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Dr. Gina Wilson-Ramirez worked in the Providence Alaska Medical Center emergency room Sunday night, hours after the state’s largest hospital
declared crisis standards allowing doctors to ration care. Wilson-Ramirez worked as an urban search and rescue worker at the Pentagon after the 9/11 attacks. Twenty years ago, after firefighters extinguished lingering hot spots, she donned a Tyvek suit and a respirator and waded into a macabre slurry of thigh-high water, diesel fuel and charred bodies.
This week, she said, is worse.
“It’s worse because we’re deciding who’s going to die and who’s not,” Wilson-Ramirez said. “That definitely had an impact on my life. But nothing compares to having to ration care when there’s a cure available.” Now people in the state’s medical community say they’re watching a sophisticated hospital system stumble under low staffing levels and a crush of COVID-19 patients spurred by the highly infectious delta variant.
Young pregnant women so sick with the virus they need a ventilator to breathe. People experiencing chest pain, a major heart attack symptom, waiting for hours in the ER. Gravely ill patients dying before they get care — or because someone else with better survival odds was prioritized for treatment.
Alaska is experiencing
one of the sharpest surges of COVID-19 in the United States, with more people hospitalized with COVID-19 than at any other time during the pandemic and vaccination rates in the nation’s bottom third. But the state is also uniquely isolated, with a vulnerable health system centered on a few big hospitals that normally transfer patients out to Seattle or Portland, where facilities are now also overwhelmed.