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katherineharron

Maryland and Virginia governors unveil road maps to recovery but say states aren't read... - 0 views

  • Hogan, a Republican, said that the state plans to follow the federal guidelines issued by President Donald Trump last week, which call for states to meet specific metrics before considering lifting restrictions, including a 14-day downward trend in key numbers. He warned that the state has not yet hit its peak for coronavirus cases and deaths,.
  • The Democrat explained that phase one of reopening will require downward trends in new cases and hospitalizations for 14 days, increased testing and contact tracing and a sustainable supply of hospital beds and personal protective equipment. The specifics for the second and third phases have not yet been unveiled.
  • The first stage would begin by lifting the state's stay-at-home order. It would include reopening many small businesses, including certain retail shops and golf courses, and restarting many lower-risk community activities, like recreational boating and fishing, tennis and outdoor religious activities, along with outdoor fitness and gym classes. It would also include the resumption of elective outpatient surgeries and procedures in certain counties with lower concentrations of cases.
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  • The second stage would see a larger number of businesses would reopen, nonessential workers who cannot telework return to work and other public activities return. Indoor religious gatherings could resume with limited capacity and physical distancing measures. It would include raising the limits on the number of people in social gatherings. Stage two could also see more normal public transit schedules and opening of restaurants and potentially bars with significant safety restrictions.
  • The third and final stage would reinstitute higher-risk activities, such as larger social gatherings, events, religious gatherings and activities at entertainment venues and a further lessening of restrictions at hospitals and eventually nursing homes.
Javier E

Coronavirus Made a Big Mistake Invading the Greatest Goddamn Country on Earth - 0 views

  • we’re gonna kick your ass our way. You are our middle finger’s dream come true. We’re not gonna test everyone and contact trace everyone like other countries, leaving ourselves on the slippery slope to ultracommunism. We’re not gonna forbid talking in our grocery stores like the cowardly Germans have. My nana wants her 10 minutes to catch up with the cashier before whipping out her checkbook, and she’s gonna get it. And we’re gonna take responsibility when things don’t go our way. Not like those Chinese people. Can you believe that China would send us this virus and not even cop to it? Months ago, I was telling everyone I know, “Hey, you look out for that China. They’ve sent us defective products before, and they’ll do it again,” and no one did JACK SHIT. Cannot believe China and everyone afraid of China fucked this up so badly.
  • You see our boldest innovators turning down opportunities to leverage this crisis to their own personal benefit? You see our pro sports owners refusing to donate a literal thousandth of their net worth to aid the workers they’ve had to tragically furlough? You see our most cherished brands blithely ignoring the chance to shoehorn nurses into their ads at the last second and to concoct empty hashtags in support of our frontline workers? Not a chance.
Javier E

Trump isn't the only populist leader losing the battle against the coronavirus - The Wa... - 0 views

  • a few patterns do emerge.
  • Some of the most successful countries in fighting covid-19 are democracies with well-educated populaces, high levels of trust and transparency, and governments that are run by technocrats. They have tested early and often, and they have used contact tracing to isolate carriers.
  • Examples include New Zealand, Australia, the Czech Republic, Germany, South Korea and Taiwan.
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  • Some autocracies with scientifically literate leaders, such as Vietnam, Hong Kong and Singapore, have also performed well.
  • By contrast, governments led by populists, whether elected or not, have generally been much less successful. Populists — who claim to embody the will of the people against the corrupt elites — are suspicious of expert opinion
  • they tend to ignore the advice of scientists, preferring “alternative facts” tailored to their own liking. They specialize in dividing the population, so it’s hard for them to unite against a common threat. And even more so than other leaders, they rely on economic growth for legitimacy; hence they are reluctant to suffer short-term economic costs in the interest of public health.
rerobinson03

Think Covid's Messed Up Your Travel Plans? Try Getting Into China. - The New York Times - 0 views

  • For the past year, people trying to go to China have run into some of the world’s most formidable barriers to entry. To stop the coronavirus, China bans tourists and short-term business travelers outright, and it sets tough standards for all other foreigners, even those who have lived there for years.
  • Other countries have their own travel restrictions, though few are as tight. The United States, for example, bans foreigners traveling directly from China unless they are green card holders or certain immediate family members of American citizens. It also bans foreigners leaving from Europe, as well as Brazil and other countries.
  • China was the only major economy to grow last year. It knows businesses will find a way to keep their Chinese operations running, with or without expatriates, and it is betting that they will come back when the pandemic eases. At the same time, China’s restrictions highlight the inadequacies of its vaccine rollout, which has been slow compared to those of the United States, Britain and other countries.
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  • At the end of last year, it essentially stopped allowing anyone to bring a spouse or child into the country. Since January, travelers arriving in Beijing from countries with severe outbreaks have had to endure weekly anal swab tests while in quarantine, with fecal material tested for traces of the virus. The measure prompted indignant complaints from the United States and Japan.
  • Nearly 13,000 international students being kept out of China signed an online petition urging Beijing to allow them to return, while others launched a Twitter campaign called #TakeUsBackToChina
  • In late September, the government announced that people with expired residence permits could return to China after applying for a visa. Ms. Astbury Allen rushed to apply for one in October. But by the time she reached a visa center, the rules had already changed.China announced on Nov. 4 that it would temporarily suspend the entry of foreigners from Britain, even if they had visas or valid residence permits. It described the move as a “temporary response” as cases of Covid-19 surged in Britain.
katherineharron

Baseball's Opening Day reflects a politicized nation caught between Covid-19 and hope -... - 0 views

  • If baseball is a metaphor for American life, Opening Day brought a tantalizing springtime hint of better days ahead, despite reflecting a nation divided by the polarized politics of a pandemic and Georgia's battle over Republican voter suppression.
  • ongoing contact tracing postponed a game in Washington were a reminder of the still potent peril of Covid-19 as the country faces another infection surge.
  • But the fact that there were fans in the seats at all to watch teams play ball underscored how much of the country is tentatively itching for a return to some semblance of normality after a grim winter of sickness and death and as millions of vaccines go into American arms at an increasing pace.
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  • The annual return of the boys of summer carries a sense of renewal and possibility. A similar feeling is being conjured by stunning and welcome news of the success of the Pfizer/BioNTech vaccine.
  • The results emerged as vaccine distribution quickly ramps up across the country, with more than 150 million doses of vaccine administered in the US and eligibility for inoculations fast expanding to almost all age groups in many states. The Pfizer news also offered President Joe Biden a powerful weapon in his drive to convince a sizable minority of skeptical Americans to get vaccinated to enable the country to reach the herd immunity that is necessary to eradicate the virus.
  • It's going to take widespread vaccination to drive the virus down sufficiently to allow a return to packed baseball stadiums later in the summer
  • "That's a decision they made. I think it's a mistake," Biden said. "They should listen to Dr. (Anthony) Fauci, the scientists and the experts. But I think it's not responsible," Biden said in an interview with ESPN in lieu of throwing out the opening pitch before the Washington Nationals season opener.
  • At least three players have tested positive for Covid-19 and another is considered a "likely" positive, Nationals manager Dave Martinez and general manager Mike Rizzo confirmed during a video conference Thursday.
  • The President also weighed into another controversy that encroached on the festivities of the first baseball games of the season — a new voting law passed by Republicans in Georgia that discriminates against Black voters and is based on ex-President Donald Trump's lies that the last election was marred by fraud.
  • Trump also openly feuded with sportsmen and women who spoke out in support of the Black Lives Matter movement in the racial reckoning that followed the death of George Floyd last year. At the same time as baseball was opening its season Thursday, the trial of the police officer charged with murdering Floyd entered its fourth day of testimony in Minneapolis.
  • Georgia GOP Gov. Brian Kemp, meanwhile, lashed out at the campaign to shift the venue, accusing Biden of trying to distract attention from a flood of child migrants at the southern border, which Republicans say is the result of his more humane immigration policies."You know, he's focused on trying to get Major League Baseball to pull the game out of Georgia, which is ridiculous," Kemp told Fox News.
  • The Georgia voting law may also be in the background at the Masters next week, the first men's golf major of the year at the Augusta National Golf Club. Racial issues were already to the fore of this year's tournament since Lee Elder, the first Black player to tee off at the Masters, in 1975, will be making his debut as honorary starter alongside Jack Nicklaus and Gary Player.
  • Most stadiums were much less than half full, with 20% to 30% capacity.
  • "I think today's professional athletes are acting incredibly responsibly. I would strongly support them doing that," Biden told ESPN. "People look to them. They're leaders."
  • At Yankee Stadium in New York, which has been doubling as a Covid-19 vaccine site, fans had to show they were fully vaccinated or post a negative Covid test before passing through the turnstiles.
  • Not all of the Opening Day challenges were caused by a pandemic and politics, however. In one sign of early season normality, the Boston Red Sox were rained out and will have to wait another day to welcome fans back to Fenway Park for the first time in 18 months.
aleija

What Does a More Contagious Virus Mean for Schools? - The New York Times - 0 views

  • The coronavirus variant discovered in Britain is more easily spread among children, as it is among adults. Current safeguards should protect schools, experts said, but only if strictly enforced.
  • Initial reports were tinged with worry that children might be just as susceptible as adults, fueling speculation that schools might need to pre-emptively close to limit the variant’s spread. B
  • Based on detailed contact-tracing of about 20,000 people infected with the new variant — including nearly 3,000 children under 10 — the report showed that young children were about half as likely as adults to transmit the variant to others. That was true of the previous iteration of the virus, as well.
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  • In the United States, the mutant virus has been spotted only in a handful of states but is expected to spread swiftly, becoming the predominant source of infections by March.
  • Adolescents and teenagers between ages 10 and 19 were more likely than younger children to spread the variant, but not as likely as adults. (The range for the older group in the study is too broad to be useful for drawing conclusions, Dr. Cevik said. Biologically, a 10-year-old is very different from a 19-year-old.)
  • In the United States, the variant has only been spotted in a handful of states, and still accounts for less than 0.5 percent of infections. Schools remain open in New York City and many other parts of the country, but some have had to shut down because of rising virus infections in the community.
  • The new variant, while more contagious, is still thwarted by these measures. But only a few schools in Britain implemented them.
  • Officials tested the nearly 300 students and staff at the end of that week, found only two cases, and decided to reopen.
  • The tests cost $61 per child, but schools that cannot afford it could consider testing only teachers, he added, because the data suggest the virus is “more likely to move from teacher to teacher than it is from student to teacher.”
mattrenz16

Live Updates: Covid-19 News - The New York Times - 0 views

  • WASHINGTON — President-elect Joseph R. Biden Jr., racing against a surge in coronavirus cases and the emergence of a new variant that could significantly worsen the pandemic, is planning a vaccination offensive that calls for greatly expanding access to the vaccine while promising to use a wartime law to expand production.
  • The president-elect said he would invoke the Defense Production Act, if necessary, to build up vaccine supply.
  • The Biden team promised to ramp up vaccination in pharmacies, and build mobile vaccination clinics to get vaccine to hard-to-reach and underserved rural and urban communities, emphasizing equity in distribution.
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  • But, he added, it will mean that as doses become available, “we’ll reach more people who need them.”
  • In some respects, Mr. Biden’s proposals echo those of the Trump administration, which also called earlier this week for opening vaccine eligibility to groups to 65 and older, making greater use of pharmacies and moving vaccinations to federally qualified health centers.
  • Mr. Biden unveiled the vaccine distribution plan just one day after he proposed a $1.9 trillion spending package to combat the economic downturn and the Covid-19 crisis, including $20 billion for a “national vaccine program.”
  • Mr. Biden intends for the federal government not only to develop mass vaccination sites, but also to reimburse states for the use of National Guard troops to administer vaccines.
  • To staff the mass clinics, Mr. Biden promised to “mobilize thousands of clinical and nonclinical professionals.”
  • The vaccine distribution plan is part of Mr. Biden’s broader effort to use the current crisis to rebuild the nation’s crumbling public health infrastructure — long a goal of Democrats on Capitol Hill.
  • To that end, Mr. Biden has promised to increase federal funding for community health centers and has called for a new “public health jobs program” that would fund 100,000 public health workers to engage in vaccine outreach and contact tracing.
Javier E

How Exactly Do You Catch Covid-19? There Is a Growing Consensus - WSJ - 0 views

  • It’s not common to contract Covid-19 from a contaminated surface, scientists say. And fleeting encounters with people outdoors are unlikely to spread the coronavirus.
  • Instead, the major culprit is close-up, person-to-person interactions for extended periods. Crowded events, poorly ventilated areas and places where people are talking loudly—or singing, in one famous case—maximize the risk.
  • “We should not be thinking of a lockdown, but of ways to increase physical distance,” said Tom Frieden, chief executive of Resolve to Save Lives, a nonprofit public-health initiative. “This can include allowing outside activities, allowing walking or cycling to an office with people all physically distant, curbside pickup from stores, and other innovative methods that can facilitate resumption of economic activity without a rekindling of the outbreak.”
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  • The group’s reopening recommendations include widespread testing, contact tracing and isolation of people who are infected or exposed.
  • One important factor in transmission is that seemingly benign activities like speaking and breathing produce respiratory bits of varying sizes that can disperse along air currents and potentially infect people nearby.
  • Health agencies have so far identified respiratory-droplet contact as the major mode of Covid-19 transmission. These large fluid droplets can transfer virus from one person to another if they land on the eyes, nose or mouth. But they tend to fall to the ground or on other surfaces pretty quickly.
  • Proper ventilation—such as forcing air toward the ceiling and pumping it outside, or bringing fresh air into a room—dilutes the amount of virus in a space, lowering the risk of infection.
  • An estimated 10% of people with Covid-19 are responsible for about 80% of transmissions, according to a study published recently in Wellcome Open Research. Some people with the virus may have a higher viral load, or produce more droplets when they breathe or speak, or be in a confined space with many people and bad ventilation when they’re at their most infectious point in their illness
  • that is only a rule of thumb, he cautioned. It could take much less time with a sneeze in the face or other intimate contact where a lot of respiratory droplets are emitted, he said.
  • When singing, people can emit many large and small respiratory particles. Singers also breathe deeply, increasing the chance they will inhale infectious particles.
  • Similar transmission dynamics could be at play in other settings where heavy breathing and loud talking are common over extended periods, like gyms, musical or theater performances, conferences, weddings and birthday parties.
  • The so-called attack rate—the percentage of people who were infected in a specific place or time
  • additional protocols to interrupt spread, like social distancing in workspaces and providing N95 respirators or other personal protective equipment, might be necessary as well, she said.
  • Another factor is prolonged exposure. That’s generally defined as 15 minutes or more of unprotected contact with someone less than 6 feet away
  • The attack rate for Covid-19 in households ranges between 4.6% and 19.3%, according to several studies. It was higher for spouses, at 27.8%, than for other household members, at 17.3%, in one study in China.
  • The 37-year-old stay-at-home mother was hospitalized with a stroke on April 18 that her doctors attributed to Covid-19, and was still coughing when she went home two days later.
  • She pushed to get home quickly, she said, because her 4-year-old son has autism and needed her. She kept her distance from family members, covered her mouth when coughing and washed her hands frequently. No one else in the apartment has fallen ill, she said. “Nobody went near me when I was sick,” she said.
  • Being outside is generally safer, experts say, because viral particles dilute more quickly. But small and large droplets pose a risk even outdoors, when people are in close, prolonged contac
  • No one knows for sure how much virus it takes for someone to become infected, but recent studies offer some clues
  • In one small study published recently in the journal Nature, researchers were unable to culture live coronavirus if a patient’s throat swab or milliliter of sputum contained less than one million copies of viral RNA.
  • “Based on our experiment, I would assume that something above that number would be required for infectivity,” said Clemens Wendtner, one of the study’s lead authors
  • He and his colleagues found samples from contagious patients with virus levels up to 1,000 times that, which could help explain why the virus is so infectious in the right conditions: It may take much lower levels of virus than what’s found in a sick patient to infect someone else.
  • Current CDC workplace guidelines don’t talk about distribution of aerosols, or small particles, in a room, said Lisa Brosseau, a respiratory-protection consultan
  • overall, “the risk of a given infected person transmitting to people is pretty low,” said Scott Dowell, a deputy director overseeing the Bill & Melinda Gates Foundation’s Covid-19 response. “For every superspreading event you have a lot of times when nobody gets infected.”
  • Some scientists say while aerosol transmission does occur, it doesn’t explain most infections. In addition, the virus doesn’t appear to spread widely through the air.
  • “If this were transmitted mainly like measles or tuberculosis, where infectious virus lingered in the airspace for a long time, or spread across large airspaces or through air-handling systems, I think you would be seeing a lot more people infected,” said the CDC’s Dr. Brooks.
  • High-touch surfaces like doorknobs are a risk, but the virus degrades quickly so other surfaces like cardboard boxes are less worrisome,
kaylynfreeman

Why the United States is having a coronavirus data crisis - 0 views

  • he Korea Centers for Disease Control and Prevention has updated its website with near-real-time information on local outbreaks. The site also reports several COVID-19 statistics for every region of the country.
    • kaylynfreeman
       
      They are very thorough in their data for the coronavirus and letting their citizens know how bad it actually is while our president is trying to downplay it
  • United States offers vanishingly few details on how the disease is spreading, even as people increasingly socialize and travel, and authorities reopen schools and businesses. This state of affairs is frustrating data researchers, who want to help authorities make decisions that can save lives.
    • kaylynfreeman
       
      The US is not social distancing appropriately and we are opening school and I cant even blame teacher for not showing up because we are supposed to be quarantining. If the US gave us more details on how bad the pandemic actually was, I don't think our school would have made the decision to come back.
  • Experts told Nature that political meddling, privacy concerns and years of neglect of public-health surveillance systems are among the reasons for the dearth of information in the United States.
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  • South Korea’s attention to data correlates with its overall success at controlling the outbreak: the country has had about 3.5 cases per 10,000 people overall, and there have been around 2 COVID-19 deaths per week over the past month.
    • kaylynfreeman
       
      This is showing that when people actually get the information, they make the right decisions
  • United States has had 175 cases per 10,000 people overall, and about 7,000 people have died of the disease every week for the past month.
    • kaylynfreeman
       
      that is ridiculous
  • The United States isn’t pursuing contact tracing for COVID-19 to nearly the same extent as South Korea
  • Some speculate that because the pandemic is politically charged, data describing the situation are guarded closely by officials in the administration of President Donald Trump
    • kaylynfreeman
       
      At this point I wouldnt be surprised
  • US$10 million spent on the HHS’s system might have been put to better use improving public-health data management at the CDC
  • “We’ve begged for money over the years to build a solid information highway so that we can collect data rapidly and share it with the people that need it in a timely way,” says Benjamin. “But we’ve never gotten what we needed.”
    • kaylynfreeman
       
      The US was not as prepared as we thought
Javier E

The Lack of Testing Is Holding Science Back - The Atlantic - 0 views

  • Since late last month, I have been meeting frequently online with a group of nine colleagues: David Baltimore, Mike Brown, Don Ganem, Peggy Hamburg, Richard Lifton, Marc Lipsitch, Dan Littman, Shirley Tilghman, and Bruce Walker. All are well known for their work in areas such as virology, immunology, genetics, and epidemiology
  • All have served in one or more leadership roles: as presidents of universities or other academic institutions, as heads of government agencies, as advisers to drug or biotechnology companies, or simply as pioneers and mentors in their field. All have sought solutions to the great medical problems of our time. None of us can recall a crisis as stark as COVID-19.
  • we believe that expanding current testing capacity remains a matter of extreme urgency—one that justifies a level of intense, coordinated work at a national, even international, scale that resembles the campaigns we associate with world wars
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  • The shortfall in testing isn’t just a problem for individual patients and their doctors. It is also holding back large-scale surveys of seemingly healthy populations, in workplaces and elsewhere, and scientific research into fundamental properties of the virus and the disease it causes.
  • there is an escalating need to test much larger groups repeatedly—to track the spread of the virus as restrictions ease—and to carry out population-based studies that will reveal more about how this virus behaves.
  • in determining whether an individual is safe to enter a workplace or school on a given morning. Ideally, for the later purposes, tests would be conducted swiftly and at high volume at the places where samples are taken
  • One such approach, still in development, would exploit the ability of the well-known bacterial gene-editing system known as CRISPR to recognize coronavirus RNA.
  • While the need for greatly expanded testing in the next phase of this pandemic is widely acknowledged, the United States has no coordinated plan for how to achieve it. The technical building blocks are in hand, but how to put them together is not yet clear. Moreover, major regulatory hurdles limit the use of the results from novel tests in patient care, especially in certain states such as New York. And the logistics of deploying enough personnel to track samples and deliver results are daunting. Because of the complexity and importance of such testing, a centralized program, run by a strong scientific leader and paid for with federal dollars, may be the only solution.
  • rmed with efficient and accurate tests to detect the virus (indicating active infection) and reliable tests to measure antibodies against it (implying prior exposure and possible immunity), public-health programs could paint an accurate picture of the current pandemic. Small and large businesses, schools, health-care facilities, and other organizations could track the outcomes of their attempts to restore normal activities, and scientists could answer key questions about viral transmission and host immunity.
  • decisive answers will come only from studying human beings who are exposed to the virus under real-life conditions. Such studies may be feasible only under circumstances in which natural transmission is occurring at significant rates, as it currently is. Therefore, if we are to get answers to the following questions, we must act now.
  • tudies to answer these questions require identifying enough people who have recovered, then testing them repeatedly for the appearance of a new infection. Such people are relatively easy to find. They include doctors and nurses in hospitals in hard-hit metropolitan areas such as New York City; staff and residents at nursing homes with high rates of infection; and crews of U.S. Navy ships that have experienced outbreaks of COVID-19.
  • identify asymptomatic infections. Following up on those cases will shed light on how many asymptomatic people ultimately develop symptoms; how long it takes for them to do so; whether asymptomatic people who ultimately develop symptoms have higher viral loads than those who don’t get sick; whether symptomatic and asymptomatic people have different immune responses; whether other, simpler procedures (such as tests for some chemical abnormality in the blood) might be used to screen for infection; and how large a contribution asymptomatic people make to the ongoing transmission of the virus.
  • Despite repeated warnings after prior epidemics about the likelihood of new ones caused by novel microbes, the United States and many other countries failed to respond efficiently to this one. Scientists might have detected the new coronavirus much earlier with the better tools for microbial surveillance that already exist; prevented the pathogen’s worldwide spread by more aggressive testing and contact tracing; and supported better and safer health care with larger stockpiles and pipelines for procurement of medical equipment. Humanity should never be this unprepared again.
kaylynfreeman

Trump May Have Covid, but Many of His Supporters Still Scoff at Masks - The New York Times - 0 views

  • “I have my own business and I don’t have anybody wear a mask in my business,” said Mr. Girvin, a used-car dealer. “I don’t buy into it. When you look at the facts, with how many people die of influenza every year. Obesity kills more people than the Wuhan virus does.”
    • kaylynfreeman
       
      I don't understand how people think this way
  • “Joe Biden has enough nerve to say Donald Trump’s killing people? No. The far-left liberals are causing this. The Pelosis, the Soroses and all these people, that’s who caused it. And I wish them all the worst.”
    • kaylynfreeman
       
      How does this make any sense?
  • “Younger people’s more safe,” said Mr. Dechert, 31. “Older people have an issue. Nobody batted an eye for the flu. Now all of a sudden, it’s an election year — Covid.” #styln-signup .styln-signup-wrapper { max-width: calc(100% - 40px); width: 600px; margin: 20px auto; padding-bottom: 20px; }
    • kaylynfreeman
       
      That's because there isn't a vaccine for covid
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  • “I like my freedom” on leaving the store, and pronounced Covid-19 as “nothing more than a flu, really.’’
    • kaylynfreeman
       
      How can someone be so stupid and inconsiderate?
  • Scoffing at masks, social distancing and crowd avoidance — all measures recommended by health experts, including in the Trump administration — has become a test of loyalty for fervent supporters of the president, who mocked Mr. Biden’s masks during their debate last week and, on returning to the White House on Monday from the hospital, ripped his off, despite being highly contagious.
  • “Say I have it and I get tested five times, that’s five new cases,” he said. “I know for sure, through E.M.T.s, they count it separately.” (This misconception, spread on social media, has been rebutted; the C.D.C. reports total cases and total tests separately.)
  • In a Quinnipiac University national poll last month, four out of five likely voters said they believed masks to be effective at slowing the spread of the virus. Dr. Robert Redfield, director of the C.D.C., told Congress that wide use of face masks would bring the pandemic under control and might offer more protection than a vaccine.
  • Doubts about the C.D.C. figures trace back at least to August, when Mr. Trump retweeted a post by a follower of the QAnon conspiracy. Twitter later removed the president’s retweet for violating its rules about sharing disinformation. The false claim arose because doubters of the C.D.C. argued that deaths in people with underlying health problems, such as diabetes or heart disease, were not deaths from Covid-19 — whereas experts said they were.
Javier E

How Public Health Took Part in Its Own Downfall - The Atlantic - 0 views

  • when the coronavirus pandemic reached the United States, it found a public-health system in disrepair. That system, with its overstretched staff, meager budgets, crumbling buildings, and archaic equipment, could barely cope with sickness as usual, let alone with a new, fast-spreading virus.
  • By one telling, public health was a victim of its own success, its value shrouded by the complacency of good health
  • By a different account, the competing field of medicine actively suppressed public health, which threatened the financial model of treating illness in (insured) individuals
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  • In fact, “public health has actively participated in its own marginalization,” Daniel Goldberg, a historian of medicine at the University of Colorado, told me. As the 20th century progressed, the field moved away from the idea that social reforms were a necessary part of preventing disease and willingly silenced its own political voice. By swimming along with the changing currents of American ideology, it drowned many of the qualities that made it most effective.
  • Germ theory offered a seductive new vision for defeating disease: Although the old public health “sought the sources of infectious disease in the surroundings of man; the new finds them in man himself,” wrote Hibbert Hill in The New Public Health in 1913
  • “They didn’t have to think of themselves as activists,” Rosner said. “It was so much easier to identify individual victims of disease and cure them than it was to rebuild a city.”
  • As public health moved into the laboratory, a narrow set of professionals associated with new academic schools began to dominate the once-broad field. “It was a way of consolidating power: If you don’t have a degree in public health, you’re not public health,”
  • Mastering the new science of bacteriology “became an ideological marker,” sharply differentiating an old generation of amateurs from a new one of scientifically minded professionals,
  • Hospitals, meanwhile, were becoming the centerpieces of American health care, and medicine was quickly amassing money and prestige by reorienting toward biomedical research
  • Public health began to self-identify as a field of objective, outside observers of society instead of agents of social change. It assumed a narrower set of responsibilities that included data collection, diagnostic services for clinicians, disease tracing, and health education.
  • Assuming that its science could speak for itself, the field pulled away from allies such as labor unions, housing reformers, and social-welfare organizations that had supported city-scale sanitation projects, workplace reforms, and other ambitious public-health projects.
  • That left public health in a precarious position—still in medicine’s shadow, but without the political base “that had been the source of its power,”
  • After World War II, biomedicine lived up to its promise, and American ideology turned strongly toward individualism.
  • Seeing poor health as a matter of personal irresponsibility rather than of societal rot became natural.
  • Even public health began to treat people as if they lived in a social vacuum. Epidemiologists now searched for “risk factors,” such as inactivity and alcohol consumption, that made individuals more vulnerable to disease and designed health-promotion campaigns that exhorted people to change their behaviors, tying health to willpower in a way that persists today.
  • Public health is now trapped in an unenviable bind. “If it conceives of itself too narrowly, it will be accused of lacking vision … If it conceives of itself too expansively, it will be accused of overreaching,
  • “epidemiology isn’t a field of activists saying, ‘God, asbestos is terrible,’ but of scientists calculating the statistical probability of someone’s death being due to this exposure or that one.”
  • In 1971, Paul Cornely, then the president of the APHA and the first Black American to earn a Ph.D. in public health, said that “if the health organizations of this country have any concern about the quality of life of its citizens, they would come out of their sterile and scientific atmosphere and jump in the polluted waters of the real world where action is the basis for survival.”
  • a new wave of “social epidemiologists” once again turned their attention to racism, poverty, and other structural problems.
  • The biomedical view of health still dominates, as evidenced by the Biden administration’s focus on vaccines at the expense of masks, rapid tests, and other “nonpharmaceutical interventions.”
  • Public health has often been represented by leaders with backgrounds primarily in clinical medicine, who have repeatedly cast the pandemic in individualist terms: “Your health is in your own hands,” said the CDC’s director, Rochelle Walensky, in May
  • the pandemic has proved what public health’s practitioners understood well in the late 19th and early 20th century: how important the social side of health is. People can’t isolate themselves if they work low-income jobs with no paid sick leave, or if they live in crowded housing or prisons.
  • This approach appealed, too, to powerful industries with an interest in highlighting individual failings rather than the dangers of their products.
  • “Public health gains credibility from its adherence to science, and if it strays too far into political advocacy, it may lose the appearance of objectivity,”
  • In truth, public health is inescapably political, not least because it “has to make decisions in the face of rapidly evolving and contested evidence,” Fairchild told me. That evidence almost never speaks for itself, which means the decisions that arise from it must be grounded in values.
  • Those values, Fairchild said, should include equity and the prevention of harm to others, “but in our history, we lost the ability to claim these ethical principles.”
  • “Sick-leave policies, health-insurance coverage, the importance of housing … these things are outside the ability of public health to implement, but we should raise our voices about them,” said Mary Bassett, of Harvard, who was recently appointed as New York’s health commissioner. “I think we can get explicit.”
  • The future might lie in reviving the past, and reopening the umbrella of public health to encompass people without a formal degree or a job at a health department.
  • What if, instead, we thought of the Black Lives Matter movement as a public-health movement, the American Rescue Plan as a public-health bill, or decarceration, as the APHA recently stated, as a public-health goal? In this way of thinking, too, employers who institute policies that protect the health of their workers are themselves public-health advocates.
  • “We need to re-create alliances with others and help them to understand that what they are doing is public health,
Javier E

How a Pandemic Rescued the Political Image of Ireland's Leader - The New York Times - 0 views

  • Dr. Varadkar, 41, is winning praise for his energetic handling of the crisis. He canceled St. Patrick’s Day festivities, oversaw an aggressive early testing program, closed pubs and schools earlier than other European leaders and has spoken to the public about the contagion in honest, humane terms — in other words, like the general practitioner he once was.
  • Britain has 13 times the population as Ireland and is far more densely populated, with a capital, London, that has nearly twice as many people as the entire Irish Republic
  • “Some of the difference may be serendipity,” said Dr. Patricia Kearney, an expert in epidemiology at the University College Cork. “We have a relatively small population, and the way we live outside the cities is far less dense than in the U.K. But there was still really decisive action by our political leaders.”
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  • Some people clucked over his decision to keep his annual St. Patrick’s Day date with President Trump in Washington during the early days of the outbreak. While there, he called a dramatic news conference at Blair House, opposite the White House, to announce he was closing Irish schools and banning large gatherings.
  • he compensated for those stumbles with an address on St. Patrick’s Day that was viewed by commentators as one of the most memorable ever delivered by an Irish leader.
  • while Ireland lags top performers like Iceland and Norway, it has tested at more than double the rate of Britain.
  • Last month, Ireland got in early in negotiating a €208 million ($226 million) deal with China for this protective gear and scheduled Aer Lingus flights to bring it back. Some of the gowns had been cut for Chinese medics and were too short for Irish doctors. But today Ireland is not suffering from the shortages that afflict other countries
  • Nor does it have a shortage of ventilators, thanks to a chain of manufacturers.
  • At the outset of the contagion, Dr. Kearney said, Ireland aggressively tested and traced the contacts of people with symptoms. That quickly stretched its testing capacity, and it was forced to pull back.
  • Dr. Varadkar’s decision to go back to work as a physician was motivated by a desire to help ease the burden on health care workers, his spokesman said. He also issued a plea for emigrant Irish doctors and nurses, and others who had left the field, to return to help with the surge of patients. So far, 60,000 have responded.
  • Ireland also moved swiftly to impose social distancing, working off an influenza pandemic plan developed 13 years ago
  • It called off a major rugby match between Ireland and Italy in late February, an unpopular decision at the time. But now, experts said, people are adhering to Ireland’s lockdown better than those in Britain.
  • “We’ve all rolled in behind these measures,” Dr. McConkey said. “Even though we’ve had a legacy of shooting at each other over decades, we’re actually quite a socially cohesive society.”
Javier E

Antibody Tests Won't Get Us Back to Normal - The Atlantic - 0 views

  • antibody tests don’t give a snapshot of the present. It can take two weeks for a patient to develop a detectable amount of antibodies in their blood, so antibody surveys are necessarily backward-looking. But when public-health officials are deciding whether schools or businesses are safe to reopen, the key piece of information is the number of people currently infected. “I want to know what is happening now,” Osterholm said, “and antibody testing will not get that to you.”
  • The key strategies for stopping the disease are still the same ones experts have been promoting from the beginning: testing, contact tracing, isolating for those who test positive for COVID-19, and social distancing for everyone else. “There’s going to have to be some level of new normal for a while,”
  • Current antibody surveys are revealing, furthermore, that immunity to COVID-19 can vary widely from location to location
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  • The pandemic may be global but, as Yonatan Grad, an immunologist at Harvard University, told me, “it is made up of hyperlocal epidemics that are differentially impacting communities.” If neighboring cities, states, or countries are at very different points in their outbreak trajectory, it could create difficult questions about when and how to reopen. The places that have best succeeded in stopping COVID-19 will be the ones most vulnerable to infections in the future. Singapore, for example, succeeded in containing the virus early on, only to see a huge surge of cases in March and April. “At some point,” Grad said, “we’re going to need to think about How do we all get to the same place?”
ethanshilling

What the 'Invisible' People Cleaning the Subway Want Riders to Know - The New York Times - 0 views

  • Yaneth Ochoa, a Colombian woman who lives in Queens, was glad to find a job cleaning the subway last summer, as demolition jobs had dried up during the pandemic.
  • But as trains rolled into the Jamaica-179 Street Station in Queens, she learned she would not just be wiping down cars to remove traces of the coronavirus.
  • Like workers at end-of-line stations all over New York City, Ms. Ochoa, 30, was expected to scrub away grime, sputum and even human excrement, she said, without adequate training or special equipment.
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  • Cleaning the New York City subway has always been a dirty job. But when the pandemic hit last spring, it became even more challenging.
  • The thousands of workers the contractors hired — largely low-income immigrants from Latin America — were envisioned as a stopgap measure, as M.T.A. workers were falling ill and dying of the virus.
  • Now, as the M.T.A. prepares to welcome more riders, the workers are pushing back, raising concerns about their safety, salaries and working conditions that they say feel like exploitation.
  • The New York Times interviewed a dozen contract cleaners, including three who in late February had met with Patrick J. Foye, the chairman and chief executive of the M.T.A. to describe their job and share a list of “needs” with transit agency leadership.
  • “It’s so scary to be left without work right now that you’ll accept almost anything,” she said.
  • A spokeswoman for the M.T.A., Abbey Collins, said the agency was disinfecting the subway with the help of “licensed and reputable outside companies whose performance is monitored regularly.”
  • The cleaning program, which the M.T.A. plans to continue indefinitely, will cost about $300 million this year.
  • “If you’ve got workers on the property for a year, it’s a matter of basic equality,” said Zachary Arcidiacono, the chair of the Train Operators Division for the union.
  • Ms. Ochoa, who earned around $15 per hour, New York State’s minimum wage, finally quit after refusing to clean a train smeared with excrement with just a few rags, she said.
  • Their accounts paint a picture of dismal working conditions, and highlight their unequal treatment compared with transit cleaners, who are paid up to $30 an hour and enjoy health insurance and other benefits, uniforms and MetroCards to swipe themselves into the system.
  • Transit officials said they had called on City Hall to send more police officers and mental health workers into the subway to ensure that all workers and passengers were safe.
  • “Many people were getting paid minimum wage or just a dollar or two more,” Mr. Tecaxco said. “The conditions were terrible.”
  • Ms. Muñoz, who cleaned the offices of an architecture firm before the pandemic, said the work was taxing and the rules were strict. Workers were let go for arriving minutes late, or for calling in sick, including from Covid-19, she said.
  • Ms. Muñoz said she was fired in November without explanation. As the sole provider for her four children and parents in Puebla, Mexico, she pleaded to keep her job.
  • Since then, she has not found steady work; she cleans someone’s home every two weeks. As for her former co-workers at the end of the Q line, “My compañeros are still there,” Ms. Muñoz said. “Nothing has changed.”
katherineharron

Third stimulus relief plan: Here's what we know about the Senate bill - CNNPolitics - 0 views

  • While the final Senate bill has not been released yet, lawmakers are expected to make two major changes -- narrowing eligibility for the stimulus checks and nixing an increase in the federal minimum wage to $15 an hour.
  • The bulk of the Senate legislation will, however, largely mirror the $1.9 trillion package approved by the House and laid out by President Joe Biden in January.
  • Senate Democratic leaders are facing more hurdles to advancing the legislation since the party can't afford to lose a single member thanks to the 50-50 split in the chamber. Plus, they must adhere to the strict rules of reconciliation, which they are using to approve the bill without any Republican support.
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  • The Senate is expected to amend the House bill on the $1,400-per-person stimulus payments to tighten eligibility.
  • Individuals earning less than $75,000 a year and married couples earning less than $150,000 will receive $1,400 per person, including children. That will get money to about 90% of households.
  • The checks will phase out faster than previous rounds, completely cutting off individuals who earn more than $80,000 a year and married couples earning more than $160,000 -- regardless of how many children they have.
  • Unlike the previous two rounds, adult dependents -- including college students -- are expected to be eligible for the payments
  • In an effort to combat poverty, it would expand the child tax credit to $3,600 for each child under 6 and $3,000 for each child under age 18. Currently, qualifying families can receive a credit of up to $2,000 per child under age 17.
  • Out-of-work Americans will start running out of Pandemic Unemployment Assistance and Pandemic Emergency Unemployment Compensation benefits in mid-March, when provisions in December's $900 billion relief package begin phasing out. The $300 enhancement also ends in mid-March.
  • The parliamentarian ruled in late February that increasing the hourly threshold does not meet a strict set of guidelines needed to move forward in the reconciliation process, which would allow Senate Democrats to pass the relief bill with a simple majority and no Republican votes.The House legislation would increase the federal minimum wage to $15 an hour by 2025 in stages. It would also guarantee that tipped workers, youth workers and workers with disabilities are paid the full federal minimum wage.
  • Some senators were looking to make some changes to the House bill, including reducing the federal boost to unemployment benefits to $300 a week and extending the duration of pandemic jobless programs by another month. But these efforts have not progressed.The House bill calls for extending two key pandemic unemployment programs through August 29. It would also increase the federal weekly boost to $400, from the current $300, and continue it for the same time period.
  • The House plan would extend the 15% increase in food stamp benefits through September, instead of having it expire at the end of June.It also contains $880 million for the Special Supplemental Nutrition Program for Women, Infants, and Children, known as WIC, to help increase participation and temporarily improve benefits, among other measures. Biden called for investing $3 billion in the program.
  • The legislation would send roughly $19.1 billion to state and local governments to help low-income households cover back rent, rent assistance and utility bills. About $10 billion would be authorized to help struggling homeowners pay their mortgages, utilities and property taxes. It would provide another $5 billion to help states and localities assist those at risk of experiencing homelessness.
  • The legislation would provide $350 billion to state and local governments, as well as tribes and territories. States and the District of Columbia would receive $195.3 billion, while local governments would be sent $130.2 billion to be divided evenly between cities and counties. Tribes would get $20 billion and territories $4.5 billion.
  • Unlike Biden's proposal, the House bill would not reinstate mandatory paid family and sick leave approved in a previous Covid relief package. But it does continue to provide tax credits to employers who voluntarily choose to offer the benefit through October 1.
  • The bill would provide nearly $130 billion to K-12 schools to help students return to the classroom. Schools would be allowed to use the money to update their ventilation systems, reduce class sizes to help implement social distancing, buy personal protective equipment and hire support staff. It would require that schools use at least 20% of the money to address learning loss by providing extended days or summer school, for example.
  • The House bill now includes nearly $40 billion for colleges. Institutions would be required to spend at least half the money to provide emergency financial aid grants to students.
  • The bill would also provide $39 billion to child care providers. The amount a provider receives would be based on operating expenses and is available to pay employees and rent, help families struggling to pay the cost, and purchase personal protective equipment and other supplies.
  • Enrollees would pay no more than 8.5% of their income towards coverage, down from nearly 10% now. Also, those earning more than the current cap of 400% of the federal poverty level -- about $51,000 for an individual and $104,800 for a family of four in 2021 -- would become eligible for help.
  • The bill would provide $15 billion to the Emergency Injury Disaster Loan program, which provides long-term, low-interest loans from the Small Business Administration. Severely impacted small businesses with fewer than 10 workers will be given priority for some of the money. It also provides $25 billion for a new grant program specifically for bars and restaurants. Eligible businesses may receive up to $10 million and can use the money for a variety of expenses, including payroll, mortgage and rent, utilities and food and beverages.
  • The House bill provides $14 billion to research, develop, distribute, administer and strengthen confidence in vaccines. It would also put $46 billion towards testing, contact tracing and mitigation, including investing in laboratory capacity, community-based testing sites and mobile testing units, particularly in medically underserved areas.It would also allocate $7.6 billion to hire 100,000 public health workers to support coronavirus response.The legislation also provides $50 billion to the Federal Emergency Management Agency, with some of the funds going toward expanding vaccination efforts.The President's plan called for investing $20 billion in a national vaccination program.
rerobinson03

Hundreds of Thousands of Cruise Fans Volunteer to Be First to Sail Again - The New York... - 0 views

  • Since March of last year, cruise ships carrying more than 250 people have been prohibited by the Centers for Disease Control and Prevention from sailing in U.S. waters.
  • On May 25, Royal Caribbean became the first cruise line to receive approval from the C.D.C. to conduct simulated voyages, which are planned for its Freedom of the Seas ship starting from PortMiami in Florida in late June.
  • Several major cruise companies have already announced Alaska sailings starting in late July, which will require all passengers to prove that they are vaccinated. But in Florida, the cruise lines’ biggest U.S. departure point, recently enacted state law bans businesses from requiring proof of immunizations from people seeking to use their services.
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  • On MSC European cruises, all guests receive antigen tests when they board and if they test positive, they are given an additional PCR test. Non-vaccinated guests boarding its cruises in Britain must also present proof of a PCR test taken 48 hours before they embark.
  • Florida officials have said they will not exempt the cruise lines. If cruise companies decide to sail with a mix of vaccinated and non-vaccinated passengers, they will have to carry out simulation cruises with volunteers to test health and safety protocols.
  • The simulated voyages must be between two to seven days in length with at least one overnight stay, according to C.D.C. guidelines. They are required to test embarkation and disembarkation procedures, medical evacuations, onboard activities such as meal service and entertainment, re
  • Passengers are also tested mid-cruise after three or four days and are required to wear contact tracing bracelets so that they can be tracked down if someone they have come into contact with tests positive.
  • Cruise ships, she said, “have always been a cesspool for viruses, like planes, and I think there were risks at the height of the pandemic, but now with vaccines and health and safety measures I think they are ready to go again.”
anonymous

The CDC's Anne Schuchat Says The U.S. Isn't Ready For Another Pandemic : NPR - 0 views

  • The United States was unprepared for the coronavirus, the response "wasn't a good performance," and there's still "a lot of work to do" to get ready for the next pandemic when it comes. That's the assessment of Dr. Anne Schuchat, the No. 2 official at the Centers for Disease Control and Prevention, who is retiring this summer after 33 years at the agency.
  • Schuchat also says she supports further investigations into the origins of the pandemic. "There's a lot we really do need to know here," she says. "So understanding where this came from and how it spread so easily, I think is important."
  • Schuchat does not quite have the public profile of Dr. Anthony Fauci, but her work as a disease detective tracing outbreaks is a part of American popular culture. Kate Winslet's character in the movie Contagion was modeled in part on Schuchat. Schuchat's career as a doctor began in the 1980s in New York City, which was a challenging time and place.
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  • She emerged from that time as an internist looking for something new.As she finished her residency, she remembered hearing about the Epidemic Intelligence Service, the CDC's disease detective program.
  • She thought: "Maybe that would be a fun thing to do. Maybe just spending two years learning how to investigate outbreaks would be interesting and a little less intense than what I had just been through before I spend my life in practice."
  • But instead of returning to a medical practice, she stayed with the CDC. "I just fell in love with what we do, how we do it, the people that we work with and the impact that we can have," Schuchat says.
  • This virus is really difficult. I think that a severe toll was going to happen, but we have seen such variation in countries and in communities' ability to counter it. And so I wish that we had not had as much loss of life and ongoing loss of life as we've had around the world. But this virus was going to be difficult under the best circumstances of response. And of course, we've had very variable response to this.
  • We were not ready for that, OK. There are many things that our colleagues in Korea did that allowed them to have a very effective initial response.
  • If it were to happen again next year, five years from now, which is plausible, would we be ready then?We have a lot of work to do. So I think I am really encouraged by the investments and the seriousness that we're seeing in the administration, in the agencies, in the communities. You know, this has been really bad and I just hope people continue to feel that commitment to do better.
  • As a disease detective, with the experience that you have, what have you thought about as people have raised more questions about the origins of the virus?I want all the questions to be answered. There's so much we need to learn about this virus and this pandemic so that we do better next time and prevent where we can. ... Sometimes scientists have questions because they're kind of curious, and more is better. But I think there's a lot we really do need to know here. So understanding where this came from and how it spread so easily I think is important.
anonymous

Transcript: Kamala Harris On U.S. Capitol Attack And Stimulus : Biden Transition Update... - 0 views

  • On Wednesday, Kamala Harris will become the first woman, and the first woman of color, to serve as vice president of the United States.Twelve years ago, hundreds of thousands of people filled the National Mall to watch Barack Obama make history as the nation's first Black president.But when Harris takes the oath, the mall will very likely be nearly empty.
  • A surging pandemic had already led President-elect Joe Biden and Harris to urge supporters to watch the inauguration from home. Now, after a deadly siege of the U.S. Capitol by supporters of President Trump, thousands of National Guard members have been deployed to protect the transfer of power against more violence. The brazen attempt to block Congress from certifying Biden and Harris' November election victory was unprecedented. But for Harris, the undercurrents of hate and racism it represented were not.
  • Why is it so important to you to stick with the planned ceremony and take the oath outside?I think that we cannot yield to those who would try and make us afraid of who we are.
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  • Like Biden, Harris is determined to take the oath of office outside, on the West Front of the U.S. Capitol, despite security concerns that have led to the garrison of soldiers inside the building for the first time since the Civil War.
  • And, like Biden, Harris is equally determined to move forward with an ambitious legislative agenda despite the fact that the early weeks of their administration will likely also see a second Senate impeachment trial of Trump.
  • Harris spoke to NPR on the day Biden unveiled a $1.9 trillion rescue package that would expand unemployment benefits, issue another round of direct stimulus payments, spend billions on coronavirus vaccination and testing efforts, and raise the federal minimum wage to $15, among many other provisions.
  • I want to start with last week with the Capitol attack. You were in Washington, D.C. What was that day like from your vantage point?It was horrific. It was a day that wherein we witnessed an assault on America's democracy, a day when we witnessed the terror that a few can wreak on so many.
  • "It was the same thing that went through my mind when I saw Charlottesville. I mean, it's the same thing that went through my mind when I saw a picture of Emmett Till," Harris told NPR
  • Ticking through some of the details — $20 billion for vaccinations, $50 billion for expanded testing, $130 billion for schools to reopen safely. If this is passed and signed into law, how quickly can Americans expect to see life to return to normal?Let me be very clear that the president-elect and I know this is not going to be easy, but we are putting everything we've got into this, and to deal with it as soon as possible, which is why we're prepared right now to, on day one, push through and get this package, so that it hits the ground and hits the streets and we get relief to the American people.
  • How quickly can this get passed? Democrats have the narrowest of narrow majorities in both chambers.Well, let me tell you, it's our highest priority. It is our highest priority.
  • But there is going to be so much else going on, including now a Senate impeachment trial. So you have not only this bill, you have to confirm the Cabinet through the Senate. There is an impeachment trial. How does that affect everything you're trying to do beyond legislation and confirmations?
  • We know how to multitask [laughs]. There's a reason that word exists in the English language. That's what's going to be required. We have to multitask, which means, as with anyone, we have a lot of priorities and we need to see them through.
  • This proposal has billions of dollars to fund vaccine distribution, but it's not just funding. There are distribution problems, information sharing problems. There are trust problems, supply problems. What can the federal government do immediately in the coming weeks to start to fix these?Well, part of it is pass our plan because we are, for example, putting $50 billion into increased testing and tracing, as you mentioned earlier. We need to increase the supply of PPE.
  • This is a major stimulus package coming through. Are you going to be a point person in getting it passed or in any of these areas once it starts going to effect, if he does sign it into law?Let me tell you something, on every decision that we have made as an incoming administration, we're in the room together, Joe and I, the president-elect and I. And on every, you know, I can't even tell you how many meetings we've been in together that range from this to many other topics that are priorities for us. And so all of the priorities are going to be a priority for me and for the president-elect, obviously.
xaviermcelderry

Biden Set to Call for Big Spending on Stimulus and Vaccines - The New York Times - 0 views

  • on Thursday is expected to outline proposals for trillions of dollars in government spending to combat the coronavirus pandemic and its effects on the economy, with an initial focus on large-scale expansions of the nation’s vaccination program and virus testing capacity.
  • Plans for the first package also include a significant increase in spending on vaccine deployment, testing and contact tracing, Mr. Deese said, and Mr. Biden will seek enough money to allow most schools to open, in an effort to increase labor force participation.
  • Transition team officials would not say on Wednesday how expensive Mr. Biden’s proposals were likely to be or whether he would announce a cost estimate on Thursday. Last week, Mr. Biden said he expected his full agenda would cost “trillions” of dollars.
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  • Mr. Biden has said he will work to build Republican support for his plans, and he will need 10 Republican votes in the Senate to overcome a filibuster. But top Democrats in the House and Senate are preparing to pivot quickly to a parliamentary process known as budget reconciliation in the event they can get only a simple majority in the Senate. Republicans used the procedure to bypass a filibuster and approve Mr. Trump’s signature tax cuts in 2017.
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