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anonymous

How Many Lawmakers Got The Coronavirus Or Self-Quarantined? : NPR - 1 views

  • Now, some are hopeful that they could stem the flow of cases with the Pfizer-BioNTech COVID-19 vaccine now available to all members of Congress.
    • anonymous
       
      Vaccines should go to healthcare workers and nursing home residents and workers who really need it instead of members of congress.
    • anonymous
       
      Vaccines should go to healthcare workers and nursing home residents and workers who really need it instead of members of congess.
  • "will be provided with a specific number of COVID19 vaccine doses to meet long-standing requirements for continuity of government operations,"
    • anonymous
       
      Most government officials can probably do their government operations from home, they don't need the vaccine to meet "long-standing requirements."
  • more than 220 workers tested positive, or were presumed so, for the illness.
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  • both chambers of Congress recessed multiple times throughout the year as the Capitol went largely without a widespread testing program.
  • the Democrat-controlled House installed emergency proxy voting and remote hearings
  • Pelosi triggered a broader COVID-19 testing program for Congress following new requirement for travelers to the Washington, D.C., area.
  • But efforts to test as many as 2,000 a week still falls short for a Capitol complex that includes more than 530 lawmakers and a workforce of 20,000 or more.
    • anonymous
       
      How does the government know how many vaccines they're going to need if they can't even test everyone properly?
  • A previous outbreak in September was tied to a White House Rose Garden ceremony to announce Amy Coney Barrett as President Trump's Supreme Court justice nominee.
    • anonymous
       
      The government is causing more outbreaks of covid, they don't deserve to be the 1st people vaccinated.
  • By this summer, dozens of Capitol workers reported a positive test or were presumed so, and Gary Tibbetts, a longtime staffer for Republican Rep. Vern Buchanan of Florida, died from COVID-19 on July 24.
    • anonymous
       
      What could all of these government officials possibly be doing for all of them to get sick?
yehbru

Pence Will Be Vaccinated on Live TV, Adding to Administration's Mixed Virus Message - T... - 0 views

  • At 8 a.m. on Friday, Vice President Mike Pence will roll up his sleeve to receive the coronavirus vaccine, a televised symbol of reassurance for vaccine skeptics worried about its dangers.
  • Notably absent from any planned public proceedings is President Trump, who has said relatively little about the vaccine that may be seen as a singular achievement and has made it clear that he is not scheduled to take it himself.
  • coronavirus is regularly killing around 3,000 Americans a day
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  • Secretary of State Mike Pompeo was forced into quarantine after being exposed to someone who had tested positive for the coronavirus after hosting a string of large, indoor holiday parties at the State Department and attending a private party Saturday to watch the annual Army-Navy football game
  • The president, who recovered from his own bout with the virus after being treated with experimental drugs at Walter Reed National Military Medical Center, is described by aides and allies as preoccupied with the election results he still refuses to accept, and has shown no interest in participating in any kind of public health message.
  • Instead, Mr. Trump has been focused on his efforts to overturn the election results and consumed by his anger at Senator Mitch McConnell, the majority leader, who this week finally congratulated Mr. Biden on his victory and said that “the Electoral College has spoken.”
  • After months of positioning himself in opposition to public health experts, people familiar with his thinking said, Mr. Trump feels on some level as if he does not want to be seen as caving in the end to the advice of the same people he has disparaged.
  • As Mr. Trump hesitates, lawmakers and Supreme Court justices are expected to begin receiving vaccines in the coming days, though the doses will be limited.
  • Public health officials said they were pleased that the vice president was going to be vaccinated in public, along with Surgeon General Jerome Adams, despite the president’s own lack of interest in sending a similar public health message.
  • “The question is why don’t they do it together, six feet apart? It would be really powerful for the president, who has gotten exceptional treatment, to say that even in spite of getting the best care, it’s important that I get this vaccine.”
  • Mr. Trump’s decision, so far, to not get vaccinated, Dr. Gupta said, risked undermining any confidence that Mr. Pence might instill among skeptics who take their cues from the president alone.
  • “giving false reassurances to the American people that the vaccine is here and vigilance is no longer required.”
  • White House officials have said Mr. Trump does not need to get vaccinated because he still has the protective effects of the monoclonal antibody cocktail that was used to treat him for the virus in October. But Dr. Gupta said that was a misinterpretation of the results and that there was “no scientific reason not to get vaccinated.”
  • Mr. Trump said on Sunday that he would delay a plan for senior White House staff members to receive the coronavirus vaccine in the coming days
  • Doctors from Walter Reed this week set up vaccine stations inside the Indian Treaty Room in the Eisenhower Executive Office Building. There, they began vaccinating staff considered critical to the functioning of government: That included Secret Service members, some medical staff and some other support staff who work near Mr. Trump.
  • “His priority is frontline workers, those in long-term care facilities, and he wants to make sure that the vulnerable get access first,” Ms. McEnany said this week. When it came to staff working in the West Wing, she added, “it will be a very limited group of people who have access to it, initially.”
  • Mr. Pence, people familiar with his thinking said, was concerned about the optics of jumping the line, when he wanted the administration to receive credit for the distribution of an effective vaccine to frontline medical workers without any distractions.
yehbru

Opinion: Covid-19 has revealed just how vulnerable we are to biosecurity threats - CNN - 0 views

  • The field of biosecurity -- aimed at keeping nations safe from natural or human-made pathogens -- has long been eclipsed by cybersecurity and counterterrorism
  • Covid-19, which is often compared to the flu pandemic of 1918, has been called a once-in-a-generation event. But the outbreak of MERS and SARS in recent years shows just how frequent emerging diseases can occur.
  • A significant increase in biological containment facilities over the last 30 years also poses a grave risk. There are now more than 50 facilities around the world that are categorized as "Level 4" labs, which contain the deadliest pathogens and require the highest level of safety, and thousands more are designated "Level 3" facilities that contain infectious agents or toxins that may cause potentially lethal infection. While it is highly unlikely that Covid-19 emerged from a laboratory in Wuhan, the pandemic has raised the specter of a possible leak or act of bioterrorism. Containment facilities are an Achilles heel in biosecurity, and these labs, along with those who work there, should be subject to greater international scrutiny.
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  • We must not ignore the threat of bad actors gaining access to these dangerous pathogens, which are the ultimate terror weapons, due to their potentially massive impact
  • In Germany, security services interdicted vast amounts of the toxin ricin, which, authorities said, a couple was planning to use in a biological attack in 2018
  • Instead of looking to weaponize a highly virulent pathogen like anthrax -- the spore-forming bacterium which was infamously mailed out to media outlets and politicians in a bio attack in 2001, killing five people and injuring 17 more -- bad actors are now likely considering the efficacy of a less virulent but highly transmissible pathogen like SARS-CoV-2, which has brought the world to its knees in the last year. This pathogen has shown that transmissibility -- rather than toxicity -- is a major factor when it comes to mass disruption.
  • The pandemic has also underscored the importance of manufacturing and stockpiling medical gear including personal protective equipment to avoid logjams in the supply chain and a reliance on other countries like China for these critical supplies. Providing accurate and accessible information to the public is also key; propaganda and disinformation must not be taken lightly.
  • However, it is poorly funded in comparison to other treaties like the Chemical Weapons Convention, and does not have a corresponding body like the Organization for the Prohibition of Chemical Weapons (OPCW) to police it.
  • The World Health Organization could also implement an early warning system to predict pandemics, showing its progress around the globe.
  • MCMs are products such as vaccines, biologics and pharmaceutical drugs that can diagnose, protect or treat the effects of a naturally occurring new disease or biological attack. In the future, it may be more cost effective to pay the pharmaceutical industry ahead of time to produce treatments and vaccines rather than wait for a pandemic to develop.
  • When it comes to policies that are already in place, there is the Biological and Toxic Weapons Convention (BTWC), a multilateral treaty that went into effect in 1975, which prohibits the development, production, acquisition and stockpiling of biological agents and toxins and any related delivery systems that have "no justification for prophylactic, protective or other peaceful purposes."
  • Going forward, we should treat biosecurity threats with the same urgency in the 21st century as world leaders approached atomic bombs in the 20th century.
  • A first step would be for the UN Security Council to fund and enforce the Biological and Toxic Weapons Convention.
lmunch

Covid-19 Live Updates: U.S. Air Travel Hits Pandemic High - The New York Times - 0 views

  • With the coronavirus raging in many parts of the country and hospitals dangerously overstretched, public health officials warned on Sunday that more calamitous days may be ahead, as infections tied to holiday gatherings fuel a fresh spate of illness and death.
  • This is also the first holiday period in which the new, more transmissible variant of the virus, first found in Britain, was known to be circulating in the United States.
  • Although air travel is down markedly from years past, American airports had their busiest day of the pandemic on Saturday, with 1,192,881 passengers passing through security checkpoints, according to the Transportation Security Administration. Since Dec. 18, the agency has counted more than 16.3 million trips through its airport checkpoints, down from more than 35.4 million in the same period a year ago. And tens of millions more people were expected to travel by car.
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  • Because of the time lag between when people catch the virus and when they become ill and are hospitalized — and also because of holiday reporting anomalies — public health officials say a post-Christmas spike may not emerge clearly until the second week of January.
  • greater than 50 percent of the spread now is among people who are asymptomatic.
  • The United States reported at least 291,300 new coronavirus cases on Saturday, a single-day record, but one inflated by holiday reporting backlogs.
  • Los Angeles County, the most populous in the United States, may already be experiencing a post-Christmas surge. Over the past week it has averaged 16,193 cases a day, about 12 times the average rate of 1,347 a day at the start of November.
  • in Los Angeles County in particular, some Angelenos celebrated the new year at clandestine parties. Police dispersed more than a thousand people who had attended a warehouse party, The Los Angeles Times reported.
yehbru

White House rips Fauci after criticism of Atlas and Trump's pandemic response - CNNPoli... - 0 views

  • "It's unacceptable and breaking with all norms for Dr. Fauci, a senior member of the President's Coronavirus Taskforce and someone who has praised President (Donald) Trump's actions throughout this pandemic, to choose three days before an election to play politics," White House deputy press secretary Judd Deere said in a statement to CNN on Saturday evening.
  • Fauci told the Post that the Democratic nominee's campaign "is taking it seriously from a public health perspective." While Trump, Fauci said, is "looking at it from a different perspective." He said that perspective was "the economy and reopening the country," according to the Post.
  • Fauci, a leading member of the government's coronavirus response, said the United States needed to make an "abrupt change" in public health practices and behaviors, according to the Post. He said the country could surpass 100,000 new coronavirus cases a day and predicted rising deaths in the coming weeks
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  • "I recently did an interview with RT and was unaware they are a registered foreign agent. I regret doing the interview and apologize for allowing myself to be taken advantage of. I especially apologize to the national security community who is working hard to defend us."
  • "New interview. Lockdowns, facts, frauds ... if you can't handle truth, use a mask to cover your eyes and ears," Atlas, who has misrepresented the effectiveness of masks and discouraged testing of asymptomatic people, tweeted along with the interview.
  • "Dr. Fauci knows that the risks today are dramatically lower than they were only a few months ago with mortality rates falling over 80%.
  • We're in for a whole lot of hurt. It's not a good situation," Fauci said. "All the stars are aligned in the wrong place as you go into the fall and winter season, with people congregating at home indoors. You could not possibly be positioned more poorly."
  • Atlas did not have clearance from the White House for the interview
  • auci's comments came the same day that the US reported 99,321 new Covid-19 cases -- the highest single day number of cases recorded for any country. As of Saturday evening, the country's death toll from the pandemic has topped 230,000.
  • Fauci's assessment of the country's handling of the pandemic also comes as Trump has continued to insist on holding huge rallies — including four in Pennsylvania on Saturday alone — which only draws attention to the fact that he is dangerously flouting the safety guidelines of his own expert
  • Earlier this month, the President trashed Fauci as a "disaster" and made baseless coronavirus claims in a campaign call.
  • "People are tired of Covid. I have the biggest rallies I've ever had, and we have Covid," Trump said, phoning into a call with campaign staff from his namesake hotel in Las Vegas, where he spent two nights amid a western campaign swing.
  • During the Post interview, Fauci noted he needed to be careful with his answers or he might be blocked from doing further appearances.
  • "It's much more about some of the states like Utah, Nevada, South Dakota, North Dakota, where ... they never had a pretty good reserve of intensive care beds and things like that. I hope they'll be okay, but it's still a risk that, as you get more surging, they're going to run out of capacity," Fauci said.
mattrenz16

Will Thanksgiving be a superspreading event? Look to Canada for answers - CNN - 0 views

  • Several cities and provinces have shattered single day records for coronavirus infections, and Canada's top doctors say the holiday -- held on October 12 -- is partly to blame.
  • Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, has for weeks warned that coronavirus precautions will result in a very different kind of Thanksgiving for many people this year, himself included.
  • "You may have to bite the bullet and sacrifice that social gathering, unless you're pretty certain that the people that you're dealing with are not infected. Either they've been very recently tested, or they're living a lifestyle in which they don't have any interaction with anybody except you and your family."
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  • For weeks, Canadian political leaders in virus hotspots have barred dine-in eating, closed gyms and theaters, and restricted large gatherings.
  • With a surge in cases ongoing and more holidays to come on the calendar, many hospitals in Canada are now activating surge capacity plans, adding temporary Covid-19 units and more acute care beds.
  • "Clearly, even though we haven't, in Canada, experienced one of the catastrophic scenarios we fretted over in April, we shouldn't feel too safe," Dr. Francois Lamontagne, a clinician and scientist at the University of Sherbrooke in Quebec, told CNN.
  • But Lamontagne said he's also concerned about how some people now distrust authorities and the medical advice they dispense about the virus.
  • The United States has recorded more than 9.1 million infections and 230,548 deaths during the pandemic, according to data from Johns Hopkins University (JHU).
  • The US Centers for Disease Control and Prevention also recently released guidance on holiday gatherings and what Americans need to be aware of before traveling, hosting or attending parties -- or just gathering with family and friends over the Thanksgiving holiday.
  • The lowest risk for contracting the highly infectious virus or spreading it is simply celebrating Thanksgiving in your own home with members of your household and/or virtually with extended family, the CDC said.
  • Traveling during the holidays, on planes or public transportation, increases the chances of catching and spreading Covid-19 because it increases exposure to the virus, the CDC said in its holiday guidelines.
leilamulveny

US coronavirus: Americans head to polls amid harrowing surge in cases and hospitalizati... - 0 views

  • (CNN)As Americans head to the voting booths Tuesday, the devastating Covid-19 pandemic looms: surging across the US yet again, setting grim records and forecast to take tens of thousands more lives across the country in the coming months.
  • In just one month, the country's 7-day case average nearly doubled.
  • Last Friday, the US reported 99,321 new cases -- the highest single day number of infections recorded for any country. And at least 31 states set daily infection records in October.
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  • Researchers from the University of Washington's Institute for Health Metrics and Evaluation project that 399,163 Americans could lose their lives to Covid-19 by February 1.
  • As of Tuesday afternoon, the US reported 9.3 million cases of the virus and more than 232,000 people have died, according to data from Johns Hopkins University.
  • Hospitalizations are also surging, with the number of patients nationwide rising by more than 10,000 in just two weeks, according to data from the Covid Tracking Project.
  • However, more than 130,000 lives could be saved by March if Americans wore masks, Dr. Francis Collins, director of the National Institutes of Health, wrote in a blog post on Tuesday.
  • For those who are hoping to cast their ballot Tuesday, the CDC told CNN people recovering from Covid-19 or quarantining from being exposed to the virus can still go vote safely
  • "When possible, alternative voting options -- which minimize contact between voters and poll workers -- should be made available for people with Covid-19, those who have symptoms of Covid-19, and those who have been exposed," the CDC spokesperson said.
  • Meanwhile, more bad news, this time on Covid-19 cases in children.
  • There were 61,000 new cases in children during the last week of October, "which is larger than any previous week in the pandemic," the AAP said in a statement. And since the start of the pandemic through October 29, more than 853,000 children have tested positive for the virus, the AAP said. Nearly 200,000 of those cases were during the month of October.
katherineharron

US Coronavirus: US nears 7 million Covid-19 cases as 23 states report rising numbers - CNN - 0 views

  • Nearly half of US states are reporting a rise in cases of Covid-19 as the country nears 7 million cases nationwide -- yet another grim milestone.
  • About 16 states' case numbers are holding steady, while 11 -- Arizona, Connecticut, Delaware, Hawaii, Indiana, Maryland, Ohio, Pennsylvania, South Carolina, Vermont and Virginia -- saw a decline.
  • California became the first state to surpass 800,000 infections, according to Johns Hopkins data. Texas is second, with about 747,500 cases, followed by Florida with some 695,000 cases.
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  • he rate of new cases is up 9% from last week, with a seven-day average of more than 43,000 cases nationwide.
  • "Rather than say, 'A second wave,' why don't we say, 'Are we prepared for the challenge of the fall and the winter?'" said Fauci, the nation's leading infectious disease expert.
  • More than 90% of the population remains susceptible to the virus, US Centers for Disease Control and Prevention Director Dr. Robert Redfield said this week.
  • Across the US, more than 6.9 million people have already been infected with the virus and at least 203,000 Americans have died, per Johns Hopkins data.
  • Cities, counties and states that have managed to bring their Covid-19 cases down should now work to prevent "surges that inevitably will occur if you're not doing the kinds of public health measures that we're talking about," according to Fauci.
  • About 12 states are now seeing mask usage rates above 50%, according to researchers from the University of Washington's Institute for Health Metrics and Evaluation (IHME).
  • If 95% of Americans wore masks, more than 95,000 lives could be saved by January, the IHME projects.
  • "If we listen to the public health measures, not only would we diminish the effect of Covid-19, we might get away with a very, very light flu season if we combine that with getting the flu vaccine," Fauci said.
  • "I don't want to seem preachy about it," he told New Jersey Gov. Phil Murphy during a livestream Thursday on Facebook. "But right now, the infections in the country are driven more by young people, 19 to 25."
  • While vaccines for Covid-19 are being tested, the growing skepticism around them is becoming an "enormous" problem,
  • It's a problem, Schaffner says, "because once we do develop a vaccine, obviously we want people to accept it, but there's growing skepticism ... in the general population."
  • US health experts have previously said it's likely many Americans will opt out of getting the Covid-19 vaccine once one is widely available.
  • And now 62% of Americans believe political pressure from the Trump administration will cause the US Food and Drug Administration to rush approval of a Covid-19 vaccine before Election Day, according to a new health tracking poll from the Kaiser Family Foundation.
  • "These are respected, trained people who are much better at models and statistics and all that other stuff than any of us are," he said during an online conversation with CNN Chief Medical Correspondent Dr. Sanjay Gupta organized by Emory University.
carolinehayter

CDC Advisory Group Debates Who Would Get A COVID-19 Vaccine First : Shots - Health News... - 0 views

  • It's still unknown when a COVID-19 vaccine might be available in the United States. But when one is first approved, there may only be 10 million to 15 million doses available, which may be enough to cover around 3% to 5% of the U.S. population.
  • policymakers must decide who gets the vaccine first
  • A vaccine advisory group to the Centers for Disease Control and Prevention is meeting Tuesday to consider how to prioritize distribution of a future COVID-19 vaccine. But a vote on who will get a vaccine first, originally planned for Tuesday, has been delayed
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  • That's far more than can be accommodated initially.
  • When you add all the priority groups together, they account for half of all U.S. adults
  • Priority groups include "those who have the highest risk of exposure, those who are at risk for severe morbidity and mortality ... [and also] the workforce that's needed for us to maintain our both health and economic status,"
  • The general consensus among bioethicists is that the first doses should go to front-line health workers. "Obviously they are being placed at high risk of infection, because they're taking care of people who are infected and infectious
  • But even within this seemingly clear category, there are questions about who a front-line health worker is. The definition extends beyond doctors and nurses to encompass hospital staff who care for and clean up after COVID-19 patients, nursing home workers and possibly pharmacy staff and emergency medical responders, according to preliminary guidelines from the CDC. Morticians and funeral home workers may also qualify, according to a draft report from the National Academies of Sciences, Engineering and Medicine, because they handle COVID-19 victims' bodies.
  • "Health care worker vaccination sounds simple, but if we don't have enough doses, we still have to be really judicious in how we're implementing," Lee said. If everyone who might qualify as a health worker exceeds the initial supply, state and local authorities might have to ration distribution further — for instance, restricting the vaccine to parts of a state that are being hit the hardest.
  • So who should get it next?
  • A lot of the decisions will depend on the characteristics of the vaccine itself.
  • Factors still unknown include who a vaccine is most effective for, who can reasonably access the vaccine and whether people will line up in droves to get it.
  • suggests that a vaccine could be available to all Americans within 12 to 18 months of its approval
  • Several organizations have produced reports on prioritizing vaccine distribution, but it's the CDC and its advisory committee that have the greatest influence over how a vaccine is used and distributed in the U.S. by health departments, hospitals and doctors' offices. When ACIP does vote, the committee's advice will provide critical information that state and local health agencies will use to figure out whom to give the first vaccines to and how to reach them.
Javier E

Opinion | America and the Coronavirus: 'A Colossal Failure of Leadership' - The New Yor... - 0 views

  • One of the most lethal leadership failures in modern times unfolded in South Africa in the early 2000s as AIDS spread there under President Thabo Mbeki.Mbeki scorned science, embraced conspiracy theories, dithered as the disease spread and rejected lifesaving treatments. His denialism cost about 330,000 lives, a Harvard study found
  • “We’re unfortunately in the same place,” said Anne Rimoin, an epidemiologist at U.C.L.A. “Mbeki surrounded himself with sycophants and cost his country hundreds of thousands of lives by ignoring science, and we’re suffering the same fate.”
  • “I see it as a colossal failure of leadership,” said Larry Brilliant, a veteran epidemiologist who helped eliminate smallpox in the 1970s. “Of the more than 200,000 people who have died as of today, I don’t think that 50,000 would have died if it hadn’t been for the incompetence.”
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  • There’s plenty of blame to go around, involving Democrats as well as Republicans, but Trump in particular “recklessly squandered lives,” in the words of an unusual editorial this month in the New England Journal of Medicine. Death certificates may record the coronavirus as the cause of death, but in a larger sense vast numbers of Americans died because their government was incompetent.
  • As many Americans are dying every 10 days of Covid-19 as U.S. troops died during 19 years of war in Iraq and Afghanistan
  • The paradox is that a year ago, the United States seemed particularly well positioned to handle this kind of crisis. A 324-page study by Johns Hopkins found last October that the United States was the country best prepared for a pandemic.
  • Then there’s an immeasurable cost in soft power as the United States is humbled before the world.
  • “It’s really sad to see the U.S. presidency fall from being the champion of global health to being the laughingstock of the world,”
  • in terms of destruction of American lives, treasure and well-being, this pandemic may be the greatest failure of governance in the United States since the Vietnam War.
  • the economists David Cutler and Lawrence Summers estimate that the economic cost of the pandemic in the United States will be $16 trillion, or about $125,000 per American household — far more than the median family’s net worth.
  • It’s true that the Obama administration did not do enough to refill the national stockpile with N95 masks, but Republicans in Congress wouldn’t provide even the modest sums that Obama requested for replenishment. And the Trump administration itself did nothing in its first three years to rebuild stockpiles.
  • The Obama administration updated this playbook and in the presidential transition in 2016, Obama aides cautioned the Trump administration that one of the big risks to national security was a contagion. Private experts repeated similar warnings. “Of all the things that could kill 10 million people or more, by far the most likely is an epidemic,” Bill Gates warned in 2015.
  • Credit for that goes to President George W. Bush, who in the summer of 2005 read an advance copy of “The Great Influenza,” a history of the 1918 flu pandemic. Shaken, Bush pushed aides to develop a strategy to prepare for another great contagion, and the result was an excellent 396-page playbook for managing such a health crisis.
  • Trump argues that no one could have anticipated the pandemic, but it’s what Bush warned about, what Obama aides tried to tell their successors about, and what Joe Biden referred to in a blunt tweet in October 2019 lamenting Trump’s cuts to health security programs and adding: “We are not prepared for a pandemic.”
  • When the health commission of Wuhan, China, announced on Dec. 31 that it had identified 27 cases of a puzzling pneumonia, Taiwan acted with lightning speed. Concerned that this might be an outbreak of SARS, Taiwan dispatched health inspectors to board flights arriving from Wuhan and screen passengers before allowing them to disembark. Anyone showing signs of ill health was quarantined.
  • If either China or the rest of the world had shown the same urgency, the pandemic might never have happened.
  • In hindsight, two points seem clear: First, China initially covered up the scale of the outbreak. Second, even so, the United States and other countries had enough information to act as Taiwan did. The first two countries to impose travel restrictions on China were North Korea and the Marshall Islands, neither of which had inside information.
  • That first half of January represents a huge missed opportunity for the world. If the United States, the World Health Organization and the world media had raised enough questions and pressed China, then perhaps the Chinese central government would have intervened in Wuhan earlier. And if Wuhan had been locked down just two weeks earlier, it’s conceivable that this entire global catastrophe could have been averted.
  • the C.D.C. devised a faulty test, and turf wars in the federal government prevented the use of other tests. South Korea, Germany and other countries quickly developed tests that did work, and these were distributed around the world. Sierra Leone in West Africa had effective tests before the United States did.
  • It’s true that local politicians, Democrats and Republicans alike, made disastrous decisions, as when Mayor Bill de Blasio of New York City urged people in March to “get out on the town despite coronavirus.” But local officials erred in part because of the failure of testing: Without tests, they didn’t know what they faced.
  • t’s unfair to blame the testing catastrophe entirely on Trump, for the failures unfolded several pay grades below him. Partly that’s because Trump appointees, like Robert Redfield, director of the C.D.C., simply aren’t the A team.
  • In any case, presidents set priorities for lower officials. If Trump had pushed aides as hard to get accurate tests as he pushed to repel refugees and migrants, then America almost certainly would have had an effective test by the beginning of February and tens of thousands of lives would have been saved.
  • Still, testing isn’t essential if a country gets backup steps right. Japan is a densely populated country that did not test much and yet has only 2 percent as many deaths per capita as the United States. One reason is that Japanese have long embraced face masks, which Dr. Redfield has noted can be at least as effective as a vaccine in fighting the pandemic. A country doesn’t have to do everything, if it does some things right.
  • Trump’s missteps arose in part because he channeled an anti-intellectual current that runs deep in the United States, as he sidelined scientific experts and responded to the virus with a sunny optimism apparently meant to bolster the financial markets.
  • Yet in retrospect, Trump did almost everything wrong. He discouraged mask wearing. The administration never rolled out contact tracing, missed opportunities to isolate the infected and exposed, didn’t adequately protect nursing homes, issued advice that confused the issues more than clarified them, and handed responsibilities to states and localities that were unprepared to act.
  • The false reassurances and dithering were deadly. One study found that if the United States had simply imposed the same lockdowns just two weeks earlier, 83 percent of the deaths in the early months could have been prevented.
  • A basic principle of public health is the primacy of accurate communications based on the best science. Chancellor Angela Merkel of Germany, who holds a doctorate in physics, is the global champion of that approach
  • Trump was the opposite, sowing confusion and conspiracy theories; a Cornell study found that “the President of the United States was likely the largest driver of the Covid-19 misinformation.”
  • A conservative commentariat echoed Trump in downplaying the virus and deriding efforts to stay safe.
  • A University of Chicago study found that watching the Sean Hannity program correlated to less social distancing, so watching Fox News may well have been lethal to some of its fans.
  • Americans have often pointed to the Soviet Union as a place where ideology trumped science, with disastrous results. Stalin backed Trofim Lysenko, an agricultural pseudoscientist who was an ardent Communist but scorned genetics — and whose zealous incompetence helped cause famines in the Soviet Union. Later, in the 1980s, Soviet leaders were troubled by data showing falling life expectancy — so they banned the publication of mortality statistics
  • It was in the same spirit that Trump opposed testing for the coronavirus in the hope of holding down the number of reported cases.
  • Most striking, Trump still has never developed a comprehensive plan to fight Covid-19. His “strategy” was to downplay the virus and resist business closures, in an effort to keep the economy roaring — his best argument for re-election.
  • This failed. The best way to protect the economy was to control the virus, not to ignore it, and the spread of Covid-19 caused economic dislocations that devastated even homes where no one was infected.
  • Eight million Americans have slipped into poverty since May, a Columbia University study found, and about one in seven households with children have reported to the census that they didn’t have enough food to eat in the last seven days.
  • More than 40 percent of adults reported in June that they were struggling with mental health, and 13 percent have begun or increased substance abuse, a C.D.C. study found
  • More than one-quarter of young adults said they have seriously contemplated suicide
  • So in what is arguably the richest country in the history of the world, political malpractice has resulted in a pandemic of infectious disease followed by pandemics of poverty, mental illness, addiction and hunger.
  • The rejection of science has also exacerbated polarization and tribalism
  • An old school friend shared this conspiracy theory on Facebook:Create a VIRUS to scare people. Place them in quarantine. Count the number of dead every second of every day in every news headline. Close all businesses …. Mask people. Dehumanize them. Close temples and churches …. Empty the prisons because of the virus and fill the streets with criminals. Send in Antifa to vandalize property as if they are freedom fighters. Undermine the law. Loot …. And, in an election year, have Democrats blame all of it on the President. If you love America, our Constitution, and the Rule of Law, get ready to fight for them.
  • During World War II, American soldiers died at a rate of 9,200 a month, less than one-third the pace of deaths from this pandemic, but the United States responded with a massive mobilization
  • Yet today we can’t even churn out enough face masks; a poll of nurses in late July and early August found that one-third lacked enough N95 masks
  • Trump and his allies have even argued against mobilization. “Don’t be afraid of Covid,” Trump tweeted this month. “Don’t let it dominate your life.”
  • It didn’t have to be this way. If the U.S. had worked harder and held the per capita mortality rate down to the level of, say, Germany, we could have saved more than 170,000 lives
  • And if the U.S. had responded urgently and deftly enough to achieve Taiwan’s death rate, fewer than 100 Americans would have died from the virus.
  • “It is a slaughter,” Dr. William Foege, a legendary epidemiologist who once ran the C.D.C., wrote to Dr. Redfield. Dr. Foege predicted that public health textbooks would study America’s response to Covid-19 not as a model of A-plus work but as an example of what not to do.
martinelligi

Texas Vaccination Site Apologizes For Refusing COVID-19 Shots To 2 Eligible People : Co... - 0 views

  • The University of Texas Rio Grande Valley is apologizing for turning away two people eligible for COVID-19 vaccinations on Saturday because they could not prove they live in the United States.
  • Proof of residency and citizenship are not required to get the vaccine, according to the Texas Department of State Health Services — as stated in guidance on the agency's website. UT-RGV spokesperson Patrick Gonzalez confirmed the university did not follow state protocol.
  • "[Dad] said that [the health worker] told him in front of everybody, 'you don't have a social, so we can't help you at all. And it's only for U.S. citizens,' "
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  • The Rio Grande Valley is located near the U.S.-Mexico border and is a majority Hispanic region with a large number of undocumented and mixed-status families.
Javier E

Health insurance whistleblower: I lied to Americans about Canadian medicine - The Washi... - 0 views

  • In my prior life as an insurance executive, it was my job to deceive Americans about their health care. I misled people to protect profits
  • That work contributed directly to a climate in which fewer people are insured, which has shaped our nation’s struggle against the coronavirus, a condition that we can fight only if everyone is willing and able to get medical treatment. Had spokesmen like me not been paid to obscure important truths about the differences between the U.S. and Canadian health-care systems, tens of thousands of Americans who have died during the pandemic might still be alive.
  • In 2007, I was working as vice president of corporate communications for Cigna.
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  • I spent much of that year as an industry spokesman, my last after 20 years in the business, spreading AHIP’s “information” to journalists and lawmakers to create the impression that our health-care system was far superior to Canada’s, which we wanted people to believe was on the verge of collapse.
  • The campaign worked. Stories began to appear in the press that cast the Canadian system in a negative light. And when Democrats began writing what would become the Affordable Care Act in early 2009, they gave no serious consideration to a publicly financed system like Canada’s.
  • Today, the respective responses of Canada and the United States to the coronavirus pandemic prove just how false the ideas I helped spread were.
  • There are more than three times as many coronavirus infections per capita in the United States, and the mortality rate is twice the rate in Canada.
  • The most effective myth we perpetuated — the industry trots it out whenever major reform is proposed — is that Canadians and people in other single-payer countries have to endure long waits for needed care.
  • While it’s true that Canadians sometimes have to wait weeks or months for elective procedures (knee replacements are often cited), the truth is that they do not have to wait at all for the vast majority of medical services.
  • And, contrary to another myth I used to peddle — that Canadian doctors are flocking to the United States — there are more doctors per 1,000 people in Canada than here. Canadians see their doctors an average of 6.8 times a year, compared with just four times a year in this country.
  • Most important, no one in Canada is turned away from doctors because of a lack of funds, and Canadians can get tested and treated for the coronavirus without fear of receiving a budget-busting medical bill.
  • In America, exorbitant bills are a defining feature of our health-care system. Despite the assurances from President Trump and members of Congress that covid-19 patients will not be charged for testing or treatment, they are on the hook for big bills, according to numerous reports.
  • That is not the case in Canada, where there are no co-pays, deductibles or coinsurance for covered benefits. Care is free at the point of service. And those laid off in Canada don’t face the worry of losing their health insurance. In the United States, by contrast, more than 40 million have lost their jobs during this pandemic, and millions of them — along with their families — also lost their coverage.
  • Then there’s quality of care. By numerous measures, it is better in Canada. Some examples: Canada has far lower rates than the United States of hospitalizations from preventable causes like diabetes (almost twice as common here) and hypertension (more than eight times as common).
  • And even though Canada spends less than half what we do per capita on health care, life expectancy there is 82 years, compared with 78.6 years in the United States.
  • Of the many regrets I have about what I once did for a living, one of the biggest is slandering Canada’s health-care system. If the United States had undertaken a different kind of reform in 2009 (or anytime since), one that didn’t rely on private insurance companies that have every incentive to limit what they pay for, we’d be a healthier country today.
  • Living without insurance dramatically increases your chances of dying unnecessarily. Over the past 13 years, tens of thousands of Americans have probably died prematurely because, unlike our neighbors to the north, they either had no coverage or were so inadequately insured that they couldn’t afford the care they needed. I live with that horror, and my role in it, every day.
  • here were more specific reasons to be skeptical of those claims. We didn’t know, for example, who conducted that 2004 survey or anything about the sample size or methodology — or even what criteria were used to determine who qualified as a “business leader.” We didn’t know if the assertion about imaging equipment was based on reliable data or was an opinion. You could easily turn up comparable complaints about outdated equipment at U.S. hospitals.
  • Another bullet point, from the same book, quoted the CEO of the Canadian Association of Radiologists as saying that “the radiology equipment in Canada is so bad that ‘without immediate action radiologists will no longer be able to guarantee the reliability and quality of examinations.’ ”
  • Here’s an example from one AHIP brief in the binder: “A May 2004 poll found that 87% of Canada’s business leaders would support seeking health care outside the government system if they had a pressing medical concern.” The source was a 2004 book by Sally Pipes, president of the industry-supported Pacific Research Institute,
  • We enlisted APCO Worldwide, a giant PR firm. Agents there worked with AHIP to put together a binder of laminated talking points for company flacks like me to use in news releases and statements to reporters.
  • Clearly my colleagues and I would need a robust defense. On a task force for the industry’s biggest trade association, America’s Health Insurance Plans (AHIP), we talked about how we might make health-care systems in Canada, France, Britain and even Cuba look just as bad as ours.
  • That summer, Michael Moore was preparing to release his latest documentary, “Sicko,” contrasting American health care with that in other rich countries. (Naturally, we looked terrible.) I spent months meeting secretly with my counterparts at other big insurers to plot our assault on the film, which contained many anecdotes about patients who had been denied coverage for important treatments.
Javier E

The Scourge of Hygiene Theater - The Atlantic - 0 views

  • As a COVID-19 summer surge sweeps the country, deep cleans are all the rage.
  • To some American companies and Florida men, COVID-19 is apparently a war that will be won through antimicrobial blasting, to ensure that pathogens are banished from every square inch of America’s surface area.
  • COVID-19 has reawakened America’s spirit of misdirected anxiety, inspiring businesses and families to obsess over risk-reduction rituals that make us feel safer but don’t actually do much to reduce risk—even as more dangerous activities are still allowed. This is hygiene theater.
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  • In May, the Centers for Disease Control and Prevention updated its guidelines to clarify that while COVID-19 spreads easily among speakers and sneezers in close encounters, touching a surface “isn’t thought to be the main way the virus spreads.” Other scientists have reached a more forceful conclusion. “Surface transmission of COVID-19 is not justified at all by the science,”
  • Surface transmission—from touching doorknobs, mail, food-delivery packages, and subways poles—seems quite rare.
  • n the past few months, scientists have converged on a theory of how this disease travels: via air. The disease typically spreads among people through large droplets expelled in sneezes and coughs, or through smaller aerosolized droplets, as from conversations, during which saliva spray can linger in the air.
  • All those studies that made COVID-19 seem likely to live for days on metal and paper bags were based on unrealistically strong concentrations of the virus. As he explained to me, as many as 100 people would need to sneeze on the same area of a table to mimic some of their experimental conditions. The studies “stacked the deck to get a result that bears no resemblance to the real world," Goldman said.
  • an obsession with contaminated surfaces distracts from more effective ways to combat COVID-19. “People have prevention fatigue,” Goldman told me. “They’re exhausted by all the information we’re throwing at them. We have to communicate priorities clearly; otherwise, they’ll be overloaded.”
  • Hygiene theater can take limited resources away from more important goals. Goldman shared with me an email he had received from a New Jersey teacher after his Lancet article came out. She said her local schools had considered shutting one day each week for “deep cleaning.” At a time when returning to school will require herculean efforts from teachers and extraordinary ingenuity from administrators to keep kids safely distanced, setting aside entire days to clean surfaces would be a pitiful waste of time and scarce local tax revenue.
  • As long as people wear masks and don’t lick one another, New York’s subway-germ panic seems irrational. In Japan, ridership has returned to normal, and outbreaks traced to its famously crowded public transit system have been so scarce that the Japanese virologist Hitoshi Oshitani concluded, in an email to The Atlantic, that “transmission on the train is not common.”
  • By funneling our anxieties into empty cleaning rituals, we lose focus on the more common modes of COVID-19 transmission and the most crucial policies to stop this plague. “My point is not to relax, but rather to focus on what matters and what works,” Goldman said. “Masks, social distancing, and moving activities outdoors. That’s it. That’s how we protect ourselves. That’s how we beat this thing.”
Javier E

'Pandemic Within a Pandemic': Coronavirus and Police Brutality Roil Black Communities -... - 0 views

  • “It’s really a simple question: ‘Am I going to let a disease kill me or am I going to let the system — the police?” he said. “And if something is going to take me out when I don’t have a job, which one do I prefer? Folks who don’t have much else to lose — they understand that this system isn’t built for black people. And that’s why people are in the streets.”
  • this is an extraordinary moment of pain for the nation, especially for black Americans who are bearing the brunt of three crises — police violence, crushing unemployment and the deadliest infectious disease threat in a century — that have laid bare longstanding injustice
  • Public health experts, activists and lawmakers say the triple threat requires a coordinated response.
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  • “These are interrelated crises — the crisis of racism and inequality that is now converging with the crisis of Covid-19,”
  • an analysis of data from 40 states and the District of Columbia, released last month by the nonpartisan APM Research Lab, found black Americans are more than twice as likely as whites, Latinos or Asian-Americans to die from the coronavirus. In some states, the disparity is much greater.
  • Devastating job losses are also “hitting black workers and their families especially hard,” according to a recent report by the Economic Policy Institute, a liberal think tank. The unemployment rate for black Americans is 16.8 percent, compared with 12.4 percent for white Americans
  • The mass incarceration of black people has only worsened the pandemic’s heavy toll on minorities. Black Americans are incarcerated in state prisons at five times the rate of whites,
  • “When people are released, what job opportunities do they have? What is their housing situation? All of these other factors relate back to the current pandemic.”
  • “While everyone is facing the battle against coronavirus, black people in America are still facing the battle against racism and coronavirus,” he said in a recent 18-minute monologue, adding, “Coronavirus exposed all of it.”
  • Mr. Shabazz wrote about it in a column for The Root, a black news and opinion site, under the headline “We Can’t Breathe: Covid-19 and Police Injustice are Suffocating Black People.”
  • In New York, Rashid Shabazz, the chief marketing officer of the online organization Color of Change, displayed symptoms of the coronavirus for several weeks, he said, but was unable to get tested. He said the respiratory illness reminded him of the dying words — “I can’t breathe” — of Mr. Floyd and another victim of police violence, Eric Garner, who was put in an illegal chokehold.
  • One patient, seeing the protective gear that covered Dr. Blackstock’s skin, asked if she was black, she said, because he wanted to make sure his concerns would be taken seriously. She said she worried that Covid-19 would become a disease of marginalized communities, just as AIDS was in the late 1990s, when white Americans had access to new medicines and health care while many black Americans, with fewer economic resources, did not.
  • “I’m worried about black communities and other communities of color being stigmatized, as those are the people with coronavirus,” she said, adding, “We need to equitably allocate resources to black communities as quickly as possible.”
  • More people are thinking that way now. In North Carolina, where African-Americans account for 28 percent of coronavirus cases but only 22 percent of the population, the state health secretary decried “structural racism” last week. In Ohio, where black people account for 18 percent of Covid-19 deaths but 13 percent of the population, officials in Franklin County have declared racism a public health crisis.
  • “This is a transformative moment,” she said. “I’m sad, I’m angry, but I have hope.”
  • After the Baltimore unrest in 2015, Dr. Wen, now a public health professor at George Washington University, declared racism a public health issue, which she said “raised a lot of eyebrows at the time.”
Javier E

The Coronavirus Could End American Exceptionalism - The Atlantic - 0 views

  • many American politicians, especially those on the right, have in recent years paradoxically doubled down on American exceptionalism (we have a president who ran on an “America first” platform, after all) even as American power has declined relative to other countries’.
  • This kind of insularity might have been “relatively harmless when America bestrode the world like a colossus, but it’s dangerous when the country faces a raft of global challenges from China, to climate, to COVID-19,” Dominic Tierney, a political-science professor at Swarthmore College
  • It has also failed to develop proper contact-tracing systems, as other nations have, and to meaningfully flatten the curve outside New York.
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  • Today, in the case of COVID-19, “all states face the same essential threat, and each government’s response is a kind of laboratory experiment,” Tierney said.
  • “The United States had the advantage of being struck relatively late by the virus, and this gave [us] a priceless chance to copy best practices and avoid the mistakes of others,” he noted.
  • When China began confining millions of people to their homes in January, the U.S. government should have gotten the message that the Chinese were grappling with a grave threat to the wider world, the Yale sociologist and physician Nicholas Christakis told me in March.
  • We lost six weeks” in the United States to prepare—“to build ventilators, get protective equipment, organize our ICUs, get tests ready, prepare the public for what was going to happen so that our economy didn’t tank as badly. None of this was done adequately by our leaders.”
  • By one estimate, from the epidemiologists Britta L. Jewell and Nicholas P. Jewell, if social-distancing policies had been implemented just two weeks earlier in March, 90 percent of the cumulative coronavirus deaths in the United States during the first wave of the pandemic might have been prevented.
  • Rather than using diagnostic tests that the World Health Organization had distributed to other countries early in the global outbreak, the Centers for Disease Control and Prevention insisted on developing its own, only to botch the rollout of those tests.
  • Even now, as a number of countries have swum feverishly toward safer ground, the United States has spent the past couple of months of near-nationwide lockdown merely treading water. It has yet to roll out robust testing across the country
  • Pandemics are, in fact, particularly ripe moments for cross-cultural learning
  • as a senator, Romney is urging the U.S. government to follow South Korea’s lead and “learn from those countries that were successful” in dealing with their outbreaks. Conservatives are championing Sweden’s laissez-faire approach as a blueprint for how to mitigate public-health damage while preserving freedom and the economy.
  • As an example of ideas the United States could borrow from other countries, Tierney cited the fact that 750,000 people in Britain, which would be equivalent to nearly 4 million Americans, responded to the British government’s request to enlist in a “volunteer army” to help deliver food to vulnerable populations and provide other assistance.
  • A number of countries that have had more success against the coronavirus have demonstrated greater open-mindedness about learning from their peers. Taiwanese officials are watching Iceland’s mass-testing efforts, while the German government is explicitly modeling its response after South Korea’s “trace, test, and treat” campaign.
  • “Things have moved so quickly that there hasn't been much time for considered lesson-drawing,” he noted. Some countries were slow to institute strict lockdowns, despite witnessing the horrifying spread of the virus in Italy, while others “embraced approaches that broke with the broader consensus,” including “Sweden’s proposal
  • New Zealand’s record of learning
  • His colleague at the University of Otago, Michael Baker, told me that as a government adviser on the nation’s coronavirus taskforce, he was personally very influenced by a February 2020 WHO-China Joint Mission report, which suggested that the pandemic could be contained, and led him to advocate for New Zealand’s current strategy of eliminating the virus entirely from the country.
  • Yet Wilson added that New Zealand has lagged behind Asian countries in encouraging mass mask wearing, in rigorously quarantining incoming travelers, and in using digital technologies for contact tracing
  • In the United States too, even before the virus hit, attitudes toward learning from other countries were beginning to change
  • “The No. 1 place to live out the American Dream right now is Denmark,” Pete Buttigieg stated during one debate.
  • Amid all this, Trump has exhibited more hubris than humility. The president has repeatedly claimed that the United States is leading the world in testing, which in part is an unflattering reflection of the U.S. outbreak’s huge scale and also is not true on a per-capita basis
  • with the exception of the U.S. Paycheck Protection Program, “most of our economic-policy response has ignored useful lessons from abroad, explaining why our unemployment rate is skyrocketing above those in many other affected countries.”
  • Kelemen noted that the coronavirus crisis has led to a surge in interest among the American public and U.S. policy makers in harvesting lessons from other countries, most evident in the fact that everyone is following “the comparative charts of how countries are doing over time on infection rates or changes in year-on-year death counts.
Javier E

Sweden's Trolley Problem - The Bulwark - 0 views

  • Though a majority of nations have opted to pull the lever and shift tracks to a lockdown strategy, thereby sacrificing economic growth, Sweden has continued on the same line.
  • the Swedish government’s decision not to pull the lever and pursue a low-death approach has taken them into a tunnel.
  • From inside this tunnel we do not know how many people are now tied to the track. We do not know how far the line runs. Or even what the final destination looks like. Sweden’s strategic inaction was predicated on the hope that they might save lives in future by taking risks now and avoiding a shutdown.
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  • That’s a large gamble based on very little scientific understanding.
  • Contrary to the popular understanding, Sweden has not done nothing. Social distancing is in place, people are to work from home where possible and to isolate when even mildly symptomatic. Steps have been taken to shield vulnerable citizens
  • WHO mortality data shows Italy, the United Kingdom, Spain and the United States all have higher death rates, despite having imposed significant mitigation and suppression protocols.
  • by traditional metrics of deaths/capita, cases/capita, or even crude case fatality rate, they ended up seemingly in a worse position than Sweden, where bars remain open and coffee culture is booming.
  • A strategy should be based on a broad empirically derived consensus which takes into account both what we know, and what we do not.
  • We don’t know how many people have a strong immune response to the virus.
  • We don’t know how long that immune response lasts.
  • We don’t know how many people have been infected and how those infections might manifest.
  • We don’t know how many individuals need immunity to produce effective herd immunity.
  • And we don’t know if immunity to the current strain would carry over to future strains.
  • Even more bracing: We are unlikely to find definitive answers to these questions in the near future.
  • One of the key perceived advantages of Sweden’s approach was the expected reduction in economic damage. But Sweden’s economy is projected to contract by 7 percent to 10 percent of GDP this year, only slightly better than its Nordic neighbors who shut down their societies and have far less morbidity and mortality
  • All of that said, it is unlikely that we’ll be able to say definitively whether or not Sweden’s choice was optimal any time soon. Even comparing key metrics like cases and deaths between countries is difficult because of methodological differences in collecting data
  • When we consider economic damages, long-term sequelae of infection and the differential impact across marginalized groups, direct comparisons becomes extremely challenging.
  • sometimes there are no good decisions; only less bad ones. Sweden may be on the road to herd immunity but even if they are in fact on the path, the road is neither swift nor smooth. And it is littered with friends and relatives.
Javier E

Sweden Has Become the World's Cautionary Tale - The New York Times - 0 views

  • Sweden’s grim result — more death, and nearly equal economic damage — suggests that the supposed choice between lives and paychecks is a false one: A failure to impose social distancing can cost lives and jobs at the same time.
  • Sweden put stock in the sensibility of its people as it largely avoided imposing government prohibitions. The government allowed restaurants, gyms, shops, playgrounds and most schools to remain open. By contrast, Denmark and Norway opted for strict quarantines, banning large groups and locking down shops and restaurants.
  • More than three months later, the coronavirus is blamed for 5,420 deaths in Sweden, according to the World Health Organization. That might not sound especially horrendous compared with the more than 129,000 Americans who have died. But Sweden is a country of only 10 million people. Per million people, Sweden has suffered 40 percent more deaths than the United States, 12 times more than Norway, seven times more than Finland and six times more than Denmark.
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  • Here is one takeaway with potentially universal import: It is simplistic to portray government actions such as quarantines as the cause of economic damage. The real culprit is the virus itself. From Asia to Europe to the Americas, the risks of the pandemic have disrupted businesses while prompting people to avoid shopping malls and restaurants, regardless of official policy.
  • Sweden is exposed to the vagaries of global trade. Once the pandemic was unleashed, it was certain to suffer the economic consequences
  • “The Swedish manufacturing sector shut down when everyone else shut down because of the supply chain situation,” he said. “This was entirely predictable.”
  • “There is just no questioning and no willingness from the Swedish government to really change tack, until it’s too late,” Mr. Kirkegaard said. “Which is astonishing, given that it’s been clear for quite some time that the economic gains that they claim to have gotten from this are just nonexistent.”
Javier E

Why Britain Failed Its Coronavirus Test - The Atlantic - 0 views

  • Britain has not been alone in its failure to prevent mass casualties—almost every country on the Continent suffered appalling losses—but one cannot avoid the grim reality spelled out in the numbers: If almost all countries failed, then Britain failed more than most.
  • The raw figures are grim. Britain has the worst overall COVID-19 death toll in Europe, with more than 46,000 dead according to official figures, while also suffering the Continent’s second-worst “excess death” tally per capita, more than double that in France and eight times higher than Germany’s
  • The British government as a whole made poorer decisions, based on poorer advice, founded on poorer evidence, supplied by poorer testing, with the inevitable consequence that it achieved poorer results than almost any of its peers. It failed in its preparation, its diagnosis, and its treatment.
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  • In the past two decades, the list of British calamities, policy misjudgments, and forecasting failures has been eye-watering: the disaster of Iraq, the botched Libyan intervention in 2011, the near miss of Scottish independence in 2014, the woeful handling of Britain’s divorce from the European Union from 2016 onward
  • What emerges is a picture of a country whose systemic weaknesses were exposed with appalling brutality, a country that believed it was stronger than it was, and that paid the price for failures that have built up for years
  • The most difficult question about all this is also the simplest: Why?
  • Like much of the Western world, Britain had prepared for an influenza pandemic, whereas places that were hit early—Hong Kong, South Korea, Singapore, Taiwan—had readied themselves for the type of respiratory illness that COVID-19 proved to be.
  • Britain’s pandemic story is not all bad. The NHS is almost universally seen as having risen to the challenge; the University of Oxford is leading the race to develop the first coronavirus vaccine for international distribution, backed with timely and significant government cash; new hospitals were built and treatments discovered with extraordinary speed; the welfare system did not collapse, despite the enormous pressure it suddenly faced; and a national economic safety net was rolled out quickly.
  • One influential U.K. government official told me that although individual mistakes always happen in a fast-moving crisis, and had clearly taken place in Britain’s response to COVID-19, it was impossible to escape the conclusion that Britain was simply not ready. As Ian Boyd, a professor and member of SAGE, put it: “The reality is, there has been a major systemic failure.”
  • “It’s obvious that the British state was not prepared for” the pandemic, this official told me. “But, even worse, many parts of the state thought they were prepared, which is significantly more dangerous.”
  • When the crisis came, too much of Britain’s core infrastructure simply failed, according to senior officials and experts involved in the pandemic response
  • The human immune system actually has two parts. There is, as Cummings correctly identifies, the adaptive part. But there is also an innate part, preprogrammed as the first line of defense against infectious disease. Humans need both. The same is true of a state and its government, said those I spoke with—many of whom were sympathetic to Cummings’s diagnosis. Without a functioning structure, the responsive antibodies of the government and its agencies cannot learn on the job. When the pandemic hit, both parts of Britain’s immune system were found wanting.
  • The consequences may be serious and long term, but the most immediately tragic effect was that creating space in hospitals appears to have been prioritized over shielding Britain’s elderly, many of whom were moved to care homes, part of what Britain calls the social-care sector, where the disease then spread. Some 25,000 patients were discharged into these care homes between March 17 and April 16, many without a requirement that they secure a negative coronavirus test beforehand.
  • There was a bit too much exceptionalism about how brilliant British science was at the start of this outbreak, which ended up with a blind spot about what was happening in Korea, Taiwan, Singapore, where we just weren’t looking closely enough, and they turned out to be the best in the world at tackling the coronavirus,” a former British cabinet minister told me.
  • The focus on influenza pandemics and the lack of a tracing system were compounded by a shortfall in testing capacity.
  • Johnson’s strategy throughout was one that his hero Winston Churchill raged against during the First World War, when he concluded that generals had been given too much power by politicians. In the Second World War, Churchill, by then prime minister and defense secretary, argued that “at the summit, true politics and strategy are one.” Johnson did not take this approach, succumbing—as his detractors would have it—to fatalistic management rather than bold leadership, empowering the generals rather than taking responsibility himself
  • “It was a mixture of poor advice and fatalism on behalf of the experts,” one former colleague of Johnson’s told me, “and complacency and boosterism on behalf of the PM.”
  • What it all adds up to, then, is a sobering reality: Institutional weaknesses of state capacity and advice were not corrected by political judgment, and political weaknesses were not corrected by institutional strength. The system was hardwired for a crisis that did not come, and could not adapt quickly enough to the one that did.
  • Britain’s NHS has come to represent the country itself, its sense of identity and what it stands for. Set up in 1948, it became known as the first universal health-care system of any major country in the world (although in reality New Zealand got there first). Its creation, three years after victory in the Second World War, was a high-water mark in the country’s power and prestige—a time when it was a global leader, an exception.
  • Every developed country in the world, apart from the United States, has a universal health-care system, many of which produce better results than the NHS.
  • When the pandemic hit, then, Britain was not the strong, successful, resilient country it imagined, but a poorly governed and fragile one. The truth is, Britain was sick before it caught the coronavirus.
  • In asking the country to rally to the NHS’s defense, Johnson was triggering its sense of self, its sense of pride and national unity—its sense of exceptionalism.
  • Before the coronavirus, the NHS was already under considerable financial pressure. Waiting times for appointments were rising, and the country had one of the lowest levels of spare intensive-care capacity in Europe. In 2017, Simon Stevens, the NHS’s chief executive, compared the situation to the time of the health sevice’s founding decades prior: an “economy in disarray, the end of empire, a nation negotiating its place in the world.”
  • Yet from its beginnings, the NHS has occupied a unique hold on British life. It is routinely among the most trusted institutions in the country. Its key tenet—that all Britons will have access to health care, free at the point of service—symbolizes an aspirational egalitarianism that, even as inequality has risen since the Margaret Thatcher era, remains at the core of British identity.
  • In effect, Britain was rigorously building capacity to help the NHS cope, but releasing potentially infected elderly, and vulnerable, patients in the process. By late June, more than 19,000 people had died in care homes from COVID-19. Separate excess-death data suggest that the figure may be considerably higher
  • Britain failed to foresee the dangers of such an extraordinary rush to create hospital capacity, a shift that was necessary only because of years of underfunding and decades of missed opportunities to bridge the divide between the NHS and retirement homes, which other countries, such as Germany, had found the political will to do.
  • Ultimately, the scandal is a consequence of a political culture that has proved unable to confront and address long-term problems, even when they are well known.
  • other health systems, such as Germany’s, which is better funded and decentralized, performed better than Britain’s. Those I spoke with who either are in Germany or know about Germany’s success told me there was an element of luck about the disparity with Britain. Germany had a greater industrial base to produce medical testing and personal protective equipment, and those who returned to Germany with the virus from abroad were often younger and healthier, meaning the initial strain on its health system was less.
  • However, this overlooks core structural issues—resulting from political choices in each country—that meant that Germany proved more resilient when the crisis came, whether because of the funding formula for its health system, which allows individuals more latitude to top up their coverage with private contributions, or its decentralized nature, which meant that separate regions and hospitals were better able to respond to local outbreaks and build their own testing network.
  • Also unlike Britain, which has ducked the problem of reforming elderly care, Germany created a system in 1995 that everyone pays into, avoids catastrophic costs, and has cross-party support.
  • A second, related revelation of the crisis—which also exposed the failure of the British state—is that underneath the apparent simplicity of the NHS’s single national model lies an engine of bewildering complexity, whose lines of responsibility, control, and accountability are unintelligible to voters and even to most politicians.
  • Britain, I was told, has found a way to be simultaneously overcentralized and weak at its center. The pandemic revealed the British state’s inability to manage the nation’s health:
  • Since at least the 1970s, growing inequality between comparatively rich southeast England (including London) and the rest of the country has spurred all parties to pledge to “rebalance the economy” and make it less reliant on the capital. Yet large parts remain poorer than the European average. According to official EU figures, Britain has five regions with a per capita gross domestic product of less than $25,000. France, Germany, Ireland, Austria, the Netherlands, Denmark, and Sweden have none
  • If Britain were part of the United States, it would be anywhere from the third- to the eighth-poorest state, depending on the measure.
  • Britain’s performance in this crisis has been so bad, it is damaging the country’s reputation, both at home and abroad.
  • Inside Downing Street, officials believe that the lessons of the pandemic apply far beyond the immediate confines of elderly care and coronavirus testing, taking in Britain’s long-term economic failures and general governance, as well as what they regard as its ineffective foreign policy and diplomacy.
  • the scale of the task itself is enormous. “We need a complete revamp of our government structure because it’s not fit for purpose anymore,” Boyd told me. “I just don’t know if we really understand our weakness.”
  • In practice, does Johnson have the confidence to match his diagnosis of Britain’s ills, given the timidity of his approach during the pandemic? The nagging worry among even Johnson’s supporters in Parliament is that although he may campaign as a Ronald Reagan, he might govern as a Silvio Berlusconi, failing to solve the structural problems he has identified.
  • This is not a story of pessimistic fatalism, of inevitable decline. Britain was able to partially reverse a previous slump in the 1980s, and Germany, seen as a European laggard in the ‘90s, is now the West’s obvious success story. One of the strengths of the Westminster parliamentary system is that it occasionally produces governments—like Johnson’s—with real power to effect change, should they try to enact it.
  • It has been overtaken by many of its rivals, whether in terms of health provision or economic resilience, but does not seem to realize it. And once the pandemic passes, the problems Britain faces will remain: how to sustain institutions so that they bind the country together, not pull it apart; how to remain prosperous in the 21st century’s globalized economy; how to promote its interests and values; how to pay for the ever-increasing costs of an aging population.
  • “The really important question,” Boyd said, “is whether the state, in its current form, is structurally capable of delivering on the big-picture items that are coming, whether pandemics or climate change or anything else.”
hannahcarter11

Dolly Parton learned she funded the Moderna Covid-19 vaccine when the rest of us did - CNN - 0 views

  • The diminutive diva's $1 million donation to Covid-19 research was partly used to fund Moderna's promising Covid-19 vaccine -- something she didn't even know until her name appeared among other sponsors in a preliminary report on the vaccine.
  • Parton, who said she'd found out her donation contributed to the vaccine trial on Tuesday morning,
  • Parton first donated to the Vanderbilt University Medical Center's Covid-19 research efforts in early April, when there were around 200,000 cases of Covid-19 in the US.
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  • The Moderna vaccine is thought to be 94.5% effective against coronavirus, according to early data released by the company.
  • Vaccinations could begin as soon as late December, top infectious disease expert Dr. Anthony Fauci said, though they'll be made available first to high-risk groups like health care workers, the elderly and people with underlying medical conditions.
  • In April, Parton encouraged her fans who could afford it to donate to the Vanderbilt Health Covid-19 research fund. Since then, it's raised more than $100,000 of its $250,000 goal.
Javier E

Why So Many Men Stuck With Trump In 2020 | FiveThirtyEight - 0 views

  • the COVID-19 pandemic may have played a large role in exacerbating gender divisions in the electorate. This split wasn’t enough for Trump to win this time, of course, but his attitude toward the coronavirus crisis may actually have been a bonus for some men, which could present a real challenge for Biden moving forward.
  • Overall, most Americans consistently disapproved of the way Trump handled the pandemic, but the AEI poll found one notable exception — men who identify as “completely masculine.”1
  • a majority (52 percent) of men who identified as completely masculine on the survey agreed that the Trump administration has a strategy on COVID-19
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  • When broken out by how masculine or feminine they identified themselves, completely masculine men were the only group where the majority (60 percent) said they had voted for Trump.
  • research conducted before the election found that these men, or men who fall into a similar category, were less likely to wear masks in the first place or take other precautions to stop the spread of COVID-19, including social distancing.
  • this conclusion lines up with a broader tendency among men to take fewer health precautions period — like wearing seat belts or going to the doctor regularly. Cassino said that traditional stereotypes around masculinity encourage men to shake off vulnerability, such as hiding a fear of illness and instead projecting strength
  • . “Reaffirming that you are traditionally masculine is itself a political statement today — a way to push back on changes to the way society is organized,” he said.
  • this reflects the extent to which Americans’ views about gender roles have become intertwined with their partisan identity,
  • “COVID-19 makes men focus more on their masculine identity than they otherwise would have, because they feel this pressure to say and demonstrate, ‘Yeah, this big scary medical crisis is happening, but it’s not going to affect me,’” Cassino said.
  • Republican men who identified as completely masculine were somewhat more likely than less-masculine Republican men to approve of the way Trump has handled the pandemic, although the difference wasn’t necessarily all that huge (79 percent compared with 69 percent).
  • One possible explanation is that the threat of business closures or other restrictions on the economy may have been alarming especially to men who identify as completely masculine. “Because employment and working is so central to American masculinity, job loss is seen as a threat to masculinity,”
  • by actively seizing on the spread of COVID-19 as an opportunity to emphasize his own brand of hypermasculinity and portray his opponent as weak and ineffective, Trump may have crafted a tailor-made pitch for men whose own sense of masculinity was threatened by the pandemic.
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