Do reporters for The Philadelphia Inquirer read their own news paper?

Inquirer reporter Harold Brubaker, who specializes in the business side of health care and nonprofit sector, reported on the Keystone State’s attempts to revise nursing home regulations, but somehow he managed to miss the elephant in the room:

‘Insulting and dumb.’ That’s how a nursing home manager labeled criticism of Pa.’s new staffing proposal

Advocates say more staffing is desperately needed. But nursing home executives say Medicaid rates won’t support it.

by Harold Brubaker | August 28, 2021

Anne Clauss hates to imagine what her mother would have endured at a nursing home in Langhorne if she or another relative hadn’t visited daily during her stay from 2017 to 2018.

One evening Clauss found her mother at the end of a hallway facing away from her room, where she had been stuck for a few hours, another resident told her. Other times, staff — whom she called underpaid and overworked — forgot to bring her mother her meals.

Her mother died at a hospital in 2018. But that experience prompted the Levittown resident to comment in favor of a Pennsylvania Department of Health proposal to increase the homes’ minimum level of direct care to 4.1 hours daily per patient, up from the current 2.7 hours.

“I hope regulations can be updated to help our elderly live out their lives well cared for and treated respectfully,” Clauss wrote to the Independent Regulatory Review Commission, which will review the comments and eventually hold a public hearing. It’s not clear how quickly the commission will act.

Let’s tell the truth here: nursing homes are dreadful places, facilities in which to warehouse the elderly who can no longer care for themselves, but who can, and do, live on with nursing care and physical assistance. It’s a truth all of us know, but no one is willing to say out loud, because so many people fear that they will one day have to warehouse their aging parents in such a facility.^[1]My family has been fortunate in that regard; such a decision was never one we faced. And I cannot imagine that any of us do not dread the thought of having to be in a nursing home themselves. I’m very thankful that I’m very healthy, but who can know what the future holds.

There’s a lot more at the original, and Mr Brubaker did a thorough job in his story, save for one thing. He noted that nursing homes have real difficulties in attracting staff, and that Medicaid payments for patients work out to roughly $8.00 an hour, which is significantly less than certified nursing assistants are paid. To provide more hours of patient care, more nursing staff would have to be hired, but there’s simply not enough money paid to nursing homes to do so. For the details, read Mr Brubaker’s original.

The effort is coming to a head during the COVID-19 pandemic in which over 13,000 people have died in Pennsylvania’s nursing homes.

This is where Mr Brubaker’s story fails. He mentions the COVID-19 panic just this once, and that’s it. But, as we previously noted, and as Mr Brubaker’s own newspaper has reported, Philadelphia’s Acting Health Commissioner, Dr Cheryl Bettigole, has mandated that all health care workers in the City of Brotherly Love must be vaccinated against COVID-19 by October 15^th. Dr Bettigole has noted that more than a dozen long-term care facilities in Philadelphia have less than 50% of their staff vaccinated.

If you’re more committed to not getting the vaccine than to the safety of your patients, it’s time to do something else. Health care is not for you.

This is something that Mr Brubaker should have mentioned: not only are patients in nursing homes getting fewer hours of care than they should, Dr Bettigole and the city of Philadelphia want to fire the CNAs and RNs who refuse to get vaccinated.

Oh, they won’t put it that way — though the Commissioner came close — but that’s the result of the policy. The city obviously wants to force the reluctant to get vaccinated, and some will probably concede, but if over half the staff have resisted vaccination, in an industry which has been continually pushing for it, it has to be expected that at least some, quite probably a significant percentage of them, will continue to refuse to comply.

From an article referenced by the much nicer Dana on Patterico’s Pontifications:

As of last night, there were 102 people waiting for an ICU bed in the greater Houston area.

Harris County Judge Lina Hidalgo told Begnaud that she was prepared to open a field hospital, but as of Friday morning, hospitals in the Houston area were telling her they had extra beds — but not enough nurses. Seven hundred nurses arrived last week, but it’s still not enough to meet the demand.

Of course, that article, too, failed to address the elephant in the room:

Houston hospital workers fired, resign over COVID-19 vaccine

By Jamie Stengle | June 22, 2021

DALLAS (AP) — More than 150 employees at a Houston hospital system who refused to get the COVID-19 vaccine have been fired or resigned after a judge dismissed an employee lawsuit over the vaccine requirement.

A spokesperson for Houston Methodist hospital system said 153 employees either resigned in the two-week suspension period or were terminated on Tuesday.

The case over how far health care institutions can go to protect patients and others against the coronavirus has been closely watched. It’s believed to be the first of its kind in the U.S. But it won’t be the end of the debate.

It’s not a case of some health care workers may quit, or may be fired, for refusing vaccination, but that some have already quit, some have already been fired.

I get it: the editorial position of the Inquirer is strongly in support of vaccination, and perhaps noting that the city’s vaccine mandate will actually cost the city’s nursing homes employees isn’t something a biased newspaper like the Inquirer wants to report.^[2]I take publisher Elizabeth Hughes opinion piece as an admission that the Inquirer has, and will continue to have, a bias toward the left. But for an article like Mr Brubaker’s to fail to note the potential loss of nursing home employees, just as he is noting that the Commonwealth might require more, is simply poor journalism. It wasn’t just a missed point, but ignoring a very, very large elephant in the room.