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11 National Associations of Healthcare Workers Issue Letter demanding More protections for Health Workers.

To raise the "standard of care" (of how we treat) all professionals we need to stop the agenda that is embedding a trade agreement agenda of forcing all domestic regulations to the global least common denominator as a precursor to globalizing them. It aims to increase profits greatly by replacing our domestically grown professionals with ones from the developing world (taking them from countries that desperately need them) - One of the reasons they want to do this is is precisely to prevent them from having input on all sorts of things- including things like this.

Resveratrol was predicted to have possible activity against COVID-19 by a cutting edge medical informatics program looking for substances active against coronavirus induced heart damage.

Exploration of omics mechanism and drug prediction of coronavirus-induced heart failure based on clinical bioinformatics. --------------------- Journal: Zhonghua Xin Xue Guan Bing Za Zhi. -------------------- 2020 Mar 31;48(0):E013. ----------------- doi: 10.3760/cma.j.cn112148-20200308-00172. [Epub ahead of print] ------------------------------------------- [Article in Chinese; Abstract available in Chinese from the publisher] ----------------------- Author information Chen XM1, Cao F2, Zhang HM1, Chen HR3, Zhang JD4, Zhi P3, Li ZY3, Wang YX5, Lu XC1. ---------------------- Abstract in English, Chinese Objective: Present study investigated the mechanism of heart failure associated with coronavirus infection and predicted potential effective therapeutic drugs against heart failure associated with coronavirus infection. Methods: Coronavirus and heart failure were searched in the Gene Expression Omnibus (GEO) and omics data were selected to meet experimental requirements. Differentially expressed genes were analyzed using the Limma package in R language to screen for differentially expressed genes. The two sets of differential genes were introduced into the R language cluster Profiler package for gene ontology (GO) and Kyoto gene and genome encyclopedia (KEGG) pathway enrichment analysis. Two sets of intersections were taken. A protein interaction network was constructed for all differentially expressed genes using STRING database and core genes were screened. Finally, the apparently accurate treatment prediction platform (EpiMed) independently developed by the team was used to predict the therapeutic drug. Results: The GSE59185 coronavirus data set was searched and screened in the GEO database, and divided into wt group, ΔE group, Δ3 group, Δ5 group according to different subtypes, and compared with control group. After the difference analysis, 191 up-regulated genes and 18 down-regulated genes were defined. The GEO126062 heart failure data set was retrieved and screened from the GEO database. A total of 495 differentially expressed genes were screened, of which 165 were up-regulated and 330 were down-regulated. Correlation analysis of differentially expressed genes between coronavirus and heart failure was performed. After cross processing, there were 20 GO entries, which were mainly enriched in virus response, virus defense response, type Ⅰ interferon response, γ interferon regulation, innate immune response regulation, negative regulation of virus life cycle, replication regulation of viral genome, etc . There are 5 KEGG pathways, mainly interacting with tumor necrosis factor signaling pathway, IL-17 signaling pathway, cytokine and receptor interaction, Toll-like receptor signaling pathway, human giant cells viral infection related. All differentially expressed genes were introduced into the SREING online analysis website for protein interaction network analysis, and core genes such as signal transducer and activator of transcription 3, IL-10, IL17, TNF, interferon regulatory factor 9, 2'-5'-oligoadenylate synthetase 1, mitogen-activated protein kinase 3, radical s-adenosyl methionine domain containing 2, c-x-c motif chemokine ligand 10, caspase 3 and other genes were screened. The drugs predicted by EpiMed's apparent precision treatment prediction platform for disease-drug association analysis are mainly TNF-α inhibitors, resveratrol, ritonavir, paeony, retinoic acid, forsythia, and houttuynia cordata. Conclusions: The abnormal activation of multiple inflammatory pathways may be the cause of heart failure in patients after coronavirus infection. Resveratrol, ritonavir, retinoic acid, amaranth, forsythia, houttuynia may have therapeutic effects. Future basic and clinical research is warranted to validate present results and hypothesis. KEYWORDS: Bioinformatics; Coronavirus infections; Drug prediction; Heart failure PMID: 32228827 DOI: 10.3760/cma.j.cn112148-20200308-00172

Review article: Gastrointestinal features in COVID-19 and the possibility of faecal transmission.

Aliment Pharmacol Ther. 2020 Mar 29. doi: 10.1111/apt.15731. [Epub ahead of print] Review article: Gastrointestinal features in COVID-19 and the possibility of faecal transmission. Tian Y1, Rong L1, Nian W1, He Y1. Author information Abstract BACKGROUND: There is little published evidence on the gastrointestinal features of COVID-19. AIMS: To report on the gastrointestinal manifestations and pathological findings of patients with COVID-19 and discuss the possibility of faecal transmission METHODS: We have reviewed gastrointestinal features of, and faecal test results in, COVID-19 from case reports and retrospective clinical studies relating to the digestive system published since the outbreak. RESULTS: With an incidence of 3%(1/41)-79% (159/201), gastrointestinal symptoms of COVID-19 included anorexia 39.9%(55/138)-50.2%(101/201), diarrhoea 2%(2/99)-49.5%(146/295), vomiting 3.6%(5/138)-66.7%(4/6), nausea 1%(1/99)-29.4%(59/201), abdominal pain 2.2%(3/138)-6.0%(12/201), and gastrointestinal bleeding 4%(2/52)-13.7%(10/73). Diarrhoea was the most common gastrointestinal symptom in children and adults, with a mean duration of 4.1 ± 2.5 days, and was observed before and after diagnosis. Vomiting was more prominent in children. 3.6%(5/138)-15.9%(32/201) of adult patients presented vomiting and 6.5%(2/31)-66.7%(4/6) of children. Adult and children patients can present with digestive symptoms in the absence of respiratory symptoms. The incidence of digestive manifestations was higher in the later than in the early stage of the epidemic, but no differences in digestive symptoms among different regions were found. Among the group of patients with a higher proportion of severe cases, the proportion of gastrointestinal symptoms in severe patients was higher than that in non-severe patients (anorexia 66.7% vs 30.4%; abdominal pain 8.3% vs 0%); while in the group of patients with a lower severe rate, the proportion of gastrointestinal symptoms were similar in severe and non-severe cases (nausea and vomiting 6.9% vs 4.6%; diarrhoea 5.8% vs 3.5%). ACE2 receptor and virus nucleocapsid protein was detected in gastrointestinal epithelial cells, and infectious virus particles were isolated from faeces. Faecal PCR testing was as accurate as respiratory specimen PCR detection. About 36%(5/14)-53%(39/73) faecal PCR becomes positive, 2-5 days later than sputum PCR positive. Faecal excretion persisted after sputum excretion in 23%(17/73)-82%(54/66) patients for 1-11 days. CONCLUSIONS: Gastrointestinal symptoms are common in patients with COVID-19, and had an increased prevalence in the later stage of the recent epidemic. SARS-CoV-2 enters gastrointestinal epithelial cells, and the faeces of COVID-19 patients were infectious. PMID: 32222988 DOI: 10.1111/apt.15731

N-Acetyl-Cysteine, an amino acid nutritional supplement, could be investigated in fighting the COVID-19 epidemic

NAC as it is called is a food and the most important of several precursors of an important chemical in your body, glutathione. Along with glutamine, it may improve gut barrier function. and regardless, it is unlikely to hurt anything. It's proven itself very useful in colds where its sold in effervescent tablets for that use in Europe. They are popular. The highest natural source of cysteine is whey protein.

US has potential of becoming coronavirus epicentre, says WHO

WHO spokeswoman Margaret Harris said in Geneva there had been a "very large acceleration" in coronavirus infections in the United States which had the potential of becoming the new epicenter. Over the past 24 hours, 85 percent of new cases were from Europe and the United States, she told reporters. Of those, 40 percent were from the United States. Asked whether the United States could become the new epicenter, Harris said: "We are now seeing a very large acceleration in cases in the U.S. So it does have that potential. We cannot say that is the case yet but it does have that potential." ------------------------------------------- (Source: VOA https://www.voanews.com/science-health/coronavirus-outbreak/us-could-become-coronavirus-epicenter-who-says )

Gilead Outrageously Seeks Super-Monopoly Protections for Covid-19 Drug remdesivir

Statement of Peter Maybarduk, Director, Public Citizen’s Access to Medicines Program Note: The U.S. Food and Drug Administration today granted experimental COVID-19 treatment remdesivir a special orphan status intended for drugs that treat rare diseases. The status sets up remdesivir’s manufacturer Gilead Sciences to receive additional federal tax credits in the United States and a bonus lucrative seven-year market exclusivity, allowing Gilead to exclude generic and more affordable competition while charging high monopoly prices, if the drug is approved. Gilead’s pursuit of an orphan designation is unconscionable and could be deeply harmful. Remdesivir is one of relatively few medicines that may prove effective in treating COVID-19 this year. The government should be urgently concerned with its affordability for citizens. Instead, the FDA has handed Gilead, one of the most profitable pharmaceutical corporations on earth, a long and entirely undeserved seven-year monopoly and with it, the ability to charge outrageous prices to consumers. Gilead has gamed the system by rushing through its “rare disease” orphan drug application while there are, for this brief moment, fewer than 200,000 COVID-19 U.S. cases. Its action is disingenuous and outrageous, and underscores the need for the federal government to step in.

Total Cost of Uninsured Woman's COVID-19 Treatment: $34,927.43

She was uninsured. It appears that she didn't even spend any time in an ICU, she received outpatient care in an emergency room. Wouldn't it be great if we had Medicare for All? Except there is one little problem, both candidates, Biden and Trump- unless Bernie pulls off a miracle would veto it. There is a really simple reason for that. WE SIGNED AWAY THE RIGHT TO REGULATE HEALTH INSURANCE MORE THAN 20 YEARS AGO in the GATS agreement, part of the WTO, but the country never got the memo!

ICU beds already near capacity with non-coronavirus patients at L.A. County hospitals

ICU beds at Los Angeles County hospitals are already at or near capacity, prompting worries of shortages ahead of expected coronavirus surge By MATT STILES, IRIS LEE MARCH 20, 20204:27 PM Intensive care beds at Los Angeles County’s emergency-room hospitals are already at or near capacity, even as those facilities have doubled the number available for COVID-19 patients in recent days, according to newly released data obtained by The Times. Fewer than 200 ICU beds were available Wednesday, with most ICU beds occupied by non-coronavirus patients, according to the data which covers the roughly 70 public and private hospitals in Los Angeles County that receive emergency patients. The figures, which haven’t been disclosed previously, offer the first real-time glimpse of capacity levels at hospitals from Long Beach to the Antelope Valley and raise fresh worries that the hospital system, which is already strained by shortages, could soon run short of beds. “I am very concerned. We have a limited number of ICU beds available in L.A. County,” said Supervisor Janice Hahn, who urged residents to heed social-distancing orders to reduce infection rates and strain on medical resources. “I would like to begin exploring every possible solution to increase the capacity of our hospital system, including building pop-up hospital sites.” The anticipated surge of coronavirus patients is setting off a scramble to increase capacity of all types of beds, some of which could be converted to ICU units, according to county health officials. To accomplish that, hospitals are halting elective services to open up more space, and are considering other plans to expand capacity, including converting existing space or erecting tents. That effort shows in the figures, with the number of beds overall nearly doubling in the last several days — from 624 on March 13 to 1,182 as of Wednesday. That change includes an increase of ICU beds, which have more equipment and a higher staff-to-patient ratio, from 85 to 191, according to the figures. Christina Ghaly, a physician who directs the county’s vast system of providers, clinics, and hospitals known as the Department of Health Services, said hospitals can add ICU beds by converting existing space. That entails equipping beds with special equipment and adding personnel and, in some cases, getting approval from state regulators. Rooms could also be opened in non-emergency room hospitals, which aren’t included in the current figures. “The hospitals across the entire county are working very hard to free up capacity, and also to create capacity,” said Ghaly. County officials stressed that the figures represent the current staffing needs by hospitals, which have a greater “surge” capacity as more patients get sick. She said they are also asking state officials to fast-track additional capacity. But despite the progress, as many as 90% percent of licensed ICU beds are already occupied with patients who have suffered other medical emergencies, such as heart attacks, car accidents and other cases, according Ghaly said.

Substantial undocumented infection facilitates the rapid dissemination of novel coronavirus (SARS-CoV2)

"Estimation of the prevalence and contagiousness of undocumented novel coronavirus (SARS-CoV2) infections is critical for understanding the overall prevalence and pandemic potential of this disease. Here we use observations of reported infection within China, in conjunction with mobility data, a networked dynamic metapopulation model and Bayesian inference, to infer critical epidemiological characteristics associated with SARS-CoV2, including the fraction of undocumented infections and their contagiousness. We estimate 86% of all infections were undocumented (95% CI: [82%–90%]) prior to 23 January 2020 travel restrictions. Per person, the transmission rate of undocumented infections was 55% of documented infections ([46%–62%]), yet, due to their greater numbers, undocumented infections were the infection source for 79% of documented cases. These findings explain the rapid geographic spread of SARS-CoV2 and indicate containment of this virus will be particularly challenging."

A Country in Denial, and not just about COVID-19

With our for-profit system being too expensive for the vast majority of Americans to afford without being bankrupted, due to very very high rates of uninsurance and underinsurance, a very great fear is that this COVID-19 epidemic will be the straw that breaks the camels back.

The race to patent the SARS virus: the TRIPS agreement and access to essential medicines

by Matthew Rimmer. "[This article considers the race to sequence the Severe Acute Respiratory Syndrome virus (‘the SARS virus’) in light of the debate over patent law and access to essential medicines. Part II evaluates the claims of public research institutions in Canada, the United States, and Hong Kong, and commercial companies, to patent rights in respect of the SARS virus. It highlights the dilemma of ‘defensive patenting’ — the tension between securing private patent rights and facilitating public disclosure of information and research. Part III considers the race to patent the SARS virus in light of wider policy debates over gene patents. It examines the application of such patent criteria as novelty, inventive step, utility, and secret use. It contends that there is a need to reform the patent system to accommodate the global nature of scientific inquiry, the unique nature of genetics, and the pace of technological change. Part IV examines the role played by the World Trade Organization and the World Health Organization in dealing with patent law and access to essential medicines. The article contends that there is a need to ensure that the patent system is sufficiently flexible and adaptable to accommodate international research efforts on infectious diseases.]"

Clinical characteristics of 24 asymptomatic infections with COVID-19 screened among close contacts in Nanjing, China.

Previous studies have showed clinical characteristics of patients with the 2019 novel coronavirus disease (COVID-19) and the evidence of person-to-person transmission. Limited data are available for asymptomatic infections. This study aims to present the clinical characteristics of 24 cases with asymptomatic infection screened from close contacts and to show the transmission potential of asymptomatic COVID-19 virus carriers. Epidemiological investigations were conducted among all close contacts of COVID-19 patients (or suspected patients) in Nanjing, Jiangsu Province, China, from Jan 28 to Feb 9, 2020, both in clinic and in community. Asymptomatic carriers were laboratory-confirmed positive for the COVID-19 virus by testing the nucleic acid of the pharyngeal swab samples. Their clinical records, laboratory assessments, and chest CT scans were reviewed. As a result, none of the 24 asymptomatic cases presented any obvious symptoms while nucleic acid screening. Five cases (20.8%) developed symptoms (fever, cough, fatigue, etc.) during hospitalization. Twelve (50.0%) cases showed typical CT images of ground-glass chest and 5 (20.8%) presented stripe shadowing in the lungs. The remaining 7 (29.2%) cases showed normal CT image and had no symptoms during hospitalization. These 7 cases were younger (median age: 14.0 years; P=0.012) than the rest. None of the 24 cases developed severe COVID-19 pneumonia or died. The median communicable period, defined as the interval from the first day of positive nucleic acid tests to the first day of continuous negative tests, was 9.5 days (up to 21 days among the 24 asymptomatic cases). Through epidemiological investigation, we observed a typical asymptomatic transmission to the cohabiting family members, which even caused severe COVID-19 pneumonia. Overall, the asymptomatic carriers identified from close contacts were prone to be mildly ill during hospitalization. However, the communicable period could be up to three weeks and the communicated patients could develop severe illness. These results highlighted the importance of close contact tracing and longitudinally surveillance via virus nucleic acid tests. Further isolation recommendation and continuous nucleic acid tests may also be recommended to the patients discharged. KEYWORDS: COVID-19; China; asymptomatic infections; close contact PMID: 32146694 DOI: 10.1007/s11427-020-1661-4

Has China faced only a herald wave of SARS-CoV-2?

The attack rate of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) calculated by mathematical models, from estimates of the basic reproduction number, R0, of 2–3, suggests that 50–60% of the population should eventually be infected because the population seems to be entirely naive to the new virus.1 The observed attack rate on board the Diamond Princess cruise ship remained slightly below 20% (705 of 3711 passengers and crew members became infected).1 It is of upmost importance to know whether the SARS-CoV-2 outbreak in China is subsiding, as local authorities and the entire international community might wish. With 80 026 COVID-19 cases officially reported from China as of March 2, 2020,2 the proportion of the population affected remains far from 50%, or even 20%, of China's 1·4 billion people. Has China just experienced a herald wave, to use terminology borrowed from those who study tsunamis, and is the big wave still to come?

Coronavirus: ‘We must choose who to treat,’ says Italian doctor

In Italian doctor in Lombardy, a region of Italy that has been quarantined due to the new coronavirus (Covid-19) outbreak, has stated that doctors have to choose who to treat “according to age and state of health, as in war situations.” “To say that you do not die from the coronavirus is a lie that fills me with bitterness,” said Dr. Christian Salaroli, an anaesthetist, in an interview with the Italian daily Il Corriere della Sera on Monday. Salaroli said that the emergency is so big in Italy that he and his colleagues must now select the patients who will or will not be able to access mechanical resuscitation (by intubation) from among the most seriously ill. Patients with viral pneumonia, and are in acute respiratory failure, are first placed on non-invasive ventilation (NIV), using an oxygen mask. “It’s a first step, but after a few days, we have to choose. Since there is, unfortunately, a disproportion between hospital resources, resuscitation beds and critically ill patients, not everyone can be intubated,” Salaroli said. “We decide based on age and state of health,” he added. “If a person between 80 and 95 years old has severe respiratory failure, it’s likely we will not go ahead. If they have multi-organ failure, with more than two or three vital organs, it means that their mortality rate is 100%,” he added. Asked about the Italian government’s decision to quarantine more than 15 million people in northern Italy in an attempt to contain the epidemic, Salaroli said it was “fair but a week late.”

Market Spiral Pricing of Cancer Drugs

By Donald W. Light. "Companies are spiraling up high prices, not because of costs or better value, but because they can get away with it, in - only the USA. Senior oncologist, Hagop Kantarjian, and I show that very high prices for cancer & specialty drugs are not due to high costs of research, nor to added clinical value. Companies are simply spiraling up prices already 2-3 times greater than other capitalist countries allow, because we allow them to. High co-pays hurt patients and impede good clinical care. This exploitation of serious ill patients and taxpayers is ethically troubling and must stop."

Chinese man who said Xi Jinping's belated response to coronavirus "was clueless" now faces 15 years in jail.

Xu Zhiyong, a former law lecturer and founder of the social campaign New Citizens Movement, was taken away by police on 15 February during a fresh crackdown on freedom of speech precipitated by the coronavirus crisis. ..... His family said Xu had been placed in “residential surveillance at a designated location” – a form of solitary detention that can last up to six months in an unknown location without lawyer or family access. Many human rights lawyers who have been held in this form of secret detention were tortured for months before being formally charged and jailed on state security crimes

Inside America's woefully ill-prepared health system

"by Jacob Greber: The US healthcare system, so expensive that people actively avoid hospitals, could become the defining political issue of a presidential election year." "One American every 30 seconds is bankrupted by medical bills."

Coronavirus Time Bomb: America's Uninsured and Brutal Work Culture

As the virus began spreading in the west of the country, where the nation's first death was reported on February 29, public health experts warned the US has several characteristics unique among wealthy nations that make it vulnerable. These include a large and growing population without medical insurance, the 11 million or so undocumented migrants afraid to come into contact with authorities, and a culture of "powering through" when sick for fear of losing one's job. "These are all things that can perpetuate the spread of a virus," said Brandon Brown, an epidemiologist at UC Riverside. The number of Americans without health insurance began falling from a high of 46.7 million in 2010 following the passage of Obamacare (the Affordable Care Act), but has risen again over the past two years.

Indian Authorities Propose Use of "Homeopathy" to "Prevent Coronavirus":Critics of the practice say the guidance is irresponsible and could give users a false sense of security.

It is more than hugely irresponsible to represent "homeopathy" as science - it is criminal in a poor country that has a long history of taking any excuse it can to cut corners. India still has not fully funded universal public primary education and hundreds of millions of poor Indian children do not even get to attend school, unless their parents pay fees they cannot afford. At the same time they are spending billions of dollars to send expensive toys for rich people to the moon.

Coronavirus outbreak worries hourly workers without paid sick time

In addition to missed business opportunities, those who are self-employed or hourly workers, like Placido Borrequero, a Pilsen father of three, who is worried about how he will continue to put food on the table if the virus spreads to him. Borreguero works in landscaping and lawn care. "I don't have any sick days. If I am sick I don't work that day, I don't get paid that day. That's why I am really worried," he said. Leone Bicchieri is the executive director of Working Family Solidarity, located in the Pilsen neighborhood. He says he has been hearing from people on the south and west sides who are already struggling to make ends meet, concerned about access to healthcare and supporting their families. "If they miss one or two days work and they are already behind a month or two in the bills, they are going to be evicted and now they're going to be homeless," Bicchieri said. He wants to know what the plan is to help these workers if the virus continues to spread. "The government really need to get behind this, needs to tell businesses and companies. Please do not fire or discipline low wage workers who have to stay home," Bicchieri said. "I have a wife and three children. What's going to happen to them. I am the main bread winner," Borreguero said.

A Miami man who flew to China worried he might have coronavirus. He may owe thousands.

You really must read this story, which shows how America's healthcare system is criminally deficient. The Trump Administration, in conformance with our extensive WTO (GATS) commitments, such as the standstill clause in the Understanding on Financial Services Regulation is rolling back all post 1998 changes in financial service regulations, (like health insurance and banking) leaving the financially unsophisticated poor wide open to exploitation by sellers of what we unfortunately frame as 'innovative financial services'. Its the official US trade position that governments cannot be allowed to interfere with even predatory forms of business. Even to protect people from the worst kinds of practices. Even to protect us from emergencies. Profit is Job #1.

The neuroinvasive potential of SARS-CoV2 may be at least partially responsible for the respiratory failure of COVID-19 patients

"The most characteristic symptom of COVID-19 patients is respiratory distress, and most of the patients admitted to the intensive care could not breathe spontaneously. Additionally, some COVID-19 patients also showed neurologic signs such as headache, nausea and vomiting. Increasing evidence shows that coronaviruses are not always confined to the respiratory tract and that they may also invade the central nervous system inducing neurological diseases. The infection of SARS-CoV has been reported in the brains from both patients and experimental animals, where the brainstem was heavily infected. Furthermore, some coronaviruses have been demonstrated able to spread via a synapse-connected route to the medullary cardiorespiratory center from the mechano- and chemoreceptors in the lung and lower respiratory airways".

Avoiding coronavirus may be a luxury some US workers can't afford

Stay home from work if you get sick. See a doctor. Use a separate bathroom from the people you live with. Prepare for schools to close and to work from home. These are measures the Centers for Disease Control and Prevention has recommended to slow a coronavirus outbreak in the United States. Yet these are much easier to do for certain people — in particular, high-earning professionals. Service industry workers — like those in restaurants, retail, child care and the gig economy — are much less likely to have paid sick days, the ability to work remotely or employer-provided health insurance. The disparity could make the new coronavirus, which causes a respiratory illness known as COVID-19, harder to contain in the U.S. than in other rich countries that have universal benefits like health care and sick leave, experts say. A large segment of workers are not able to stay home, and many of them work in jobs that include high contact with other people. It could also mean that low-income workers are hit harder by the virus.

Coronavirus: In the US, Covid-19 may have spread undetected for weeks

Might this mess have something to do with the US's healthcare system preventing sick people from seeking care due to fear of out of control costs? Because of the long existing GATS and pending TISA agreements, we basically "have to" get the worst deal of all, to show we "mean business"! American lives are being sacrificed in extremely high numbers - most figures I have seen estimate between 50-100/day on the altar of profit. This has arguably been going on for 25 years, because that's how long the US healthcare system has been rigged - in order to convince the world the only permissible healthcare system is the for-profit system. Public healthcare systems could have been set up freely before Jan 1, 1995 ( the date of the WTO's creation or possibly as early as before September 20, 1986, the date of the Punta Del Este Declaration) They work better than for profit systems, whose intent is to prevent people from seeking care with costs they cannot afford.. However, epidemics like Coronavirus show what a criminally bad policy that is. )