Sunday, December 27, 2020

Wait--We're Going to Pay Nearly $4+ Million in County Funds for WHAT?

 

Will we spend nearly $4 Million and 
"name select" a hospital to inject vaccines
to the general public locally--or should
the state and federal budgets absorb this cost?

As we move through the holidays toward an end to an incredibly tumultuous 2020--the hits keep coming.

And I'm not talking about songs on the Billboard Charts.

I'm talking hits as in gut-punches and body blows.  Uppercuts and elbows to the face. Knees to the groin and spinning backfists to the temple and head.

First, we were hit with COVID 19 which infected 20,000 + residents, killed nearly 360 local citizens, and decimated spring-early summer tourism in our area. Poof, it was gone. (the revenue-NOT the virus)

Throughout the summer, citizens were laid off, businesses struggled, and the economy plugged along uneasily.

Next, we received significant damage from Hurricane Sally in September.  And as a result the county had to front $70 Million for debris hauling.  And although we will receive a majority of this money back in reimbursement from FEMA (75%) and the State (12%)---we will still be on the hook for            $ millions that remain after the reimbursements.  And the reimbursements, well--let's just say they are not always very timely.  As a case in point-I'm told by staff we received some reimbursements owed from IVAN (September, 2004) as recently as just two years ago in 2018.  Just saying.....

And yet early on in 2020--things were looking so great--we even received $8 Million in general fund eligible "found" money as a residual from the BP Oil Spill settlement.  It came as a pleasant, welcome surprise to all of us--out of the clear blue sky.  It was awesome and we all had plans and designs on how we'd spend this windfall in our respective districts.  It was great for about a month.  Don't worry though---that $8 million is gone now, that and then some.  Thanks 2020.  Vaporized into thin air.

And then--FDOT's bridge project went haywire in the wake of Sally-- as their contractor improperly secured dozens of barges--according to multiple law firms and the PNJ-- that subsequently took out the 3-mile bridge--effectively killing many small businesses in Gulf Breeze and vaporizing our early fall business at the area's beaches.  Don't worry though:--we are told FDOT will break with tradition and "do whatever is necessary" to actually complete something on time; they keep saying March 2021 the span damaged by their contractors' barges will be "fixed."  We will see about that---trust me I want to believe that.  Like Fox Mulder's famous office wall-hanging poster--"I want to believe."  I think it will be more like June-July------if things go perfectly from this point forward.  I hope I'm wrong and that FDOT will actually be able to hit a deadline.   I hope I'm wrong and FDOT is right.  We will all see in March, I guess.

We're told FDOT will have the 3-Mile
bridge repaired in March......
But now, after all of the above  (and much more I'm not even bothering to mention) comes word of another unexpected, contentious, out-of- thin air multi-million dollar expenditure we are going to be asked to approve in our first meeting of 2021.  That's right folks--nearly $4 Million dollars are going to be requested of the BCC to pay our local hospitals to administer the COVID-19 vaccine to our area's general population.

But Wait--why are we being asked to pay for this--isn't the state getting money from the FEDS for this?  What about the Army?  What about the "Operation Warp Speed" distribution plan? What about the health department? Isn't the National Guard going to be deployed to vaccinate the public?  Why wouldn't the hospitals be paid/reimbursed directly for this by the FEDS?  Aren't these hospitals already being reimbursed directly for COVID-19 related increased costs?  Too many questions.  

Our $57 Million in CARES act money is programmed and spent already--so where is the additional nearly $4 Million more supposed to come from--------and why are we doing this--paying for this locally?

I'm told that counties around the state, including one nearby to our east, are proactively paying their local hospital corporations (nonprofits and for profits) millions of dollars as their vaccination agents. Our neighboring county has put aside $2.4 Million for this express purpose I have been told.  So this is putting pressure on us to do likewise--is the justification I have heard.

My late mom, God rest her soul, had an apropos saying she used to throw at my brother and I when we were about to make bad choices based upon peer pressure.  "If Joey decides to jump off the cliff--are you going to jump off a cliff, too?"

Of course we want everyone to be vaccinated--we care about the health and safety of our citizens.  But again I ask--why do we have to shoulder this burden locally with local funds--this should be a FED and State cost, right?  I mean, the Federal Treasury is printing money at breakneck speed, the presses are smoking they are moving so fast as we quickly surpass $30 Trillion in debt.  So I have a hard time believing that some of that cheddar is not "supposed" to go to paying for citizen vaccinations.

"Yo, Adrian, we can't take any more
budgetary face-punches!"


This whole topic will be generating some discussion at the meeting.  Some pointed questions are coming that will require some cogent answers.  Because as of right now--we can't spend any more than we've spent already.  2020 has been one catastrophe on top of another, one punch to the head after another; we can't take any more blows to the head or else we'll get "knocked out!"


14 comments:

  1. Much appreciation to you and all county staff for your work and dedication during this incredibly difficult time. I am disgusted by the ones who publicly defame and criticize. They must think they are helping. They aren't.

    With this, I appreciate fiscal conservatives and on a national level am delighted President Trump has not signed the porkulous bill at 116th congress and many have awakened to the terrible practices of our congress to logroll legislation and allow lobbyists to write the bills for kickbacks for the ones who are elected to write the laws and budgets. They increase our national debt to give to foreign countries at our demise.

    I hope many tune into Jan 6 and watch the showdown. We are fortunate to have Matt Gaetz and Rick Scott as our representatives.

    As far as this concern, and I am no expert, just a random person posting, I think the Naval hospital had the ability and foresight to plan ahead and have the cold storage for the Pfizer vaccine and many in our county can take advantage of that.

    This is a good link and we don't all need the Pfizer vaccine.

    https://www.tampabay.com/opinion/2020/12/23/pfizers-vaccine-maximizes-profit-not-the-greater-good-column/

    The other hospitals will look to profit from this (that's what they do) and CARES money could have been used to purchase the freezers but we are a poor county and need to plan accordingly. I believe the CARES money was used to keep the county afloat and enabled the county government to keep functioning for the people.

    Perhaps the local TV station and newspapers could help with the messaging about the vaccine.

    I read that some training is necessary and the cost of syringes in involved but I would think that was negligible.

    I would prefer the profits go to Walgrens and CVS and people take it upon themselves to know what vaccine they received and when they need to go again. Personal responsibility. That supports the free market as customers may purchase something while they are there.


    I hope people will get the vaccine and we put this behind us. There are some antivaccers and conspiracy nuts but who's going to get in those group and argue with ones who thinks a shot record is the mark of the beast? Not me. Remember "You can't reason with crazy nor argue with stupid".

    Thanks for the heads up. It may be an interesting discussion to observe.

    ReplyDelete
  2. see this? https://www.thegatewaypundit.com/2020/12/330000-americans-die-china-coronavirus-closer-20000-died-china-coronavirus/

    Isn't it fantastic we have De Santis as our governor and the BOCC didn't lock down the local economy. I know those were difficult decisions.

    I still think it's not a bad practice to social distance and wear a mask, just in case, even to avoid colds and regular flu.

    https://www.thegatewaypundit.com/2020/12/330000-americans-die-china-coronavirus-closer-20000-died-china-coronavirus/

    330,000 Americans Die ‘With’ China Coronavirus – CDC says Number Who Died “From” Coronavirus Is Much Less, Around 6 Percent



    ReplyDelete
  3. verify this
    COVID-19 survival rates expressed as percentages (CDC data):
    0-19 years: 99.997%
    20-49 years: 99.98%
    50-69 years: 99.5%
    70+ years: 94.6%

    If you think that 5.4% fatality rate for those 70 or older is scary, here are some other CDC numbers to ponder:


    2018 overall mortality rate based on age:
    65-74 years all-cause mortality rate - 1.8%
    75-84 years all-cause mortality rate - 4.4%
    85+ years all-cause mortality rate - 13.4%

    ReplyDelete
  4. Commissioner Bergosh,

    Perhaps if

    after I get my public records request back on how much money the Attorney's Office has paid for outside counsel over the last ten years (including, perhaps, the jail suits you just found out about) the BOCC would realize you are funding an expensive law firm's self-interest and lack of accountability with taxpayer dollars,

    Administration would get the salary database updated so people can finally have some idea of the gigantic bureaucracy Janice has grown in a year and a half,

    somebody would realize they should shut down the Ethics and Compliance office tomorrow as worthless for anything other than harassing staff and running sham investigations,

    the BOCC actually had any idea of how much Janice is paying out to consultants (or who they are) at any given moment in an attempt to buffer her liability on management requirements she has no foundational skills or aptitude for,

    then the Board might glimpse some idea of where a lot of the money in this County is getting wasted, and what would be some good ideas on where to go get the 4M.

    --Melissa Pino

    ReplyDelete
  5. Do you know our state has been deemed the "Free Zone of Florida"

    ReplyDelete
  6. Off topic. Somewhat. Hopefully people in our county are becoming more informed. https://theconservativetreehouse.com/2020/12/27/after-promises-from-house-and-senate-president-trump-signs-covid-19-relief-and-omnibus-spending-bill/#more-206497

    ReplyDelete
  7. Are we actually reaching common ground nationally? Time will tell. Keep the 4M in our budget. https://www.foxbusiness.com/economy/president-trump-signs-covid-relief-government-funding-bill-averting-government-shutdown

    ReplyDelete
  8. Good morning,

    Apparently the feds and DeSantis will be leaving the logistics of vaccintion at a county level as well?

    That's a real question, which of course shouldn't even be a question. Janice should have already known about this, and I suspect there's a possibility she did, but waited to tell the board the bad news. It would just seem that way given what I can glean from the reports about logistics out of the gate from other counties:

    "Lee County COVID-19 vaccinations begin Monday for people 65 and older"

    https://www.winknews.com/2020/12/27/lee-county-covid-19-vaccinations-begin-monday-for-high-risk-health-care-workers-people-65-and-older/

    I suppose it will rely in the end on how functional--or dysfunctional--each county's administration and local DOH are. It's not rocket science, of course. But then neither was debris pickup.

    If a Janice-led vaccination program--God help us if that's how this is going to roll--looks anything like the results of the people who got left stuck with non vegetative debris by the side of the the road that has been sitting there waiting for two months, this will be the typical fiasco that everybody has come to expect out of Escambia County these days, and will continue as long as she is in charge.

    Consultant alert!

    --Melissa Pino

    ReplyDelete
  9. I would think a legal consultant firm is appropriate to protect our county government's interests. Who is US btw.

    The lawyers AKA sharks thrive on times like these and the "poor ole me, I'm pregnant and in jail" hustlers trying to drain the coffers for their own pockets are also there. Bottom feeders, top feeders and idiots that think a solution is to let the prisoners out of jail. Sorry, they broke the law, they know what causes babies and the fault lies square on themselves. Don't want to be in a confined space during an out break? Simple, don't break the law.

    However it's a fact of life and the powerful attorneys have figured how to steal from the taxpayers and it looks like they have another one here willing to make trouble as usual. what a scam.

    Apparently a self appointed other blogger in town thinks he picks the winners and loser as demonstrated by his inweekly cover. Pathetic.

    Hurricane debris? Clean up your own debris.

    Do people think the government is supposed to wipe their butt in style?

    Yes people do.

    ReplyDelete
  10. Do not engage with Escambia Tar Baby
    https://floridahealthcovid19.gov/covid-19-vaccines-in-florida/

    ReplyDelete
  11. http://ww11.doh.state.fl.us/comm/_partners/covid19_report_archive/vaccination-plan/vaccination_plan_latest.pdf

    Table of ContentsCOVID-19 Vaccination Plan Template Overview..............................................................................2Section 1: COVID-19 Vaccination Preparedness Planning...........................................................3Section 2: COVID-19 Organizational Structure and Partner Involvement.................................4Section 3: Phased Approach to COVID-19 Vaccination...............................................................10Section 4: Critical Populations...........................................................................................................14Section 5: COVID-19 Provider Recruitment and Enrollment......................................................26Section 6: COVID-19 Vaccine Administration Capacity...............................................................28Section 7: COVID-19 Vaccine Allocation, Ordering, Distribution and Inventory Management............................................................................................................................................29Section 8: COVID-19 Vaccine Storage and Handling...................................................................30Section 9: COVID-19 Vaccine Administration Documentation and Reporting......................31Section 10: COVID-19 Vaccination Second-Dose Reminders....................................................33Section 11: COVID-19 Requirements for IISs or Other External Systems..............................34Section 12: COVID-19 Vaccination Program Communication...................................................36Section 13: Regulatory Considerations for COVID-19 Vaccination..........................................39Section 14: COVID-19 Vaccine Safety Monitoring.........................................................................40Section 15: COVID-19 Vaccination Program Monitoring.............................................................41Appendix..................................................................................................................................................45

    ReplyDelete
  12. from the FDOH vaccination plan:

    "Hospitals: Hospital staff and resident vaccination maybe handled at hospital facilities, utilizing personnel from the enrolled hospital. In smaller and/or more rural hospitals, the local CHD will work with partners on vaccination delivery options in their community. Another option being considered for smaller or rural hospitals is the use of a larger hospital serving as a hub that can then assist them in vaccine storage and vaccination delivery.Hospitals that can provide ultra-cold (-60 to -80°C) storage will also be identified. "

    I think the Naval Hospital already has this capacity for cold storage. Check that. If that's enough I don't think that the county needs to buy special freezers for the area hospitals IMO.


    http://ww11.doh.state.fl.us/comm/_partners/covid19_report_archive/vaccination-plan/vaccination_plan_latest.pdf

    ReplyDelete
  13. Why not: lunatic obstructionism against science and medical experts til the bitter end; "You can't make me" government at its finest.

    Of course, under Janice's administration, we're always the last ones to even get to the start line in the race to screw things up. She'll manage to make up for lost time, though. We may not ever get it together enough to mess things up first, but we're always a sure bet to mess them up the worst with the extra time she sits on her best laid plans.

    "Florida and Texas have started vaccinating people 65 and older against the coronavirus, breaking with CDC guidelines"

    https://www.businessinsider.com/florida-texas-vaccinating-people-65-and-older-covid-2020-12

    -------------------------

    Florida and Texas have started to distribute coronavirus vaccines to residents over age 65.

    Last week, Florida Gov. Ron DeSantis issued an executive order allocating vaccines to nursing-home residents and staff, people 65 and older, medical workers, and anyone deemed "extremely vulnerable to COVID-19." Texas did the same a few days prior, giving the green light for people 65 and older, along with those who have certain preexisting conditions, to start getting vaccinated.

    "The focus on people who are age 65 and older or who have comorbidities will protect the most vulnerable populations," Imelda Garcia, chair of Texas' expert vaccine allocation panel, said in a statement.

    These decisions go against guidelines set by an advisory group at the Centers for Disease Control and Prevention. The CDC recommended that healthcare workers and nursing-home residents and staff should be first in line, followed by frontline essential workers and people over 75. These recommendations, the group wrote, are meant to "preserve functioning of society" and "decrease death and serious disease as much as possible."

    -------------------------
    --Melissa Pino



    ReplyDelete
  14. https://www.clickorlando.com/news/local/2020/12/28/heres-how-you-will-know-when-you-can-get-the-covid-19-vaccine-in-florida/

    "Here’s how to register for the COVID-19 vaccine in Florida
    Residents should follow local health departments for details

    In the final days of 2020, people in Florida 65 and older began receiving their first shots of the coronavirus vaccine but where and when those doses will become available will vary from county to county.

    As of Dec. 28, Florida was vaccinating only three priority groups: Health care workers, long-term care facility staff and residents and people 65 or older. The health care group includes EMTs and paramedics as well as Department of Health staff.

    Residents who are among those groups should check their local health department websites for information on appointments and where inoculations are occurring.

    As the state receives more doses, more individuals will qualify among the first vaccine priority groups. Next up will be frontline workers, such as grocery store employees, teachers and police, according to Gov. Ron DeSantis."


    http://escambia.floridahealth.gov/

    Escambia Department of health has NOTHING on it about the vaccinations.

    VA to soon get vaccines
    https://weartv.com/news/local/pensacola-va-clinic-to-soon-receive-doses-of-covid-19-vaccine
    "Salso says the next step is expanding the vaccine to the Pensacola VA Clinic. He says they're waiting on a shipment of sub-zero freezers which are needed to store the Pfizer vials at -22 degrees celsius.

    "You not only have to have the freezer in place, but you've also got to have a backup just in case you have a power outage or something goes wrong with the freezer," Salso added."

    The VA expects them to arrive in mid-January. There is a link veterans can go to to register.



    ReplyDelete

Abusive, profane, and/or off-topic posts will not be allowed. Unprovoked ad-hominem attacks will not be tolerated. All posts are subject to moderation, posts that violate these policies, spam, posts containing off-color language, and any other inappropriate comments or content, as determined by the blog administrator, will remain in moderation and may not be added on the site. This site is not my campaign site, but in an abundance of caution I will offer the below disclaimer.