3 Episode results for "Khan david chang"
The Economics of America's Nurse Shortage
"N. p. r. adam. Johnston is an emergency room nurse. You just got up an overnight shift. Yeah adam has been doing the job for seven years he works in fargo north dakota and what are north dakota's like we. We have a lot of. I think stoic rural population. We talk a lot. You know like if they're presenting complaint is my wife made me come into the er. There's probably something really wrong with them. They're probably actually pretty sick. Of course adams job changed totally nine months ago. The hospital got ready for a huge surge of cova cases and adam was put in charge of the inpatient cove unit. He's they saw some cases and some very sick people but they never saw the huge surge. They had prepared for but he says starting in the fall they started to see more cases and more cases and more cases. We're seeing patient volumes. That are just beyond anything that we've ever seen before. North dakota has seen cova cases spike in the last couple of months. One in ten residents of the state has gotten sick. And north dakota has the highest kovic more talapity rate in the country. Adam says the hospitals are overrun Facilities are adding hallway beds To their er to be able to see more patients like their patients out in the hallways. Yeah in bed like embeds. Yeah and what is the staffing situation now. It's it's getting ross. It's getting rough. All across the country. hospitals are reporting staffing shortages. They're just enough nurses to meet demand right now. This is the indicator from planet. Money back smith today on the show the nursing shortage all over the country. Hospitals are desperate for healthcare workers. And there just aren't enough to go around and now some states like north dakota are resorting to drastic measures. This message comes from. Npr sponsor avalanche providing cloud based sales tax solutions for businesses of all sizes valera automatically integrates with more than seven hundred erp and ecommerce systems learn more at avalanche dot com slash indicator support for this npr. Podcast and the following message. Come from vox media. And its new podcast. Decoder with verge. Editor-in-chief neil patel. Decoder explores the future of business and tech with business leaders like salman. Khan david chang and mark cuban find decoder wherever you get your podcasts in the early days of the cova pandemic hospitals were scrambling for equipment masks gowns. Ventilators things like that now. The problem is people. Gb silvers is a professor of healthcare finance at case western reserve university. Now we've got p. Now staff is constraint. So i think going forward that's going to be the big issue across the country and you cannot predict. You can manufacturer more. Nurses just doesn't work that way. Gb has spoken with nurses all over the country and he says simply put they are exhausted. Months of double shifts p protocols changing information patients dying and the constant fear of infection. He says it is taking a huge toll. The she people leaving people are quitting their just quitting. Which is quitting. They're saying that's it. I mean how have a problem is this. I think it's it's huge. It's really big. Jab says as the supply of nurses is shrinking. Demand for nurses is skyrocketing so called traveling. Nurses are typically the reserve supply for disasters. They go wherever they're needed but right now they are needed. Everywhere and hospitals senior centers in nursing homes across the country are madly competing for nurses. There are reports of hospitals offering six thousand dollars a week to lure them in. Gb says that is creating a crisis situation especially for hospitals in rural communities and low income areas. They don't necessarily have the money to bring in reserves or to even keep the nurses they have at the same time. They're seeing a flood of very sick. Patients states like mississippi colorado and missouri are desperate in fact the hospital. Staffing situation in north dakota got so bad that the governor doug burgum announced the state would be taking a pretty drastic measure show. Today we took a step to help address. The staffing issue with an amended state health officer order that now is going to allow a symptomatic cova positive healthcare workers to work in cova units of license healthcare facilities in other words nurses and doctors who test positive for covid but aren't showing symptoms are being asked to keep working. Adam johnston the emergency room nurse. Fargo says he could not believe it when he heard this. It feels like nurses are being sacrificed. What was especially troubling to adamant his colleagues. Was that north. Dakota hadn't taken many other measures to contain the covid. Nineteen outbreak there was no mask mandate no ban on indoor dining or large gatherings wizard will wear where the prevention measures It it felt like this concept of thank you. Heroes was tossed by the wayside. We you know through the first several months we saw lots of lots of signs you know. Thank you healthcare heroes and and people on on the news an public and and there was a great strong outpouring of support. Oh yeah and then i saw. Oh so this is how we're going to combat covert. Were going to put our nurses at risk you know now. Now where where. Where is the the the recognition for being a hero in. That says this has made things even harder at work. Feels like there's no place to relax because even the staff break room is potentially full of very sick people. You cannot let your guard down. At all atom heads north dakota's emergency nurses association and he and other healthcare workers spoke out. After the governor's announcement and the governor has since issued a statewide mask mandate and has limited gatherings and indoor dining adams's. He truly appreciates that still. He says these days his job is just really hard. So what are your days at work. Like now It's exhausting You know. I'm i'm an er nurse. I like results I like to see patients get sutures and go home. I like to see us do. Cpr revive people I'm very results oriented and to go to work every day and just say you know. Well who's who's gonna die. Today is not what. I signed up for and adams says the risk physical and psychological burnout is always looming. He says he used to be able to leave his job at work. Whatever happened during a shift. He could always leave it at the door. It was the key to avoiding burnout as a nurse. Now says he just can't they're all these moments that haunt him as he keeps thinking about this one cova patient who was getting sicker and sicker. Adam knew he was dying so he called the emergency contact so we can at least have facetime moment with a family member or a friend before he passed. There was a phone number there listed for a friend. And so i called that friend and said you know hey Do you have contact info for for his family. And he's there there is nobody. It's it's just me. I live next door. And i i go over there now on that and check in on it and so that that for me was just sort of the the epitome of seeing somebody that just died alone from this And just like very alone like like no. No face timing None of that. It just sort of put into perspective. How really truly painful. It is to witness that happen. Yeah yeah so. That's that's one patient. That i can't forget about him a lot. This episode of the indicator was produced by jamila huxtable. Fact checked by sean saldana. The indicator is edited by paddy hirsch and is a production of npr.
What Biden Could Do On Immigration
"Everyone a quick note before we start the show. Twenty twenty has been a really difficult year for everyone and we appreciate your support and listening to our show if you do happen to have extra money and are inspired to donate to our show. You donate that. Npr dot org slash indicator. We will use that money to continue to look at the economic effects of covid nineteen and talk with people all across the country about their experiences. Thank you so much. and happy. holidays n. P. r. everyone disea- indicated from planet money immigration policy is one of the areas where presidents have a lot of discretion to do what they want in during his time in office. President trump pursued an immigration agenda. That was aimed. At reducing overall migration to the us enacting policies that were meant to disincentivize undocumented immigrants from coming to the us and also policies that made it harder for people to move to the us legally. So how does president elect joe biden. Plan to approach immigration. Once she takes office. We try to undo everything. President trump did can heat today on the show. I am speaking with andrew. Sealy the president of the migration policy institute which is an organization that researches immigration trends and andrew. Not only answers these questions. He also explains why the answers matter so much for the us economy. That's coming up after a quick break. This message comes from. Npr sponsor valera providing cloud based sales tax solutions for businesses of all sizes valera automatically integrates with more than seven hundred erp and ecommerce systems learn more at avalon era dot com slash indicator support for this npr. Podcast and the following message. Come from vox media. And its new podcast. Decoder with verge. Editor-in-chief neil patel. Decoder explores the future of business and tech with business leaders like salman. Khan david chang and mark cuban find decoder wherever you get your podcasts and ucla. Welcome to the podcast. thank you. It's great to be with you andrew. I wanna start with a very broad question. Which is what can we say based on what's been reported so far about president-elect biden's likely philosophy towards immigration policy and how it might differ from president trump's immigration policy of the last four years. I think you're gonna see a prison biden thinking of immigration as an asset to be managed rather than a problem to be solved. I mean this is going to be a proactive approach to immigration recognizing that there are downsides that there are question marks be laugh but but largely. It's an asset that helps us grow as a country and that we've gotta figure out the right designs of immigration system that benefits the country as a whole okay and looking at the details. A little more closely. I want to start by talking about legal immigration which i think often gets less attention because the subject of undocumented or illegal immigration is such a political hot button. How do you think. President biden is likely to approach legal immigration in a way. That's fundamentally different from the way president trump approached it. I think we're going to see much more robust legal immigration program though not not overwhelmingly so because there are always question marks in american society if you raise the numbers of people coming too far. I think he's going to be cautious and yet at the same time. Think about legal immigration as an important part of strengthening labor force in the united states particularly areas where we have labor force needs and particularly week. Come out of the recession that we're in right now so i think you'll see changes to make our high-skilled program high skilled immigration system more robust Professional visas also perhaps agricultural inservice visas temporary workers. And i think within legal immigration you're gonna see the president biden. A biden administration tryin do something about bringing people out of the shadows who are already here working contributing to american society. But don't have legal documents and i think he sees that as part of the legal immigration system. So how'd you. With people who are dreamers. People came as young people to the. Us with their parents without documents. Have grown up in this country Can he you know continue. The program called daca that gives them the right to remain in the country and work your legally. Maybe get congress to pass a wall. It'll be another big part of the agenda going forward in legal immigration in terms of what's quantifiable it. Sounds like from what you're saying. That under president biden. The numbers are probably gonna rebound in terms of annual legal immigration. Is that a fair thing to predict. I think they'll be more attempt to make sure that you know particularly student visas says which have been going down. Go up again because we want students to come to the united states to study on that will wanna make sure we have people in in seasonal occupations in the fields and in some of the jobs that have have been short of american workers. You know this may not happen immediately because we're in the middle of a recession. I think this is more likely to happen as we pull out of a recession in the us labor forces robust again and there needs again for for foreign workers. Let me also turn now to undocumented. Immigrants president-elect biden has reportedly suggested that he's going to have a one hundred day moratorium on deportations of undocumented immigrants to start his administration. What can we infer from that. You know i think you know. Biden was part of the obama administration and one of the things they earned working together is that it did no one any favours at the time when they were trying to deport as many people as possible and that was the first four or five years of the obama biden administration. And they really. You know vibe was called the reporter and chief but they really were sending large numbers of people back to their home countries and what it did is it. Made people afraid to approach their local authorities. Police social service agencies unable to invest in their kids education afraid of interacting in in public life. And what they did in the last three years. The obama administration was to begin having very clear priorities on who could be detained and deported. And i think biden will start off their. He'll do a moratorium for one hundred days but then he's going to restrict the reasons for which you can be deported to criminal offenses and threats to national security. I'm guessing and we'll see what he decides. But i think that's their thinking is that they will really prioritize is trying to send home only those people that present a danger to american society others they want them to have the security that they can have a normal life in the united states and be as productive as possible as as people were present to this country. Yeah and then. I want to turn now to the issue of asylum and specifically the asylum system at the us border with mexico. President trump has dismantled a lot of that system and it seemed like part of the rationale for that was to disincentivize mass migrations originating in parts of central or maybe south america that would come up through mexico and then crossed the border into the us seeking asylum. And i guess my question is do you think it's likely that president-elect buying will try to reinvigorate or reestablish the asylum system and if so is it possible to do so in such a way that does not re incentivize the kinds of large mass migrations that have taken place at various times over roughly the last decade and have really been like a difficult thing bureaucratically for for the us to solve at the border with mexico. It's going to be their toughest issue without any doubt. I think you're gonna see an administration that is committed to asylum into restoring the asylum system. But i don't think it's gonna happen immediately and i think there is going to be robust border enforcement. My my sense is the trade off for for really being able to bring people out of the shadows in this country is having fairly robust border enforcement. But they're going to try and temper that with with a an asylum system. That's more efficient. More fair probably protection measures that they can do close to where people live in central america and mexico But it's gonna take some time to do that. My sense is the border is the last place where you're going to see. Big changes happened in a biden administration. You'll see them happen inside the country enforcement in dhaka and other issues in it's gonna take a few months before they're ready to risk changes at the border and we launched the asylum system because they don't wanna generate that huge wave of people before they're ready to handle it and you're silly. Thank you so much great to be with you. This episode of the indicator was produced by jamila huxtable and factcheck by sean saldana. Our editors patty hirsch and the indicator is a production of npr. What does it take to really make amends. And how should we navigate our digital spaces. I'm a new summer odi each week on. Npr's ted radio hour. We go on a journey with ted speakers who help us answer some of life's biggest questions. Join us listen now.
Electric Car Chargers: When Supply Drives Demand
"N. p. r. by at least one measure wall street seems excited about the future of electric vehicles. In fact the s. and p. five hundred is about to add tesla to its influential index but consumers. They have some questions late. Cardiff have you heard of arranging ziobro. I have because you once explained itunes ranging zayed's is when people are scared that if they get an electric vehicle they'll run out of batteries and they won't have anywhere to recharge and then they'll just be stuck out on the road right and it's a reasonable zayed. If you consider the first nissan leaf had a range of seventy four miles. You'd be anxious to whole time. Basically and that's been a huge issue for the auto industry so they've been laser focused on fixing it mostly by giving cars bigger batteries mark wakefield from the consulting group. Alex partner's he's been tracking the average range of new electric vehicles. Wait to them so it was serving the hundred and thirty range. It's now two hundred fifty and it keeps going up. Three hundred is super common. Now in some tesla's are pushing four hundred miles. Yes i can feel comfortable in a car. That's gonna give me four hundred miles. That's just a lot less nerve wracking right. But even as range becomes less of a concern. There's a lot more attention being paid to another kind of anxiety. Another reason people don't want to go electric. This is indicator from planet money. I'm garcia and i'm here once again with camilla domino from the npr business desk camilla today. You've brought us this story about the psychology and economics of using electric cars and specifically how they're throwing up. These roadblocks for the use of electric cars. You like that. Yeah yeah we'll charge on into this after the break hail this message comes from. Npr sponsor the capital. One venture card. Right now you can earn one hundred thousand miles. You can actually use when you spend twenty thousand dollars in your first year. What's in your wallet. Limited time offer terms apply see capital one dot com for details support for this. Npr podcast and the following message. Come from vox media. And its new podcast. Decoder with verge editor in chief neil patel decoder explores the future of business and tech with business leaders like salman. Khan david chang and mark cuban find decoder. Wherever you get your podcasts okay camille. Let's pick up where we left off. Suddenly we are now looking at cars that can go three hundred miles on a single charge right and while they're still too expensive for many people they're expected to get a lot cheaper in the next few years but now people are worried about how long it takes to charge. Yeah and that's a. That's a fair question i guess how. How long does it take to charge and electric vehicle. More than fifteen minutes less than two days. Yeah that's not helpful right so i could throw a whole bunch of numbers that you to explain why there are so many variables that affect this but the most important thing actually isn't the numbers. It's the fact that most electric car owners most of the time charged their car like this. My name is duane ross. I live in corrales new mexico. And i have a two thousand thirteen tesla model s when i bought this car headache. Standard tesla charger installed in my garage. And you just plug that in and of course the charge and then he goes in his house and lives his life. Yeah in the case of someone like duane. Ross and others. It doesn't really matter how long it takes to charge. Because you just leave the thing there overnight right right and it would be parked anyway. Yeah also more convenient than having to go to the gas station from time to time. Plus it's cheap like a lot cheaper than paying for gas is the way i understand it I could see how this works for daily driving. But let's say. I want to take a big road trip right across the whole country. What then that's where. Fast chargers come in. Joyce bryner has a tesla model three. She recently stopped to charge up at a brand new super charger in gettysburg pennsylvania. It sounded like this can hear the power ramping up there. So this is a gonna charge me fast and Let's see what car says here. Looks like of got twenty five minutes to get to eighty percent charge. This is kind of staggering so charging the car at home would take hours and hours charging on the go using one of these fast chargers takes. What like twenty thirty minutes half an hour. Maybe not much more than that. That's amazing yet. That is really quick. There aren't very many fast chargers. That actually are that fast. You might take longer especially at an older charter. Though pricier i take it then then obviously charging it at home because it's well i guess it's just it's it's almost free at home right right and this case. Brynner's charged cost a little over eleven dollars not too bad compared to gas but more expensive than home. Okay so even at a state of the art charger. It's obviously still a lot less convenient than a gas station just because it takes awhile right but remember for most drivers. that's also not a very frequent experience. Mike davar needs with the market research firm s. Clint and he says if you ask people who are considering electric vehicles they really focus on the idea of waiting to charge. Is i think psychologically waited more than it deserves. And the inverse of that is the fact that they don't tend to appreciate how much they'll benefit from nocco gas stations so even though fast charging this rare occurrence for most drivers a lot of companies are really focused on making it as fast as possible and putting up as many fast chargers as possible. Yeah i could see how that would get people over that mental hump so that they just by the thing and then after that they're they're mostly just charging it at home. Yup that's the psychology. Are you ready for the economics. Are you seriously asking me. If i'm ready for the echinacea. All right here. We go the fastest. Fast chargers are super expensive to install like more than one hundred thousand dollars per charger. That means you can only really make money off of them. If people are using them a lot if the utilization rate is really high but remember most people mostly charge at home. Oh there's another hump to get over sure. I spoke to end smart. She's the vp of public policy at charge point which is charging company. And with the fast charger you often have low utilization. Not because it's not an unnecessary piece of infrastructure but because it's in a location which is vital to two drivers occasionally but not necessarily used frequently every single day so in other words. People really want a fast charger to just be there. And in fact they won't buy an electric vehicle unless they're already confident that there are fast chargers everywhere and they're super fast and in fact way faster than they are right now. They want the whole package but they don't actually want to use those fancy chargers all the time it's easier and cheaper to charge at home. It's actually better for your battery too. So it's kind of like if everyone wanted a gas station nearby but they could just get the same gas at home for a fraction of the cost right and in that situation. And you're the gas station. How do you make money. Well i mean you can always just get money from the government. The taxpayer That is happening as i understand. Yep charging are also cutting deals with utilities and of course they're they're joining forces with automakers right because they want to chargers to exist so that people buy their electric cars. The automakers do. Kathy's oy is the ceo of vigo which is fast charging network and they have a deal with gm essentially agreement with general motors is building a bridge between where there's enough cars on the road to make money which is a little time in the future to two right now. So that helps us will build the of demand because general motors has come to the party and is helping make a contribution to the building that infrastructure so he also says look people right now mostly charge at home but that could change in a few years once more. People who don't have garages start buying electric cars. So maybe utilization goes up and this is really interesting camilla because like we normally think about how demand drives supplies like people want man for something. They're willing to spend money on it. So you know. Accompany supplies it Here's always saying that. Like no once the supplies out there. Then it's going to drive up demand so build chargers and people will buy the vehicles to use the chargers she also says maybe you can get a bunch of shipping transportation companies to use these fast chargers and that'll help cover their costs. So companies are optimistic. Then they see a path to profitability. Here yeah but. I think it would be fair to say that. It's a lot easier to get there. If people were a bit more rational. If people used fast chargers as much as they worry about fast chargers they're either be a lot more charging or a lot less worrying. Yeah and in either case. Just less of a conundrum for the auto industry community domino ski. Thanks thanks so much for bringing us his story. This was great. Thanks for having me. This episode of the indicator was produced by britney cronin with help from gilly moon. It was fact. Checked by sean. South donya and edited by paddy. Hirsch indicator is a production of npr.