The Iceberg Solution

The standard title for a COVID 19 article these days is something like “Open up the Economy while Protecting our Elderly and Vulnerable Population”. That sounds like a plan to me. But then the article then goes on to talk about opening businesses with certain precautions and returning to regular activities then usually contain little about the elderly and vulnerable other than that they should stay shut up. They rarely address the biggest problem for the elderly and vulnerable and that is stopping the spread in nursing homes and other elderly care facilities. These facilities are the perfect spreading ground for the virus and I hear of little concerted effort to address that. 43% of virus deaths have been in homes. Some states have even been forcing nursing homes to accept still infected patients released from hospitals. Why is the nursing home problem not a major component of every opening up plan?

There is an old myth that Eskimos used to abandon their elderly on icebergs so that they would no longer be a burden on society. What I detect in all these articles and plans is what I call the iceberg solution. Let the expendable elderly population die as they will soon anyway. I even saw one comment that many of the people dying are over their life expectancy anyway. Well, I am one of those over their hill folks. I’m not dead yet and still have lots of plans for things I am going to do in life. I fully support my younger friends getting back to normal lives but don’t except being a human sacrifice to get there.

There are many things we could be doing to make nursing homes safe. I am no epidemiologist, but a few things are obviouse to me:

  • 100% COVID 19 testing of residents and employees
  • Frequent temperature checks of everyone
  • Test people before admission
  • No admission for infected people
  • Find or create comfortable facilities to isolate infected patients- most homes will need outside help for these.

I don’t care how much compassion I see for the elderly until concrete plans like these are in place I to believe that the mainstream plan for the elderly is the iceberg solution.

40,600 deaths tied to U.S. nursing homes

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