Why die so many Americans in Corona?

Almost 200 000 Covid-19-Ill and more than 4,000 deaths – the epidemic is in the United States, despite the protestations of the President, Donald Trump is out of control. The authorities don't seem to be able to stop the spread of the infection.
Is not prepared for the health care system in the United States on the treatment of hundreds of thousands of patients? Why the strongest economy in the world finds it difficult to afford the Coronavirus is the necessary resistance you read in this post.

Everything is under control

The Americans were always the first when it came to fighting global epidemics. The United States were also of the outbreaks of SARS, Ebola, or Zika in the past few years, but these vulnerable never to their national security. As the former Nato Secretary-General Anders Fogh Rasmussen said, is America surrounded by "friendly neighbors, and fishing", namely Canada and Mexico, and two oceans. Against real enemies, the Americans no longer had to fight for many decades. But now, when the danger of spreading within the country, you are advised in Washington arg in embarrassment.


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"Grey full recommendations of the authorities" – New York is bracing itself for disaster
The change in the President Trump came fast – just as the epidemic spread. Since the 22. January, as the first to Covid has been registered for 19 ill Patient, and until the middle of March, as the "only" less than 100 people had died of it, claimed Trump, the Situation would be under control, the risk of spread of Infection would be low, the virus spread would soon subside – as soon as the weather is warmer.

But then he said: "This is a pandemic. I knew that this is a pandemic – long before that. But we had to look at the Situation in other countries.“
Meanwhile, the United States, with nearly 200 000 on the first place worldwide in the number of Coronavirus patients. More than 4000 people are on the lung disease died. New York is virtually the epicenter of the disease, and the authorities have lost within a few days the control over the situation.

The price of hesitation

According to the assessment of some American experts in Washington has wasted six weeks. You would have been able to purchase Coronavirus-Tests, protective masks, protective suits for Doctors, respiratory masks. But this was not done.
Even now, refuse to the authorities, the critical shortage of medical equipment to recognize. As the Governor of the state of New York, Andrew Cuomo, said that the Region need a minimum of 30 000 respiratory masks, believed Trump him: "I have the impression that many of the Numbers that are called, are covered. I doubt you need 40 000 or 30 000 respiratory masks.“ That was in the previous week, as the state of New York five per cent of all Covid-19-sick world accounted for.
However, President Trump is wearing is not solely to blame for the Situation, even if he reacted to the increasingly greater risk only slowly.
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"This is also a failure of the administrations of Barack Obama and George W. Bush," said the American Jacob Blass told RIA Novosti, who worked for 20 years in Non-Profit organizations in the field of health care. "Experts warned already at that time: If something were to happen, would get neither the one nor the other Team, such a disease in the handle."

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But the current occupant of the White house have approved a further deterioration of the situation, was Pale with conviction. Because in 2018 the Obama formed "Team to combat pandemics had been abolished". Trump have believed, in the case of easily new employees to hire.
The opportunity to minimize the impact of a Coronavirus disease had been missed, the pathologist Margaret Johnson from North Carolina convinced. "The prevention of a pandemic, the obligation of the health care system, but the structures of government, among other things, of the centre for control and prevention of diseases. But the authorities have acted much too slowly. Trump wanted to give the experts are not listened to, tipped programs with which the disease spread in China would have to be monitored to prevent the disease in the United States,“ she said.

Every man dies alone

To was a further negative factor is the split in the American society, not only in the political aspect, but also in terms of the health care system.
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"The main reason of the crisis is that there is no uniform health care system," says Jacob Pale. "The absolutely most hospitals in the United States are private and depend neither from the state nor from each other. There are larger chains of clinics, there are small local hospitals. But if there is a shortage everywhere of beds, equipment and means of protection, to fight medical facilities only for yourself and try to eliminate the defect on its own. Basically, it would not be an exaggeration to say that all call hospitals, the same factories and there is a lack of respirators, protective masks, medical scrubs and Tests to order.“

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Dr. Johnson pointed out that some hospitals are very small and no possibility to have suppliers directly to reach. Due to lack of funds, you will simply have to close. "You simply have no money to work, if all the patients are just old and poor people," she said.
From Trump had been expected according to her, that he would use the law "About defence industry" – could have been the production of needed equipment for hospitals in the "war-mode" to expand it.
At the end of March, more than 100 former employees of the National security Council asked the head of state to finally do so. The answer came a few days later: Trump committed to General Motors to build more ventilators. But according to sources, the group has never get an official disposal for the purposes of the said act.

Medicine is not for all

Still a "weak point" of the health care system, to which there is permanent political debates, it is the insurance system. "Many people are denied access to medicine, the pandemic has only brought to light," continued Dr. Johnson.
Americans in this sense, in three categories. The first belong to wealthy citizens to buy health insurance. The price depends on many factors: the state, its laws, the work place of the respective Person, their level of income. Such health insurance costs on average 440 dollars a month per Person and 1168 dollars per family.


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Washington has a solution in times of the plague - money and world domination?
Here, the customer pays the medical aid from his own pocket and gets only later that the appropriate compensation. But not all of them are able to pay in the event of a really bad disease so much money out of your own pocket. In addition, the insurance company will only reimburse about 80 percent of the expenditure.

The second category of the population are poor people. You can count on the national health insurance Medicaid. In this way, millions of Americans get free or affordable health care. This program has its own criteria: It is the income of the insured Person are taken into account, the number of family members and place of residence. Some Federal States have declared in the face of the pandemic, and that Medicaid will continue to work as before. Prone to 27.5 million Americans who have no health insurance are most. In other words, in 8.5 percent of U.S. citizens have no Chance to a health care. Of course, you can come to a hospital, but there they must wait to be treated in addition to many other patients – because you can guarantee no-one.
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"Our hospitals are working for money – you can't get there easily and say you have health problems," explained Jacob Pale. "And in emergency departments, there are no quarantine rooms, no preservatives or anything else. And it is unclear who will pay for that.“

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Just for this category of the Population the Reform of the health system, incidentally, was intended as "Obamacare" is known. It would have to get up to 95 percent of Americans health insurance. In 2010, the Reform was approved by the US Congress, but it has been long argued about their Compliance with the Constitution, because the household expenditure would be in this case is enormous.
As Donald Trump moved into the White house, he oversaw the abolition of the "Obamacare"program. In December 2018, the Federal court of the city of Fort Worth recognized the program as unconstitutional.
In addition, there are in the United States for payment of eligible citizens over the age of 65 years. For the national health insurance, which costs about $ 250 per month – this sum will be deducted from the pension. But it covers only a part of all expenditure. Older Americans can also buy an add-on package (for about $ 100) to get any any kind of treatment free of charge. Have done the RIA Novosti interviewed persons. "I have excellent health insurance and can't complain about it," said Margaret Johnson. "I pay every month in addition to $ 120. In the last few years, I had to be two Times in one Arm, twice in the eye and once on the heart surgery,“ said for his part, Jacob is Pale.
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"Only the last Operation would have cost me more than 50 000 dollars, but I paid no Cent for it. I spent three days in the hospital, free of charge, which would me, if 3000 to 5000 dollars it had cost.“ In addition, he has, in his words, an additional insurance package for $ 30 monthly, "so that my expenses for medicines to be compensated".

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Both Pale as well as Johnson were convinced that they have a lot more fortunate than a lot of other Americans: For $ 350 per month, you should not Worry about the cost of medical treatment. But what do millions of other Americans who can't even afford the basic insurance? The knowledge neither you, nor the U.S. government.


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