In The Era Of COVID-19, Mass. Needs To Get Long-Term Care Right

Share on Facebook
Share on Twitter
Share on
LinkedIn
+

This op-ed originally appeared in WGBH News.

In much of the country, a substantial number of Covid-19 deaths have occurred in nursing homes. Too many states were caught unaware that crowding, poor infection control, insufficient isolation facilities, and lack of proper training and equipment for nursing home workers would create petri dishes for Covid’s destruction. As of now, this lack of preparation accounts for 24,000, or over one-third, of Covid-related deaths nationally.

We saw what was happening in Italy, where frontline doctors were forced to make age-based life and death decisions because so many elderly people were sick and ventilators were in short supply. We saw the first signs of the virus on our own shores in Washington state nursing homes.

So what happened in Massachusetts?

As of this writing, about 60 percent of Massachusetts’ 5,000-plus Covid-related deaths are nursing home residents. Some of those residents were receiving temporary rehabilitative services, others were in long-term care.

Apart from overall number of deaths, we know little about the faces behind the numbers. The Commonwealth has provided minimal information; for example, although the Department of Public Health (DPH) discloses overall nursing home deaths, it does not disclose numbers of deaths by facility on its public website. The federal government has now required such information be disclosed to residents’ families. DPH says it will take weeks to comply.

What we know about specific nursing homes, we have learned from local media investigations.

There is still limited transparency about state plans to protect nursing home residents. We need answers to the following questions:

1. During the early stages of the pandemic and currently, who in state government was/is in charge of the health and safety of long-term care facility residents and what lessons have been learned thus far?

2. What plans guided the efforts of the DPH, the state Office of Elder Affairs and the Executive Office of Health and Human Services as they sought to limit contagion in Massachusetts nursing homes?

3. Going forward, is the state prepared for a potential second wave of Covid in nursing homes?

These questions are crucial because nursing home deaths should not be inevitable. Mistakenly, some believe that nursing home residents are primary targets of Covid simply because they are old or gravely ill. That is not at all the case.

Seniors don’t contract Covid because of their age. They are infected through exposures to individuals who have the virus. The effect of infection for those with serious pre-existing health issues is more significant, and can lead to death, but that’s also true of 30- or 40-year-olds with similar pre-existing conditions.

Clearly, the elderly are more likely to have compromised immune systems and many seniors have underlying conditions that make the virus more destructive or even deadly. When Covid is introduced into an environment with little social distancing, ineffective infection control, lack of proper isolation units, and inadequately trained healthcare workers who lack essential protective equipment, spread is inevitable.

As we approach the fall, with its sobering predictions from experts, we are presented with an opportunity to learn from our prior faults and protect those who are the most vulnerable. The virus is as deadly today as it was in March or April. Preparing for what comes next starts with the Commonwealth answering these three critical questions.

Barbara Anthony is senior fellow in healthcare and Mary Z. Connaughton is director of government transparency at Pioneer Institute, a Boston-based think tank.

Get Our COVID-19 News, Tips & Resources!

New Study Offers Guide to Recovery in MA Retail, Accommodation and Tourism, and Restaurant Sectors

A new guide to economic recovery in the retail and hospitality industries published by Pioneer Institute calls for the federal and state governments to consider consumption-based refundable tax credits for brick and mortar businesses; the federal government to conduct a detailed study of the costs and benefits of suspending employer-side payroll taxes; businesses to pay special attention to developing and marketing their cleanliness, hygiene and contactless procedures; and third-party customer review sites to include comments about the implementation of COVID safety measures to provide options and reassurance to safety-minded consumers

COVID & Classrooms: Lessons for Students, Staff, & Society on Reopening Schools

/
Join host Joe Selvaggi and co-host Rebekah Paxton of Pioneer Institute as they talk with Harvard Medical School Professor Benjamin Sommers on the most current scientific observations regarding the health and safety of reopening schools.

New Pioneer Study Looks to International Examples to Inform Massachusetts K-12 Schools Reopening

With the fall semester fast approaching, Massachusetts should provide more specific COVID-19-related guidance for school districts about ramping up remote learning infrastructure; rotating in-person cohort schedules; diversifying methods of communication between students, parents, and teachers; and investigating physical distancing capabilities.  Districts must determine whether to adopt in-person, remote, or hybrid schooling options, and they will not be ready for the fall unless the state provides clear direction, according to new analysis from Pioneer Institute.

WSJ Children's Book Critic & Author, Meghan Cox Gurdon on Reading Aloud to Children in the Age of Distraction

/
This week on “The Learning Curve,” Cara and Gerard are joined by Meghan Cox Gurdon, the Wall Street Journal’s children’s book reviewer and author of The Enchanted Hour: The Miraculous Power of Reading Aloud in the Age of Distraction.

The Virtual Lessons Catholic Schools Can Teach

/
This op-ed originally appeared in The Boston Pilot. By Tom…

A Time to Build

/
The MBTA is taking advantage of anemic low ridership from the…

COVID Transmission: A Scientist’s Insight on What Matters

/
Join Joe Selvaggi and Pioneer Institute co-host Bill Smith as they talk with Harvard Medical School’s Dr. Ed Nardell about his scientific observations on how the novel coronavirus is spread and what can be done to make our schools, buildings, and lives in public safer.

Boston Uni.’s Dr. Charles Glenn on School Choice, Civil Rights, & Espinoza

/
This week on “The Learning Curve,” Cara and Gerard are joined by Dr. Charles Glenn, Professor Emeritus of Educational Leadership and Policy Studies at Boston University. Dr. Glenn shares his early experiences in the Civil Rights movement, and how it inspired his work to expand school choice, as well as his thoughts on the Espinoza Supreme Court case's impact on racial justice and religious liberty.