DeSantis explains how Florida managed the COVID Crisis

2,958 Views | 14 Replies | Last: 5 yr ago by AggieBiker
Keegan99
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https://www.nationalreview.com/2020/05/coronavirus-crisis-ron-desantis-florida-covid-19-strategy/

Yes, it's NR, but it's a GREAT READ explaining how DeSantis managed Florida.

Quote:


An irony of the national coverage of the coronavirus crisis is that at the same time DeSantis was being made into a villain, New York governor Andrew Cuomo was being elevated as a hero, even though the DeSantis approach to nursing homes was obviously superior to that of Cuomo. Florida went out of its way to get COVID-19-positive people out of nursing homes, while New York went out of its way to get them in, a policy now widely acknowledged to have been a debacle.


The media didn't exactly have their eyes on the ball. "The day that the media had their first big freakout about Florida was March 15th," DeSantis recalls, "which was, there were people on Clearwater Beach, and it was this big deal. That same day is when we signed the executive order to, one, ban visitation in the nursing homes, and two, ban the reintroduction of a COVID-positive patient back into a nursing home."


He put a LOT of focus on nursing homes, long term care facilities, and protecting the vulnerable.


Quote:

At the outset, DeSantis looked at South Korea's experience: "I just thought it was so dramatic, the extent to which this was concentrated in the older age groups. I think the first real fresh set of South Korea numbers I looked at, I think it had no fatalities under 30, and then 80 percent of them were 70 and above or something like that. It was really, really dramatic."

Then there was Italy: "I think a lot of the policymakers in the U.S. acted like Italy would happen in the United States, but when you look under the hood of Italy, there were huge differences, and there were reasons why that part of Italy fared as poorly as it did. I think the median age of fatality was something like 82 in some of those areas in Northern Italy. So we looked at that, but that really helped inform the strategy to focus most of our efforts on the at-risk groups."

He was hesitant about sweeping lockdowns, given that there wasn't much of a precedent for them. "One of the things that bothered me throughout this whole time was, I researched the 1918 pandemic, '57, '68, and there were some mitigation efforts done in May 1918, but never just a national-shutdown type deal," he says. "There was really no observed experience about what the negative impacts would be on that."

"So I was very concerned about things on that side as well," he continues, "and I think that's why I had a more nuanced and balanced approach than some of the other governors. Because you have some of these health officials saying, 'You've got to do this. This is science,' or whatever. But really, these were unchartered territories."


The DeSantis team also didn't put much stock in dire projections. "We kind of lost confidence very early on in models," a Florida health official says. "We look at them closely, but how can you rely on something when it says you're peaking in a week and then the next day you've already peaked?" Instead, "we started really focusing on just what we saw."




One thing that struck me as really smart? Prioritizing PPE for those locations.

Quote:

Florida, DeSantis notes, "required all staff and any worker that entered to be screened for COVID illness, temperature checks. Anybody that's symptomatic would just simply not be allowed to go in." And it required staff to wear PPE. "We put our money where our mouth is," he continues. "We recognized that a lot of these facilities were just not prepared to deal with something like this. So we ended up sending a total of 10 million masks just to our long-term-care facilities, a million gloves, half a million face shields."

Florida fortified the hospitals with PPE, too, but DeSantis realized that it wouldn't do the hospitals any good if infection in the nursing homes ran out of control : "If I can send PPE to the nursing homes, and they can prevent an outbreak there, that's going to do more to lower the burden on hospitals than me just sending them another 500,000 N95 masks."


The whole article is worth your time. Does well explaining Florida's gameplan and how it was executed.
Aggie95
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.
BadMoonRisin
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423 views. 1 reply. Interesting.
Romello
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That's leadership. I wish we had more of that in our other elected officials.
HotardAg07
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It's just not that interesting, it's just a puff piece to promote DeSantis. Similar puff pieces out there exist to promote probably every Governor in the Country, even Cuomo who is overseeing the biggest **** show in the country. I'm sure Cuomo would love to sit in front of a newspaper and talk about how they looked at all the data and made all these decisions weighing life and the economy and yada yada.

Since the federal government did not provide much direct leadership, it did give a chance for Governors an opportunity to shine and lead in a way they typically don't get to. The war time President popularity bump has mostly been going to Governors.

Here's a graphic from an April article in 538. It shows growing bipartisan support for governors of D and R states, but not as much for the President. DeSantis is one who actually got negative marks. I'm guessing Whitmer's numbers are much lower now.



chris1515
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Shows how much optics and spin matter.

Someone can do a great job, and get overlooked without the right promotion.
Someone else can fumble at every opportunity and with the right set of cheerleaders look like a hero.
rgag12
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If you think Cuomo and Whitmer have done a great job during this that tells me all I need to know about your intellect
HotardAg07
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I think I was pretty explicit in my post that I didn't think they have done a good job. I said Cuomo's state was the worst situation in the country and Whitmer's approval ratings should have gone down since the April graph I showed.
BadMoonRisin
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Did you read the article before coming to the conclusion that it was a Puff Piece?

He stopped looking at the models when it became evident they weren't helpful and instead started using real data -- age distributions and locations of the outbreaks. He had the foresight to get the PPE upstream to the nursing homes as a priority over the hospitals, and prevented formerly-COVID19 infected patients to be recirculated back into nursing homes (a tinder box for this disease). All of this, despite the media saying every single day for the last month that he was two weeks out from being Italy, complete with telephoto shots of "packed beaches" and interviews with drunk, frothy, rabid, ignorant spring break kids -- AAAAND the situation is mostly under control and deaths are low. And they are starting to safely open up shop. IN FLORIDA. The state that is widely stereotyped as being America's retirement home.

All of these very early interventions, with what we know now, look really smart. I think most doctors on this board would probably agree that what he did was a proper intervention. They are certainly free to disagree with me. I happily stand to be corrected, but these are clear examples of concrete decisions made using the data available that saved lives.

Cuomo did pretty much the exact opposite of that (literally and directly, he ordered that "[nursing homes] are prohibited from requiring a hospitalized resident who is determined medically stable to be tested for COVID-19 prior to admission or readmission."), and instead blasted Trump for a city in his own state's inadequate supply of ventilators which now we know, might actually do more harm toCOVID19 patients than good.

His response actually IS on par and arguably worse than Italy, and the death toll is much higher. Yet he is somehow painted as a hero.

Puff piece? Let's be fair here and both agree that he deserves at least at least a smidgen of credit for this. Even if it's the least amount of credit you could possibly muster.

The numbers speak for themselves.
Keegan99
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Contrast the information and insight in this piece vs the media running wild with the story yesterday about the woman claiming she was fired for refusing to manipulate data in Florida (while producing zero evidence to support her claim, naturally).
slacker00
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Keegan99 said:

Contrast the information and insight in this piece vs the media running wild with the story yesterday about the woman claiming she was fired for refusing to manipulate data in Florida (while producing zero evidence to support her claim, naturally).

Today's version is a little bit different:

LINK

Quote:

DeSantis said Tuesday that Jones was let go for insubordination and reiterated the stance on Wednesday with Vice President Mike Pence at his side in Orlando.
"She didn't listen to people who are her superiors," said DeSantis.

"Come to find out she's also under active criminal charges in the state of Florida. She's being charged with cyber-stalking and cyber sexual harassment," said DeSantis.
hdrydor
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Goes to show what a twilight zone we're living in today. The Governor that probably had the best policies and results has negative views from the public and the Gov that did the absolute worst has glowing reviews from the public. Mainstream media has done their typically biased job very well. They can be proud of themselves.
jenn96
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No matter what you think of his politics, DeSantis' handling of the nursing home issue has been masterful and should be an example to every governor who isn't doing something similar. These parts of the article really stood out to me:
Quote:

Mary Mayhew had daily calls with the hospitals, with people involved in discharge planning on the line. "Every day on these calls," she says, "I would hear the same comments and questions around, we need to get these individuals returned back to the nursing home. We drew a hard line early on. I said repeatedly to the hospital, to the CEOs, to the discharge planners, to the chief medical officers, 'I understand that for 20 years it's been ingrained, especially through Medicare reimbursement policy, to get individuals in and out. That is not our focus today. I'm not going to send anyone back to a nursing home who has the slightest risk of being positive.'"

...At the other end of the equation at the nursing homes, the state made it clear, according to Mayhew, "if you are unable to adhere to these infection-control standards, if you are unable to safely isolate and dedicate staff to an isolation wing or unit, you need to transfer that individual to a hospital."
Nursing and senior facilities are the single largest driver of COVID deaths in every country and state. Florida recognized that and created a proactive plan to stop those outbreaks before they could flame.
Quote:

When the state was seeing infections at nursing homes presumably caused by staff, DeSantis deployed what he calls "an expeditionary testing force," 50 National Guard teams of four guardsmen together with Department of Health personnel that tested staff and residents.
Most facilities haven't had confirmed cases. "But the ones that have," he says, "the majority of them have had between one and five infections. So the infections are identified, but then, you're isolating either the individual or the small cluster before you have an outbreak."

The state has just deployed a mobile testing lab in an RV that has a rapid test with results in an hour or two. It goes to a community and the staff goes to different long-term-care facilities. "If you're talking about an asymptomatic carrier, if you can identify that person instead of waiting 48 hours for lab results to come back, I mean, that could be the difference between saving a lot of infections," according to DeSantis.
There are other factors of course. DeSantis recognizes that Florida already had a robust disaster-management plan in place because of all the hurricanes they deal with, so the infrastructure didn't have to be built from scratch. And I feel quite sure that the average senior in Florida has a lot higher Vitamin D levels than the average senior in NY or Massachusetts, meaning better immunity and outcomes. But Florida actually did what the experts claimed was impossible; they actually protected the most vulnerable without draconian statewide orders and trusted their citizens to make good personal choices. Not all did - it's Florida ffs - but so far the numbers don't lie.
ccaggie05
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The way the media has covered this story is shameful. They care more about making Trump and his political allies look bad vs actually providing good information to the public. It's frankly disgusting.

It's even more obvious when you see how Cuomo is being covered as America's governor while DeSantis has been trashed for months now. Of course the media is now silent that Lombardy 2.0 didn't occur in Florida as they were so gleefully predicting.

And to the guy calling this a puff piece, it's obvious you didn't read the damn article.
Bird Poo
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HotardAg07 said:



Since the federal government did not provide much direct leadership, it did give a chance for Governors an opportunity to shine and lead in a way they typically don't get to. The war time President popularity bump has mostly been going to Governors.


Do you even Constitution, bro? GMAFB
AggieBiker
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This discussion of PPE to nursing homes first parallels thoughts I was having this morning on a future vaccine being limited because of the time it takes to ramp up production. The common thought is that it would be supplied to medical personnel and first responders then on to the public. The thought occurred to be that the best use would be nursing home residents and the elderly if we really want to reduce deaths and severe illness. I suspect that although med and first responder people may have a high risk of exposure, they do not represent a high risk of severe illness and death from contracting the virus. Also, if you protect the most vulnerable you may be preventing the highest spreaders from becoming so. Therefore you would be protecting the med and first responders by creating less chance of contact with a severely ill spreader.
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