We're not even in flu season yet, and already hospitals are overloaded. I have to wonder how many cities are ready for this:

BALTIMORE — To Mitchell Goldstein, the flood of sick children seemed endless. Day after day, nearly three times as many kids as usual streamed into the rainbow-colored pediatric emergency room at Johns Hopkins Hospital, sniffling and feverish, worried parents hovering.

The press of children with swine flu was so relentless that doctors opened an annex in a hospital dining room to handle the overflow. "Our worst day" was Sunday, Oct. 11, says Goldstein, one of the ER doctors. "We had 15 to 20 patients an hour. It was 24/7. There wasn't a lull."

Last week, the epidemic of ailing children let up somewhat. But doctors here are expecting a new run of flu patients — the children's parents. "What we see first in (children) we see two to three weeks later in adults," says Trish Perl, the hospital's director of infection control.

The scenes at Johns Hopkins are being repeated at hospitals in Denver and Duluth, Seattle and San Diego, as waves of flu patients arrive at their doors, doubling their emergency room volume. Just as significant is the effect on intensive care units: A relatively small number of flu patients are requiring intensive care, but some are so ill they will need round-the-clock care for weeks.

Doctors at Johns Hopkins and elsewhere expect the number of patients needing hospitalization and intensive care to rise. Such an influx of intensive care patients eventually could force some hospitals to cancel services such as elective surgery, they say.

"Why did President Obama declare a national emergency? Because what's going on at Hopkins is happening across the country," Perl says. "An infection that generally doesn't appear to be severe is pushing hospitals to their limit."

The White House declaration, announced Saturday, was designed to give hospitals the flexibility to move patients to satellite facilities if they are overwhelmed in dealing with an outbreak that is now widespread in 46 states and afflicting millions of people, says Reid Cherlin, an administration spokesman.

"H1N1 is moving rapidly, as expected," Cherlin says. "By the time regions or health care systems recognize they are becoming overburdened, they need to implement disaster plans quickly."

[...] To many analysts, swine flu appears to be two overlapping epidemics: one a cascade of mild to moderate cases that is stressing hospital emergency rooms, and the second a narrow stream of unusually young patients who need intensive care.

[...] Connie Price, chief of infectious diseases at Denver Health, the city's public hospital, says, "I've been living this" since Aug. 28, when the hospital's lab reported 12 positive tests for swine flu.

"Since then we've been inundated," she says. "In a typical flu season, we may hospitalize 15 patients. With H1N1, we've hospitalized 10 times that many. We're not even in flu season yet."

Health care costs are exploding. A robust public option would create competition that would lower costs, and increase access to life-saving medicine.

But wait! I have an idea! Let's eliminate the public option, and for good measure, take away the rights of the victims of medical malpractice by passing "tort reform." Even though, it um, doesn't work. You know, if by work, you mean lower health-care costs and do anything to help regular people afford health insurance.

But if you've been trained by "Permanent Majority" Rove, and your real purpose is to 1) Keep your corporate slop-providers happy 2) Punish a group that often gives donations to Democrats (lawyers) and 3) Pretend you actually care a whit about people who don't get Yacht Shoe Weekly, then bingo! You have your made up issue.

Thankfully, the American Association for Justice has begun a campaign to tell the truth about this issue, about the 98,000 people who lose their lives each year due to preventable medical error:

The American Association for Justice announced today it is launching what it called the first phase of a nationwide ad campaign "to educate lawmakers about the epidemic of preventable medical errors and how tort law changes won't lower costs or cover the uninsured."

The ads, running in Washington publications and on online news sites, say the estimated 98,000 deaths from preventable medical errors is "like two 737s crashing every day for a whole year."

But the ad concludes:"Would we blame the passengers or the airlines?"

Well, we know who Republicans and Blue Dogs would blame. The passengers. The pilots. The unions. Gay Marriage. Stem-cell research. But never the big corporations who make the planes.

Thankfully, we know better.

Disclosure: I'm damn spankin' proud to be working with the American Association for Justice to protect patients' rights.

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This weekend the righties got all worked up about the supposed "brutality" of union thugs in St. Louis who they say beat up a black conservative tea partier named Kenneth Gladney who came out to protest the Obama health-care plan on Thursday. They even had a big protest the next day, along with a press conference featuring Gladney in a wheelchair.

But take a look at the video of the supposed assault. It enters the scene a bit late -- an SEIU member is already on the ground and appears to be injured, but we can't tell what the cause was. As he's laying there, other SEIU members come to his protection, and one of them pulls down Gladney; both men fall to the pavement. Both quickly get back up. There appears to be little to it. [A section of the video showing the supposed assault is in slow motion.]

Indeed, it's readily apparent that Gladney seems completely unhurt. He wanders out to the crowd, chats with the cameraman, flags down a cop, and saunters back to where police decide to handcuff the man who knocked him down. As you can hear, the man protests that he was just keeping Gladney away from his fallen friend.

The next day, Gladney is at the press conference in a wheelchair. He claims to be too medicated to speak, so his lawyers and fellow tea partiers do it for him.

Does this seem real to you? Sure looks fake to me.

Right-wingers love to bring up cases of fake hate crimes and overblown racial-profiling claims as proof that these phenomena don't really exist to the extent that their victims claim. (See Ann Coulter for the most recent example, but Michelle Malkin has made a minor cottage industry out of this specious narrative.) But they sure do love it when a minority conservative can make a reverse-the-charges accusation (usually involving race) against liberals -- no matter how dubious the claims.

We can see, moreover, that the right-wing teabaggers intend to create as much physical provocation as possible and then claim victimhood when something erupts -- even when there's nothing. (See yesterday's history lesson for more on this.)

Even worse, this kind of nonsense creates permission for right-wingers to then indulge in the "defensive" violence we've read them fantasizing about on right-wing gun forums. You know, that "Second Amendment" threat we've been hearing.

At the end of the video, I've added a snip from a friend of Gladney's, who remarks: "I wish I'd been there with you, bro, it'd have turned out a lot different, I promise you."

That's what worries the rest of us.

From the White House blog:

The President explains his plan to address one of the major causes of the current economic crisis -- the breakdown of oversight leading to widespread abuses in the financial world. The new Consumer Financial Protection Agency will have the sole job of looking out for the financial interests of ordinary Americans by banning unfair practices and enforcing the rules. This is a cornerstone in America’s new economic foundation.

Transcript below the fold.

Continue reading »

Good thing we'll never have another hurricane again, huh? Just one more bright spot in the Bush legacy:

WASHINGTON — The economic crisis is jeopardizing the nation's ability to handle public-health emergencies and possible bioterrorist attacks, according to government leaders and a new report.

Federal and state governments are cutting programs that help communities respond to disease outbreaks, natural disasters and bioterrorism incidents, and that "could lead to a disaster for the nation's disaster preparedness," a report released Tuesday warns.

"The economic crisis could result in a serious rollback of the progress we've made since Sept. 11," 2001, said Jeffrey Levi, executive director of the Trust for America's Health, a non-partisan research group. Federal funds are down, 11 states have already cut public-health budgets, and more could follow as the economic crisis worsens.

If emergency medical supplies are not maintained or if hospitals can't handle a huge influx of patients, the result will be more deaths and illnesses, Levi said.

Homeland Security Secretary Michael Chertoff underscored the concerns in an interview Tuesday with USA TODAY editors and reporters. His top concern, Chertoff said, is a "mass event: a big outbreak of plague or some other kind of biological weapon or a nuclear explosion."