More Covid

The US Midwest is suffering.

Texas today became the first US state to reach 1 million confirmed Covid-19 cases.

Hospitals across the US Midwest are postponing elective surgeries to treat the influx of new Coronavirus admissions.

The cities affected include:

  • Madison, Wisconsin
  • Duluth, Minnesota
  • St. Louis, Missouri
  • Omaha and Lincoln, Nebraska
  • Sioux Falls, South Dakota
  • Johnson City, Columbia and Cookeville, Tennessee
  • Salt Lake City, Utah
  • Billings, Montana

When resources in larger towns become unavailable, this can impact healthcare for all residents in relatively poorly served states. For example, Barnes-Jewish Hospital in St. Louis serves the population of eastern Missouri and Southern Illinois. For that area, this is a major impact.

Since hospitals make more money on elective surgeries than on Covid care, this will impact their finances as well. This may prompt hospital closings and consolidations, further impacting the availability of care in an under-served area of the US.



  1. It is a no-win situation. Here, hospitals made it clear that COVID took exclusive priority once the pandemic broke out. This resulted in some existing patients being sent home prematurely. Also things like regular treatments for cancer being put on hold.
    A perverse effect was that heart attacks and strokes droppig by some ridiculous percentage, from memory it was something like 25%. These emergencies had not reduced, of course, but rather that people had either (a) determined that hospitals were closed for business for anything except COVID, or (b) determined that hospitals were a breeding ground.
    Both of these were perfectly rational views at the time.
    So, you can’t go too far either way.

    Liked by 1 person

    • There are deaths indirectly caused by the virus interrupting or preventing treatment. Those should be included in the virus death toll and are not. The other calculation that we need is the target number of ICU beds per 1000 people living in an area. Clearly current ratios aren’t adequate. We need to know what targets should be.

      Liked by 1 person

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