Life in the COVID-19 Epicenter – New York City

The ripples of moist sand suggested the undulating waves momentarily had retreated deeper into the Adriatic. Straight west was Croatia. Smugglers from the entrenched late-medieval fortress of Grottammare had landed beneath my feet a century ago, bringing wood taken from the ancient Kingdom of Raška and returning with wine, olive oil, and fine cloths from Italia. The lone New Yorker resembled a floor sweeper wondering what had happened now that the party was over and the mélange of vacationing Etruscans had returned to their fields and warm homes.

Somehow, the situation seemed terribly temporary. Far away to the north in Veneto, Lombardy, and Emilia-Romagna, a relentless terror from Asia had arrived. Small communities were getting sick. People were expiring. Italy was beginning to panic as medical facilities were overwhelmed with a mysterious affliction for which there was no cure.

Deep in the subconscious of every European is memory of the bacterium Yersinia Pestis, the Black Death. It had come to Europe through Central Asia, travelling along the Silk Road from one caravansary to another. It reached Crimea in 1347 and eventually killed more than 60 percent of Europe’s population. To fight the plague, Pope Clement VI had surrounded himself 24 hours per day with giant bonfires.

The first great pandemic, the Plague of Justinian, had attacked in 541, but that was too far back in time to register in the collective consciousness. But everyone had a primal memory of the Black Death, which had continued to kill until the early 20th century.

Sitting down to a wonderful seven-course meal at Sottocoperta Osteria de Mare helped only temporarily to take the edge off the growing tension. Again, the plague was coming. Again from Asia. Again without mercy.

Vacation was over. Time to return to Manhattan. Boarding the Dreamliner at Rome’s Leonardo da Vinci-Fiumicino International Airport, hundreds of American students angrily took their seats, having been ripped away from their coveted year in Florence or Rome, studying the language, the architecture, the food, and the art.

At JFK International, everything looked normal. We were expecting a reading of our temperature, or questions about our health, or where we had been. Nothing. The staff at JFK looked as though we had just disturbed their nap. Then, the yellow cab to Midtown.

As a safety precaution, we put ourselves into self-quarantine for 14 days. At first, it felt special. “Oh, you were in Italy?!” “You are in quarantine?” “Wow! What’s it like?”

Living in the Epicenter

As soon as our self-quarantine was over, the President declared a national lockdown. New York City quickly became the epicenter for this horrible pandemic. Soon it became clear we would have to remain inside far longer than another two weeks.

This once-vibrant city is completely closed down. Restaurants are shuttered. Once located in the bottom floor of Citibank’s world headquarters was the Hale and Hearty Soups outlet. From my window, I watched trucks arrive in the middle of the night.

The stoves and other contents were stripped away. Afterwards, the windows were boarded up. This is happening to food outlets everywhere. Some go away, never to come back. The landlord gets no rent. The workers lose their jobs. The city loses its revenues. The neighborhood starts to look like those abandoned Chinese cities that were built, yet never populated.

Looking out my window, I see Lexington Avenue. Normally, on a weekday, it is full of traffic. Cars, trucks, taxis, bicycles, joggers, crazy people riding battery-powered single wheels, police, ambulances, tourists – the variety is endless. Now, it is empty. The city is quieter than the afternoon of 9/11.

The street vendors are gone. No more Egyptian falafel, no Indian curry, no Jamaican jerk chicken, no more Afghani coffee. My favorite grocery, Citaralla’s, stopped importing uni (sea urchin) from the West Coast. The legendary De Palos Italian salumeria stopped its daily importation from Italy of fresh buffalo mozzarella. The racks of Calabrian spices have vanished. Supplies of Fleur de Sel Le Saunier de Camargue have dwindled.

No longer is it possible to visit Acme Fish in Greenpoint, Brooklyn to purchase fresh smoked salmon, whitefish, chubs, herring, and other delicacies. The highly automated AmazonGo store is still visible, but it is closed, and the shelves are empty.

Linking the landmark St. Bart’s Episcopal Church to the Waldorf Astoria is a secret passageway used by presidents to sneak over to play a discreet basketball game on the hidden court. Now it is sealed off, wiping away generations of tradition. The Kyudo Japanese archery classes are gone. Waters in the heated salt-water pool are stilled. In the Church basement, my karate dojo closed. I went outside one night to work out with my bo stick weapon on the street. Flashing police lights soon surrounded me and drove me back inside.

The Dark Side

By now, we have been isolated in our apartment for 76 days. It is not fun. It is impossible to exercise. We are getting sick of our own cooking. I am on the last volume of the Cambridge History of Political Thought. One might suppose that without the forced isolation, I never would have made it through the chaos of the 19th century.

Like other parts of the United States, New York experienced shortages. Toilet paper. Meat. Now the stores have simply settled into a routine habit of price-gouging. Prices are skyrocketing. My friend paid $18.97 for three boneless chicken breasts. For face masks with the flimsiest of paper, $2.95 is needed. But without the mask, one may enter no store.

Soon New York will be like Germany in the 1930s, when inflation demanded that a wheelbarrow-load of money was needed to purchase even a loaf of bread.

The restaurants are closed. Broadway is closed. All of the offices are closed. New York City is dead.

It also is unsafe, terrifying, ugly, scary, and not at all fun. Crime is increasing rapidly. Muggings are up. Healthcare workers are being robbed and assaulted. We no longer feel safe, even when walking one block to the drugstore. A gang of 12 youths savagely beat a nurse who was heading home from an 18-hour shift. CVS has placed padlocks on its ice cream and all alcoholic beverages. Prior to this, throughout the night, raiders frequently would gather up loads of food, and with impunity, simply walk out.

The subways are full of homeless persons. Many riders do not bother to pay their fare. There is no police presence, and everyone knows it is official New York City policy to not arrest criminals for theft or turn-style jumping. Unless things turn around soon, we can expect riots and looting, then street battles with gangs and organized rampages and mayhem.

There also is economic collapse. New York City has an annual budget exceeding that of 48 states. It is addicted to massive amounts of tax revenue. My property taxes are greater than what I used to pay each month for our mortgage. Parking in the street is $4 per half-hour. Minor parking violations are more than $200. Anyone who goes shopping must pay 5 cents for a cheap plastic bag that is worthless.

The virus has made New York City bankrupt. Ridership of public transportation, the subway and the bus system, is down by more than 80 percent. All of those tax revenues – payroll taxes, property taxes, taxes on taxes, parking fees, commercial taxes, exorbitant sales taxes – they are gone. Yet unlike any business, the city lays off no one. Public-sector unions are the aristocracy of labor. They have guaranteed pensions and secure employment. Someone else is always paying the bill. The Prime Minister of Great Britain once said: “socialism is great, until you run out of other persons’ money.” And New York has run out.

Its economy has been completely destroyed. New York State already was out of money. Of course, it has not yet declared bankruptcy, but it will.

Escape from New York

New York City saw the wealthy and intelligent start their exodus long before the virus emergency. Now, everyone is trying to leave. The exodus volume is accelerating. Those remaining behind will do so not because they still are in love with New York, but because they have no choice. There is no escape, no place to go, no international travel. They are stuck.

I would love to get out. To go anywhere. To dine at Brasserie Georges in the center of the world’s culinary capitol, Lyon. To stand on Sugarloaf in Rio de Janeiro, then eat feijoada (black bean stew) and wash it down with a cachaça caipirinha (sugarcane hard liquor). To enjoy a Ryokan traditional Japanese inn outside of Kyoto. To have an espresso and Pastéis de Nata (custard) at the Jerónimos Monastery in Lisboa.

This is the plague. This may be the darkest part of the past half-century. And all because some genius in Wuhan decided to locate a Level 4 virus research facility smack in the middle of one of the world’s most highly populated cities. After all, there is a reason why we do not build a nuclear fuel reprocessing facility in Central Park.

At least for the time being, there is no future. Rodentologists report that even New York City’s rats are starving. They have been reduced to cannibalizing their young.

The virus, the plague, the abomination from the East, has destroyed not only millions of lives, but it has destroyed the economy, and taken away the breath from the spirit of this once-great city and reduced its hopes to ashes.

The indomitable “can-do” punchy, arrogant, and condescending attitude of New York has been broken. Long ago, New York lost its glow, but now this giant cluster of humanity is struggling for its life. The entire city is on life support. It is crestfallen. New York is a penniless prison.

Is there hope? No, not yet.

But Americans love a comeback story. The floored competitor gets back up and fights. When asked to surrender, the surrounded army division commander sends the reply:  “nuts,” then pushes on to victory.

Somehow, we all believe the U.S. will come back, the stock market will come back, the jobs will come back, New York will come back. But no matter what happens, always in the subconscious of even the next generation, there will be a memory of this horrible plague.

Facebook
Twitter
LinkedIn

Edward M. Roche, PhD, JD

Edward Roche is the director of scientific intelligence for Barraclough NY, LLC. Mr. Roche is also a member of the California Bar. Prior to his career in health law, he served as the chief research officer of the Gartner Group, a leading ICT advisory firm. He was chief scientist of the Concours Group, both leading IT consulting and research organizations. Mr. Roche is a member of the RACmonitor editorial board as an investigative reporter and is a popular panelist on Monitor Mondays.

Related Stories

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

Heart Failure Coding Essentials: Ensuring Compliance and Optimal Reimbursement

Heart Failure Coding Essentials: Ensuring Compliance and Optimal Reimbursement

Master the complexities of heart failure coding with this expert-led webcast by Emily Montemayor, CCS, CMBCS, COC, CPC, CPMA. Discover strategies to ensure compliance with ICD-10-CM guidelines, documentation integrity, and capture comorbidities like CKD and hypertension. Learn how to resolve coding challenges, improve documentation practices, and submit clean claims to minimize denials and safeguard your organization’s financial health. With practical insights and real-world examples, this session equips you to prevent revenue leakage, enhance compliance, and secure optimal reimbursement—all while supporting better patient outcomes.

February 26, 2025
Decoding 2025 OPPS Charge Capture and Coding Complexities: Strategies for Success

Decoding 2025 OPPS Charge Capture and Coding Complexities: Strategies for Success

Prepare your organization for the 2025 OPPS updates with expert insights from Tiffani Bouchard, CCS, CRCR, a Revenue Integrity Professional with over 30 years of experience. This webcast will address critical challenges in charge capture and coding, providing clarity on APC policies, C-APC packaging, exclusions, and payer-specific requirements. Attendees will learn actionable strategies to ensure compliance, optimize reimbursement, and mitigate risks of claim denials. Gain the knowledge needed to implement updates effectively, educate your team, and maintain seamless revenue cycle operations in the face of evolving OPPS complexities.

January 29, 2025
Enhancing Outcomes with CDI-Coding-Quality Collaboration in Acute Care Hospitals

Enhancing Outcomes with CDI-Coding-Quality Collaboration in Acute Care Hospitals

Join Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, as she presents effective strategies to strengthen collaboration between CDI, coding, and quality departments in acute care hospitals. Angela will also share guidance on implementing cross-departmental meetings, using shared KPIs, and engaging leadership to foster a culture of collaboration. Attendees will gain actionable tools to optimize documentation accuracy, elevate quality metrics, and drive a unified approach to healthcare goals, ultimately enhancing both patient outcomes and organizational performance.

November 21, 2024

Trending News

Featured Webcasts

Navigating the 2025 Medicare Physician Fee Schedule: Key Changes and Strategies for Success

Navigating the 2025 Medicare Physician Fee Schedule: Key Changes and Strategies for Success

The 2025 Medicare Physician Fee Schedule brings significant changes to payment rates, coverage, and coding for physician services, impacting practices nationwide. Join Stanley Nachimson, MS., as he provides a comprehensive guide to understanding these updates, offering actionable insights on new Medicare-covered services, revised coding rules, and payment policies effective January 1. Learn how to adapt your practices to maintain compliance, maximize reimbursement, and plan for revenue in 2025. Whether you’re a physician, coder, or financial staff member, this session equips you with the tools to navigate Medicare’s evolving requirements confidently and efficiently.

January 21, 2025
Patient Notifications and Rights: What You Need to Know

Patient Notifications and Rights: What You Need to Know

Dr. Ronald Hirsch provides critical details on the new Medicare Appeal Process for Status Changes for patients whose status changes during their hospital stay. He also delves into other scenarios of hospital patients receiving custodial care or medically unnecessary services where patient notifications may be needed along with the processes necessary to ensure compliance with state and federal guidance.

December 5, 2024
Navigating the No Surprises Act & Price Transparency: Essential Insights for Compliance

Navigating the No Surprises Act & Price Transparency: Essential Insights for Compliance

Healthcare organizations face complex regulatory requirements under the No Surprises Act and Price Transparency rules. These policies mandate extensive fee disclosures across settings, and confusion is widespread—many hospitals remain unaware they must post every contracted rate. Non-compliance could lead to costly penalties, financial loss, and legal risks.  Join David M. Glaser Esq. as he shows you how to navigate these regulations effectively.

November 19, 2024
Post Operative Pain Blocks: Guidelines, Documentation, and Billing to Protect Your Facility

Post Operative Pain Blocks: Guidelines, Documentation, and Billing to Protect Your Facility

Protect your facility from unwanted audits! Join Becky Jacobsen, BSN, RN, MBS, CCS-P, CPC, CPEDC, CBCS, CEMC, and take a deep dive into both the CMS and AMA guidelines for reporting post operative pain blocks. You’ll learn how to determine if the nerve block is separately codable with real life examples for better understanding. Becky will also cover how to evaluate whether documentation supports medical necessity, offer recommendations for stronger documentation practices, and provide guidance on educating providers about documentation requirements. She’ll include a discussion of appropriate modifier and diagnosis coding assignment so that you can be confident that your billing of post operative pain blocks is fully supported and compliant.

October 24, 2024

Trending News

Happy National Doctor’s Day! Learn how to get a complimentary webcast on ‘Decoding Social Admissions’ as a token of our heartfelt appreciation! Click here to learn more →

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24