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!

  • This field is for validation purposes and should be left unchanged.

Heritage Foundation’s Jonathan Butcher on Edu Federalism, School Choice, Learning Pods

This week on “The Learning Curve," Gerard and Cara talk with Jonathan Butcher, the Will Skillman Fellow in Education at The Heritage Foundation. They discuss the growing popularity of learning pods, an education innovation propelled by K-12 public education’s failure to meet the COVID-19 moment. With as many as three million children enrolled in learning pods, 35 percent of parents participating in them, and another 18 percent interested in joining one, Butcher shares findings from his report on the role of pods in expanding parent-driven educational choice options.

Study Says Interstate Tax Competition, Relocation Subsidies Exacerbate Telecommuting Trends

A spate of new incentive and subsidy programs seeking to lure talented workers and innovative businesses away from their home states could constitute an additional challenge to Massachusetts’ economic and fiscal recovery from COVID-19, according to a new study published by Pioneer Institute.

“The Business of America is Business” – 25 Resources for High School Students

In Pioneer’s ongoing series of blogs on curricular resources for parents, families, and teachers during COVID-19, this one focuses on: Celebrating American Free-Market Capitalism.

Georgetown’s Dr. Marguerite Roza on K-12 School Finance, Spending, & Results

This week on “The Learning Curve," Gerard and Cara talk with Dr. Marguerite Roza, Research Professor and Director of the Edunomics Lab at Georgetown University. Professor Roza describes the three distinct phases of how American K-12 education has been funded over the last 40 years, and implications for equity and overall student achievement.

Massachusetts Should Disclose More Information about Its Recent Reduction in the Official Count of Long-term Care Deaths

The public -- particularly in Massachusetts, where COVID-19’s toll on elders has been so great -- has a right to know how many deaths occurred in state-regulated eldercare facilities, and how that compares to the total number of deaths. But the state's new counting standard clouds this information, and should be corrected or at least disclosed.

Preparing For Disaster: Health Readiness Expert’s Performance Review

Hubwonk Host Joe Selvaggi talks with Emergency Preparedness expert Dr. Paul Biddinger about how experts plan for disasters, and what went right and wrong in this pandemic.

Study Warns Massachusetts Tax Proposal Would Deter Investment, Stifling the “Innovation Economy”

A state constitutional amendment promoted by the Massachusetts Teachers Association and the Service Employees International Union adding a 4 percent surtax to all annual income above $1 million could devastate innovative startups dependent on Boston’s financial services industry for funding, ultimately hampering the region’s recovery from the COVID-19 economic recession, according to a new study published by Pioneer Institute.

“Be Strong, Saith My Heart” – National Poetry Month – 40 Resources for K-12 Students

In Pioneer’s ongoing series of blogs on curricular resources for parents, families, and teachers during COVID-19, this one focuses on: Celebrating National Poetry Month.