Regarding the Cuomo ventilator/ death panel story, one has to be aware that the guidelines for adult ventilator allocation dates back to 2007
"The first guidelines in 2007 focused on the allocation of ventilators for adults, and were among the first of their kind in the United States. The 2015 version is also groundbreaking in that it includes two new detailed clinical ventilator allocation protocols – one for pediatric patients and another for neonates. The first Guidelines were widely cited and followed by other states. We expect these revised Guidelines to have a similar effect."
http://www.health.ny.gov/regul...
Already in March 15, 2007 there was a draft for public review, including color coding for ventilator access
DRAFT FOR PUBLIC COMMENT
MARCH 15, 2007
Allocation of Ventilators in an Influenza Pandemic:
Planning Document
NYS Workgroup on Ventilator Allocation in an Influenza Pandemic
NYS DOH/ NYS Task Force on Life & the Law
Executive Summary:
A powerful strain of avian influenza has generated concern about a possible pandemic, though scientists do not know with certainty whether or when a pandemic will occur. However, the better-prepared New York State is, the greater its chances of reducing morbidity, mortality and economic consequences. In a pandemic, many more patients could require the use of mechanical ventilators than can be accommodated with current supplies. A federal ventilator stockpile exists, and New York State plans to buy additional ventilators that would meet the needs of patients in a moderately severe pandemic. In a disaster on the scale of the 1918 influenza pandemic, however, stockpiles would not be sufficient to meet need. Even if the vast number of ventilators needed for a disaster of that scale were purchased, a sufficient number of trained staff would not be available to operate them. If the most severe forecast becomes a reality, New York State and the rest of the country will need to confront the rationing of ventilators.
An ethical framework must guide recommendations for allocating ventilators in a pandemic. Key ethical concepts are the duty to care for patients and the duty to use scarce resources wisely. Maintaining a balance between these two sometimes competing ethical obligations represents the core challenge in designing a just system for allocating ventilators."
"Blue: High probability of mortality; should be discharged from critical care and should receive medical management and palliative care as appropriate;.
Initial: Exclusion criteria or SOFA > 11
48 hours: Exclusion criteria or SOFA > 11 or SOFA 8-11 unchanged
120 hours: Exclusion criteria or SOFA > 11 or SOFA < 8 unchanged
•
Red: Highest priority for critical care
Initial: SOFA ≤ 7 or single organ failure
48 hours: SOFA < 11 and decreasing
120 hours: SOFA < 11 and decreasing progressively
•
Yellow: Intermediate priority for critical care
Initial: SOFA 8-11
48 hours: SOFA < 8 unchanged
120 hours: SOFA < 8 with minimal decrease (< 3 point decrease in 72 hours)
•
Green: Low probability of mortality; defer admission/ discharge from critical care
Initial: no significant organ failure
48 hours: no longer ventilator dependent
120 hours: no longer ventilator dependent"
CIDRAP has it as PDF for download
http://www.cidrap.umn.edu/site...
So these guidelines happened long before Cuomo became governor in 2011.
For a more in depth analysis see also:
https://www.factcheck.org/2020...
"Overall, Factcheck.org is a least biased and a credible fact checker that is Very High for factual reporting due to impeccable sourcing of information."
https://mediabiasfactcheck.com...
