392 - Idaho's COVID-19 Crisis Standards of Care: Low Vaccination, Full Hospitals, and Difficult Decisions Around Who Gets Ideal Care
Public Health On Call
The Johns Hopkins Bloomberg School of Public Health
4.6 • 644 Ratings
🗓️ 3 November 2021
⏱️ 17 minutes
🧾️ Download transcript
Summary
A few months ago, the state of Idaho declared Crisis Standards of Care when COVID cases peaked and hospitals were full. Dr. David Pate, a member of the governor's Coronavirus Working Group, talks with Stephanie Desmon about the difficult decisions health care workers have to make during Crisis Standards of Care, how this is and isn't the same as rationing care, why vaccination status shouldn't come into play for those decisions, and what has contributed to Idaho being the state with the lowest vaccination rates in the U.S.
Transcript
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| 0:00.0 | Welcome to Season 4 of Public Health On Call, a podcast from the Johns Hopkins Bloomberg School of Public Health. |
| 0:13.0 | I'm Josh Sharfstein, Vice Dean for Public Health Practice and Community Engagement, and a former Commissioner of Health in Baltimore City. |
| 0:20.0 | Our goal is to bring |
| 0:21.7 | scientific evidence and experience to current topics in public health through engaging interviews |
| 0:27.1 | with scientists, community leaders, policy experts, public health officials, clinicians, and more. |
| 0:32.8 | If you have ideas or questions for us to cover, please email us at public health question at jhhhu.edu. |
| 0:40.4 | That's public health question at jhhu.edu for future podcast episodes. |
| 0:46.5 | Hi, I'm Lindsay Smith-Rogers, producer of public health on call. |
| 0:50.1 | Today, Stephanie Desmond talks to Dr. David Pate, former CEO of St. Luke's Health System in Idaho, |
| 0:56.3 | about the COVID crisis in his state. They discuss the institution of crisis standards of care |
| 1:02.3 | at hospitals in Idaho, which means that some people who need COVID or even non-COVID treatment |
| 1:08.0 | won't be able to access care given how overrun the hospitals are. |
| 1:12.6 | Special thanks to Trevor for reaching out to suggest this topic. Let's listen. |
| 1:17.4 | David Pate, thanks so much for joining me. My pleasure. Thanks for having me, Stephanie. |
| 1:21.2 | So, David, you work in Idaho and you are on the governor's coronavirus working group and you are a retired physician. |
| 1:32.8 | Talk to me about what things are like right now in Idaho when it comes to COVID. |
| 1:38.1 | Well, you know, certainly we're having a light surge relative to a lot of other parts of the country, particularly the southern and eastern parts of the country. |
| 1:49.7 | We got our surge. |
| 1:51.2 | We have just hit our peak. |
| 1:54.1 | We are on our way down, thank God. |
| 1:58.1 | But unfortunately, about a month ago, we had to go into crisis standards of care, |
| 2:03.5 | and we are still operating under crisis standards of care. |
... |
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