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anonymous

Opinion | Meghan, Harry and 'Dysfunctional' Families - The New York Times - 0 views

  • “Thanks, Duchess Meghan and Prince Harry, for reminding us it is OK to have a dysfunctional family,” a reader writes. Other readers offer their reactions to the Oprah interview.
  • Watching Oprah’s interview with Prince Harry and Meghan, the Duchess of Sussex, I am even more certain of my long-held belief (after many years observing family dynamics and teaching university courses on the topic) that most families are dysfunctional. And that is not something to be embarrassed about.No matter how rich, prestigious or famous, all families have problems, estrangements and quarrels. There are awkward family weddings, unfriendings on social media, and in-laws who do not quite fit well into the family dynamic. There is even some bullying and gaslighting from time to time, as well as disrespecting elders.The difference is that most people try to hide the dysfunction and can do so since their lives are private, not public.So, thanks, Meghan and Prince Harry, for reminding us it is OK to have a dysfunctional family.Rebecca S. FahrlanderBellevue, Neb.
  • So, the media uber-celebrity thinks that interviewing the two escaped royal celebrities during a public health crisis is a good use of our attention. Aww, they were mean to me, says one of the two privileged spoiled brats. Why should I care? Why do you?
Javier E

The EpiPen, a Case Study in Health System Dysfunction - The New York Times - 0 views

  • the story of EpiPens can also explain so much of what’s wrong with our health care system.
  • Epinephrine is very, very cheap. Even in the developing world, it costs less than a dollar per milliliter, and there’s less than a third of that in an EpiPen.
  • The EpiPen isn’t new; it has been in use since 1977. Research and development costs were recouped long ago. Nine years ago, it was bought by the pharmaceutical company Mylan, which then began to sell the device. When Mylan bought it, EpiPens cost about $57 each.
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  • Unfortunately, epinephrine is inherently unstable. Research shows that it degrades pretty quickly over time, and it’s recommended that EpiPens be replaced every year.
  • Mylan stopped selling individual EpiPens and began to sell only twin-packs.It also raised the price.
  • Kids need them in many places. They need them at home. They need them at school. They need them at camp. They may even want to stash one at Grandma’s house. So people often need to buy quite a few.More revenue for Mylan. And it raised the price.
  • Then in 2010, federal guidelines changed to recommend that two EpiPens be sold in a package instead of one
  • People in anaphylaxis need a full dose every time. They therefore need to replace all their EpiPens every year, again and again.
  • In 2013, the government went further. It passed a law that gave funding preferences for asthma treatment grants to states that maintained an emergency supply of EpiPens. As the near sole supplier of the devices, Mylan stood to make even more money. Advertisement Continue reading the main story That year, Mylan raised the price again.
  • Of course, competition would bring the price down. But it’s very hard to bring such a device to market.
  • setbacks, all in the last year, have once again left Mylan with a veritable run of the market. It raised the price of EpiPens again. As of this May, they cost more than $600 a pack. Since 2004, after adjusting for inflation, the price of EpiPens has risen more than 450 percent.
  • An alternative still exists. The Adrenaclick, while still not cheap, is back and less expensive than the EpiPen. Some think it’s harder to use, though. It’s not on the accepted list for many health insurance plans. More important, few physicians think of it. Because of that, they write prescriptions for EpiPens. Since the Adrenaclick is not a generic version of the EpiPen, pharmacists can’t substitute one for the other. A prescription for an EpiPen must be filled with an EpiPen, regardless of what consumers might want.
  • you could argue that they’re an alternative when the “Cadillac” EpiPens are financially out of reach. Write A Comment But those are unsatisfactory arguments. Epinephrine isn’t an elective medication. It doesn’t last, so people need to purchase the drug repeatedly. There’s little competition, but there are huge hurdles to enter the market, so a company can raise the price again and again with little pushback. The government encourages the product’s use, but makes no effort to control its cost. Insurance coverage shields some from the expense, allowing higher prices, but leaves those most at-risk most exposed to extreme out-of-pocket outlays. The poor are the most likely to consider going without because they can’t afford it.
  • EpiPens are a perfect example of a health care nightmare. They’re also just a typical example of the dysfunction of the American health care system.
Javier E

Opinion | The Fight Over Men Is Shaping Our Political Future - The New York Times - 0 views

  • Steven Pinker, a professor of psychology at Harvard, replied to my inquiry with a detailed critique of the A.P.A. guidelines.“The report is blinkered by two dogmas. One is the doctrine of the blank slate” that rejects biological and genetic factors, Pinker wrote, adding thatThe word “testosterone” appears nowhere in the report, and the possibility that men and women’s personalities differ for biological reasons is unsayable and unthinkable.The other dogma, Pinker argued,is that repressing emotions is bad and expressing them is good — a folk theory with roots in romanticism, Freudian psychoanalysis, and Hollywood, but which is contradicted by a large literature showing that people with greater self-control, particularly those who repress anger rather than “venting,” lead healthier lives: they get better grades, have fewer eating disorders, drink less, have fewer psychosomatic aches and pains, are less depressed, anxious, phobic, and paranoid, have higher self-esteem, are more conscientious, have better relationships with their families, have more stable friendships, are less likely to have sex they regretted, are less likely to imagine themselves cheating in a monogamous relationship.
  • In Pinker’s view, the A.P.A. guidelines fail to recognize thata huge and centuries-long change in Western history, starting from the Middle Ages, was a “Civilizing Process” in which the ideal of manhood changed from a macho willingness to retaliate violently to an insult to the ability to exert self-control, dignity, reserve, and duty. It’s the culture of the gentleman, the man of dignity and quiet strength, the mensch. The romantic 1960s ethic of self-expression and escape from inhibitions weakened that ethic, and the A.P.A. report seems to be trying to administer the coup de grâce.
  • Pinker suggested rather thatOne could argue that what today’s men need is more encouragement to enhance one side of the masculine virtues — the dignity, responsibility, self-control, and self-reliance — while inhibiting others, such as machismo, violence, and drive for dominance.
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  • McKelley rejectedthe implication that the goal is to eliminate male characteristics. The real implication is that rigid adherence to extreme expression of a few select masculine norms is related to poorer health outcomes.In fact, he argued, the guidelines specifically encourage a kind of competitiveness, citing a section that reads,Active play between fathers and children has a functional element correlated with several positive child outcomes, such as competitiveness without aggression, cooperation that buffers anxiety, healthy experimentation, social competence, peer acceptance and popularity, and a sense of autonomy.
  • McKelley said hewould love to have someone argue that “competitiveness without aggression” is somehow undesirable. That sounds exactly like redirecting traits toward more productive activity and behavior.
  • There is a strikingly different approach to the debate over masculinity in a different branch of academic inquiry. As David Autor, an economist at M.I.T., wrote in response to my inquiry:The greatest adverse shock to the psychosocial welfare of U.S. men has not stemmed from dysfunctional notions of masculinity (not that these are above reproach) nor from #MeToo (which was long overdue) but from deep secular labor market forces — both technological and trade-induced — that have over nearly four decades reduced the demand for skilled blue collar work.The effects of these economic changes, Autor wrote, have been devastating:These forces have dramatically eroded the earnings power, employment stability, social stature, and marriage market value of non-college men. The ensuing dysfunction touches not just in earnings and employment but also male idleness, dysfunctional and destructive behavior (e.g., drug and alcohol abuse), and the erosion of two-parent families, which, research suggests, facilitate children in becoming successful adults.
  • Hibbing continued: What some men traditionally brought to the table is no longer required so they must change. That is not easy but so it goes.The men most negatively affected by changing economics, according to Hibbing, are also those most often inclined to reject the fact that “government is the best source for providing assistance and retraining in the face of these changes.” Instead, these men “resist such assistance and feel they are entitled to the arrangements of the past.”
  • Many Republicans believe gender roles to be distinct and that categorical denial of hormonal or biological underpinnings to sex differences is erroneous — while simultaneously voicing doubts about the legitimacy of the science of evolution
  • Many Democrats defend the basic theory of evolution but remain wary of, if not hostile to, biological explanations of human behavior, in part because of their belief in the efficacy of government or other societal intervention to change behavior.
  • The pressures to conform to conservative orthodoxy on the right and to liberal orthodoxy on the left sometimes seem to preclude reasonable compromise — that nature and nurture interact endlessly.
Javier E

The Bezos Earth Fund Indicates a National Failing - The Atlantic - 0 views

  • Jeff Bezos announced the creation of the Bezos Earth Fund, which will disperse $10 billion in the name of combatting climate change. The fund is a triumph of philanthropy—and a perfect emblem of a national failing.
  • In a healthy democracy, the world’s richest man wouldn’t be able to painlessly make a $10 billion donation. His fortune would be mitigated by the tax collector; antitrust laws would constrain the growth of his business. Instead of relying on a tycoon to bankroll the national response to an existential crisis, there would be a national response.
  • in an age of political dysfunction, Bezos has begun to subsume the powers of the state. Where the government once funded the ambitious exploration of space, Bezos is leading that project, spending a billion dollars each year to build rockets and rovers. His company, Amazon, is spearheading an experimental effort to fix American health care; it will also spend $700 million to retrain workers in the shadow of automation and displacement.
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  • Bezos is providing the vital infrastructure of state. When Amazon locates its second headquarters on the Potomac, staring across the river at the capital, it will provide a perfect geographic encapsulation of the new balance of power.
  • there is no meaningful public oversight of Bezos’s power. His investments and donations—not to mention the dominance of his sprawling firm and his ownership of one of the nation’s most important newspapers—give him an outsize role in shaping the human future.
  • There’s no clear sense of the projects it will bankroll, even though a contribution of that scale will inevitably set the agenda of academics and nongovernmental organizations.
  • Bezos’s personal biases—his penchant for technological solutions, his skepticism of government regulation—will likely shape how the Bezos Earth Fund disperses cash. And that will, in turn, shape how activists and researchers craft their grant proposals, how they attempt to please a funder who can float their operations.
  • Even if Amazon aims to slash its own emissions, it’s creating an economy that seems likely to undermine its stated goal of carbon neutrality. A reasonable debate about planetary future would at least question the wisdom of the same-day delivery of plastic tchotchkes made in China.
  • Then there are the policies that permit companies, like Amazon, to pay virtually nothing in taxes—revenue that would ideally fund, say, a Green New Deal. It hardly seems likely that the Bezos Earth Foundation will seek to erode the very basis of the fortune that funds it.
  • A skeptical response to the Bezos Earth Fund doesn’t preclude the hope that it will do real good. Michael Bloomberg’s climate philanthropy has played an important role in shutting down coal-fired power plants.
  • In these years of polarization and dysfunction, the public keeps turning to saviors who present themselves as outsiders and promise transformation. Trump, of course, billed himself as this sort of salvific figure. But instead of curing voters of this yearning, he seems to have exacerbated it. The current temptation comes in the form of billionaires who exude competence
  • That the public seems indifferent to the dangers of a growing plutocracy is perhaps the greatest national failing of them all.
zachcutler

Congress may flip -- but dysfunction is here to stay - CNNPolitics.com - 0 views

  • Congress may flip -- but dysfunction is here to stay
  • The Republican majority in the Senate -- and maybe even the House -- could be gone after this year's election.
  • With Donald Trump trailing in the polls, Hillary Clinton is increasingly turning her attention to down-ballot races -- particularly for the Senate, where Democrats are hoping to pick up at least the four seats they'd need to claim the majority if Clinton wins the White House.
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  • The evolution in Republican candidates' messaging was on display Monday in New Hampshire, where Clinton sought to latch GOP Sen. Kelly Ayotte to Trump -- and tout Ayotte's Democratic challenger, Maggie Hassan, as someone who "unlike her opponent," stands up to the GOP nominee
  • And if the party sheds some House seats, what's left would be a House GOP even smaller and more conservative -- with less room for Speaker Paul Ryan to cut deals with Democrats that cost him conservative votes.
  • "Unlike Katie McGinty, I am not a hyper-partisan, reflexive ideologue who thinks he has to give blind obedience to his party's nominee," Toomey said.
  • If Trump were to totally collapse, Democrats hope to be within striking distance of Arizona Sen. John McCain and Florida Sen. Marco Rubio as well -- though both currently appear safe.
  • But Republicans are discovering that a checks-and-balance message cannot solve down-ballot woes in every state. One GOP operative who tested an advertising campaign in Wisconsin and Pennsylvania that called for a counterweight to Clinton found that the Democratic nominee was simply too popular there for that strategy to succeed.
  • "Now their excuse for why they should be elected is, 'Maybe we did support Trump -- now we're kind of quiet about it -- but you should vote anyway because we'll check Hillary's power. We'll be a counterweight,'" Obama said. "No no no no. No."
  • GOP likely favored in 2018
  • Democrats also could face tough races in a swath of competitive states: Florida, Ohio, Pennsylvania, Virginia and Wisconsin.
  • So Democrats aren't eager to talk 2018 just yet.
  • "Republicans are still hoping to hold onto the majority this year, and it is still within the realm of possibility. However, even if the Senate were to go 50-50 or even 49-51 or 48-52, the playing field in 2018 is so favorable to the Republican Party that I would anticipate taking the majority back," said Scott Jennings, a GOP operative who ran a pro-Mitch McConnell super PAC in 2014.
redavistinnell

Why I Cannot Fall in Line Behind Trump - The New York Times - 0 views

  • Why I Cannot Fall in Line Behind Trump
  • Republicans who disagree with my stance make the following argument: Mr. Trump, while flawed, is preferable to Hillary Clinton. His cabinet appointments, they say, have been reassuring, and it’s true that several of them are. In addition, the nominee to replace Antonin Scalia on the Supreme Court is certain to be more of an originalist than a Clinton appointment would be. On top of that, Republicans are in control of Congress, meaning they are likely to drive much of the agenda, particularly given Mr. Trump’s notable lack of interest in policy. Whatever misgivings anti-Trump conservatives might have had about him, he’ll undo much of the agenda of his liberal predecessor while Mrs. Clinton would have built on it.
  • To understand why, it’s worth keeping in mind that my chief worries about Mr. Trump were never strictly ideological; they had to do with temperament and character.
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  • The more pressing concern many of us had about Mr. Trump is that he simply isn’t up to the job of being president.
  • Last weekend Mr. Trump gave an interview to the Washington Post in which he said his administration would quickly put out its own health proposal, which would cover everyone now insured and cost much less.
  • The extraordinary and unenviable task facing the White House staff is to contain Mr. Trump, to keep a dysfunctional president from producing a dysfunctional presidency.
  • Beyond that, Mr. Trump has continued to demonstrate impulsivity and narcissism, an affinity for conflict and vindictiveness. Which leads to my main worry about Mr. Trump: His chronic lack of restraint will not be confined to Twitter. His Twitter obsessions are a manifestation of a deeper disorder.
  • He thrives on creating disorder, in violating rules, in provoking outrage. He is a shock jock. This might be a tolerable (if culturally coarsening) trait in a reality television star; it is a dangerous one in a commander in chief.
  • For Mr. Trump, nothing is sacred. The truth is malleable, instrumental, subjective. It is all about him. It is always about him.
  • When President Trump is buffeted by events — when hard times hit, when crises arise, when other politicians and world leaders do not bend to his will — pernicious things will happen.
  • Rather than try to address the alienation and anger that exists in America, he will amplify them. He’ll create yet more conspiracy theories.
  • He will also go in search of enemies — the press, the opposition party, other nations, even Republican leaders — in order to create diversions that inflame his most loyal supporters.
  • In failing to distinguish between the good of the nation and his own vanity, the danger is that Mr. Trump will fail to see the limits of his authority and will try to use both the bully pulpit and the power of government — the I.R.S., the F.B.I., regulatory agencies and others — to settle personal scores. He’ll do what he needs to in order to get his way.
  • What this means is that Republican leaders in Congress need to be ready to call Mr. Trump on his abuses and excesses, now that he is actually in office.
  • They need to ask themselves a simple, searching question: “If Barack Obama did this very thing, what would I be saying and doing now?” — and then say and do it.
  • man with illiberal tendencies, a volatile personality and no internal checks is now president. This isn’t going to end well.
rachelramirez

Congress Is Running Out of Time to Save Puerto Rico - The Atlantic - 0 views

  • A Commonwealth in Crisis
  • On Sunday, Puerto Rico will likely default again on some of its debts, which now total over $70 billion.
  • It is an entity that is often almost completely at the whim of Congress, the most dysfunctional body in national politics today.
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  • . Its economy has not grown in over a decade, and there is a $28 billion gap in funding over the next five years alone.
  • Public hospitals and health-care facilities may close, exacerbating an ongoing crisis that already sees Puerto Rican patients receiving far worse health care than their mainland counterparts.
  • Puerto Rico has attempted to solve its debt issues by granting itself bankruptcy powers under rules that grant service providers in the states the ability to seek relief, but that decision remains under Supreme Court review and has been opposed in no uncertain terms by the federal government.
  • The plan also exempts Puerto Rican workers under 25 years old from the labor protections of a federally-mandated minimum wage and overtime regulation, with the goal of making Puerto Rico’s job market more competitive in comparison to its neighbors.
  • Representatives of those who hold the territory’s general obligation bonds oppose the bill as well, because it would allow Puerto Rico to restructure its debts and delay payment, as well as limit the ability of bondholders to sue if it defaults.
  • In 1984 Congress specifically carved Puerto Rico out from Chapter 9 municipal bankruptcy protections that it once had, offering no reason for singling out the territory.
  • Also in 1996, Congress passed legislation to phase out Section 936 of the federal tax code, a law that exempted U.S. industries from taxes on income in Puerto Rico. With no replacement plan to promote development or growth, Puerto Rico’s economy suffered.
  • The Medicaid underpayment deficit alone accounts for almost one-fifth of the current total deficit in the territory. A legislative medical-funding scheme could both help right the financial ship in Puerto Rico and help its crippled health-care system face the siege of Zika.
  • Granted, the government of Puerto Rico is not blameless in this saga. Its public-services monopolies are extraordinarily inefficient; the territorial government has not been good with spending, budgeting, or long-term fiscal planning; and the two major parties––for statehood and the status quo––have supported some congressional reforms with the goal of forcing the other side’s hand, instead of promoting good governance.
  • Congress’s dysfunctions might run so deep that they keep it from even addressing a humanitarian crisis in the country, a total failure of the body’s special duty towards Puerto Rico. Congress’s current plan might provide short-term relief, but it is a bit of a Hobson’s choice.
Javier E

Let's just say it: The Republicans are the problem. - The Washington Post - 0 views

  • We have been studying Washington politics and Congress for more than 40 years, and never have we seen them this dysfunctional
  • we have no choice but to acknowledge that the core of the problem lies with the Republican Party
  • The GOP has become an insurgent outlier in American politics. It is ideologically extreme; scornful of compromise; unmoved by conventional understanding of facts, evidence and science; and dismissive of the legitimacy of its political opposition.
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  • When one party moves this far from the mainstream, it makes it nearly impossible for the political system to deal constructively with the country’s challenges.
Javier E

The Long March of the American Right - NYTimes.com - 0 views

  • the last week has provided additional insight into how and why the current governmental arrangement known as the United States of America will end.
  • The mainstream narrative is that the problem is “dysfunctional government” or “paralysis in Washington.” That’s true, up to a point, but the real problem is the steady decline in legitimacy of the federal government – and the way this is related to what has happened on the right of the political spectrum.
  • In the 1940s, many people believed, with good reason, in the ability of the federal government to both organize activities at home and to have a positive impact around the world.
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  • In the 1930s, the private economy stumbled and private financial arrangements failed in many ways – but, on the whole, government was perceived as stepping in to help.
  • The politician whose career better matches the long march of the American right is Newt Gingrich. Mr. Gingrich, elected to Congress in 1978, astutely saw the possibility of building a coalition that would turn the South into a Republican stronghold. Mr. Gingrich voted against the fiscal compromises between George H.W. Bush and the Democrats and, as speaker of the House, crafted the confrontations that led to the government shutdowns in late 1995 and early 1996.
  • According to the latest C.B.O. numbers, debt relative to gross domestic product remains below 120 percent through the 2030s. I regard this as manageable, with the major wild cards being the extent of additional foreign war follies or big financial system blowups.
  • This backlash against government has been a long time coming, but – perhaps in the final irony – America’s fiscal affairs were in relatively good shape until quite recently.
  • these developments have been backed by people with deep pockets and a great deal of patience.
  • The economic recovery, although weak, has improved the nation’s fiscal picture – as have the large spending cuts and more modest revenue increases in the last few years
  • it only indicated what was to come – increasing willingness to further undermine the government and to question the validity of its debts. Every time the United States comes to a line, the most extreme voices in the Republican Party want to go even further – this time calling for an actual default on government obligations in some form as a potentially good thing.
  • I recommend that the revenue base be strengthened as the economy recovers further over the coming decade, while keeping a lid on spending increases. There is no case for precipitous fiscal adjustment, let alone a political confrontation that generates great uncertainty and therefore deters both investment and the purchase of consumer durables (including housing).
  • But it’s too late for good short-term fiscal news or to insist that the problem the country faces over coming decades is the rising cost of health care (not the government-paid part of health care, but all health care costs). Too many people are convinced strongly that they know better than what is in the numbers.
  • the decline in legitimacy of the United States government is real and lasting; it cannot regain the prestige it had in the 1940s and 1950s. Reinforcing and accelerating this trend is perhaps the greatest damage caused by the financial crisis of 2007-8 and the “rescue” measures that ensued.
  • Sooner or later, the American public may elect a group of politicians determined to end the belief that the federal government can be trusted. Their initial steps in that direction will strengthen their showing in opinion polls – and they will be encouraged to go further. At that time, the United States will default on its debts and the world’s financial and fiscal systems will be plunged into chaos.
Javier E

Bob Woodward's Damning New Book About President Trump - The Atlantic - 0 views

  • Who knows what might happen now with Mattis, but it’s hard to imagine a successor who would be as clever, effective, and able to restrain Trump as he’s apparently been. An impulsive president who is unschooled in diplomacy and foreign affairs could be even more dangerous without hobbles like Mattis in place.
  • The dysfunction at the heart of Woodward’s account demonstrates the paradox at the heart of the Trump White House: Everything is irreparably and disastrously broken, and yet what comes next could be even worse.
Javier E

What the Fall of the Roman Republic Can Teach Us About America - The New York Times - 0 views

  • At its inception, “the republic provided a legal and political structure that channeled the individual energies of Romans in ways that benefited the entire Roman commonwealth.”
  • But over the following centuries, that foundation slowly weakened, and then rapidly collapsed.
  • Since the founding fathers explicitly modeled the United States on the Roman Republic, a study that investigates the circumstances of its demise promises to hold considerable relevance for our own times
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  • As Watts puts the point, the principal purpose of his book is to allow “readers to better appreciate the serious problems that result both from politicians who breach a republic’s political norms and from citizens who choose not to punish them for doing so.
  • In Watts’s telling of the Roman Republic’s agonizing death, slow-moving structural transformations gradually sowed the seeds of demise.
  • As the population exploded and the economy became ever more sophisticated, the growing share of poor citizens started to demand redress. But since the institutions of the republic were dominated by patricians who had much to lose from measures like land reform, they never fully addressed the grievances of ordinary Romans.
  • With popular rage against increasingly dysfunctional institutions swelling, ambitious patricians, determined to outflank their competitors, began to build a fervent base of support by making outsize promises. It was these populares — populists like Tiberius Gracchus and his younger brother Gaius — who, in their bid for power, first broke some of the republic’s most longstanding norms.
  • The transformation of Rome’s army compounded the challenge of growing inequality. In the early days of the republic, soldiers thought of their participation in military service as a civic duty. Commanders hoped to win great honors and perhaps to attain higher office
  • But by the late second century B.C., the army had essentially been privatized. Commanders knew that the plunder of new lands could garner them vast riches. Their soldiers signed up for the ride in the hope of gaining a generous allotment of land on which to start a farm.
  • It took a long time for these tensions to build. But once they reached a critical point, Rome’s descent into chaos and dysfunction was astonishingly swift.
  • During the century and a half between the days of Pyrrhus and the rise of Tiberius Gracchus, there had not been a single outbreak of large-scale political violence. Then Tiberius pushed through land reforms in defiance of the Senate’s veto. In the ensuing fracas, he and hundreds of his followers were murdered. The taboo on naked power politics had been broken, never to recover
  • “Within a generation of the first political assassination in Rome, politicians had begun to arm their supporters and use the threat of violence to influence the votes of assemblies and the election of magistrates. Within two generations, Rome fell into civil war.”
  • If we are to avoid the fate that ultimately befell Rome, Watts cautions, it is “vital for all of us to understand how Rome’s republic worked, what it achieved and why, after nearly five centuries, its citizens ultimately turned away from it and toward the autocracy of Augustus.”
  • the sheer repetitiveness of the calamities that befell Rome only serves to underline the book’s most urgent message.
  • Like the original populist, Trump was propelled to power by the all-too-real failures of a political system that is unable to curb growing inequality or to mobilize its most eminent citizens around a shared conception of the common good.
  • And like Gracchus, Trump believes that, because he is acting in the name of the dispossessed, he is perfectly justified in shredding the Republic’s traditions.
  • Far from single-handedly destroying our political system, he is the transitional figure whose election demonstrates the extent to which the failings of our democracy are finally starting to take their toll
  • The bad news is that the coming decades are unlikely to afford us many moments of calm and tranquillity.
  • If the central analogy that animates “Mortal Republic” is correct, the current challenge to America’s political system is likely to persist long after its present occupant has left the White House.
Javier E

States and experts begin pursuing a coronavirus national strategy in absence of White H... - 0 views

  • A national plan to fight the coronavirus pandemic in the United States and return Americans to jobs and classrooms is emerging — but not from the White House.
  • a collection of governors, former government officials, disease specialists and nonprofits are pursuing a strategy that relies on the three pillars of disease control:
  • Ramp up testing to identify people who are infected.
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  • Find everyone they interact with by deploying contact tracing on a scale America has never attempted before.
  • focus restrictions more narrowly on the infected and their contacts so the rest of society doesn’t have to stay in permanent lockdown.
  • Instead, the president and his top advisers have fixated almost exclusively on plans to reopen the U.S. economy by the end of the month, though they haven’t detailed how they will do so without triggering another outbreak
  • Administration officials, speaking on the condition of anonymity to describe internal deliberations, say the White House has made a deliberate political calculation that it will better serve Trump’s interest to put the onus on governors — rather than the federal government — to figure out how to move ahead.
  • without substantial federal funding, states’ efforts will only go so far
  • The next failure is already on its way, Frieden said, because “we’re not doing the things we need to be doing in April.”
  • In recent days, dozens of leading voices have coalesced around the test-trace-quarantine framework, including former FDA commissioners for the Trump and George W. Bush administrations, Microsoft founder Bill Gates and top experts at Johns Hopkins, Columbia and Harvard universities.
  • On Wednesday, former president Barack Obama weighed in, tweeting, “Social distancing bends the curve and relieves some pressure … But in order to shift off current policies, the key will be a robust system of testing and monitoring — something we have yet to put in place nationwide.”
  • And Friday, Apple and Google unveiled a joint effort on new tools that would use smartphones to aid in contact tracing.
  • What remains unclear is whether this emerging plan can succeed without the backing of the federal government.
  • “It’s mind-boggling, actually, the degree of disorganization,” said Tom Frieden, former Centers for Disease Control and Prevention director. The federal government has already squandered February and March, he noted, committing “epic failures” on testing kits, ventilator supply, protective equipment for health workers and contradictory public health communication.
  • In South Korea, Taiwan, China and Singapore, variations on this basic strategy were implemented by their national governments, allowing them to keep the virus in check even as they reopened parts of their economy and society
  • In America, testing — while still woefully behind — is ramping up. And households across the country have learned over the past month how to quarantine. But when it comes to the second pillar of the plan — the labor-intensive work of contact tracing — local health departments lack the necessary staff, money and training.
  • Experts and leaders in some states say remedying that weakness should be a priority and health departments should be rapidly shored up so that they are ready to act in coming weeks as infections nationwide begin to decrease
  • In a report released Friday, the Johns Hopkins Center for Health Security and the Association of State and Territorial Health Officials — which represents state health departments — estimate 100,000 additional contact tracers are needed and call for $3.6 billion in emergency funding from Congress.
  • “We can’t afford to have multiple community outbreaks that can spiral up into sustained community transmission,” he said in the interview.
  • Unless states can aggressively trace and isolate the virus, experts say, there will be new outbreaks and another round of disruptive stay-at-home orders.
  • “All people are talking about right now is hospital beds, ventilators, testing, testing, testing. Yes, those are important, but they are all reactive. You are dealing with the symptoms and not the virus itself,”
  • “You will never beat a virus like this one unless you get ahead of it. America must not just flatten the curve but get ahead of the curve.”
  • Testing on its own is useless, Nyenswah explained, because it only tells you who already has the virus. Similarly, tracing alone is useless if you don’t place those you find into quarantine. But when all three are implemented, the chain of transmission can be shattered.
  • Until a vaccine or treatment is developed, such nonpharmaceutical interventions are the only tools countries can rely on — besides locking down their cities.
  • to expand that in a country as large as the United States will require a massive dose of money, leadership and political will.
  • “You cannot have leaders contradicting each other every day. You cannot have states waiting on the federal government to act, and government telling the states to figure it out on their own,” he said. “You need a plan.”
  • When Vermont’s first coronavirus case was detected last month, it took two state health workers a day to track down 13 people who came into contact with that single patient. They put them under quarantine and started monitoring for symptoms. No one else became sick.
  • He did the math: If each of those 30 patients had contact with even three people, that meant 90 people his crew would have to locate and get into quarantine. In other words, impossible.
  • Since 2008, city and county health agencies have lost almost a quarter of their overall workforce. Decades of budget cuts have left the them unable to mount such a response. State health departments have recently had to lay off thousands more — an unintended consequence of federal officials delaying tax filings until July without warning states.
  • In Wuhan, a city of 11 million, the Chinese had 9,000 health workers doing contact tracing, said Frieden, the former CDC director. He estimates authorities would need roughly one contact tracer for every four cases in the United States.
  • “In the second wave, we have to have testing, a resource base, and a contact-tracing base that is so much more scaled up than right now,” he said. “It’s an enormous challenge.”
  • Gov. Charlie Baker (R) partnered with an international nonprofit group based in Boston
  • The nonprofit Partners in Health quickly put together a plan to hire and train 1,000 contact tracers. Working from their homes making 20 to 30 calls a day, they could cover up to 20,000 contacts a day.
  • The group is paying new hires roughly the same salary as census takers, more than $20 an hour. As of Tuesday — just four days after the initial announcement — the group had received 7,000 applicants and hired 150.
  • “There’s a huge untapped resource of people in America if we would just ask.”
  • “There needs to be a crash course in contact tracing because a lot of the health departments where this is going to need to happen are already kind of flat-out just trying to respond to the crisis at hand,”
  • Experts have proposed transforming the Peace Corps — which suspended global operations last month and recalled 7,000 volunteers to America — into a national response corps that could perform many tasks, including contact tracing.
  • On Wednesday, the editor in chief of JAMA, a leading medical journal, proposed suspending the first year of training for America’s 20,000 incoming medical students and deploying them as a medical corps to support the “test, trace, track, and quarantine strategy.”
  • The national organization for local STD programs says $200 million could add roughly 1,850 specialists, more than doubling that current workforce.
  • Technology could also turn out to be pivotal. But the invasive nature of cellphone tracking and apps raises concerns about civil liberties.
  • Such technology could take over some of what contact tracers do in interviews: build a contact history for each confirmed patient and find those possibly exposed. Doing that digitally could speed up the process — critical in containing an outbreak — and less laborious.
  • In China, authorities combined the nation’s vast surveillance apparatus with apps and cellphone data to track people’s movements. If someone they came across is later confirmed as infected, an app alerts them to stay at home.
  • In the United States, about 20 technology companies are trying to create a contact tracing app using geolocation data or Bluetooth pings on cellphones
Javier E

Warnings Ignored: A Timeline of Trump's COVID-19 Response - The Bulwark - 0 views

  • the White House is trying to establish an alternate reality in which Trump was a competent, focused leader who saved American people from the coronavirus.
  • it highlights just how asleep Trump was at the switch, despite warnings from experts within his own government and from former Trump administration officials pleading with him from the outside.
  • Most prominent among them were former Homeland Security advisor Tom Bossert, Commissioner of the Food and Drug Administration Scott Gottlieb, and Director for Medical and Biodefense Preparedness at the National Security Council Dr. Luciana Borio who beginning in early January used op-eds, television appearances, social media posts, and private entreaties to try to spur the administration into action.
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  • what the administration should have been doing in January to prepare us for today.
  • She cites the delay on tests, without which “cases go undetected and people continue to circulate” as a leading issue along with other missed federal government responses—many of which are still not fully operational
  • The prescient recommendations from experts across disciplines in the period before COVID-19 reached American shores—about testing, equipment, and distancing—make clear that more than any single factor, it was Trump’s squandering of out lead-time which should have been used to prepare for the pandemic that has exacerbated this crisis.
  • What follows is an annotated timeline revealing the warning signs the administration received and showing how slow the administration was to act on these recommendations.
  • The Early Years: Warnings Ignored
  • 2017: Trump administrations officials are briefed on an intelligence document titled “Playbook for Early Response to High-Consequence Emerging Infectious Disease Threats and Biological Incidents.” That’s right. The administration literally had an actual playbook for what to do in the early stages of a pandemic
  • February 2018: The Washington Post writes “CDC to cut by 80 percent efforts to prevent global disease outbreak.” The meat of the story is “Countries where the CDC is planning to scale back include some of the world’s hot spots for emerging infectious disease, such as China, Pakistan, Haiti, Rwanda and Congo.”
  • May 2018: At an event marking the 100 year anniversary of the 1918 pandemic, Borio says “pandemic flu” is the “number 1 health security issue” and that the U.S. is not ready to respond.
  • One day later her boss, Rear Adm. Timothy Ziemer is pushed out of the administration and the global health security team is disbanded
  • Beth Cameron, former senior director for global health security on the National Security Council adds: “It is unclear in his absence who at the White House would be in charge of a pandemic,” Cameron said, calling it “a situation that should be immediately rectified.” Note: It was not
  • January 2019: The director of National Intelligence issues the U.S. Intelligence Community’s assessment of threats to national security. Among its findings:
  • A novel strain of a virulent microbe that is easily transmissible between humans continues to be a major threat, with pathogens such as H5N1 and H7N9 influenza and Middle East Respiratory Syndrome Coronavirus having pandemic potential if they were to acquire efficient human-to-human transmissibility.”
  • Page 21: “We assess that the United States and the world will remain vulnerable to the next flu pandemic or large scale outbreak of a contagious disease that could lead to massive rates of death and disability, severely affect the world economy, strain international resources, and increase calls on the United States for support.”
  • September, 2019: The Trump Administration ended the pandemic early warning program, PREDICT, which trained scientists in China and other countries to identify viruses that had the potential to turn into pandemics. According to the Los Angeles Times, “field work ceased when funding ran out in September,” two months before COVID-19 emerged in Wuhan Province, China.
  • 2020: COVID-19 Arrives
  • anuary 3, 2020: The CDC is first alerted to a public health event in Wuhan, China
  • January 6, 2020: The CDC issues a travel notice for Wuhan due to the spreading coronavirus
  • Note: The Trump campaign claims that this marks the beginning of the federal government disease control experts becoming aware of the virus. It was 10 weeks from this point until the week of March 16 when Trump began to change his tone on the threat.
  • January 10, 2020: Former Trump Homeland Security Advisor Tom Bossert warns that we shouldn’t “jerk around with ego politics” because “we face a global health threat…Coordinate!”
  • January 18, 2020: After two weeks of attempts, HHS Secretary Alex Azar finally gets the chance to speak to Trump about the virus. The president redirects the conversation to vaping, according to the Washington Post. 
  • January 21, 2020: Dr. Nancy Messonnier, the director of the National Center for Immunization and Respiratory Disease at the CDC tells reporters, “We do expect additional cases in the United States.”
  • January 27, 2020: Top White House aides meet with Chief of Staff Mick Mulvaney to encourage greater focus on the threat from the virus. Joe Grogan, head of the White House Domestic Policy Council warns that “dealing with the virus was likely to dominate life in the United States for many months.”
  • January 28, 2020: Two former Trump administration officials—Gottlieb and Borio—publish an op-ed in the Wall Street Journal imploring the president to “Act Now to Prevent an American Epidemic.” They advocate a 4-point plan to address the coming crisis:
  • (1) Expand testing to identify and isolate cases. Note: This did not happen for many weeks. The first time more than 2,000 tests were deployed in a single day was not until almost six weeks later, on March 11.
  • (3) Prepare hospital units for isolation with more gowns and masks. Note: There was no dramatic ramp-up in the production of critical supplies undertaken. As a result, many hospitals quickly experienced shortages of critical PPE materials. Federal agencies waited until Mid-March to begin bulk orders of N95 masks.
  • January 29, 2020: Trump trade advisor Peter Navarro circulates an internal memo warning that America is “defenseless” in the face of an outbreak which “elevates the risk of the coronavirus evolving into a full-blown pandemic, imperiling the lives of millions of Americans.”
  • January 30, 2020: Dr. James Hamblin publishes another warning about critical PPE materials in the Atlantic, titled “We Don’t Have Enough Masks.”
  • January 29, 2020: Republican Senator Tom Cotton reaches out to President Trump in private to encourage him to take the virus seriously.
  • Late January, 2020:  HHS sends a letter asking to use its transfer authority to shift $136 million of department funds into pools that could be tapped for combating the coronavirus. White House budget hawks argued that appropriating too much money at once when there were only a few U.S. cases would be viewed as alarmist.
  • Trump’s Chinese travel ban only banned “foreign nationals who had been in China in the last 14 days.” This wording did not—at all—stop people from arriving in America from China. In fact, for much of the crisis, flights from China landed in America almost daily filled with people who had been in China, but did not fit the category as Trump’s “travel ban” defined it.
  • January 31, 2020: On the same day Trump was enacting his fake travel ban, Foreign Policy reports that face masks and latex gloves are sold out on Amazon and at leading stores in New York City and suggests the surge in masks being sold to other countries needs “refereeing” in the face of the coming crisis.
  • February 4, 2020: Gottlieb and Borio take to the WSJ again, this time to warn the president that “a pandemic seems inevitable” and call on the administration to dramatically expand testing, expand the number of labs for reviewing tests, and change the rules to allow for tests of people even if they don’t have a clear known risk factor.
  • Note: Some of these recommendations were eventually implemented—25 days later.
  • February 5, 2020: HHS Secretary Alex Azar requests $2 billion to “buy respirator masks and other supplies for a depleted federal stockpile of emergency medical equipment.” He is rebuffed by Trump and the White House OMB who eventually send Congress a $500 million request weeks later.
  • February 4 or 5, 2020: Robert Kadlec, the assistant secretary for preparedness and response, and other intelligence officials brief the Senate Intelligence Committee that the virus poses a “serious” threat and that “Americans would need to take actions that could disrupt their daily lives.”
  • February 5, 2020: Senator Chris Murphy tweets: Just left the Administration briefing on Coronavirus. Bottom line: they aren't taking this seriously enough. Notably, no request for ANY emergency funding, which is a big mistake. Local health systems need supplies, training, screening staff etc. And they need it now.
  • February 9, 2020: The Washington Post reports that a group of governors participated in a jarring meeting with Dr. Anthony Fauci and Dr. Robert Redfield that was much more alarmist than what they were hearing from Trump. “The doctors and the scientists, they were telling us then exactly what they are saying now,” Maryland Gov. Larry Hogan (R) said.
  • the administration lifted CDC restrictions on tests. This is a factually true statement. But it elides that fact that they did so on March 3—two critical weeks after the third Borio/Gottlieb op-ed on the topic, during which time the window for intervention had shrunk to a pinhole.
  • February 20, 2020: Borio and Gottlieb write in the Wall Street Journal that tests must be ramped up immediately “while we can intervene to stop spread.”
  • February 23, 2020: Harvard School of Public Health professor issues warning on lack of test capability: “As of today, the US remains extremely limited in#COVID19 testing. Only 3 of ~100 public health labs haveCDC test kits working and CDC is not sharing what went wrong with the kits. How to know if COVID19 is spreading here if we are not looking for it.
  • February 24, 2020: The Trump administration sends a letter to Congress requesting a small dollar amount—between $1.8 billion and $2.5 billion—to help combat the spread of the coronavirus. This is, of course, a pittance
  • February 25, 2020: Messonier says she expects “community spread” of the virus in the United States and that “disruption to everyday life might be severe.” Trump is reportedly furious and Messonier’s warnings are curtailed in the ensuing weeks.
  • Trump mocks Congress in a White House briefing, saying “If Congress wants to give us the money so easy—it wasn’t very easy for the wall, but we got that one done. If they want to give us the money, we’ll take the money.”
  • February 26, 2020: Congress, recognizing the coming threat, offers to give the administration $6 billion more than Trump asked for in order to prepare for the virus.
  • February 27, 2020: In a leaked audio recording Sen. Richard Burr, chairman of the Intelligence Committee and author of the Pandemic and All-Hazards Preparedness Act (PAHPA) and the Pandemic and All-Hazards Preparedness and Advancing Innovation Act (reauthorization of PAHPA), was telling people that COVID-19 “is probably more akin to the 1918 pandemic.”
  • March 4, 2020: HHS says they only have 1 percent of respirator masks needed if the virus became a “full-blown pandemic.”
  • March 3, 2020: Vice President Pence is asked about legislation encouraging companies to produce more masks. He says the Trump administration is “looking at it.”
  • March 7, 2020: Fox News host Tucker Carlson, flies to Mar-a-Lago to implore Trump to take the virus seriously in private rather than embarrass him on TV. Even after the private meeting, Trump continued to downplay the crisis
  • March 9, 2020: Tom Bossert, Trump’s former Homeland Security adviser, publishes an op-ed saying it is “now or never” to act. He advocates for social distancing and school closures to slow the spread of the contagion.
  • Trump says that developments are “good for the consumer” and compares COVID-19 favorably to the common flu.
  • March 17, 2020: Facing continued shortages of the PPE equipment needed to prevent healthcare providers from succumbing to the virus, Oregon Senators Jeff Merkeley and Ron Wyden call on Trump to use the Defense Production Act to expand supply of medical equipment
  • March 18, 2020: Trump signs the executive order to activate the Defense Production Act, but declines to use it
  • At the White House briefing he is asked about Senator Chuck Schumer’s call to urgently produce medical supplies and ventilators. Trump responds: “Well we’re going to know whether or not it’s urgent.” Note: At this point 118 Americans had died from COVID-19.
  • March 20, 2020: At an April 2nd White House Press Conference, President Trump’s son-in-law Jared Kushner who was made ad hoc point man for the coronavirus response said that on this date he began working with Rear Admiral John Polowczyk to “build a team” that would handle the logistics and supply chain for providing medical supplies to the states. This suggestion was first made by former Trump Administration officials January 28th
  • March 22, 2020: Six days after calling for a 15-day period of distancing, Trump tweets that this approach “may be worse than the problem itself.”
  • March 24, 2020: Trump tells Fox News that he wants the country opened up by Easter Sunday (April 12)
  • As Trump was speaking to Fox, there were 52,145 confirmed cases in the United States and the doubling time for daily new cases was roughly four days.
Javier E

Book Review: 'Ten Lessons for a Post-Pandemic World,' by Fareed Zakaria - The New York ... - 0 views

  • “Ten Lessons for a Post-Pandemic World” employs a wide lens, drawing on governance, economics and culture
  • What insights does it offer during a catastrophe that evokes the Spanish flu after World War I, which claimed 50 million — some reckon 100 million — lives?
  • What matters is not the ideological coloration of government or its size, but its quality, Zakaria says. He argues for “a competent, well-functioning, trusted state.”
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  • Zakaria lays out the road from the pandemic to the transcendence of America the Dysfunctional. The to-do list is long
  • Upward mobility is down, inequality is up. The universities of the United States lead the global pack, but a B.A. at one of those top schools comes with a price tag upward of a quarter-million dollars. The country boasts the best medical establishment, but health care for the masses might just as well dwell on the moon.
  • We should adopt the best practices of northern Europe, Zakaria counsels
  • The world’s troubles are not just Made in U.S.A., Zakaria rightly notes. They are rooted in ultramodernity: globalization, automation, alienation, mass migration, the lure and decay of the world’s sprawling metropolises
  • The gist of Zakaria’s program is revealed by a recent editorial in The Financial Times, which he quotes approvingly. That newspaper was once a cheerleader of global capitalism. Now it argues that “many rich societies” do not honor “a social contract that benefits everyone.
  • So, the neoliberalism of decades past must yield to “radical reforms.” Governments “will have to accept a more active role in the economy. They must see public services as investments. … Redistribution will again be on the agenda; the privileges of the … wealthy in question.” Now is the time for “basic income and wealth taxes.”
  • Both The Financial Times and Zakaria’s book urge a revolution already upon us, and probably represent today’s zeitgeist and reality.
  • These days, Covid-19 is merely accelerating the mental turn engendered by the 2008 financial crisis. We are all social democrats now.
  • Government in the West is back with industrial policy and trillions in cash. It is not a radical, but a consensual project
  • Taxation, a tool of redistribution, will rise along with border walls. For the more perfect welfare state can flourish only in a well-fenced world that brakes the influx of competing people and products.
Javier E

The lost days of summer: How Trump struggled to contain the virus - The Washington Post - 0 views

  • If the administration’s initial response to the coronavirus was denial, its failure to control the pandemic since then was driven by dysfunction and resulted in a lost summer, according to the portrait that emerges from interviews with 41 senior administration officials and other people directly involved in or briefed on the response efforts.
  • Right now, we’re flying blind,” said Thomas Frieden, a former director of the Centers for Disease Control and Prevention. “Public health is not getting in the way of economic recovery and schools reopening. Public health is the means to economic recovery and schools reopening. You don’t have to believe me. Look all over the world. The U.S. is a laggard.”
  • the White House had what was described as a stand-down order on engaging publicly on the virus through the month of June, part of a deliberate strategy to spotlight other issues even as the contagion spread wildly across the country. A senior administration official said there was a desire to focus on the economy in June.
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  • It was only in July, when case counts began soaring in a trio of populous, Republican-leaning states — Arizona, Florida and Texas — and polls showed a majority of Americans disapproving of Trump’s handling of the pandemic, that the president and his top aides renewed their public activity related to the virus.
  • Trump and many of his top aides talk about the virus not as a contagion that must be controlled through social behavior but rather as a plague that eventually will dissipate on its own. Aides view the coronavirus task force — which includes Fauci, Birx and relevant agency heads — as a burden that has to be managed, officials said.
  • . An internal model by Trump’s Council on Economic Advisers predicts a looming disaster, with the number of infections projected to rise later in August and into September and October in the Midwest and elsewhere, according to people briefed on the data.
  • As the nation confronts a once­in-a-century health crisis that has killed at least 158,000 people, infected nearly 5 million and devastated the economy, the atmosphere in the White House is as chaotic as at any other time in Trump’s presidency — “an unmitigated disaster,” in the words of a second former senior administration official.
  • “It’s extraordinary that a country that helped eradicate smallpox, promoted HIV/AIDS treatment worldwide and suppressed Ebola — we were the world’s leader in public health and medicine, and now we can’t even protect our own people from the most devastating epidemic in decades.”
  • Asked who was to blame for the pandemic’s dark summer turn, Pelosi said, “1600 Pennsylvania Avenue.”“The delay, the denial . . . the hoax that it’s going to go away magically, a miracle is going to happen, we’ll be in church together by Easter, caused death,” Pelosi added.
  • In Trump’s White House, there is little process that guides decision-making on the pandemic. The president has been focused first and foremost on his reelection chances and reacting to the daily or hourly news cycle as opposed to making long-term strategy, with Meadows and other senior aides indulging his impulses rather than striving to impose discipline.
  • “He sits in the Oval Office and says, ‘Do this,’ or, ‘Do that,’ and there was always a domino blocker. It was John Bolton or H.R. McMaster on national security or John Kelly. Now there are no domino blockers.”
  • What’s more, with polls showing Trump’s popularity on the decline and widespread disapproval of his management of the viral outbreak, staffers have concocted a positive feedback loop for the boss. They present him with fawning media commentary and craft charts with statistics that back up the president’s claim that the administration has done a great — even historically excellent — job fighting the virus.
  • “Everyone is busy trying to create a Potemkin village for him every day. You’re not supposed to see this behavior in liberal democracies that are founded on principles of rule of law. Everyone bends over backwards to create this Potemkin village for him and for his inner circle.”
  • Although Fauci, Birx and other medical professionals sit on the coronavirus task force, many of the more pressing decisions lately have been made by the smaller group that huddles in the morning and mostly prioritizes politics. The cadre includes Meadows, senior adviser Jared Kushner and strategic communications director Alyssa Farah.
  • The policy process has fallen apart around Meadows, according to four White House officials, with the chief of staff fixated on preventing leaks and therefore unwilling to expand meetings to include experts or to share documents with senior staffers who had been excluded from discussions.
  • Luciana Borio, a director for medical and biodefense preparedness at the National Security Council during the first two years of the Trump administration, decried “a response in disarray hampered by a lack of clear, consistent public health-oriented guidance to the public.
  • “It’s very difficult to know who to trust,” Borio said. “To expect the public to sort out the facts in a time of tremendous stress leads to inconsistent and disparate actions, and that really hurts our collective effort to fight the virus.”
  • What also has frustrated a number of the president’s allies and former aides is that he simply seems uninterested in asserting full leadership over the crisis, instead deferring to state leaders to make the more difficult decisions while using his presidential bully pulpit to critique their performances.
  • “A suppression-level effort to shrink and not just mitigate the spread of covid requires a national strategy that includes standards and significant federal funding. Such a strategy is lacking right now.”
  • The Trump administration has resisted devising a national testing program and instead ceded the task to state governments, even as cases of infection average more than 60,000 a day and some people wait 10 days or longer for test results, delays that render the results essentially useless.
  • While some states have been able to largely meet the needs of their populations, the federal government is the only entity with the power to coordinate testing across state lines, push and enable manufacturers to increase production of test kits and supplies, surge those supplies as needed and ensure fair payment.
  • Without federal coordination, states, businesses, hospitals — and soon schools and universities — find themselves competing with each other for limited supplies, often overpaying as a result.
  • Despite repeated calls to invoke the Defense Production Act to help resolve testing-supply shortages, the administration has resisted doing so. Trump and several White House aides have instead continued to think that it is politically advantageous to cede the issue to the states to avoid taking ownership or blame for the issue, even though testing shortages are largely seen as a federal failure.
  • “Other countries have taken this virus seriously, trusted their public health officials and scientists, and now they’ve flattened the curve,” he said. “Meanwhile, our situation gets worse and worse every day and some Americans think, ‘Oh, that’s just the way it is.’ But that isn’t how it has to be.
  • He’s just not oriented towards things that even in the short term look like they’re involving something that’s hard or negative or that involves sacrifice or pain,” a former senior administration official explained. “He is always anxious to get to a place of touting achievements and being the messenger for good news.”
Javier E

Opinion | The Hamas horror is also a lesson on the price of populism - The Washington Post - 0 views

  • it dawned on us that what has happened is nothing like the Yom Kippur War. In newspapers, on social media and in family gatherings, people are making comparisons to the Jewish people’s darkest hours — as when the mobile killing units of the Nazi Einsatzgruppen surrounded and murdered Jewish villagers during the Holocaust, and when pogroms were waged against Jews in the Russian Empire.
  • So how did it happen? How did the state of Israel go missing in action?
  • On one level, Israelis are paying the price for years of hubris, during which our governments and many ordinary Israelis felt we were so much stronger than the Palestinians, that we could just ignore them. There is much to criticize about the way Israel has abandoned the attempt to make peace with the Palestinians and has held for decades millions of Palestinians under occupation.
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  • this does not justify the atrocities committed by Hamas, which in any case has never countenanced any possibility for a peace treaty with Israel and has done everything in its power to sabotage the Oslo peace process.
  • irrespective of how much blame one ascribes to Israel, this does not explain the dysfunction of the state.
  • He has repeatedly preferred his personal interests over the national interest and has built his career on dividing the nation against itself. He has appointed people to key positions based on loyalty more than qualifications, took credit for every success while never taking responsibility for failures, and seemed to give little importance to either telling or hearing the truth.
  • The real explanation for Israel’s dysfunction is populism rather than any alleged immorality. For many years, Israel has been governed by a populist strongman, Benjamin Netanyahu, who is a public-relations genius but an incompetent prime minister
  • The coalition Netanyahu established in December 2022 has been by far the worst. It is an alliance of messianic zealots and shameless opportunists, who ignored Israel’s many problems — including the deteriorating security situation — and focused instead on grabbing unlimited power for themselves. In pursuit of this goal, they adopted extremely divisive policies, spread outrageous conspiracy theories about state institutions that oppose their policies, and labeled the country’s serving elites as “deep state” traitors.
  • the way populism corroded the Israeli state should serve as a warning to other democracies all over the world.
  • There is much to criticize about Israel’s past behavior. The past cannot be changed, but hopefully once victory over Hamas is secured, Israelis will not only hold our current government to account, but will also abandon populist conspiracies and messianic fantasies — and make an honest effort to realize Israel’s founding ideals of democracy at home and peace abroad.
Javier E

America's Leftward Tilt? - NYTimes.com - 0 views

  • The reality is that our government hasn’t become this dysfunctional because the parties are so “polarized.” It’s because there is only one pole in American politics today, and its magnetic field is so powerful that it has drawn both parties in the same direction — rightward. And it is in that same direction that the magnetic field of contemporary American politics is likely to pull the stories the two parties tell after the election — and the policies the winner pursues.
  • The data, however, suggest just the opposite — that both candidates have benefited in the general election every time they have taken a left turn.
  • SO what underlies this powerful pull to the right? Many factors, but two stand out. The first is campaign money
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  • The second is an ideological vacuum. For years, even Republicans accepted the premises of the New Deal, which drew them leftward just as today’s political winds blow everything in their path rightward. President Dwight D. Eisenhower created the Interstate highway system. President Richard M. Nixon created the Environmental Protection Agency. Neither believed in the radical dismantling of programs that protected ordinary Americans, and both believed that a crucial role of government is to provide the infrastructure that makes economic prosperity possible.
  • Then came the conservative movement that ushered in Reagan, whose ideology has dominated our political discourse ever since, even after its proven failure
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