New rules for major disasters in California pretty much spell out who lives and who dies

here's something to add a cold chill to your day...

[W]hen and if a global pandemic or major disaster strikes, no amount of extra drugs or supplies will be sufficient to manage the impact on an already strained health care system.

That's why the state assembled public health professionals, hospitals, ethicists, nurses and others to hash out guidelines for procedures they hope will minimize red tape and maximize survival rates.

The plan lists, for example, which responsibilities and patient protections can be waived if the governor declares a state of emergency.

Hospitals will not have to report births, deaths, infectious disease outbreaks, medication errors, and suspected child or elder abuse. Existing rules that protect patients' privacy also can be tossed out.

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The guidelines say California's strict nurse-patient ratios can be ignored, and nurses can be assigned to jobs for which they have no experience.

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During a health care surge, even nonlicensed, or retired health care providers whose licenses have lapsed, will be recruited to provide emergency care.

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A hospital janitor, for example, could get an emergency credential to stitch up wounds or start intravenous lines if that janitor had experience as a military medic.

[A] volunteer veterinarian could be asked to mend broken bones, stanch bleeding or jump-start a patient's heart.

[...]

It also means that a pharmacist will be able to dole out drugs even without a doctor's prescription.

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The plan will allow hospitals to empty beds for higher priority patients, sending ill patients into hallways, make-shift hospitals in tents, nursing homes or even back home.

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[I]nstead of starting with the sickest or most critically injured, treatment will go first to those more likely to survive with immediate intervention.

now, this is what they SAY about ability to pay...

The plan emphasizes that treatment decisions must not be based on a patient's ability to pay for care, their perceived worth to society, or whether their past behaviors contributed to their health status.

you can be sure that many of the wealthy elites who have ALREADY set up their own private lifelines for fire protection, health care, security, food, and emergency transportation, won't find this in the least bit disturbing...

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We've created an environment of fear so intense that illegal immigrants are afraid to save themselves from fire?

great jumping jeebus on a ritz cracker...

Immigrants from south of the border, many illegal, provide the backbone of menial labor in San Diego, picking fruit, cleaning hotel rooms, sweeping walks and mowing lawns.

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[F]our bodies were found in a burned area in southeastern San Diego County, a region known for intense illegal immigration.

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Terri Trujillo, who helps the immigrants, checked on those in the canyons, urging them to leave, too, when she left her house in Rancho Peñasquitos ahead of the fires.

Ms. Trujillo and others who help the immigrants said they saw several out in the fields as the fires approached and ash fell on them. She said many were afraid to lose their jobs.

“There were Mercedeses and Jaguars pulling out, people evacuating, and the migrants were still working,” said Enrique Morones, who takes food and blankets to the immigrants’ camps. “It’s outrageous.”

Some of the illegal workers who sought help from the authorities were arrested and deported.

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The Border Patrol also arrested scores of illegal immigrants made visible by the fires. Agent Fisher of the Border Patrol said 100 had been arrested since the fires started Sunday.

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The American Civil Liberties Union said it had received reports that people had been denied help at shelters because they lacked proper identification. Officials have been checking identification to prevent people not affected by the fires from taking advantage of the free food, clothes and other services.

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Wayne A. Cornelius, a political scientist at the University of California, San Diego, who studies border questions, said that if the past was a guide there would be more friction over the fires and their effects on illegal immigrants.

“San Diego likes its illegal migrants as invisible as possible,” Mr. Cornelius said. “So whenever something happens that calls attention to their presence, it is fodder for the local anti-immigration forces.”

so much for a natural disaster bringing people closer together... why don't we just turn trained hunting dogs loose to go flush them out of the brush and chase them right into police wagons...?

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