What a stellar exposé on North Ridge Health and Rehab ("Desperate at 'Death Ridge,' " Dec. 13), yet it's not just North Ridge. The virus has exposed huge systemic failures in elder care, period — for example, according to the Government Accountability Office, 82% of all nursing homes had infection prevention and control deficiencies cited in one or more years from 2013 to 2017. I learned this the hard way — my mother died in 2019 due to medical neglect in nursing home rehab.
Vanquishing the virus won't solve the tragedy of substandard elder care. We have work to do. Do we really want to subject our vulnerable loved ones to care we wouldn't tolerate? The elderly are not dispensable, not just waiting around to die — they have lives with meaning and connection. Time for soul-searching, individually, collectively. By what measure do we ascribe value to a human life — earning power, attractiveness, status? And who's dispensable — the mentally ill, poor, homeless, immigrants, elderly? Is there a hierarchy of value, or are we all equally valuable as humans, worthy of honor, respect, care? That's the critical question. And how do we want to be treated when we're elderly?
Jean Greenwood, Minneapolis
KIDS AND THE PANDEMIC
Less sick, but still hurting
When news broke of a new respiratory infection that was sickening thousands on the other side of the globe, parents and pediatric healthcare workers breathed a sigh of relief. The novel coronavirus didn't seem to target kids! Our most valuable resource was safe. As the past nine months have unfolded, it has become apparent to anyone who cares for children that our most valuable resource is not, in fact, safe.
While the world turns its gaze to the hospital beds overflowing with the elderly and those with underlying health conditions, the growing crisis facing our children goes seemingly unnoticed. Teenagers whose lifelong identities are forged in the arms of friendship find themselves isolated and lonely. School-aged children who should be playing games of tag on a crowded playground instead find themselves home alone navigating an inbox with 100 unread e-mails. And our toddlers, whose brains are primed for critical developmental milestones, are spending hours watching cartoons while their overstretched parents call in for their third Zoom meeting of the day.
The costs of these daily injuries are adding up, and it is becoming apparent to all of us in pediatric health care. Toddlers with developmental delays go without services while the window for early intervention slips away. Children are reporting symptoms of anxiety and depression at higher rates than ever. Our pediatric wards are filling not with those suffering from respiratory symptoms but with teenagers coping with eating disorders and suicidal thoughts.
The last few weeks have brought cause for hope. Gov. Tim Walz's most recent executive order to close bars and gyms effectively dammed the surge of COVID-19 cases seen in early December, and schools are now working toward a safe plan to open elementary schools in January. Yet, our daily cases of COVID-19 are persistently higher than at any point in the spring or summer.
No matter how "safe" the governor's plan to open schools, another spike in COVID-19 cases will quickly thwart all attempts to get kids back in class. We need to see a drastic reduction in community spread before it is safe for all children to return to school. Minnesotans, I urge you to consider your role in the damage caused to our children if you choose to gather for holidays or patronize a bar. If not for yourself, if not for your grandparents — please, do it for your kids.
Katie Roberts, Medicine Lake
Roberts is a pediatric nurse practitioner writing on behalf of the Minnesota Chapter of the National Association of Pediatric Nurse Practitioners.