It is a trifecta of lack of proper, affordable healthcare, lack of rational thinking, mostly in the conservative part ofthe population, and Republican politicians trying to undermine any efforts to fix those. That is the tripledemic that will kill many thousands of Americans. The US can be considered lucky that this will primarily hit those conservative circles that are instrumental in generating these circumstances.
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Calling the state of the US healthcare system "strained, exhausted, and burnt out" is a bit of an understatement at this point. I just wonder how many people have to continue dying due to lack of adequate routine care before our country does anything about it.
I work on a small stepdown critical care unit, and we're struggling to ration our few negative pressure rooms to accommodate the folks needing high flow nasal cannula oxygen or BiPAP from Covid, RSV, flu, and all the god damned holiday COPD/CHF exacerbations.
(Dammit, grandma, take your fucking lasix.)