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public health
We Need to Get the Private Healthcare Incentives Out of Our Hospital Bathrooms
An attempt to procure toilet paper and face tissues during a hospital stay illustrates everything that's wrong with the US healthcare system.
Dec 20, 2025
Have you ever seen quality toilet paper in a hospital restroom? Seriously. Most of the time, we are all just damned lucky if we have a clean bathroom in the patient’s room, and we all know the situation with most hospitals’ public restrooms (yuck).
Decent toilet paper seems to be a small request to make of your hospital given that the status of our bodily functions (digestive issues or issues causing digestive issues) is often the reason for hospitalization. And sometimes we must get well enough to have our digestive systems functioning to be released. The health industry earns massive profits—so much more in daily charges than any hotel room you or I have ever imagined staying in—and yet the decisions made about our most basic comforts related to personal hygiene don’t reflect those profits at all.
With Congress deciding to dump the Affordable Care Act subsidies, hospitals will have to tighten their belts even more to retain their precious profits, so I doubt we will be getting Charmin and Puffs any time soon.
Well, most hospitals secure their cheap, one-ply toilet paper under lock and key. I couldn’t believe it, though you’d think I would by now. Like they are guarding gold at Fort Knox, the hospital corporations protect their toilet paper and paper towel assets more than they protect patients by locking up the worst and cheapest paper products they could secure. Having extra replacement rolls anywhere seems really a stretch for these facilities too. And if the staff who hold the keys are not at work or if the hospital is short-staffed like many are these days, getting paper products may be on you. It sure was for us, and HCA Healthcare is true to that trend of cutting corners on one of the items that “touches” patients and their families.
Not having toilet paper to wipe a sore bottom or tissue to blow your nose is one thing. We wonder who buys the supplies for the operating room?
I begged people to find us toilet paper and paper towels—nurses when I could find one, techs when they had one, housekeeping on the days there was one, and even tried teasing that I’d bring it from home. The first day we got by, but by the fifth day we were weary of the begging and saying, “Pretty please” to anyone who looked like they might give a damn. No one did until one young man cleaning an empty room figured out that if I was asking for his bucket and mop, I might need help somewhere. He was getting that empty room ready to fill again with more revenue—a new patient—no time for him to attend to patients already in a room languishing without needed services and no toilet paper.
I sent messages through the patient portal because no one answered any admin lines for patients and families. Surprise, surprise, surprise.
MyHealthONE Help Desk
Please get my husband paper towels & TP in his bathroom and clean the room
You
(Sent) 8/9/2025
at 5:02 pm
We know it's a weekend, and we are very sorry its hard to staff the hospital appropriately for that, but I'd like my husband to have paper towel and toilet paper in his bathroom so I do not have to provide paper products to him from outside PSLs in Denver. I need a mop and cleaning supplies to clean his room as well. I'll do it because yesterday, Friday, only one tech had to cover the floor, one cleaning person stuck her head in and said it looked good, and today it is gross. Just gross. My husband has tried to clean his own bathroom several times. If he is hurt doing that, I fear the problems that will create for him. Please help us. Please.
I hope you will follow here that if they will do this with basic supplies and services, my friends, what do you think they do with all the other purchases they make to run the hospital?
I’m sharing my DoorDash receipt copy below as a cautionary tale:
Door Dash Order Complete
Saturday, August 9, 2025 at 5:42 pm
Enjoy!
Your Dasher: [Redacted]
Total $19.79;
Retail Delivery Fees $0.29
Delivery Fee $2.99
Service Fee $3.00, $.99
Estimated Tax $1.66
Dasher Tip $5.00
Total $27.73
Payment
[Redacted] · 8/9/2025 · 5:26 pm
$27.73
Address
1719 E 19th Ave
Denver, CO 80218
Instructions: I will meet you at the curb of the Main entrance, main lobby of PresStLukes Hospital. You need to hand this order directly to me.
I sat in the lobby of a health industry behemoth that made more than $600 million in clear profit last year and received my delivery order. Exhausted from being the unpaid staff of the hospital—Presbyterian St. Lukes in Denver, an HCA Healthcare facility—at least I had tissue to wipe my nose that didn’t leave me raw and bleeding like their protected paper did. I cried a lot, and no one had a tissue. Patients are not given facial tissue anymore nor are they given other personal hygiene items. It must be an expense they just couldn’t justify.
None of this ought to make you feel safe. Not having toilet paper to wipe a sore bottom or tissue to blow your nose is one thing. We wonder who buys the supplies for the operating room? The neonatal intensive care unit? Do they cut those same corners with everything? What do you think?
The only way out of this mess is to finally pass universal single payer, improved and expanded Medicare for All and get the profit incentives out of our hospital bathrooms. Please.
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As RFK Pushes Vaccine Misinformation, Measles Cases Surge in South Carolina
The US is at risk of losing its measles-eradicated status early next year, according to Scientific American.
Dec 12, 2025
US Rep. Pramila Jayapal on Friday demanded that the Trump administration "stop lying and follow the science" as an outbreak of measles in South Carolina grew and officials warned that low vaccination rates in the affected area likely mean the crisis will continue worsening.
Since the outbreak began in October in Spartanburg County, near the state's northern border, the highly infectious disease has sickened at least 129 people. The vast majority of people who have been infected have not been inoculated against measles, which is 97% preventable via the measles, mumps, and rubella (MMR) shot—which has been erroneously attacked for years by anti-vaccine activists including Health and Human Services Secretary Robert F. Kennedy Jr.
As President Donald Trump and Kennedy "push deadly anti-vaccine conspiracy theories, measles is making a comeback across America," said Jayapal (D-Wash.) on Friday. "People will die because of this."
At least three people, including two children, have already died this year in US measles outbreaks
More than 1,900 measles cases and 47 outbreaks have been reported across the country in 2025, compared with 285 cases across 16 outbreaks last year.
In South Carolina, more than 250 people have been exposed to the disease in schools, a healthcare facility, and a church, forcing dozens of unvaccinated children to quarantine for 21 days; some were exposed twice and had to be isolated for two separate three-week periods.
“That’s a significant amount of time,” Linda Bell, the state's epidemiologist, said at a recent press conference. “Vaccination continues to be the best way to prevent the disruption that measles is causing to people’s education, to employment.”
But Spartanburg County's ongoing outbreak is being driven by “lower-than-hoped-for vaccination coverage,” Bell said.
Public health experts consider a 95% vaccination rate to be the level at which the spread of measles can be eliminated in a community. Only about 90% of students in the county had all required childhood immunizations. South Carolina allows religious exemptions for school immunization requirements. Many of the schools where students have quarantined have vaccination rates "well below 90%," the New York Times reported.
Across South Carolina, MMR vaccination rates among schoolchildren has fallen significantly since 2020, from 96% to 93.5%.
Kennedy has been a longtime denier of vaccine science. In 2019, his anti-vaccine group, Children's Health Defense, tried to sue New York state over its vaccine requirement, which is one of just five in the country that doesn't allow for nonmedical exemptions.
In April, Kennedy visited a Texas community where two unvaccinated children had died of measles and acknowledged in a social media post that "the most effective way to prevent the spread of measles is the MMR vaccine."
“Vaccination continues to be the best way to prevent the disruption that measles is causing to people’s education, to employment.”
But during his visit he also promoted, without evidence, two therapeutic treatments that one vaccine expert told NPR are "valueless" in treating measles. In 2023 Kennedy told podcaster Joe Rogan that the vaccine was not linked to a decline in deaths.
He has recently continued fueling overall skepticism about immunizations, with the Centers for Disease Control and Prevention (CDC) panel he assembled advising that newborn babies whose mothers test negative for hepatitis B should not receive a dose of a vaccine for the disease—sparking fear among public health experts that major progress in reducing childhood cases of the disease over the past three decades will be reversed.
In November the CDC website was changed to say a link between vaccines and autism—a theory that has long been debunked—cannot be ruled out. Two months earlier, as measles cases surged in another outbreak around the Utah-Arizona border, Trump called for combination children's vaccines like the MMR to be split up into separate shots—a call made decades ago by Dr. Andrew Wakefield, who lost his medical license over his 1988 study that linked autism to the combination vaccine, which was later retracted.
High vaccine rates allowed the US to declare measles eliminated in 2000, but Scientific American reported Thursday that the current measles outbreaks are bringing the US "toward losing its measles-free status by early next year."
The worsening measles outbreak in South Carolina, said Sen. Ed Markey (D-Mass.), "is yet another horrifying consequence of Trump and RFK Jr.'s Make America Sick Agenda."
Republican Gov. Henry McMaster has urged residents to be vaccinated against measles, but said on Thursday, "We are not going to do mandates on people to go get vaccinated."
Andrew Nixon, a spokesperson for the US Health and Human Services Department, also continued to suggest that vaccination is principally a matter of personal liberty rather than public health, telling the New York Times that people in the affected community in South Carolina should talk to their doctors about "what is best for them."
On Thursday, Senate Health, Education, Labor, and Pensions Committee Ranking Member Bernie Sanders (I-Vt.) said that along with the Republican Party's vote against extending Affordable Care Act subsidies, the Trump administration is raising questions about its push to "Make America Health Again" as it undermines "lifesaving vaccines and spark[s] disease outbreaks."
"The Trump administration," he said, "is endangering the health of the American people."
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Sanders Leads Call for Senate to Force RFK Jr. to Answer for 'War on Science'
"Failure to conduct an oversight hearing on Secretary Kennedy's actions would be an abdication of our responsibility—both from a moral perspective and as a matter of sound public health policy."
Dec 09, 2025
On the heels of a federal panel appointed by US Health and Human Services Secretary Robert F. Kennedy Jr. voting to reverse a recommendation that newborns receive the hepatitis B vaccine, Sen. Bernie Sanders led a Tuesday call for the HHS leader to be hauled before a relevant congressional committee to answer for his actions that "undermine the health and well-being of the American people and people throughout the world."
In a letter signed by Democrats on the Senate Health, Education, Labor, and Pensions (HELP) Committee and Sanders (I-Vt.), its ranking member, the lawmakers wrote to Republican Chair Bill Cassidy (La.), a medical doctor, to argue that "Kennedy has waged an unprecedented war on science and vaccines that have saved millions of lives," and demand his testimony.
The letter highlights Kennedy directing the US Centers for Disease Control and Prevention "to publish false information on its website suggesting that childhood vaccines cause autism," ousting a CDC director "who refused to rubber-stamp his dangerous and unsubstantiated" recommendations, spreading misinformation about the measles vaccine during an outbreak, and defunding research "that will leave us woefully unprepared for future pandemics and public health emergencies."
Kennedy has also "packed a critical scientific body, the Advisory Committee on Immunization Practices (ACIP), with vaccine deniers, completely upending the rigorous scientific process for reviewing and recommending vaccines to the public despite a commitment he made to you that ACIP would be 'maintained without changes,'" the letter continues, citing last week's hepatitis B vote.
"Mr. Chairman: Holding an oversight hearing on Secretary Kennedy’s ill-conceived actions is more important now than ever," argued Sanders and Democratic Sens. Angela Alsobrooks (Md.), Tammy Baldwin (Wis.), Lisa Blunt Rochester (Del.), Maggie Hassan (NH), John Hickenlooper (Colo.), Tim Kaine (Va.), Andy Kim (NJ), Ed Markey (Mass.), Chris Murphy (Conn.), and Patty Murray (Wash.).
"Under Secretary Kennedy;s leadership, over 1,700 people have been infected with measles. Whooping cough cases are surging nationwide, and concerns about a severe flu season continue to grow. Vaccination rates across the country are falling. Children are dying from illnesses that vaccines could have prevented," the senators stressed.
"Secretary Kennedy's response to these crises has been to spread misinformation, end campaigns encouraging flu vaccinations, fire officials who disagree with him, and place individuals with significant conflicts of interest in positions of power—completely undermining Americans' faith in our nation's public health institutions," they wrote.
The senators pointed out that "dozens of scientific and medical groups" have called for Kennedy's resignation or removal, as have more than 1,000 current and former HHS staffers. They also noted a September warning from nine former CDC directors that the secretary "is endangering every American's health," a similar joint statement the following month by ex-surgeons general, and another this month from a dozen previous Food and Drug Administration commissioners.
The letter also references Cassidy's comments about ACIP, the safety and effectiveness of vaccines, and Kennedy's supposed commitment during the confirmation process to come before the HELP Committee on a quarterly basis, which hasn't happened.
"Failure to conduct an oversight hearing on Secretary Kennedy's actions would be an abdication of our responsibility—both from a moral perspective and as a matter of sound public health policy," the letter argues, calling for his testimony as soon as possible.
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