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julia rhodes

BBC News - Syria chemical weapons equipment destroyed, says OPCW - 0 views

  • 31 October 2013 Last updated at 19:42 ET Share this page Email Print Share this page2.6KShareFacebookTwitter Syria chemical weapons equipment destroyed, says OPCW Advertisement $render("advert-post-script-load"); Jerry Smith, OPCW: "We have... observed all of the destruction activities" Continue reading the main story Syria conflict Arms destruction Chemical stockpile 'Please let it be over' Assad opponents Syria's declared equipment for producing, mixing and filling chemical weapons has been destroyed, the international watchdog says. This comes a day before the deadline set by the Organisation for the Prohibition of Chemical Weapons (OPCW). The weapons have been placed under seal, an OPCW spokesman said. Inspectors were sent to Syria following allegations, denied by the government, that its forces had used chemical weapons in civilian areas. Continue reading the main story Analysis Jonathan Marcus BBC diplomatic correspondent The achievement of this crucial initial target is an important moment for the chemical weapons destruction effort in Syria. The inspectors' first task was to move swiftly to prevent the government from producing any more chemical agent and to destroy facilities and equipment used for mixing agents and filling munitions. Production facilities will be closely monitored to ensure that there are no moves to repair them. The next deadline is mid-November, by which time the OPCW and the Syrians must agree a detailed plan to destroy Syria's chemical weapons stockpile. All sorts of questions are raised. Where will this destruction be carried out ? Who will provide the necessary equipment and so on? Western intelligence agencies will be studying Syria's declarations carefully. They will be eager to direct inspectors to additional locations if there are any grounds to believe that Damascus has been less than frank in its disclosures. The inspections were agreed between Russia and the US after Washington threatened to use force in Syria. Syria's Deputy Foreign Minister Faisal Mekdad
  • Syria's declared equipment for producing, mixing and filling chemical weapons has been destroyed, the international watchdog says.
  • In a separate development, a large explosion at a Syrian army base has been reported outside the coastal city of Latakia. A White House official told the BBC Israeli planes carried out the attack, saying he believed the intended target was Russian missiles. Separately, a US security official said Russian-made SA-125 missiles had been targeted, according to the Associated Press news agency.
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  • "I hope those who have always thought of us negatively will change their minds and understand that Syria was, is, and will be always a constructive partner," Mr Mekdad told our correspondent
  • Mr Countryman, the assistant secretary for international security and non-proliferation, told US lawmakers that "our target dates are ambitious but they are achievable".
  • nspectors were sent to Syria following allegations, denied by the government, that its forces had used chemical weapons in civilian areas.
  • Israel is believed to have targeted the same base in July and is concerned that some weapons in Syria are being moved to Hezbollah militants in neighbouring Lebanon.
  • Mr Smith said that verifying the destruction of Syria's weapons production capability had been a "particularly challenging job" because it had to be done in the midst of a conflict, with a tight deadline
  • The first step is for the weapons watchdog and the Syrian government to agree a timetable for the destruction of the chemical weapons stockpile - this should be done within the next two weeks
  • The US says more than 1,400 people were killed when government forces used a nerve agent to attack Ghouta on the outskirts of Damascus on 21 August. Syrian President Bashar al-Assad and his Russian allies have said rebel groups were responsible
brickol

Under Intense Criticism, Trump Says Government Will Buy More Ventilators - The New York... - 0 views

  • Faced with a torrent of criticism from cities and states that have been pleading for help to deal with the most critically ill coronavirus victims, President Trump announced on Friday that the federal government would buy thousands of ventilators from a variety of makers, though it appeared doubtful they could be produced in time to help hospitals that are now overwhelmed.
  • His announcement came shortly after authorizing the government to “use any and all authority available under the Defense Production Act,” a Korean War-era authority allowing the federal government to commandeer General Motors’ factories and supply chains, to produce ventilators.
  • Just 24 hours before, he had dismissed the complaints of mayors and governors who said that they were getting little of the equipment they needed for an expected onslaught of serious cases.
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  • He was essentially ordering the company to do something it had already arranged to do: G.M. announced earlier on Friday that it was moving forward with an emergency joint venture with a small manufacturer, Ventec Life Systems, even in the absence of a contract from the Federal Emergency Management Agency.
  • In a late-afternoon news conference, Mr. Trump said, “Now it turns out we will have to be producing large numbers.” He said that over the next 100 days, “we will either make or get, in some form, over 100,000 additional units,” more than three times the nation’s annual production.
  • Mr. Trump’s announcement at his coronavirus task force’s daily briefing came on a day of intensive criticism of the administration’s slow response and lack of leadership in a pandemic that has now resulted in over 1,500 deaths in the United States. More than 100,000 people here have been infected with the coronavirus, according to a New York Times database. The United States is the only country so far to hit that milestone.
  • Much of the criticism has focused on the absence of sufficient stockpiles of basic materials like masks and ventilators, and especially on the lack of urgency in organizing increased production and distribution.
  • Officials in more than 200 American cities, large and small, report a dire need for face masks, ventilators and other emergency equipment to respond to the coronavirus outbreak, according to a survey released on Friday.
  • In total, the conference tabulated that cities needed 28.5 million face masks, 24.4 million other items of personal protection equipment, 7.9 million test kits and 139,000 ventilators.
  • Roughly two-thirds of the cities said they had not received any emergency equipment or supplies from their state, the report said. And of those that did receive state aid, nearly 85 percent said it was not enough to meet their needs.
  • More than 90 percent — or 192 cities — told the conference that they did not have an adequate supply of face masks for police officers, firefighters or emergency workers. In addition, 92 percent of cities reported a shortage of test kits to diagnose who has contracted the virus — a problem Mr. Trump has said in recent days was all but solved — and 85 percent said they did not have a sufficient supply of ventilators available to health facilities.
  • In New York, the epicenter of the virus in the United States, doctors and nurses have reported that they were being forced to experiment with putting several patients on a single ventilator — a largely untested, unapproved practice that state authorities are now permitting in an effort to keep alive older adults or immunocompromised patients who could not breathe on their own.
  • “I don’t believe you need 40,000 or 30,000 ventilators,” Mr. Trump said Thursday night, discussing an urgent request from Gov. Andrew M. Cuomo of New York. “You know, you’re going to major hospitals sometimes, they’ll have two ventilators. And now, all of a sudden, they’re saying, can we order 30,000 ventilators?”
  • Mr. Trump’s abrupt change on the need for ventilators appeared to be in response to news reports that his administration had decided at the last minute not to announce a $1.5 billion contract with G.M. because of concern about the high cost and slow delivery of the machines.
  • Because Mr. Trump played down the severity of the coronavirus for much of January and February, and into the beginning of March, the White House got a late start in assessing how much equipment would be needed.
  • The White House had been preparing to unveil the G.M.-Ventec joint venture this week, and had hoped to announce that upward of 20,000 ventilators would be available in weeks, and that ultimately 80,000 would be produced. But the company complained that FEMA would not commit to spending the $250 million or so it would take to retool the factory.
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

Joe Biden Just Crushed China's Semiconductor Industry - 0 views

  • Making computer chips requires a lot of advanced equipment. Much of that advanced equipment is made by American companies. The new rules from the Biden administration make it so that any company, anywhere in the world, using certain advanced American equipment to make chips can’t sell those chips to Chinese-controlled companies.
  • at the stroke of a pen, China is getting cut off from the kind of advanced chips it can’t manufacture on its own. Which will cripple both military progress and tech-sector progress, too.
  • in case there was any question, it is clear that China is being viewed as an adversary, and that that view is a bipartisan one. Any tech company with business in China would do well to note that any further investments are fraught with risk, and previous investments need to be diversified sooner rather than later.
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  • while Trump deserves credit for upsetting the apple cart in terms of conventional wisdom with regards to China relations, the Biden administration is correct to pursue those previous actions to their logical conclusion. . . .
  • it bans chips but it also bans equipment as well (and, given the restrictions it places on U.S.-persons, also bans the service of existing equipment).
  • That certainly increases the motivation for China to build alternatives, but it is tough to get strong legs when you have to first figure out how to make weights (but the weights involve the most complex tools ever invented by humans).
  • now the Chinese have to reinvent every wheel in the process just to get to par as it exists in the West circa 2022.
  • we talked about an accusation we sometimes hear:It’s nice that you right-wingers have come around since 2016, but the Republican party was always like this.
  • I argued that I don’t think this criticism is really right. Let’s pretend that you were a Republican in 2000 and you cared about:Robust foreign policyThe spread of democracy abroadThe rule of lawFree trade
  • Well, guess what: The Democratic party is now your natural home for those priorities. Sure, the Democrats also have some stuff you’re against, like political correctness and student loan forgiveness and expansion of the welfare state.
  • I hope you’ll watch this video clip. Because it’s not what Tuberville is saying so much as the crowd’s reaction to it. The guy is basically doing a Supreme Grand Wizard routine—all that’s missing is the n-word—and the crowd forking loves it.
  • at the same time, I understand—I think—what these critics mean. What they mean is:
  • Republican voters were always revanchists motivated not by high-minded intellectual arguments, but by simple animosities. Like racism.
  • And when you put it this way, I think the criticism is valid. For example:
  • The point is that the Republican party has changed along some very important, policy and ideological vectors. It really wasn’t always like this.
  • the actual Republican voters at this rally? They got crazy for it. They are into it.
  • Is there any way to read this except as an expression of cut-and-dried, out-and-proud, no dog whistle racism?
  • we can stipulate that the majority of Republican voters aren’t motivated in large part by racial animosity. I want to be as generous as possible so that Republicans reading this don’t think that they, personally, are being accused.
  • However small the minority of out-and-out racists in the Republican voting ranks might be, it’s much larger than people like me thought it was 20 years ago.
  • And any Republican/conservative who can’t come to grips with that today—who is still pretending that their coalition is motivated either by either high-minded political theory or benign tribalism—has to be trying (hard) not to see the truth.
brookegoodman

Health care workers on frontlines feel like 'lambs to the slaughterhouse' - CNN - 0 views

  • (CNN)An anesthesiologist in Arizona turned to eBay for N95 masks. A nurse in Ohio said she and her colleagues are forbidden from wearing any masks for fear that it would spread anxiety. A nursing home employee in Arkansas who developed a fever said she couldn't get tested.
  • The scarcity of equipment is at a critical stage, where medical workers are being asked do something that weeks ago would have brought reprimand or even termination: reuse supplies.
  • Although many hospitals and clinics are scrambling to refill dwindling supplies, the stories from health workers reflect a shaken American health care system that was caught flat-footed by the fast-spreading global pandemic.
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  • "It's unacceptable that we're sending medical professionals like lambs to the slaughterhouse without giving anything to protect themselves," said Dr. Marianne Hamra, who works in New Jersey. "Bandanas and scarves? C'mon CDC -- that's completely ridiculous."
  • Meanwhile, New York has now topped Washington state as the new epicenter of coronavirus cases with at least 20,875 infected, according to CNN's tally of cases.
  • In New Jersey, 35 physicians and nurses are no longer working at Holy Name Medical Center because they are either have or are suspected of having Covid-19.
  • "I'm very concerned that if things don't slow down, if the supply chains do not open up, if we don't figure out a way to get the nurses in here from the federal government (and) from the military," he said. "I feel in a week or so from now I may not be able to feel the same way."
  • A nurse in western Ohio said that, save for one specific unit where Covid-19 patients are supposed to be sent, nurses at the medical center are forbidden from wearing masks -- not just N95 masks, but surgical masks or any masks.
  • "I don't want to bring anything home to my kids," she said. "I'm a single mom. I signed up to be a frontline worker, but I don't have the equipment to do it."
  • Milla Kviatkovsky, a hospitalist physician in San Diego, helped launch a petition on Change.org called "US Physicians/Healthcare Workers For Personal Protective Equipment in Covid-19 Pandemic."
  • Many physicians, she said, worry about the ethical implications of institutions saying it's ok to perform procedures without protective gear when it's never been ok before.
  • "Are we doing more harm than good by going in there with no equipment and potentially spreading this to so many other people?" she said in an interview with CNN. "Are we taking out the front lines to our defense when we're so early on in the equivalent of a health care war right now?"
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.
  • 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.
  • 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.
  • 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.
  • 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.
Alex Trudel

On the front line: Fighting ISIS in Syria - CNN.com - 0 views

  • Lightly armed, poorly equipped and exhausted by months under fire -- but determined to keep fighting:
  • reality of life on the front line
  • Kurdish YPG
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  • scrappily clad in plaid shirts as well as camouflage gear, and armed with hunting rifles alongside their ancient AK-47s.
  • On October 11, more than 100 parachutes floated down through the night sky over northern Syria
  • The United States is trying to help relieve the shortage of supplies.
  • The YPG, a Kurdish group of some 30,000 fighters, is the senior partner in the Syrian Democratic Forces, which also includes some smaller Arab and Christian groups
  • instalment in a new U.S. strategy
  • failure
  • pallet of ammunition.
  • A Kurdish commander in the province of Hasakah confided
  • "train and equip"
  • raw courage of YPG fighters, nor of the Kurdish Women's Defense Unit (YPJ) that fights alongside them.
  • "They throw themselves into battle, have no sense of covering fire, just charge at the enemy," said a Dutch veteran who is now a sniper with the YPG.
  • Just weeks ago, a massive vehicle bomb blew up the entrance to the YPG headquarters here.
  • The camp appears to have been occupied by an elite squad of suicide bombers,
  • Kurds, Assyrian Christians, different Arab tribes. They fight together and against each other.
  • e.Other Arabs here resent that the Kurds were slow to join the insurgency against the regime, preferring to sit it out. Even now, the YPG co-exists with a substantial contingent of Syrian soldiers inside Hasakah city. "We have nothing to do with them, though sometimes we have an agreement not to encroach on an area," Commander Lawand told CNN inside the YPG's bombed headquarters. "We are the real opposition to the regime, but first we must fight the terror groups."That's just what the U.S. wants to hear. In the wake of its failed efforts to train and equip moderate rebel groups elsewhere in Syria, there is a lot riding on the Kurds and their Arab allies. American airstrikes were instrumental in helping the Kurds save the city of Kobani on the Turkish border and then pushing ISIS back. In a country of shifting alliances, it's a proven partnership.
Javier E

Opinion | Testing Can't Stop Coronavirus Now, But There Are Still Things We Can Do - Th... - 0 views

  • Of all the resources lacking in the Covid-19 pandemic, the one most desperately needed in the United States is a unified national strategy, as well as the confident, coherent and consistent leadership to see it carried out
  • The country cannot go from one mixed-message news briefing to the next, and from tweet to tweet, to define policy priorities. It needs a science-based plan that looks to the future rather than merely reacting to latest turn in the crisis.
  • rom an epidemiological perspective, the current debate, which pits human life against long-term economics, presents a false choice.
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  • Just as a return to even a new normal is unthinkable for the foreseeable future — and well past Easter, Mr. Trump — a complete shutdown and shelter-in-place strategy cannot last for months
  • A middle-ground approach is the only realistic one — and defining what that looks like means doing our best to keep all such workers safe.
  • In three to four weeks, there will be a major shortage of chemical reagents for coronavirus testing
  • When leaders tell the truth about even near-desperate situations, when they lay out a clear and understandable vision, the public might remain frightened, but it will act rationally and actively participate in the preservation of its safety and security.
  • begin by stating a number of hard truth
  • The first is that no matter what we do at this stage, numerous hospitals in the United States will be overrun. Many people, including health care workers, will get sick and some will die. And the economy will tank. It’s too late to change any of this now.
  • It also means leadership. Above all, it means being realistic about what is possible and what is not, and communicating that clearly to the American public.
  • The second hard truth is that at this stage, any public health response that counts on widespread testing in the United States is doomed to fail.
  • it simply won’t be available.
  • Much better, instead, to immediately gear up for epidemic intelligence
  • illness surveillance, in which epidemiologists survey a sample of doctors’ offices in a given geographic region each day to learn how many patients sought care for illnesses with symptoms of fever, cough and muscle aches.
  • A third hard truth is that shortages of personal protective equipment — particularly N-95 masks — for health care workers will only get worse in the United States as global need continues to rise precipitously
  • If you can’t make nearly enough masks to meet the need, then you must conserve the masks you can make. Unfortunately, some hospitals in the United States are not employing science-based methods for conserving these invaluable lifesaving masks.
  • Making ventilators — machines that breathe for patients who cannot effectively do so on their own — poses an even more formidable challenge
  • a Medtronic ventilator has about 1,500 parts, supplied by 14 separate countries.
  • More machines might, at best, be manufactured by the hundreds a month — but not by the thousands, as is needed right now.
  • a national strategy and leadership are crucial. Otherwise, hospitals, governors and politicians will only vie against one anothe
  • “Respirators, ventilators, all of the equipment — try getting it yourselves,” Mr. Trump said
  • This is exactly the wrong message. The White House must take charge, keeping track of national inventory, purchasing the precious resources and distributing them where they are most needed at the moment.
  • More than anything, what the United States needs right now is for the president to undertake an intellectual Manhattan Project: gather the best minds in public health, medicine, medical ethics, catastrophe preparedness and response; political leadership; and private-sector manufacturing and the pharmaceutical industry.
  • The effort against Covid-19 will need to be bear fruit within days — and come up with a comprehensive but realistic blueprint for getting America through the next 12 to 18 months, or however long it takes for a vaccine to become widely available or herd immunity to take hold in the population
Javier E

Opinion | Trump Is Politicizing the Pandemic. Governors Can Fight Back. - The New York ... - 0 views

  • because nearly all states must balance their budgets, they couldn’t use deficit spending for bailouts. They can’t print money as the Federal Reserve can. And they still don’t have the resources to protect their residents — which makes it risky for them to anger Mr. Trump
  • In January, U.S. intelligence agencies warned that the Chinese government was minimizing the outbreak, but state and local officials didn’t have that information and so could not counter the president when he waved off the threat.
  • In February, when the Centers for Disease Control and Prevention pledged but failed to put in place a system of widespread testing, states and counties didn’t have the capacity to act on their own. They had neither the centralized apparatus to conduct blanket testing nor the authority to waive regulations over such testing enforced by the Food and Drug Administration, another source of federal power.
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  • The next task was undertaking the vast production and allocation of masks, other protective gear and ventilators. Instead of centralizing this task, President Trump said from the White House lectern, “Governors are supposed to be doing a lot of this work.” He added, “You know, we’re not a shipping clerk.”
  • The vacuum left by the federal government forced states to compete for scarce equipment like ventilators, driving up their price and benefiting shady middlemen while causing fatal delays.
  • Unwilling to take the blame for shutting down the economy when he thought there was little public support for the move, he sparred with governors like Mr. Cuomo and Gretchen Whitmer of Michigan while also hiding behind them.
  • “The governors, locally, are going to be in command,” he said on the same day Mr. Pence spoke of federalism’s virtues. “We will be following them, and we hope they can do the job.”
  • he shifted to using the governors for partisan gain. Last Friday, Mr. Trump said they “should be appreciative, because you know what? When they’re not appreciative to me, they’re not appreciative to the Army Corps. They’re not appreciative to FEMA.” He then said he told Mr. Pence not to call those who were unappreciative.
  • he made his point: Governors who criticized the president would put their states at risk of getting short shrift from the federal government.
  • Colorado, Maine and Massachusetts, led by two Democrats and a Republican critic of the president’s pandemic policies, received only small fractions of what they asked for while Florida got the delivery it requested — twice over.
  • Last week, the Business Roundtable, the U.S. Chamber of Commerce and the National Association of Manufacturers wrote to the National Governors Association asking for uniform directives with a single definition of “essential” businesses that can operate.
  • Mayors can assist, as the U.S. Conference of Mayors did last week by surveying its members and telling the public that almost 90 percent of cities did not have enough test kits or masks and other protective equipment for health care workers.
  • the governors, with their direct responsibility for the welfare of their citizens, have urgent reason to band together and do better.
Javier E

Desperate for medical equipment, states encounter a beleaguered national stockpile - Th... - 0 views

  • HHS officials have sparred for more than a year with White House budget officials over money to buy more stockpile supplies.In February 2019, the White House was planning for a presidential executive order on preparing for a potential flu pandemic. HHS requested a more than $11 billion investment over 10 years for ASPR, including $2.7 billion for “treatment and control,” according to a document read by a Washington Post reporter that said some of those funds would go toward “better protective devices, manufactured faster.”
  • But the executive order issued by Trump in September 2019 did not include that money.
  • In late January, Azar began telling OMB about the need for a supplemental budget request for stockpile supplies — and was rebuffed at a time when the White House did not yet acknowledge any supplemental money would be needed, according to several individuals familiar with the situation
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  • Then came the Feb. 5 argument.
  • In mid-March, Trump declared the coronavirus outbreak a national emergency. As a result, control of the stockpile shifted again — from HHS to FEMA.Since then, FEMA’s administrator, Peter Gaynor, has been asked frequently how many supplies have been shipped to states and how allocation decisions are being made.
Javier E

How Will the Coronavirus End? - The Atlantic - 0 views

  • A global pandemic of this scale was inevitable. In recent years, hundreds of health experts have written books, white papers, and op-eds warning of the possibility. Bill Gates has been telling anyone who would listen, including the 18 million viewers of his TED Talk.
  • We realized that her child might be one of the first of a new cohort who are born into a society profoundly altered by COVID-19. We decided to call them Generation C.
  • “No matter what, a virus [like SARS-CoV-2] was going to test the resilience of even the most well-equipped health systems,”
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  • To contain such a pathogen, nations must develop a test and use it to identify infected people, isolate them, and trace those they’ve had contact with. That is what South Korea, Singapore, and Hong Kong did to tremendous effect. It is what the United States did not.
  • That a biomedical powerhouse like the U.S. should so thoroughly fail to create a very simple diagnostic test was, quite literally, unimaginable. “I’m not aware of any simulations that I or others have run where we [considered] a failure of testing,”
  • The testing fiasco was the original sin of America’s pandemic failure, the single flaw that undermined every other countermeasure. If the country could have accurately tracked the spread of the virus, hospitals could have executed their pandemic plans, girding themselves by allocating treatment rooms, ordering extra supplies, tagging in personnel, or assigning specific facilities to deal with COVID-19 cases.
  • None of that happened. Instead, a health-care system that already runs close to full capacity, and that was already challenged by a severe flu season, was suddenly faced with a virus that had been left to spread, untracked, through communities around the country.
  • With little room to surge during a crisis, America’s health-care system operates on the assumption that unaffected states can help beleaguered ones in an emergency.
  • That ethic works for localized disasters such as hurricanes or wildfires, but not for a pandemic that is now in all 50 states. Cooperation has given way to competition
  • Partly, that’s because the White House is a ghost town of scientific expertise. A pandemic-preparedness office that was part of the National Security Council was dissolved in 2018. On January 28, Luciana Borio, who was part of that team, urged the government to “act now to prevent an American epidemic,” and specifically to work with the private sector to develop fast, easy diagnostic tests. But with the office shuttered, those warnings were published in The Wall Street Journal, rather than spoken into the president’s ear.
  • Rudderless, blindsided, lethargic, and uncoordinated, America has mishandled the COVID-19 crisis to a substantially worse degree than what every health expert I’ve spoken with had feared. “Much worse,”
  • “Beyond any expectations we had,” said Lauren Sauer, who works on disaster preparedness at Johns Hopkins Medicine. “As an American, I’m horrified,” said Seth Berkley, who heads Gavi, the Vaccine Alliance. “The U.S. may end up with the worst outbreak in the industrialized world.”
  • it will be difficult—but not impossible—for the United States to catch up. To an extent, the near-term future is set because COVID-19 is a slow and long illness. People who were infected several days ago will only start showing symptoms now, even if they isolated themselves in the meantime. Some of those people will enter intensive-care units in early April
  • A “massive logistics and supply-chain operation [is] now needed across the country,” says Thomas Inglesby of Johns Hopkins Bloomberg School of Public Health. That can’t be managed by small and inexperienced teams scattered throughout the White House. The solution, he says, is to tag in the Defense Logistics Agency—a 26,000-person group that prepares the U.S. military for overseas operations and that has assisted in past public-health crises, including the 2014 Ebola outbreak.
  • The first and most important is to rapidly produce masks, gloves, and other personal protective equipment
  • it would also come at a terrible cost: SARS-CoV-2 is more transmissible and fatal than the flu, and it would likely leave behind many millions of corpses and a trail of devastated health systems.
  • This agency can also coordinate the second pressing need: a massive rollout of COVID-19 tests.
  • These measures will take time, during which the pandemic will either accelerate beyond the capacity of the health system or slow to containable levels. Its course—and the nation’s fate—now depends on the third need, which is social distancing.
  • There are now only two groups of Americans. Group A includes everyone involved in the medical response, whether that’s treating patients, running tests, or manufacturing supplies. Group B includes everyone else, and their job is to buy Group A more time. Group B must now “flatten the curve” by physically isolating themselves from other people to cut off chains of transmission.
  • Given the slow fuse of COVID-19, to forestall the future collapse of the health-care system, these seemingly drastic steps must be taken immediately, before they feel proportionate, and they must continue for several weeks.
  • Persuading a country to voluntarily stay at home is not easy, and without clear guidelines from the White House, mayors, governors, and business owners have been forced to take their own steps.
  • when the good of all hinges on the sacrifices of many, clear coordination matters—the fourth urgent need
  • Pundits and business leaders have used similar rhetoric, arguing that high-risk people, such as the elderly, could be protected while lower-risk people are allowed to go back to work. Such thinking is seductive, but flawed. It overestimates our ability to assess a person’s risk, and to somehow wall off the ‘high-risk’ people from the rest of society. It underestimates how badly the virus can hit ‘low-risk’ groups, and how thoroughly hospitals will be overwhelmed if even just younger demographics are falling sick.
  • A recent analysis from the University of Pennsylvania estimated that even if social-distancing measures can reduce infection rates by 95 percent, 960,000 Americans will still need intensive care.
  • There are only about 180,000 ventilators in the U.S. and, more pertinently, only enough respiratory therapists and critical-care staff to safely look after 100,000 ventilated patients. Abandoning social distancing would be foolish. Abandoning it now, when tests and protective equipment are still scarce, would be catastrophic.
  • If Trump stays the course, if Americans adhere to social distancing, if testing can be rolled out, and if enough masks can be produced, there is a chance that the country can still avert the worst predictions about COVID-19, and at least temporarily bring the pandemic under control. No one knows how long that will take, but it won’t be quick. “It could be anywhere from four to six weeks to up to three months,” Fauci said, “but I don’t have great confidence in that range.”
  • there are three possible endgames: one that’s very unlikely, one that’s very dangerous, and one that’s very long.
  • The first is that every nation manages to simultaneously bring the virus to heel, as with the original SARS in 2003. Given how widespread the coronavirus pandemic is, and how badly many countries are faring, the odds of worldwide synchronous control seem vanishingly small.
  • The second is that the virus does what past flu pandemics have done: It burns through the world and leaves behind enough immune survivors that it eventually struggles to find viable hosts. This “herd immunity” scenario would be quick, and thus tempting
  • The U.S. has fewer hospital beds per capita than Italy. A study released by a team at Imperial College London concluded that if the pandemic is left unchecked, those beds will all be full by late April. By the end of June, for every available critical-care bed, there will be roughly 15 COVID-19 patients in need of one.  By the end of the summer, the pandemic will have directly killed 2.2 million Americans,
  • The third scenario is that the world plays a protracted game of whack-a-mole with the virus, stamping out outbreaks here and there until a vaccine can be produced. This is the best option, but also the longest and most complicated.
  • there are no existing vaccines for coronaviruses—until now, these viruses seemed to cause diseases that were mild or rare—so researchers must start from scratch.
  • The first steps have been impressively quick. Last Monday, a possible vaccine created by Moderna and the National Institutes of Health went into early clinical testing. That marks a 63-day gap between scientists sequencing the virus’s genes for the first time and doctors injecting a vaccine candidate into a person’s arm. “It’s overwhelmingly the world record,” Fauci said.
  • The initial trial will simply tell researchers if the vaccine seems safe, and if it can actually mobilize the immune system. Researchers will then need to check that it actually prevents infection from SARS-CoV-2. They’ll need to do animal tests and large-scale trials to ensure that the vaccine doesn’t cause severe side effects. They’ll need to work out what dose is required, how many shots people need, if the vaccine works in elderly people, and if it requires other chemicals to boost its effectiveness.
  • No matter which strategy is faster, Berkley and others estimate that it will take 12 to 18 months to develop a proven vaccine, and then longer still to make it, ship it, and inject it into people’s arms.
  • as the status quo returns, so too will the virus. This doesn’t mean that society must be on continuous lockdown until 2022. But “we need to be prepared to do multiple periods of social distancing,” says Stephen Kissler of Harvard.
  • First: seasonality. Coronaviruses tend to be winter infections that wane or disappear in the summer. That may also be true for SARS-CoV-2, but seasonal variations might not sufficiently slow the virus when it has so many immunologically naive hosts to infect.
  • Second: duration of immunity. When people are infected by the milder human coronaviruses that cause cold-like symptoms, they remain immune for less than a year. By contrast, the few who were infected by the original SARS virus, which was far more severe, stayed immune for much longer.
  • scientists will need to develop accurate serological tests, which look for the antibodies that confer immunity. They’ll also need to confirm that such antibodies actually stop people from catching or spreading the virus. If so, immune citizens can return to work, care for the vulnerable, and anchor the economy during bouts of social distancing.
  • Aspects of America’s identity may need rethinking after COVID-19. Many of the country’s values have seemed to work against it during the pandemic. Its individualism, exceptionalism, and tendency to equate doing whatever you want with an act of resistance meant that when it came time to save lives and stay indoors, some people flocked to bars and clubs.
  • “We can keep schools and businesses open as much as possible, closing them quickly when suppression fails, then opening them back up again once the infected are identified and isolated. Instead of playing defense, we could play more offense.”
  • The vaccine may need to be updated as the virus changes, and people may need to get revaccinated on a regular basis, as they currently do for the flu. Models suggest that the virus might simmer around the world, triggering epidemics every few years or so. “But my hope and expectation is that the severity would decline, and there would be less societal upheaval,”
  • After infections begin ebbing, a secondary pandemic of mental-health problems will follow.
  • But “there is also the potential for a much better world after we get through this trauma,”
  • Testing kits can be widely distributed to catch the virus’s return as quickly as possible. There’s no reason that the U.S. should let SARS-CoV-2 catch it unawares again, and thus no reason that social-distancing measures need to be deployed as broadly and heavy-handedly as they now must be.
  • Pandemics can also catalyze social change. People, businesses, and institutions have been remarkably quick to adopt or call for practices that they might once have dragged their heels on, including working from home, conference-calling to accommodate people with disabilities, proper sick leave, and flexible child-care arrangements.
  • Perhaps the nation will learn that preparedness isn’t just about masks, vaccines, and tests, but also about fair labor policies and a stable and equal health-care system. Perhaps it will appreciate that health-care workers and public-health specialists compose America’s social immune system, and that this system has been suppressed.
  • Attitudes to health may also change for the better. The rise of HIV and AIDS “completely changed sexual behavior among young people who were coming into sexual maturity at the height of the epidemic,”
  • Years of isolationist rhetoric had consequences too.
  • “People believed the rhetoric that containment would work,” says Wendy Parmet, who studies law and public health at Northeastern University. “We keep them out, and we’ll be okay. When you have a body politic that buys into these ideas of isolationism and ethnonationalism, you’re especially vulnerable when a pandemic hits.”
  • Pandemics are democratizing experiences. People whose privilege and power would normally shield them from a crisis are facing quarantines, testing positive, and losing loved ones. Senators are falling sick. The consequences of defunding public-health agencies, losing expertise, and stretching hospitals are no longer manifesting as angry opinion pieces, but as faltering lungs.
  • After COVID-19, attention may shift to public health. Expect to see a spike in funding for virology and vaccinology, a surge in students applying to public-health programs, and more domestic production of medical supplies.
  • The lessons that America draws from this experience are hard to predict, especially at a time when online algorithms and partisan broadcasters only serve news that aligns with their audience’s preconceptions.
  • “The transitions after World War II or 9/11 were not about a bunch of new ideas,” he says. “The ideas are out there, but the debates will be more acute over the next few months because of the fluidity of the moment and willingness of the American public to accept big, massive changes.”
  • One could easily conceive of a world in which most of the nation believes that America defeated COVID-19. Despite his many lapses, Trump’s approval rating has surged. Imagine that he succeeds in diverting blame for the crisis to China, casting it as the villain and America as the resilient hero.
  • One could also envisage a future in which America learns a different lesson. A communal spirit, ironically born through social distancing, causes people to turn outward, to neighbors both foreign and domestic. The election of November 2020 becomes a repudiation of “America first” politics. The nation pivots, as it did after World War II, from isolationism to international cooperation
  • The U.S. leads a new global partnership focused on solving challenges like pandemics and climate change.
  • In 2030, SARS-CoV-3 emerges from nowhere, and is brought to heel within a month.
  • On the Global Health Security Index, a report card that grades every country on its pandemic preparedness, the United States has a score of 83.5—the world’s highest. Rich, strong, developed, America is supposed to be the readiest of nations. That illusion has been shattered. Despite months of advance warning as the virus spread in other countries, when America was finally tested by COVID-19, it failed.
andrespardo

Coronavirus mask guidance is endangering US health workers, experts say | US news | The... - 0 views

  • Coronavirus mask guidance is endangering US health workers, experts say
  • With crucial protective gear in short supply, federal authorities are saying health workers can wear lower-grade surgical masks while treating Covid-19 patients – but growing evidence suggests the practice is putting workers in jeopardy.
  • But scholars, not-for-profit leaders and former regulators in the specialized field of occupational safety say relying on surgical masks – which are considerably less protective than N95 respirators – is almost certainly fueling illness among frontline health workers, who probably make up about 11% of all known Covid-19 cases.
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  • The allowance for surgical masks made more sense when scientists initially thought the virus was spread by large droplets. But a growing body of research shows that it is spread by minuscule viral particles that can linger in the air as long as 16 hours.
  • A properly fitted N95 respirator will block 95% of tiny air particles – down to 0.3 micron in diameter, which are the hardest to catch – from reaching the wearer’s face. But surgical masks, designed to protect patients from a surgeon’s respiratory droplets, aren’t effective at blocking particles smaller than 100 microns, according to the mask maker 3M. A Covid-19 particle is smaller than 0.1 micron, according to South Korean researchers, and can pass through a surgical mask.
  • said Katie Scott, an RN at the hospital and vice-president of the Michigan Nurses Association. Employees who otherwise treat Covid-19 patients receive surgical masks.
  • A 2013 Chinese study found that twice as many health workers, 17%, contracted a respiratory illness if they wore only a surgical mask while treating sick patients, compared to 7% who continuously used an N95, per a study in the American Journal of Respiratory and Critical Care Medicine.
  • Earlier this month, the national Teamsters Union reported that 64% of its healthcare worker membership – which includes people working in nursing homes, hospitals and other medical facilities – could not get N95 masks.
  • The CDC’s recent advice on surgical masks contrasts with another CDC web page that says surgical masks do “NOT provide the wearer with a reliable level of protection from inhaling smaller airborne particles and is not considered respiratory protection”.
  • That matches CDC protocol, but leaves nurses like Scott – who has read the research on surgical masks versus N95s – feeling exposed.
  • At Michigan Medicine, employees are not allowed to bring in their own protective equipment, according to a complaint the nurses’ union filed with the Michigan Occupational Safety and Hazard Administration. Scott said friends and family have mailed her personal protective equipment (PPE), including N95 masks. It sits at home while she cares for patients.
  • “To think I’m going to work and am leaving this mask at home on my kitchen table, because the employer won’t let me wear it,”
  • News reports from Kentucky to Florida to California have documented nurses facing retaliation or pressure to step down when they’ve brought their own N95 respirators.
  • In New York, the center of the US’s outbreak, nurses across the state report receiving surgical masks, not N95s, to wear when treating Covid-19 patients, according to a court affidavit submitted by Lisa Baum, the lead occupational health and safety representative for the New York State Nurses Association (NYSNA).
  • White House to invoke the Defense Production Act, a Korean war-era law that allows the federal government, in an emergency, to direct private business in the production and distribution of goods.
  • provide health care workers with protective equipment, including N95s masks, when they interact with patients suspected to have Covid-19.
  • “Nurses are not afraid to care for our patients if we have the right protections,” said Bonnie Castillo, the executive director of National Nurses United, “but we’re not martyrs sacrificing our lives because our government and our employers didn’t do their job.”
anonymous

Election Lawsuits Are A New Tactic To Fight Disinformation : NPR - 0 views

  • The victims of some of the most pernicious conspiracy theories of 2020 are fighting back in court. Voting equipment companies have filed a series of massive defamation lawsuits against allies of former President Trump in an effort to exert accountability over falsehoods about the companies' role in the election and repair damage to their brands.
  • On Friday, Fox News became the latest target and was served with a $1.6 billion defamation lawsuit by Denver-based Dominion Voting Systems after several of the network's hosts entertained on air conspiracy theories pushed by former President Trump that the company had rigged the results of the November election against him in key states.
  • Dominion has also sued Trump associates Rudy Giuliani, Sidney Powell and Mike Lindell for billions in damages. The company is one of the top providers of voting equipment to states and counties around the country and typically relies on procurement decisions made by elected officials from both political parties.
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  • Earlier this month, Republican commissioners in one Ohio county sought to block the county election board's purchase of new Dominion equipment. A Dominion employee who was forced into hiding due to death threats has sued Giuliani, Powell and the Trump campaign. Another voting systems company, Smartmatic, has also filed a defamation lawsuit against Fox News.
  • Some see these legal fights as another way to take on viral misinformation, one that's already starting to show some results although some journalists are uneasy that a news organization could be targeted.
  • Skarnulis hopes that in addition to helping Coomer clear his name and return to a normal life, the suits will also serve as a warning.
  • The number of defamation lawsuits and the large damage claims associated with them is novel, said journalism and public policy professor Bill Adair, head of the journalism program at Duke University.
  • He does worry that using defamation suits to combat untruths spread by media outlets could become a weapon against journalists just doing their jobs. "As a journalist, I'm a little bit nervous. The idea of using defamation lawsuits makes us a little bit concerned."But even with that discomfort, Adair has come to believe the lawsuits do have a role to play.
  • The defamation suits already do appear to be having an effect. An anchor for Newsmax walked out on a live interview with My Pillow CEO Lindell when he started making unsubstantiated claims about Dominion voting machines. Fox News, the Fox Business Network and Newsmax also aired segments that contradicted the disinformation their own hosts had amplified.
  • Last month, Fox Business also cancelled a show hosted by Trump ally Lou Dobbs, who had amplified the conspiracy theories and interviewed Powell and Giuliani about them.
  • One challenge for the plaintiffs is that defamation lawsuits are difficult to win. They need to show the person they're suing knew a statement was false when she made it, or had serious doubts about its truthfulness.
  • Media organizations have a First Amendment right to report the news, and that includes repeating what important people say, even if those statements are false, said George Freeman, the former in-house counsel for The New York Times, who now heads the Medial Law Resource Center.
  • Pro-Trump outlets are likely to claim that constitutional protection for their defense but Freeman believes they may have crossed a legal line in their presentation of election fraud claims and in some instances applauding obvious falsehoods.
  • Still Freeman said he thinks the strongest defamation cases aren't against the media companies, but against one of the people they gave a lot of airtime to, Rudy Giuliani.
  • In a January call announcing the lawsuit against Giuliani, Dominion's attorney, Tom Clare, said that the court can consider circumstantial evidence too. The complaint includes a detailed timeline that shows Giuliani continued to make his claims in the face of public assurances from election security experts, hand recounts, and numerous court rulings rejecting fraud cases.
  • While the current lawsuits could have an impact in this instance, experts on misinformation say there are several reasons why defamation cases aren't a central tool in the fight against falsehoods.
  • Many conspiracy theories don't target a specific person or company, so there's no one to file a lawsuit against. Legal action is also expensive. Coomer's legal team expects his bills will exceed $2 million. And when a victim does sue, a case can take years.
  • The parents of children killed in the Sandy Hook shooting have filed multiple defamation lawsuits against Alex Jones of the conspiracy site, InfoWars. But after numerous challenges and delays, the cases are all still in the pre-trial phase. With Dominion and Smartmatic vowing not to settle before they get their day in court, this approach to fighting election misinformation may still be grinding forward even as the country enters the next presidential election. But for Adair and others, any effort to discourage future misinformation campaigns is worth pursuing.
Javier E

How Emergent BioSolutions Put an 'Extraordinary Burden' on the U.S.'s Troubled Stockpil... - 0 views

  • Government purchases for the Strategic National Stockpile, the country’s emergency medical reserve where such equipment is kept, have largely been driven by the demands and financial interests of a handful of biotech firms that have specialized in products that address terrorist threats rather than infectious disease.
  • “Today, I think, we would not allow anthrax to take up half the budget for a guaranteed supply of vaccines,” he said, adding, “Surely after such a calamity as the last year, we should take a fresh look at stockpiles and manufacturing and preparing for the next pandemic.”
  • Under normal circumstances, Emergent’s relationship with the federal stockpile would be of little public interest — an obscure contractor in an obscure corner of the federal bureaucracy applying the standard tools of Washington, like well-connected lobbyists and campaign contributions, to create a business heavily dependent on taxpayer dollars.
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  • Security concerns, moreover, keep most information about stockpile purchases under wraps. Details about the contracts and inventory are rarely made public, and even the storage locations are secret.
  • Former Emergent employees, government contractors, members of Congress, biodefense experts and current and former officials from agencies that oversee the stockpile described a deeply dysfunctional system that contributed to the shocking shortages last year.
  • Purchases are supposed to be based on careful assessments by government officials of how best to save lives, but many have also been influenced by Emergent’s bottom line
  • The stockpile has long been the company’s biggest and most reliable customer for its anthrax vaccines, which expire and need to be replaced every few years.
  • In the two decades since the repository was created, Emergent’s aggressive tactics, broad political connections and penchant for undercutting competitors have given it remarkable sway over the government’s purchasing decisions related to the vaccines
  • While national security officials still consider anthrax a threat, it has not received specific mention since 2012 in the intelligence community’s annual public assessment of dangers facing the country, a report that has repeatedly warned of pandemics.
  • Emergent bought the license for the country’s only approved anthrax vaccine in 1998 from the State of Michigan. Over time, the price per dose the government agreed to pay Emergent increased nearly sixfold, accounting for inflation, contributing to record revenues last year that topped $1.5 billion
  • The company, whose board is stocked with former federal officials, has deployed a lobbying budget more typical of some big pharmaceutical companies
  • Competing efforts to develop a better and cheaper anthrax vaccine, for example, collapsed after Emergent outmaneuvered its rivals, the documents and interviews show.
  • preparations for an outbreak like Covid-19 almost always took a back seat to Emergent’s anthrax vaccines
  • the government approved a plan in 2015 to buy tens of millions of N95 respirators — lifesaving equipment for medical workers that has been in short supply because of Covid-19 — but the masks repeatedly lost out in the competition for funding over the years leading up to the pandemic
  • After Dr. Frieden and others in the Obama administration tried but failed to lessen Emergent’s dominance over stockpile purchases, the company’s fortunes rose under Mr. Trump, who appointed a former Emergent consultant with a background in bioterrorism to run the office that now oversees the stockpile
  • “If I could spend less on anthrax replenishment, I could buy more N95s,” Dr. Kadlec said in an interview shortly after leaving office. “I could buy more ventilators. I could buy more of other things that quite frankly I didn’t have the money to buy.”
  • And now, as some members of Congress push for larger reserves of ventilators, masks and other equipment needed in a pandemic, a trade group led in part by a top Emergent lobbyist has warned that the purchases could endanger companies focused on threats like anthrax and smallpox by drawing down limited funds.
  • Last year, as the pandemic raced across the country, the government paid Emergent $626 million for products that included vaccines to fight an entirely different threat: a terrorist attack using anthrax.
  • “I think it’s pretty clear that the benefit of the vaccine is marginal,” he said in an interview
  • “They’re very vicious in their behavior toward anybody they perceive as having a different point of view,” said Dr. Tara O’Toole, a former Homeland Security official who says she ran afoul of Emergent in 2010 after telling Congress that the nation needed a newer and better anthrax vaccine.
  • That year, the company that would become Emergent — then known as BioPort — paid Michigan $25 million to buy the license for a government-developed anthrax vaccine and an aging manufacturing plant.
  • The company opened its doors with one product, called BioThrax, and one customer, the Defense Department, which required the vaccine for service members.
  • Emergent’s anthrax vaccine was not the government’s first choice. It was more than 30 years old and plagued by manufacturing challenges and complaints about side effects. Officials instead backed a company named VaxGen, which was developing a vaccine using newer technology licensed from the military.
  • Emergent’s successful campaign against VaxGen — deploying a battalion of lobbyists, publicly attacking its rival and warning that it might cease production of its own vaccine if the government didn’t buy it — established its formidable reputation. By 2006, VaxGen had lost its contract and the government had turned to Emergent to supply BioThrax.
  • “They were totally feared by everybody,” Dr. Philip Russell, a top health official in the administration of President George W. Bush, said in an interview. He said that he clashed with Emergent when he backed VaxGen, and that his reputation came under attack, which was documented by The Times in 2006. (Dr. Russell died this January.)
  • the group of federal officials who make decisions about the stockpile and other emergency preparations — known as the Phemce, for the Public Health Emergency Medical Countermeasures Enterprise — ordered up a study. It found in 2010 that the government could not afford to devote so much of its budget to a single threat.
  • Instead, the review concluded, the government should invest more in products with multiple applications, like diagnostic tests, ventilators, reusable respirator masks and “plug and play” platforms that can rapidly develop vaccines for a range of outbreaks.
  • from 2010 through 2018, the anthrax vaccine consumed more than 40 percent of the stockpile’s budget, which averaged $560 million during those years.
  • Emergent and the government have withheld details of the stockpile contracts, including how much the company has charged for each dose of BioThrax, but executives have shared some of the missing information with investors.
  • The company in 1998 agreed to charge the government an average of about $3.35 per dose, documents show. By 2010, the price had risen to about $28, according to financial disclosures and statements by Emergent executives, and now it is about $30
  • Over the past 15 years, the company recorded a gross profit margin of about 75 percent for the vaccine, in an arrangement that one Emergent vice president called a “monopoly.”
  • Emergent’s rise is the stuff of lore in biodefense circles — a tale of savvy dealings, fortuitous timing and tough, competitive tactics.
  • One afternoon in October 2010, Wall Street investors gathered at the Millennium Broadway Hotel in Manhattan for a presentation by Mr. Burrows. He shared with them a secret number: 75 million.That was how many BioThrax doses the government had committed to stockpiling, and it was the backbone of Emergent’s thriving business. In pursuit of that goal, the government had already spent more than $900 million, and it continued to buy virtually every dose Emergent could produce. It had even awarded the company more than $100 million to expand its Michigan factory.
  • “The best approach toward anthrax is antimicrobial therapy,” Dr. Anthony S. Fauci, the government’s top infectious-disease expert, told Congress as early as 2007.
  • In an analysis published in 2007, the firm determined that giving antibiotics immediately after a large outdoor anthrax attack was likely to reduce serious illnesses by more than 80 percent. Administering the vaccine would then cut serious illnesses only by an additional 4 percent.
  • Dr. Ali S. Khan, who ran the C.D.C. office managing the stockpile until 2014, said bluntly: “We overpaid.”
  • “A bunch of people, including myself, were sitting in a room and asking what kind of attack might happen,” said Dr. Kenneth Bernard, a top biodefense adviser to Mr. Bush, recalling a meeting in the months after the 2001 attacks.
  • “And somebody said, ‘Well, I can’t imagine anyone attacking more than three cities at once,’” he said. “So we took the population of a major U.S. city and multiplied by three.”
  • A team of Homeland Security and health officials began doing just that in 2013. The group determined, in a previously undisclosed analysis, that the government could stockpile less BioThrax and still be prepared for a range of plausible attacks, according to two people involved in the assessment. Separately, government researchers concluded that two doses of BioThrax provided virtually the same protection as three.
  • the National Intelligence Council, which helped draft the assessments during Mr. Obama’s second term, said in an interview that the idea of a three-city attack affecting 25 million people was “straining credulity.”
  • “If you talk to the head of the House Intelligence Committee,” Don Elsey, Emergent’s chief financial officer, told investors in 2011, “and you say, ‘What are you most worried about?’ he’ll say, ‘Let me see: Number one, anthrax; number two, anthrax; number three, anthrax.’”
  • Emergent’s sales strategy was to address that fear by promising the federal government peace of mind with its vaccine.
  • “There’s a political element involved,” Mr. Burrows, the company’s vice president of investor relations, said at an industry conference in 2016. “I don’t have a marketing expense. I have lobbying expense.”
  • Since 2010, the company has spent an average of $3 million a year on lobbying — far outspending similarly sized biotech firms, and roughly matching the outlays of two pharmaceutical companies with annual revenues at least 17 times greater, AstraZeneca and Bristol Myers Squibb
  • In 2015, as stockpile managers questioned the large purchases of BioThrax, the spending topped $4 million
  • “They were pouring it on — how poor they were and how this was going to ruin the company, and they’d have to close down factories, and America was going to be left without anthrax vaccine,”
  • “Their revolving door is moving at 60 miles per hour,” said former Senator Claire McCaskill, a Democrat from Missouri who had questioned spending on the vaccine while in the Senate. “There is really a lot of incestuousness because it’s such a specialized field.”
  • Ms. DeLorenzo, the Emergent spokeswoman, said the lobbying was necessary because government investment “in biodefense and other public health threats has not been as strongly prioritized as it should be.”
  • Over the past 10 years, Emergent’s political action committee has spread almost $1.4 million in campaign contributions among members of both partie
  • The move followed a yearslong pattern of retaining a bipartisan lobbying corps of former agency officials, staff members and congressmen, including Pete Hoekstra of Michigan, Tom Latham of Iowa and Jim Saxton of New Jersey.
  • “You have people coming and saying, ‘There’s no market for this — nobody’s going to produce this unless you buy enough of it to keep the production line open,’” he said. “It’s an absolutely appropriate argument to make.”
  • Emergent’s campaign proved effective. Despite the 2015 recommendation by the stockpile managers, Senate overseers made clear they opposed the reduction, and the government went ahead and bought $300 million worth of BioThrax.
  • Emergent executives, meanwhile, warned that there could be job losses at the factory in Lansing, Mich. — the capital of a swing state at the center of a contentious presidential campaign between Mr. Trump and Hillary Clinton.
  • Because Emergent was the sole manufacturer of a product deemed critical to national security, the company has played what one former executive described to The Times as “the we’re-going-to-go-bankrupt card.”
  • Dr. Hatchett said the idea gave him pause. But, he explained in an interview, “if there’s only one partner that can provide a product and only one customer for that product, the customer needs the partner to survive.”
  • Just a year later, Emergent spent about $200 million in cash, and made other financial commitments, to acquire Sanofi’s smallpox vaccine and GlaxoSmithKline’s anthrax treatment, two products with established pipelines to the stockpile. The purchases expanded Emergent’s hold over the reserve.
  • Ms. DeLorenzo said the acquisitions did not suggest the company was better off than it had claimed, but Dr. Bright said he and others involved in the bailout felt used.
  • a plan five years earlier to create an emergency supply of N95 respirators was simply not funded. A team of experts had proposed buying tens of millions of the masks to fill the gap during an outbreak until domestic manufacturing could ramp up, according to five officials involved in the assessment, which has not been previously disclosed.
  • By the time the novel coronavirus emerged, the stockpile had only 12 million of the respirators. The stockpile has since set a goal of amassing 300 million.
  • Dr. Kadlec, the Trump administration official overseeing the stockpile, said he used the previous administration’s mask recommendation to raise alarms as early as 2018.
  • Dr. Annie De Groot, chief executive of the small vaccine company EpiVax, spoke about the need to break Emergent’s lock on research dollars at a biodefense forum in 2015.
  • “Politicians want to look like they’ve addressed the problem,” she said. “But we need to actually listen to the scientists.”
  • Over the last five years, Emergent has received nearly a half-billion dollars in federal research and development funding, the company said in its financial disclosures.
  • “We know ahead of time when funding opportunities are going to come out,” Barbara Solow, a senior vice president, told investors in 2017. “When we talk to the government, we know how to speak the government’s language around contracting.”
  • The company used federal money to make improvements to BioThrax, and also found a way to earn government money from a competing anthrax vaccine it had excoriated. After the demise of VaxGen in 2006, Emergent bought the company’s unfinished vaccine and in 2010 persuaded the federal government to continue paying for research on it
  • By the time the research contract was canceled in 2016, Emergent had collected about $85 million, records show. The company then shelved the vaccine. “If the U.S. government withdraws funding, we re-evaluate whether there is any business case for continuing,” Ms. DeLorenzo said.
  • For more than 30 years, the government had been encouraging the development of a BioThrax replacement. In 2002, the Institute of Medicine had concluded that an alternative based on more modern technology was “urgently needed.” By 2019, there were three leading candidates, including one made by Emergent, known as AV7909.
  • Emergent’s candidate was hardly the breakthrough the government was seeking, former health officials said. AV7909 was essentially an enhanced version of BioThrax. The competitors were using more modern technology that could produce doses more rapidly and consistently, and were promising significant cost savings for the stockpile.
  • To qualify for emergency authorization, a vaccine must be at an advanced stage of development with no approved alternatives. Emergent acknowledged in its financial disclosures that there was “considerable uncertainty” whether the new vaccine met those requirements.
  • The election of Mr. Trump as president was good news for Emergent.
  • Dr. Lurie, the senior health official in the Obama administration who had tried to scale back BioThrax purchases, was out. Mr. Trump’s pick to replace her was Dr. Kadlec, a career Air Force physician and top biodefense official in the Bush administration who was fixated on bioterrorism threats, especially anthrax, current and former officials said
  • Soon after entering the Trump administration in 2017, Dr. Kadlec took a series of actions that he characterized as streamlining a cumbersome bureaucracy but that had the effect of benefiting Emergent.
  • He assumed greater control of purchasing decisions, diminishing the authority of the Phemce, the oversight group that had proposed buying less BioThrax. And in 2018, he backed a decision to move control of the stockpile to his office in the Department of Health and Human Services and away from the C.D.C., which is based in Atlanta and prides itself on being insulated from the influence of lobbyists.
  • Dr. Frieden, the former C.D.C. director, was strongly opposed. The move, he said, “had almost as an explicit goal to give the lobbyists more say in what got purchased.”
  • That July, the government made the announcement Emergent had been banking on, committing to buying millions of doses. Separately, it said it would stop funding Emergent’s competitors.
  • The decision to side with Emergent did not surprise Dr. Khan, the former C.D.C. official overseeing the stockpile.“Again and again, we seem unable to move past an old technology that’s bankrupting the stockpile,” he said.
  • Last month, as the death toll from Covid-19 neared a half-million, Mr. Kramer, the company’s chief executive, told analysts there had been no “evidence of a slowdown or a delay or a deprioritization,” and echoed a statement he had made in April when asked whether the pandemic might interrupt Emergent’s sales to the stockpile.“It’s pretty much business as usual,” he said then.
aidenborst

He Already Saw the Election as Good vs. Evil. Then His Tractor Burned. - The New York T... - 0 views

  • It was even possible to tell his political outlook from across a field, from the two “Trump 2020” flags that he had hoisted above his combine — until a couple of weeks ago, when a fire destroyed much of his farm equipment.
  • Nearly four years ago, in his election night victory speech, Mr. Trump pledged to fight for the “hard-working men and women who love their country and want a better, brighter future for themselves and for their family.”“The forgotten men and women of our country,” he promised back then, “will be forgotten no longer.”
  • In Henderson, and many places like it, former Vice President Joseph R. Biden Jr.’s campaign pitch that he is fighting for the soul of the nation simply doesn’t resonate. People here would view its soul as being in jeopardy if he triumphed.
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  • “Always look where I am,” a man coached a young girl in coveralls, telling her to stay close as they held hands and wove through the Omaha crowd waiting for Mr. Trump. “But these are Trump supporters. You don’t have to worry.”
  • It’s what made the phone call Mr. Rempel received about two weeks ago from fire officials as he and his wife were readying their children for school all the more shocking. His farm equipment was in flames. The combine, a tractor and two semitrailer trucks parked in a corn field south of town apparently had been set on fire
  • “I said, ‘No, that’s not possible,’” Mr. Rempel, a fourth-generation farmer, recalled, describing his disbelief that his equipment had been destroyed and his corn harvest put in jeopardy.
  • Though it is unclear how the fire started, the news about it startled a community that believes it shares a common value system. The fact that one vehicle was outfitted with Trump flags has led some residents and some of the more than 1,700 people who commented on Mr. Rempel’s Facebook post about the blaze to declare the fire politically motivated.
  • For his part, Mr. Rempel refuses to speculate about a motive, but here in Henderson, a certain fear is being whispered: The fire-starters are aligned with antifa, coming from the cities to attack their way of life.
  • Like most other states, Nebraska is cleaved by an urban-rural divide. Mr. Trump won overwhelming support from the state as a whole. But people in Nebraska’s two major cities tend to vote more liberally than those in rural areas. Mr. Trump won in Omaha’s Second Congressional District in 2016, but Barack Obama won in 2008. The district’s winner picks up a single electoral vote in a state that, unlike most others, splits its votes, which could play a pivotal role in a close election.
  • Ms. Goossen and other supporters of Mr. Trump speak with reverence about the president’s plain talk, how he isn’t a typical pontificating politician, how he, a real estate mogul from New York City, can relate to all strata of society.
  • The president has been on job sites and spoken to workers “hauling drywall and raising steel,” said Blake Collingsworth, who runs a home-building business in Lincoln.
  • “I love being in flyover country. I love it. I embrace it,” Mr. Rempel said, walking through his rows of corn and fretting over every bent stalk. “I lived in Omaha. Nobody knew who you were. You could do whatever you wanted. You could go steal a car and run into a post and run away and nobody cares.”
tsainten

War Crimes Risk Grows for U.S. Over Saudi Strikes in Yemen - The New York Times - 0 views

  • the White House ceremony will also serve as tacit recognition of Mr. Trump’s embrace of arms sales as a cornerstone of his foreign policy.
  • The president sweetened the Middle East deal with a secret commitment to sell advanced fighter jets and lethal drones to the Emirates
  • stemming from U.S. support for Saudi Arabia and the Emirates as they have waged a disastrous war in Yemen, using American equipment in attacks that have killed thousands of civilians
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  • the United States has provided material support over five years for actions that have caused the continuous killing of civilians.
  • prosecutors in a foreign court could charge American officials based on them knowing of the pattern of indiscriminate killing
  • chief prosecutor could open an investigation into the actions of American forces in the Afghanistan war — the first time the court has authorized a case against the United States. The Trump administration this month imposed sanctions on that prosecutor and another of the court’s lawyers, a sign of how seriously the administration takes the possibility of prosecution.
  • When an internal investigation this year revealed that the department had failed to address the legal risks of selling bombs to the Saudis and their partners, top agency officials found ways to hide this.
  • it had put in place a strategy to lessen civilian casualties before the last major arms sale to the Saudi-led coalition, in May 2019.
  • $8.1 billion in weapons and equipment in 22 batches, including $3.8 billion in precision-guided bombs and bomb parts made by Raytheon Company, to Saudi Arabia and the United Arab Emirates.
  • he would end U.S. support for the war.
  • “I have a very good relationship with them,” Mr. Trump said during an interview in February. “They buy billions and billions and billions of dollars of product from us. They buy tens of billions of dollars of military equipment.”
  • But over three months, officials eager to push through the weapons deals pared back the guidelines.
  • That August, a coalition jet dropped an American-made bomb on a Yemeni school bus, killing 54 people, including 44 children, in an attack that Mr. Trump would later call “a horror show.”
  • senior State Department political appointees were discussing a rarely invoked tactic to force through $8.1 billion in weapons sales without congressional approval: declaring an emergency over Iran.
  • From that position, Mr. String tried to pressure Steve A. Linick, the inspector general, to drop his investigation, Mr. Linick, who was fired in May, said in congressional testimony in June. Mr. String’s office also handled the redacting of the report.
  • About $800 million in orders is now pending, held up in the same congressional review process that had frustrated Mr. Pompeo and the White House.
  • From July to early August this year, at least three airstrikes by the Saudi-led coalition in northern Yemen killed civilians, including a total of nearly two dozen children, according to the United Nations, aid workers and Houthi rebels.
lucieperloff

Spanish Doctors Left Without P.P.E. Early in Pandemic Win Settlement - The New York Times - 0 views

  • The ruling by a regional court in Valencia, in eastern Spain, was the first to be issued in a raft of lawsuits brought by doctors and nurses, who have said that when they confronted the coronavirus in early 2020, they were sometimes not supplied with protective equipment, or had to make their own basic gear.
  • By the end of March 2020, at least 12,000 Spanish health care workers were infected with Covid-19, and the government had declared a state of emergency.
  • The largest awards are for doctors who had to be hospitalized after becoming infected while working without proper protective equipment. The ruling, dated Jan. 7, was made public this week.
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  • The judge’s ruling highlighted several safety flaws, including that the doctors were given only one face mask per week and had to reuse gowns. The ruling also noted that hospitals kept protective gear locked up. The equipment shortages lasted until June 2020, three months after the pandemic took hold in Spain.
  • Spain’s judiciary has been flooded with lawsuits related to shortcomings in its health care system during the pandemic, including suits over cancers that went undetected while hospitals were focused on coping with Covid-19.
lilyrashkind

Russia-Ukraine live updates: 'Don't even think' about moving in NATO territory: Biden -... - 0 views

  • The attack began Feb. 24, when Russian President Vladimir Putin announced a "special military operation."Russian forces moving from neighboring Belarus toward Ukraine's capital, Kyiv, have advanced closer to the city center in recent days despite the resistance. Heavy shelling and missile attacks, many on civilian buildings, continue in Kyiv, as well as major cities like Kharkiv and Mariupol. Russia also bombed western cities for the first time last week, targeting Lviv and a military base near the Poland border.
  • The U.S. will be providing Ukraine with $100 million in "civilian security" assistance, U.S. Secretary of State Antony Blinken announced Saturday, hours after he and Defense Secretary Lloyd Austin met with their Ukrainian counterparts.The aid will provide equipment including armored vehicles, medical supplies, personal protective equipment and communications equipment, according to the Department of State.
  • "We’ll not cease the efforts to get humanitarian relief wherever it is needed in Ukraine and for the people who’ve made it out of Ukraine. Notwithstanding the brutality of Vladimir Putin, let there be no doubt that this war [has] already been a strategic failure for Russia," Biden said.
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  • Biden also addressed the Russian people, telling them: "You, the Russian people, are not our enemy.""The American people stand with you and the brave people of Ukraine for peace," Biden said.
  • In an address from Warsaw Saturday, President Joe Biden made remarks seemingly directed at Russian President Vladimir Putin and his invasion of Ukraine. "For god's sake, this man cannot remain in power," Biden said.After the speech, the White House released a statement saying the president wasn't calling for a regime change.
  • "Vladimir Putin's aggression have cut you, the Russian people, off from the rest of the world, and it’s taking Russia back to the 19th century. This is not who you are," Biden said.Biden praised Ukrainian resistance, saying the U.S. stands with the people of Ukraine and will continue to support them.
Javier E

Opinion | Colleges Should Be More Than Just Vocational Schools - The New York Times - 0 views

  • Between 2013 and 2016, across the United States, 651 foreign language programs were closed, while majors in classics, the arts and religion have frequently been eliminated or, at larger schools, shrunk. The trend extends from small private schools like Marymount to the Ivy League and major public universities, and shows no sign of stopping.
  • The steady disinvestment in the liberal arts risks turning America’s universities into vocational schools narrowly focused on professional training. Increasingly, they have robust programs in subjects like business, nursing and computer science but less and less funding for and focus on departments of history, literature, philosophy, mathematics and theology.
  • America’s higher education system was founded on the liberal arts and the widespread understanding that mass access to art, culture, language and science were essential if America was to thrive. But a bipartisan coalition of politicians and university administrators is now hard at work attacking it — and its essential role in public life — by slashing funding, cutting back on tenure protections, ending faculty governance and imposing narrow ideological limits on what can and can’t be taught.
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  • For decades — and particularly since the 2008 recession — politicians in both parties have mounted a strident campaign against government funding for the liberal arts. They express a growing disdain for any courses not explicitly tailored to the job market and outright contempt for the role the liberal arts-focused university has played in American society.
  • Former Gov. Scott Walker’s assault on higher education in Wisconsin formed the bedrock of many later conservative attacks. His work severely undermined a state university system that was once globally admired. Mr. Walker reportedly attempted to cut phrases like “the search for truth” and “public service” — as well as a call to improve “the human condition” — from the University of Wisconsin’s official mission statement
  • But blue states also regularly cut higher education funding, sometimes with similar rationales. In 2016, Matt Bevin, the Republican governor of Kentucky at the time, suggested that students majoring in the humanities shouldn’t receive state funding. The current secretary of education, Miguel Cardona, a Democrat, seems to barely disagree. “Every student should have access to an education that aligns with industry demands and evolves to meet the demands of tomorrow’s global work force,” he wrote in December.
  • Federal funding reflects those priorities. The National Endowment for the Humanities’ budget in 2022 was just $180 million. The National Science Foundation’s budget was about 50 times greater, having nearly doubled within two decades.
  • What were students meant to think? As the cost of higher education rose, substantially outpacing inflation since 1990, students followed funding — and what politicians repeatedly said about employability — into fields like business and computer science. Even majors in mathematics were hit by the focus on employability.
  • Universities took note and began culling. One recent study showed that history faculty across 28 Midwestern universities had dropped by almost 30 percent in roughly the past decade. Classics programs, including the only one at a historically Black college, were often simply eliminated.
  • Higher education, with broad study in the liberal arts, is meant to create not merely good workers but good citizens
  • this is a grim and narrow view of the purpose of higher education, merely as a tool to train workers as replaceable cogs in America’s economic machine, to generate raw material for its largest companies.
  • Citizens with knowledge of their history and culture are better equipped to lead and participate in a democratic society; learning in many different forms of knowledge teaches the humility necessary to accept other points of view in a pluralistic and increasingly globalized society.
  • In 1947, a presidential commission bemoaned an education system where a student “may have gained technical or professional training” while being “only incidentally, if at all, made ready for performing his duties as a man, a parent and a citizen.” The report recommended funding to give as many Americans as possible the sort of education that would “give to the student the values, attitudes, knowledge and skills that will equip him to live rightly and well in a free society,” which is to say the liberal arts as traditionally understood. The funding followed.
  • The report is true today, too
  • the American higher education system is returning to what it once was: liberal arts finishing schools for the wealthy and privileged, and vocational training for the rest.
  • Reversing this decline requires a concerted effort by both government and educational actors
  • renewed funding for the liberal arts — and especially the humanities — would support beleaguered departments and show students that this study is valuable and valued.
  • At the university level, instituting general education requirements would guarantee that even students whose majors have nothing to do with the humanities emerged from college equipped to think deeply and critically across disciplines.
  • Liberal arts professors must also be willing to leave their crumbling ivory towers and the parochial debates about their own career path, in order to engage directly in public life
zachcutler

Trump Open to Shift on Russia Sanctions, 'One China' Policy - WSJ - 0 views

  • Trump Open to Shift on Russia Sanctions, ‘One China’ Policy
  • President-elect Donald Trump suggested he would be open to lifting sanctions on Russia and wasn’t committed to a longstanding agreement with China over Taiwan
  • n an hourlong interview, Mr. Trump said that, “at least for a period of time,”
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  • “If you get along and if Russia is really helping us, why would anybody have sanctions if somebody’s doing some really great things?” he said.
  • But Mr. Trump’s diplomatic efforts will have to compete with those in Congress, including many Republicans, who want to see the administration take a tough line with Russia after U.S. intelligence concluded that the government of Mr. Putin sought to influence the November presidential election with a campaign of cyberhacking.
  • Asked if he supported the One China policy on Taiwan, Mr. Trump said: “Everything is under negotiation including One China.”
  • . Any suggestion in the past that the U.S. may change its stance has been met with alarm in Beijing.
  • It added, “we urge relevant parties in the U.S. to fully recognize the high sensitivity of the Taiwan question, approach Taiwan-related issues with prudence and honor the commitment made by all previous U.S. administrations.”
  • “We sold them $2 billion of military equipment last year. We can sell them $2 billion of the latest and greatest military equipment but we’re not allowed to accept a phone call. First of all it would have been very rude not to accept the phone call.”
  • “Our companies can’t compete with them now because our currency is strong and it’s killing us.”
  • Later that night, House Speaker Paul Ryan (R., Wis.) said during a CNN town hall that he was working closely with the president-elect to repeal the health-care law but shot down the idea that there would be a “deportation force” to remove illegal immigrants from the U.S. Mr. Trump had said during the campaign that there would be such a force.
  • Mr. Trump weighed in on the latest development of the issue that dominated the end of the campaign.
  • In another matter, Mr. Trump during Friday’s interview described a special council, made up of 15 to 20 builders and engineers, t
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