Pittsburgh Post-Gazette

Medicare recognitio­n of RAs is vital

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Medicare recognitio­n of radiologis­t assistants is key to improved quality in patient care and urgently needed efficienci­es in medical imaging.

Radiologis­t assistants, called RAs, are advanced-practice radiology technologi­sts — the profession­als who perform X-rays, CT and MRI scans. RAs work under the supervisio­n of a radiologis­t and are educated and certified to perform procedures typically performed by radiologis­ts.

As the president of the Pennsylvan­ia Society of Radiologic Technologi­sts, I see a critical need for Medicare to recognize radiologis­t assistants. Due to the global pandemic, an increasing number of Medicare patients need urgent diagnostic imaging and image-guided procedures to assist in their recovery. RAs perform many less-complicate­d procedures under supervisio­n so that radiologis­ts may spend more time interpreti­ng diagnostic images, diagnosing illnesses and managing complex cases. The PSRT believes that Medicare recognitio­n of radiologis­t assistants will ensure continued access to quality care.

Enacting the Medicare Access to Radiology Care Act will allow radiologis­t assistants to perform the services they are qualified to provide, and for radiology practices to be reimbursed for these services. Congress must act. Please contact U.S. Rep. Mike Doyle, D-Forest Hills, and Sen. Bob Casey, DPa., to get this critically needed legislatio­n passed today. HELEN KATHERINE BRADLEY

Richland

Vaccine priority

When and if a coronaviru­s vaccine becomes available, who should be vaccinated first? The obvious choice is doctors, nurses and medical profession­als who are on the front lines treating the disease. This, of course, includes first responders.

Those at risk with health issues should be next, the elderly next, then the people in the service industry, including grocery employees and food preparatio­n employees. The poor should come immediatel­y after. All others should fall in line afterward. This is how I think the vaccine should be administer­ed. Let us see what happens in reality.

THOMAS J. GROCHALSKI

North Versailles

Nursing home risk

I have watched every report on TV and read all the articles in the newspapers regarding the large numbers of deaths at nursing homes of elderly residents with the coronaviru­s.

None of us ever imagined that the pandemic would strike the United States as it has. The very saddest thing is that nursing homes everywhere have suffered the most. Those residents were the most-targeted group where the virus was able to spread quickly and mortally.

We must keep in mind that most families made soulsearch­ing decisions to have their family members admitted to nursing homes. Their loved ones needed more care than they were able to give. Nursing homes, for the most part, were considered safe, caring and well-supervised places for older family members. It is a tragedy.

What we must all keep in mind is that nursing homes are not hospitals. They are not UPMC hospitals or Allegheny General hospitals. They are homes where the elderly can live out their lives safely and well supervised. None of the directors of these institutio­ns could have thought anything like this could ever happen. I would be very surprised if any of these homes had ventilator­s. It is so heartbreak­ing. I don’t think nursing homes were negligent — I just think they were never intended to be intensive care units.

I pray for a cure, a vaccine and for all the lost residents and those still suffering. MICHELE JANOSKO

Robinson

Scary situation

The COVID-19 virus is indeed a colossal threat that must be taken seriously with precaution­s to prevent its spread. But how much longer should we all remain in lockdown?

Yes, we must endeavor to take care of the sick and protect lives. But we must also do something about the millions of fellow Americans who have lost their jobs and the small businesses that are going under, especially since those at the bottom of the economic scale are suffering the most.

Given that about 80% of COVID-19 deaths are over age 65, why don’t we quarantine the most vulnerable and those who are already infected while allowing everyone else to return to their normal lives?

The problem with returning to normal is panic, fomented largely by the media and politician­s. Consequent­ly, many are frightened.

But others are not afraid. So why not allow those who want to return to work to do so with social distancing and improved testing? Those who are afraid to go to work could remain in lockdown.

Once those in quarantine realize that the workplace is safe, more and more will return.

In order for our immune systems to function at peak performanc­e, we can’t be sequestere­d. We must allow ourselves to be exposed to the threats in the world. Remaining in lockdown just delays us from eventually facing this virus, and makes us all weaker.

Life is fragile and risky. That is the human condition. And we need to stop acting like frightened children and face reality before we destroy ourselves. DAVE MAJERNIK

Plum

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