that level either. It seems like these companies are using the healthcare flustercluck as a proxy for anti-competitive behavior.
Facebook has just a tad bit more money to prepare for these remote possibilities compared with your average hospital. Plus hospitals have to justify every cost in relation to how many lives it will save. Is prepping for a once in a century pandemic going to save more lives than having an extra doctor on staff for every shift? Almost everyone would have answered no to that questions up until a few weeks or months ago.
It isn’t a “remote” possibility that facebook employees end up needing respirators since it isn’t a “remote” possibility that there will be wildfires again in California this year. That is what is expected to happen.
Although it’s hard to tell what will be the impact of the global shut-downs reducing greenhouse gases on global temperatures this summer (if that will even have any impact so soon).
I would still say that having stockpiles of PPE is good management. My sister is a nurse and she had been complaining about having to find gloves last year, long before there even was a crisis. Some of these hospitals really do skimp on equipment. Just In Time and LEAN practices are cool, but you need to keep a stock of backups enough to last a month or two in the event of a shortage where every other hospital is also trying to produce the same equipment. Some might say it’s easy to say this in hindsight, but I’ve been hearing about these practices long before this crisis. Right now everything on the news about these shortages just echoes what many healthcare professionals already knew and were concerned about. There are systemic management issues in the medical industry. Hopefully a bill comes from this.
My question is why the US government didn't have a bigger stockpile of them? We treat national security products with such deference, but yet defense against pandemics has been an afterthought.
[1]https://www.wsj.com/articles/financial-institutions-share-st...
https://www.washingtonpost.com/investigations/face-masks-in-...
The first story reports the loss of 50,000 state and local health officials.
The second from Mar 2020, reported that the SNS 'currently holds about 30 million simple surgical masks and 12 million of the more protective N95 masks....' Compare those numbers to what's needed.
https://www.npr.org/sections/health-shots/2016/06/27/4830698...
https://www.npr.org/sections/health-shots/2020/03/14/8141218...
Sadly there weren't enough for everyone, even before this hoarding craze began.
It made it harder for hospitals to buy the N95 masks and other equipment from China.
So to the Americans that voted in Trump to wage his disastrous trade war against China, then this is partially your fault too.
It is important to understand hospitals and doctors could not legally use industrial N95 masks. No hospital could accept them without exposing themselves to massive litigation. I know this sounds stupid from outside the US. Sadly, this is part of our reality.
The key that unlocked donations was President Trump. Upon learning of this restriction he quickly put into place a release of liability for medical use of industrial N95 masks. This will be in force until at least 2024.
Because of this companies, contractors, suppliers and individuals came forward to donate masks. Apple donated a couple million units. I believe this might easily unlock tens of millions of masks as companies evaluate their inventories and continue to donate.
Commentary:
It is important to realize that the US healthcare system does not have an insurance problem. Politicians would have you think this is the case. It is not. The root cause of our high cost of healthcare, among other things, has to do with the underlying and hidden costs of doing business. This issue of masks is a simple example.
Hospitals, medical professionals and medical suppliers live in fear of greedy attorneys going after them for anything from masks to more complex equipment. This leads to major losses and costs and even legislation. And all of it increases the costs of doing business.
After this virus runs its course we would be well served to review a number of things, tort reform being a good idea. The other would be term limits for the House and Senate, I think it is beyond obvious these institutions have gone putrid to the very core.
It might also be rather strange to those outside the US to learn that in this wonderful country doctors and nurses cannot legally provide their services outside of the State where they are licensed. A doctor or nurse licensed in California cannot see patients in, say, Maine. In other words, we are not a country, we are a group of fenced-off kingdoms with some of the most ridiculous rules one could possibly imagine.
Our doctors can travel to Africa and practice medicine, yet they can't go to another State and do the same. How ridiculous is this?
That's just another element of our system that has to change. There's more, a lot more. The onerous and massively expensive drug or medical device approval process is another example.
Insurance is the last item in a very long list of issues we must address in order to bring sanity to our healthcare system.
Rather than repeat things here, please read the comment I just posted here:
President Trump did nothing except sign the law when it came to his desk. The provision was in the “Second Coronavirus Package” that originated in the US House of Representatives. It was written by Democratic lawmakers and sponsored by Nita Lowey, a New York Democrat.
Here’s the law in question: https://www.congress.gov/bill/116th-congress/house-bill/6201...
This Link should take you directly to the relevant section about industrial masks: https://www.congress.gov/bill/116th-congress/house-bill/6201...
Here’s the vote in the House: http://clerk.house.gov/evs/2020/roll102.xml All 40 “Nays” were Republican.
Here’s the Senate vote: https://www.senate.gov/legislative/LIS/roll_call_lists/roll_... all votes against were, once again, Republicans.
It’s also unclear what type of masks Facebook had in stock. They might have been of the medical variety for all we know. And even if not, there would not have been liability anyway: it was manufactures that were previously liable when selling the wrong type of mask to health care workers. But in Facebook donating masks, no manufacturer is part of the transaction.
I’ll not go through the rest of your half-truths, except to note that if you believe any MD can see patients in “Africa” without going through some sort of accreditation you’re wrong.
As for your comment regarding accreditation for doctors operating outside the US, you are wrong. As a simple example, I refer you to the requirements for working anywhere Doctors Without Borders/Médecins Sans Frontières opearates:
https://www.doctorswithoutborders.org/careers/work-field/gen...
My wife is a doctor with international credentials. We have friends and family members in various areas in the US, Europe and South America who are doctors covering a range of disciplines in various domains. And we lived in more than one country. Through them and life experience I know these medical systems, their drivers, advantages, disadvantages and issues very well. I am not pulling these statements out of a vacuum chamber.
With regards to US doctors not being able to practice across state lines. It's real, messy and complicated:
https://www.ortholive.com/blog/practicing-medicine-across-st...
And, yes, it is ridiculous. Either we are a country or a bunch clans. I can't think of any other nation where a doctor is limited to practicing medicine in a single province. To say this is crazy is an understatement. Doctors take time and tons of money to produce, they are a scarce resource...and we limit them to operating within a single state? Someone tell me why this makes sense.
On the topic of fixing the system with insurance. Someone please explain how the cost of insurance can be lowered without lowering the underlying costs said insurance covers first. This is a very fundamental principle of business. If you want to reduce the cost of a downstream element in the chain you have to first address costs upstream. Cause and effect. You can't reverse that reality. Impossible.
Or, to put it in different terms, if the cost of operating a business is $10MM per year and revenue is $1MM per year that business is not sustainable. You can't lower insurance costs artificially. The cost of insurance is an effect, not a cause.
Just noticed this. It's wrong.
Hospitals could not accept donations of industrial masks, or, more accurately, they could not use them. This would expose them to potentially serious legal liability. Simple example: Someone dies. Lawyers discover medical team member were using using industrial masks they accepted from donations. They sue the hospital, every doctor, nurse and practitioner in the hospital and perhaps even whoever donated the masks.
How do I know this?
Well, as I mentioned elsewhere, my wife is a doctor and we have many doctors, nurses and other medical practitioners in our circle. In addition to this, we tried to donate many thousands of N95 masks from our own manufacturing operation's inventory to our local hospitals. They were refused, citing, very specifically "we cannot legally use industrial masks".
Once Trump went against Republicans in the House and Senate and signed the law releasing liability until 2024 we got a call from the hospitals we had contacted asking if the masks were still available. That's when we handed them over.
This, sadly, is how our legal system works. This is reality.
BTW, I do believe it was the White House who asked for the industrial mask exception to be included in the legislation. I don't have the time to go track down this assertion, so take it for what it is.
As an outsider from New Zealand, I completely believe your insurance system is a huge problem, and that belief is founded on the problems I see (not what your politicians say, I don’t know anything about them).
One major issue is linking insurance to your job. Lose your job, lose your insurance.
Our socialised healthcare has it’s issues, but I have personally seen it work again and again for my friends, acquaintances, and family.
Disclaimer: I choose to also pay for private insurance, which costs me $40 per month for a middle aged guy, to get improved private health cover. I’m not against insurance, but the US system appears completely broken to me, and the insurance structure appears to be part of that.
However, this isn't really the top problem on the list. It definitely is one of the last items, if not the last.
Allow me to make a simple, yet imperfect, parallel.
If you buy a Toyota your auto insurance will cost X.
If, on the other hand, you buy a Ferrari, it will cost many times more than X.
Why?
Because a Ferrari costs more to repair and the probability of accidents might be statistically higher given the extra power, etc.
Insurance costs are a result of statistical analysis of the underlying probability distribution of costs to the insurance company based on a range of factors. These would include known and unknown costs, personal history, regional factors, legislation and more.
One cannot magically reduce the cost of insurance and obtain better results on the other end. You cannot force insurance to cover the potential costs of a Ferrari to only cost as much as it does for a Toyota. You can only do that if you remove coverage. For example, you are not covered if the car is stolen, damage or if you are driving above the speed limit and you are required to install a monitoring device in the car. In other words, make the potential cost surface as equivalent as that of a Toyota.
This is why the US does not have an insurance problem and our healthcare system will never be fixed through insurance. This "Medicare for All" nonsense is exactly that. It's like forcing Ferrari insurance down to Toyota level. In other words, it turns a blind eye to the underlying structural issues in the system, fixes nothing and pretends it is a solution.
Lower insurance costs in the US is a theoretically simple task that, in practice, is difficult due to our politics. We have to reduce costs. And these costs are related to the regulatory burden, the financial reality of lawsuits and the cost of medical education, to name three factors.
When you are rolled into an operating room in the US and are surrounded by, say, ten professionals, their collective school loan debt is likely in the two to three million dollar range. They each spend tens of thousands of dollars a year in insurance to protect from lawsuits. Each of the pieces of equipment in that room, from the masks to the ventilators, endoscopes, scalpels, table and more are the result of having spent from millions to billions of dollars in regulatory licensing and testing. Each of the companies making these products must maintain teams of attorneys, entire floors full of them in some cases, to protect against lawsuits. They must also pay for insurance for the same reason. The hospital in which this operating room exists is also the subject of pretty intense regulations that start with the planning and construction of the building and the rooms. The permits alone to build a hospital can cost a hundred million dollars and take ten years to obtain. Once built, the hospital is subject to yet another layer of cost-increasing regulations (the current example of not being able to use industrial N95 masks is relevant here) and must carry insurance to protect itself an its entire staff from lawsuits (which could cost billions of dollars).
That is a super simplified view in to the innards of the US healthcare system. None of these costs and problems are magically fixed by changing insurance, no matter what we do. We can take it away from employers. Sure. So what? How does it change any of the above? We can make it this crazy "Medicare for All". So what? How does it change the realities I disclosed above?
No, insurance isn't our problem. Sure, it could be better. Yet it is pointless to even talk about making insurance changes when the underlying cost structure is massively broken.
I hope this clarifies things for you. I understand it isn't easy to understand the inner workings of something like this from afar. I only understand the way things are in other countries because I have lived elsewhere, otherwise it would be hard to grok the differences.
[I am not sure about all the capitalisation - we aren't speaking German (yet).]
Ontario just found 55m yesterday. Finding stuff you don't use often in warehouses is difficult.
Also: the Facebook story is from Sunday. It’s not very likely that it is a reaction to a press conference on Monday, is it?
You and all the other Trump supporters should stop making stuff up and/or learn to link to sources at least after being asked repeatedly to provide them.
Maybe one day I will propose a Trump compression algorithm as his vocabulary is very limited and he keeps repeating the same nonsense a million times hoping on inducing some hypnotonic effect in his low-IQ fans...
He is scum.
It makes sense. If it weren't for Facebook not having this reserve we would just be 720k short. It's not like the companies selling these would just hold inventory, especially since if you store them too long the elastic and the seal becomes weak across a large enough sample.
Forgive my pessimism here, but I'm not impressed. Good that they did it, but countless individuals of minimal means regularly give everything they can to help their fellows without credit or reward.
Are we so easily distracted by the sparkly costless action that they now take that we forget the several known (and who knows how many unknown) deceptive and harmful actions they have intentionally taken against us in pursuit of money?
I'm not trashing them for doing something good. But just as I don't bow to the guy on the street that puts his candy wrapper in the rubbish bin instead of throwing it on the ground, I don't admire FB for giving out something they already possessed and were not having a planned use of.
https://www.bloomberg.com/news/articles/2020-03-23/zuckerber...
Do you have a source for the government confiscating emergency supplies? My understanding was that that was only in cases of hoarding and profiteering in response to this crisis.
It's not like they had plans to sell them for price gouging purposes nor did they purchase them immediately ahead of a crisis and create/contribute to a shortage or anything anti-social like that.
For durable emergency supplies like masks. all of us should, if we're able, be maintaining a supply outside of emergency times to help buffer demand shocks at times of need.
There are going to be lawsuits going on for a decade because of the government ordering things that they are not allowed to do.
But "Qualified" immunity is an adjunct concept.
https://en.wikipedia.org/wiki/Executive_Order_6102
https://en.wikipedia.org/wiki/United_States_Railroad_Adminis...
https://en.wikipedia.org/wiki/Amtrak
Yet according to https://www.vox.com/2020/3/23/21191003/coronavirus-trump-def..., the federal government has not made a single order for masks, ventilators, or any other material. So I’d be surprised if they directly went for requisitions, especially from non-producers such as Facebook. I’d actually be surprised if they even knew Facebook had masks.
So: have a link for “the government said”?