(07-02-2020, 10:19 PM)akiddoc Wrote: There will not be a lack of interest among Pediatricians in doing health checks all day. Most medical practices are in danger of going under, especially Pediatric practices. Any business at all will make them happy.Quick comment before the full run.
It is difficult to NOT have medical coverage in California right now. And if you don't have coverage, you can go to a community clinic and get everything done at a rate commensurate with your income. We do sports checks including vaccines for as little as $25 and for a maximum of $125 at my community clinic job.
We can test far more patients in both of my jobs than we are currently testing. Capacity is high at this time.
We're turning Covid tests around in 12 hours at my clinic job and 18 hours at my other job. Maybe that isn't the situation where you are, but in Alameda County it's quick.
We all have to stop using the SF Bay Area as the USA norm. There are many places in the USA where COVID results take multiple days. COVID will spread first and best in the areas with weak infrastructure on COVID.
So let's imagine we are somewhere in the Inland Empire where loads of workers shouldn't really be in the USA, and many families don't have $25 to spend on multiple MD checks a month.
I will lay out the scenario, since it is rather likely.
It is October and the flu season is picking up.
Each day your office gets its dozens of daily cough check requests too from frustrated parents.
For you see as soon as a child has any symptoms that could be COVID, their children are banned from sports.
(I fear/assume the same will hold true for the classroom).
If an MD clears them they can return after 72 hours.
If an MD does not clear them they must wait two weeks.
Now, as a parent who wants to keep running to an MD every day the child has a cough or two?
$25 sounds OK, if it was a one time deal. Imagine your child is a bit prone to coughing from time to time. You'd be sitting on $25 checks every few weeks, hours of time spent going to the MD with each event AND at least three days of lost practice/school and likely work too. The child is also losing out on practice/school time too. The families definitely will start hiding coughs and other cold like symptoms, especially if they think COVID is not a big deal, rather than repeat that cycle more than once or twice.
It is not just the $25. For many workers they don't get sick pay, they certainly don't get family sick pay. So there are the costs of the copay, lost wages and likely a termination notice after a few cycles of this.
My children's MD here in OC is booked out for visits at least a week or more, which is not ideal in this situation. For my older HS child we literally just took a zoom meeting two days out rather than accept an in office appointment 8 days out. This isn't like a pre-sport physical. You'd want the MD visit ASAP because until an in office visit the family is losing school/sport time and lost caregiver wages.
If no visit the child must be out for 14 days, so once flagged/identified there would be some urgency to getting cleared ASAP.
The whole system is predicated on the idea that excluding patients with COVID like symptomatic students will be sufficient, which seems flawed since COVID is a more formidable opponent.
So my depression centered on the idea that the system really puts a number of new burdens on families (and doctors) to keep confirming that common child ailments are not COVID. And with each experience the families will have to pay a copay, miss work and school, and lose wages.
A lot of families in the USA can't do that financially. So you'd have to suspect some families will then work diligently to hide or ignore symptoms which would seem to run counter the whole program.
And all of this assumes some level of belief that COVID is a real concern.
We live in a country where 30-50% of the adults find wearing a mask too much of a burden.
Can you imagine the compliance for something like this?
I can, hence the depression.

