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‘Odds are, people are going to get sick this year,’”

In typical years, flu hospitalizes an estimated 140,000 to 710,000 people in the United States alone; some years, RSV can add on some 200,000 more. “Our baseline has never been great,” Yvonne Maldonado, a pediatrician at Stanford, told me. “Tens of thousands of people die every year.”

this time of year, on top of RSV, flu, and COVID, we also have to contend with a maelstrom of other airway viruses—among them, rhinoviruses, parainfluenza viruses, human metapneumovirus, and common-cold coronaviruses.

Illnesses not severe enough to land someone in the hospital could still leave them stuck at home for days or weeks on end, recovering or caring for sick kids—or shuffling back to work

“This is a more serious pathogen that is also more infectious,” Ajay Sethi, an epidemiologist at the University of Wisconsin at Madison, told me. In the past year, COVID-19 has killed some 80,000 Americans—a lighter toll than in the three years prior, but one that still dwarfs that of the worst flu seasons in the past decade.

Globally, the only infectious killer that rivals it in annual-death count is tuberculosis

Rivers also pointed to CDC data that track trends in deaths caused by pneumonia, flu, and COVID-19. Even when SARS-CoV-2 has been at its most muted, Rivers said, more people have been dying—especially during the cooler months—than they were at the pre-pandemic baseline.

This year, for the first time, millions of Americans have access to three lifesaving respiratory-virus vaccines, against flu, COVID, and RSV. Uptake for all three remains sleepy and halting; even the flu shot, the most established, is not performing above its pre-pandemic baseline.

COVID could now surge in the summer, shading into RSV’s autumn rise, before adding to flu’s winter burden, potentially dragging the misery out into spring. “Based on what I know right now, I am considering the season to be longer,” Rivers said.

barring further gargantuan leaps in viral evolution, the disease will continue to slowly mellow out in severity as our collective defenses build; the virus may also pose less of a transmission risk as the period during which people are infectious contracts

even if the dangers of COVID-19 are lilting toward an asymptote, experts still can’t say for sure where that asymptote might be relative to other diseases such as the flu—or how long it might take for the population to get there.

it seems extraordinarily unlikely to ever disappear. For the foreseeable future, “pretty much all years going forward are going to be worse than what we’ve been used to before,”

although a core contingent of Americans might still be more cautious than they were before the pandemic’s start—masking in public, testing before gathering, minding indoor air quality, avoiding others whenever they’re feeling sick—much of the country has readily returned to the pre-COVID mindset.

When I asked Hanage what precautions worthy of a respiratory disease with a death count roughly twice that of flu’s would look like, he rattled off a familiar list: better access to and uptake of vaccines and antivirals, with the vulnerable prioritized; improved surveillance systems to offer  people at high risk a better sense of local-transmission trends; improved access to tests and paid sick leave

Without those changes, excess disease and death will continue, and “we’re saying we’re going to absorb that into our daily lives,” he said.

And that is what is happening.

last year, a CDC survey found that more than 3 percent of American adults were suffering from long COVID—millions of people in the United States alone.

“We get used to things we could probably fix.” The years since COVID arrived set a horrific precedent of death and disease; after that, this season of n+1 sickness might feel like a reprieve. But compare it with a pre-COVID world, and it looks objectively worse. We’re heading toward a new baseline, but it will still have quite a bit in common with the old one: We’re likely to accept it, and all of its horrors, as a matter of course.

That sounds like an exaggeration. But here is a question that Hirono asked both Buescher and Paul Matey, another appeals court nominee: “If confirmed, will you recuse yourself from all cases in which the Knights of Columbus has taken a position?”

So is it fair to say that Harris, Hirono and Feinstein would want judicial nominees to quit religious organizations that hold “extreme positions” or recuse themselves from all matters of morality that the senators regard as tainted by religious dogma?

This is not just a liberal excess; it is a liberal argument. Religious liberty, in this view, reaches to the limits of your cranium. You can believe any retrograde thing you want. But you can’t act on that belief in the public square. And you can’t be a member of organizations that hold backward views and still be trusted with government jobs upholding the secular, liberal political order.

The comparison of this view to the United States’ long history of anti-Catholic bigotry has been disputed. Actually, it is exactly the same as this history in every important respect. A 19th-century bigot would have regarded Catholicism as fundamentally illiberal — a backward faith characterized by clerical despotism — and thus inconsistent with America’s democratic rules.

there is a strange twist to this argument in American evangelicalism. Evangelical Christians have largely gotten over their anti-Catholic bias. But many believe that Islam is fundamentally illiberal — a backward faith characterized by clerical despotism — and thus inconsistent with the United States’ democratic rules. Little do they realize that an evangelical institution in Massachusetts is increasingly viewed like an Islamic institution in Mississippi.

The answer to all of this is a great American value called pluralism. The views and values of Americans are shaped in a variety of institutions, religious and nonreligious. No one is disqualified from self-government by a religious test

e is influential: his three “Liberation” tweets had been retweeted and “liked” hundreds of thousands of times. We are not talking about a typical person when we consider the impact of his statements.

That’s why we can’t write these tweets off as just hyperbole or political banter. And that’s why these tweets aren’t protected free speech. Although generally advocating for the use of force or violation of law is protected (as hard to conceive as that may be when the statements are made by someone in a position of public trust, like the president of the United States), the Supreme Court has previously articulated that where such advocacy is “inciting or producing imminent lawless action and is likely to incite or produce such action,” it loses its First Amendment protection

The president’s tweets — unabashedly using the current crisis to encourage a backlash against lawful and expert-recommended public health measures, falsely claiming a Second Amendment “siege” and calling for insurrection against elected leaders — have no place in our public discourse and enjoy no protection under our Constitution.

They worried that a vaccine would initially elude scientists, that weary citizens would abandon restrictions despite the risks, that the virus would be with us from now on.

Most experts believed that once the crisis was over, the nation and its economy would revive quickly. But there would be no escaping a period of intense pain.

Exactly how the pandemic will end depends in part on medical advances still to come. It will also depend on how individual Americans behave in the interim. If we scrupulously protect ourselves and our loved ones, more of us will live. If we underestimate the virus, it will find us.

More Americans may die than the White House admits.

The epidemiological model often cited by the White House, which was produced by the University of Washington’s Institute for Health Metrics and Evaluation, originally predicted 100,000 to 240,000 deaths by midsummer. Now that figure is 60,000.

The institute’s projection runs through Aug. 4, describing only the first wave of this epidemic. Without a vaccine, the virus is expected to circulate for years, and the death tally will rise over time.

Fatality rates depend heavily on how overwhelmed hospitals get and what percentage of cases are tested. China’s estimated death rate was 17 percent in the first week of January, when Wuhan was in chaos, according to a Center for Evidence-Based Medicine report, but only 0.7 percent by late February.

Various experts consulted by the Centers for Disease Control and Prevention in March predicted that the virus eventually could reach 48 percent to 65 percent of all Americans, with a fatality rate just under 1 percent, and would kill up to 1.7 million of them if nothing were done to stop the spread.

A model by researchers at Imperial College London cited by the president on March 30 predicted 2.2 million deaths in the United States by September under the same circumstances.

China has officially reported about 83,000 cases and 4,632 deaths, which is a fatality rate of over 5 percent. The Trump administration has questioned the figures but has not produced more accurate ones.

The tighter the restrictions, experts say, the fewer the deaths and the longer the periods between lockdowns. Most models assume states will eventually do widespread temperature checks, rapid testing and contact tracing, as is routine in Asia.

In this country, hospitals in several cities, including New York, came to the brink of chaos.

Only when tens of thousands of antibody tests are done will we know how many silent carriers there may be in the United States. The C.D.C. has suggested it might be 25 percent of those who test positive. Researchers in Iceland said it might be double that.

China is also revising its own estimates. In February, a major study concluded that only 1 percent of cases in Wuhan were asymptomatic. New research says perhaps 60 percent were.

The virus may also be mutating to cause fewer symptoms. In the movies, viruses become more deadly. In reality, they usually become less so, because asymptomatic strains reach more hosts. Even the 1918 Spanish flu virus eventually faded into the seasonal H1N1 flu.

The lockdowns will end, but haltingly.

it is likely a safe bet that at least 300 million of us are still vulnerable.

Until a vaccine or another protective measure emerges, there is no scenario, epidemiologists agreed, in which it is safe for that many people to suddenly come out of hiding. If Americans pour back out in force, all will appear quiet for perhaps three weeks.

The gains to date were achieved only by shutting down the country, a situation that cannot continue indefinitely. The White House’s “phased” plan for reopening will surely raise the death toll no matter how carefully it is executed.

Every epidemiological model envisions something like the dance

On the models, the curves of rising and falling deaths resemble a row of shark teeth.

Surges are inevitable, the models predict, even when stadiums, churches, theaters, bars and restaurants remain closed, all travelers from abroad are quarantined for 14 days, and domestic travel is tightly restricted to prevent high-intensity areas from reinfecting low-intensity ones.

In his wildly popular March 19 article in Medium, “Coronavirus: The Hammer and the Dance,” Tomas Pueyo correctly predicted the national lockdown, which he called the hammer, and said it would lead to a new phase, which he called the dance, in which essential parts of the economy could reopen, including some schools and some factories with skeleton crews.

Even the “Opening Up America Again” guidelines Mr. Trump issued on Thursday have three levels of social distancing, and recommend that vulnerable Americans stay hidden. The plan endorses testing, isolation and contact tracing — but does not specify how these measures will be paid for, or how long it will take to put them in place.

On Friday, none of that stopped the president from contradicting his own message by sending out tweets encouraging protesters in Michigan, Minnesota and Virginia to fight their states’ shutdowns.

China did not allow Wuhan, Nanjing or other cities to reopen until intensive surveillance found zero new cases for 14 straight days, the virus’s incubation period.

Compared with China or Italy, the United States is still a playground.Americans can take domestic flights, drive where they want, and roam streets and parks. Despite restrictions, everyone seems to know someone discreetly arranging play dates for children, holding backyard barbecues or meeting people on dating apps.

Even with rigorous measures, Asian countries have had trouble keeping the virus under control

But if too many people get infected at once, new lockdowns will become inevitable. To avoid that, widespread testing will be imperative.

Reopening requires declining cases for 14 days, the tracing of 90 percent of contacts, an end to health care worker infections, recuperation places for mild cases and many other hard-to-reach goals.

Immunity will become a societal advantage.

Imagine an America divided into two classes: those who have recovered from infection with the coronavirus and presumably have some immunity to it; and those who are still vulnerable.

“It will be a frightening schism,” Dr. David Nabarro, a World Health Organization special envoy on Covid-19, predicted. “Those with antibodies will be able to travel and work, and the rest will be discriminated against.”

Soon the government will have to invent a way to certify who is truly immune. A test for IgG antibodies, which are produced once immunity is established, would make sense

Dr. Fauci has said the White House was discussing certificates like those proposed in Germany. China uses cellphone QR codes linked to the owner’s personal details so others cannot borrow them.

As Americans stuck in lockdown see their immune neighbors resuming their lives and perhaps even taking the jobs they lost, it is not hard to imagine the enormous temptation to join them through self-infection

My daughter, who is a Harvard economist, keeps telling me her age group needs to have Covid-19 parties to develop immunity and keep the economy going,”

It would be a gamble for American youth, too. The obese and immunocompromised are clearly at risk, but even slim, healthy young Americans have died of Covid-19.

The virus can be kept in check, but only with expanded resources.

Resolve to Save Lives, a public health advocacy group run by Dr. Thomas R. Frieden, the former director of the C.D.C., has published detailed and strict criteria for when the economy can reopen and when it must be closed.

once a national baseline of hundreds of thousands of daily tests is established across the nation, any viral spread can be spotted when the percentage of positive results rises.

To keep the virus in check, several experts insisted, the country also must start isolating all the ill — including mild cases.

“If I was forced to select only one intervention, it would be the rapid isolation of all cases,”

In China, anyone testing positive, no matter how mild their symptoms, was required to immediately enter an infirmary-style hospital — often set up in a gymnasium or community center outfitted with oxygen tanks and CT scanners.

There, they recuperated under the eyes of nurses. That reduced the risk to families, and being with other victims relieved some patients’ fears.

Still, experts were divided on the idea of such wards

Ultimately, suppressing a virus requires testing all the contacts of every known case. But the United States is far short of that goal.

In China’s Sichuan Province, for example, each known case had an average of 45 contacts.

The C.D.C. has about 600 contact tracers and, until recently, state and local health departments employed about 1,600, mostly for tracing syphilis and tuberculosis cases.

China hired and trained 9,000 in Wuhan alone. Dr. Frieden recently estimated that the United States will need at least 300,000.

There will not be a vaccine soon.

any effort to make a vaccine will take at least a year to 18 months.

the record is four years, for the mumps vaccine.

for unclear reasons, some previous vaccine candidates against coronaviruses like SARS have triggered “antibody-dependent enhancement,” which makes recipients more susceptible to infection, rather than less. In the past, vaccines against H.I.V. and dengue have unexpectedly done the same.

A new vaccine is usually first tested in fewer than 100 young, healthy volunteers. If it appears safe and produces antibodies, thousands more volunteers — in this case, probably front-line workers at the highest risk — will get either it or a placebo in what is called a Phase 3 trial.

It is possible to speed up that process with “challenge trials.” Scientists vaccinate small numbers of volunteers, wait until they develop antibodies, and then “challenge” them with a deliberate infection to see if the vaccine protects them.

Normally, it is ethically unthinkable to challenge subjects with a disease with no cure, such as Covid-19.

“Fewer get harmed if you do a challenge trial in a few people than if you do a Phase 3 trial in thousands,” said Dr. Lipsitch, who recently published a paper advocating challenge trials in the Journal of Infectious Diseases. Almost immediately, he said, he heard from volunteers.

The hidden danger of challenge trials, vaccinologists explained, is that they recruit too few volunteers to show whether a vaccine creates enhancement, since it may be a rare but dangerous problem.

if a vaccine is invented, the United States could need 300 million doses — or 600 million if two shots are required. And just as many syringes.

“People have to start thinking big,” Dr. Douglas said. “With that volume, you’ve got to start cranking it out pretty soon.”

Treatments are likely to arrive first.

The modern alternative is monoclonal antibodies. These treatment regimens, which recently came very close to conquering the Ebola epidemic in eastern Congo, are the most likely short-term game changer, experts said.

as with vaccines, growing and purifying monoclonal antibodies takes time. In theory, with enough production, they could be used not just to save lives but to protect front-line workers.

Having a daily preventive pill would be an even better solution, because pills can be synthesized in factories far faster than vaccines or antibodies can be grown and purified.

Goodbye, ‘America First.’

A public health crisis of this magnitude requires international cooperation on a scale not seen in decades. Yet Mr. Trump is moving to defund the W.H.O., the only organization capable of coordinating such a response.

And he spent most of this year antagonizing China, which now has the world’s most powerful functioning economy and may become the dominant supplier of drugs and vaccines. China has used the pandemic to extend its global influence, and says it has sent medical gear and equipment to nearly 120 countries.

This is not a world in which “America First” is a viable strategy, several experts noted.

“If President Trump cares about stepping up the public health efforts here, he should look for avenues to collaborate with China and stop the insults,”

If we alienate the Chinese with our rhetoric, I think it will come back to bite us,” he said.“What if they come up with the first vaccine? They have a choice about who they sell it to. Are we top of the list? Why would we be?”

Once the pandemic has passed, the national recovery may be swift. The economy rebounded after both world wars, Dr. Mulder noted.

In one of the most provocative analyses in his follow-up article, “Coronavirus: Out of Many, One,” Mr. Pueyo analyzed Medicare and census data on age and obesity in states that recently resisted shutdowns and counties that voted Republican in 2016.

He calculated that those voters could be 30 percent more likely to die of the virus.

In the periods after both wars, Dr. Mulder noted, society and incomes became more equal. Funds created for veterans’ and widows’ pensions led to social safety nets, measures like the G.I. Bill and V.A. home loans were adopted, unions grew stronger, and tax benefits for the wealthy withered.

If a vaccine saves lives, many Americans may become less suspicious of conventional medicine and more accepting of science in general — including climate change

Trump's comments are misleading because he did not "close our country to China." On February 2, the United States began implementing travel restrictions that denied entry to foreign nationals who had visited China within 14 days of arrival in the United States. But the travel restrictions contain exemptions for US citizens who had visited China, which makes Trump's characterization that there was a "ban" misleading.

"As you know, Brian Kemp, governor of Georgia, I worked very hard for his election, he beat their superstar, he beat the superstar of their party. I think you can say I helped a lot," Trump said, "Michelle Obama, Barack Obama, Oprah Winfrey they all went in, they campaigned for him very, very hard and he lost."

Michelle Obama did not campaign for either of Kemp's opponents. Kemp beat Republican Lt. Gov. Casey Cagle, a man, in the primary and Democratic candidate Stacey Abrams, a woman, in the general election.

Trump's description of the Chinatown visit has changed repeatedly. At previous briefings, Trump claimed Pelosi was "holding a street fair" in Chinatown -- and that, during her visit, she called for a "Chinatown parade," "parties in Chinatown," and a "march" against his travel restrictions on China.

Pelosi did not hold a rally or a street fair, and she did not call for a parade, parties or a march. Rather, amid concerns about rising anti-Chinese bigotry, she walked around Chinatown, visited businesses and a temple, ate at a dim sum restaurant and spoke to reporters to urge people to "come to Chinatown."

The state reports that 51.1% of West Virginia's population has received at least one dose of a coronavirus vaccine. Justice hopes the state's new offers of a $588,000 second prize, weekend vacations to state parks, lifetime hunting and fishing licenses, and custom hunting shotguns will boost that number.

West Virginians who have been fully vaccinated will need to register to be entered to win the newly announced prizes at a later date.

The Centers for Disease Control and Prevention reported as of Tuesday night that 40.9% of the population has been fully vaccinated. President Biden is aiming for at least 70% of the U.S. adult population to have one vaccine shot and 160 million adults to be fully vaccinated by July 4..

The first warning sign came when case numbers, after weeks of steep declines, appeared to level off -- with the country still averaging tens of thousands of new cases daily.

But governors cited fewer Covid-19 cases and more vaccinations while lifting measures aimed at curbing the spread of the virus.

Chicago officials earlier this month raised indoor capacity for bars, restaurants and other businesses and Baltimore leaders announced Wednesday they were easing restrictions on places including religious facilities, retail stores and malls, fitness centers and food service establishments -- changes that will go into effect next week.

Delaware, Montana, Alabama and West Virginia have also seen big increases.

The B.1.1.7 variant, she said this week, is projected to become the dominant variant in the US by the end of this month or early April.Despite the warnings, spring break crowds are gathering -- with Florida officials reporting too many people and not enough masks -- and nationwide, air travel numbers are hitting pandemic-era records.

Now, as the country inches closer to 30 million reported infections, cases are rising by more than 10% in 14 states this week compared to last week,

We're in a race to get the population vaccinated. At the same time, we're fighting people's exhaustion with the restrictions that public health has put in place and we're fighting the move by so many governors to remove the restrictions that are keeping us all safe."

Michigan cases are increasing the fastest, with more than a 50% jump this week compared to last,

All that while cases of the worrying variants -- notably the highly contagious B.1.1.7 variant -- climbed. The variants have the potential to wipe out all the progress the US made if Americans get lax with safety measures,

In West Virginia, Gov. Jim Justice said Wednesday that Covid-19 hospitalizations have "jumped up" slightly

Those include the rolling back of restrictions, a prison outbreak, Covid-19 fatigue, a failure to wear masks, and the B.1.1.7 variant fueling the surge, Morse told CNN. Michigan Gov. Gretchen Whitmer eased restrictions earlier this month, upping capacity limits at restaurants as well as in retail stores, gyms and other facilities.

There's a long list of factors contributing to the spike in cases in Michigan,

Justice had eased restrictions earlier this month, increasing capacity at bars, restaurants and other businesses to 100% and upping the social-gathering limit.

During Wednesday's news briefing, he added that the state has had "seven outbreaks in our church community" across five counties.

what could play a key role in helping control the pandemic will be more accessible, inexpensive coronavirus tests, top health officials

"I do believe that once we have teachers vaccinated that we can use testing in the schools -- serial testing, cadence testing -- to identify potential infections, asymptomatic infections, shut down clusters and keep our schools open."

Her remarks came the same day the CDC released updated guidance about testing, saying more and better testing should help catch asymptomatic cases and control the spread.

More than 73.6 million Americans have received at least one dose of a Covid-19 vaccine, according to CDC data. And more than 39.9 million people are fully vaccinated -- roughly 12% of the US population. But challenges -- including vaccine hesitancy, disinformation and inequities -- remain, and it's not entirely clear when the US will hit herd immunity -

On Wednesday, both Fauci and Walensky pushed back against questions about herd immunity, saying a lot depended on how quickly Americans take vaccines.

For now, the US still has a long way to go to overcome vaccine hesitancy,

Vaccination is the country's best hope to get beyond the pandemic, he said, "and yet there's all this overlay, and some of it is politics and some of it's social media conspiracy theories and some of it is just distrust of anything that the government had anything to do with."

Additionally, in the first two and half months of vaccine distribution, counties considered to have high social vulnerability had lower vaccine coverage than counties considered to have low social vulnerability,

The agency's social vulnerability index identifies communities that may need additional support during emergencies based on more than a dozen indicators across four categories: socioeconomic status, household composition, racial/ethnic minority status and housing type.

By March 1, vaccination coverage was about 2 percentage points higher in counties with low social vulnerability than in counties with high social vulnerability -- and the differences were largely driven by socioeconomic disparities, particularly differences in the share of the population with a high school diploma and per capita income.

Only five states -- Arizona, Montana, Alaska, Minnesota and West Virginia -- had higher coverage in counties with high social vulnerability.

Achieving vaccine equity, the CDC said, is an important goal requiring "preferential access and administration to those who have been most affected"

the inexorable arithmetic of dollars times demography has taken us past the point of no return. It’s no longer possible to say that, by starting now, we can avert massive, and massively unfair, changes in the promises we have made, or that current beneficiaries have nothing to worry about.

There are parallels with other long-term, nation-threatening challenges of our time

there is zero chance of delivering on the promises already in place, let alone the fresh, astonishing proposals in Washington to make these commitments even larger.

If the climate change computer models prove accurate, it is already too late to prevent the world’s thermometer from rising to levels deemed unacceptable.

While calling on us to take what preventive measures we can, the more serious leaders on these topics are hard at work on the goals of mitigation and adaptation.

owever likely the climate problem or next pandemic is, the unraveling of the safety net is far more so.

We should have seen the pandemic coming and prepared for it.

A start on mitigation would be for the Social Security Administration to begin including in beneficiary bulletins a disclosure that, starting soon, the system cannot fulfill all of its commitments

Something similar could be done for doctors and medical students, projecting the deep cuts in reimbursement rates to which Medicare will resort.

Allowing the fiction of full-payment-for-all to persist will only add the rage of betrayal to the hardships imposed by the now-inevitable sudden cuts in benefits and huge tax increases.

"The California Democratic Party is the Party of inclusion. Unlike others, we will continue to make it easier -- not harder -- for Californians to ensure their voices are heard at the ballot box," California Democratic Party Chairman Rusty Hicks said in a statement provided to CNN Tuesda

Independent voters who wish to vote for a Democratic candidate will need to request a primary ballot from the party, or they will receive a primary election ballot without any presidential candidates listed. Voters can make the request in person when they head to the polls. The same goes for voters who wish to vote for a Libertarian candidate or an American Independent candidate.

According to a 2016 Los Angeles Times report, a large number of voters during the 2016 primary inadvertently registered with the American Independent Party, an ultraconservative party, thinking that they weren't registering with a party.

California Gov. Gavin Newsom, a Democrat, vetoed a bill earlier this month that would have required any existing political party that includes the phrase "no party preference," "decline to state," or the word "independent" to change its party name. Newsom issued the veto, saying the measure would violate freedom of speech and association.

In a win for Trump earlier this month, a federal judge in California blocked a state law that requires candidates for president to disclose income tax returns before their names can appear on the state's primary ballot. The decision has been appealed by California's secretary of state.

SARS doesn’t explain the success of every country that has handled covid-19 well, but it reveals an important aspect of the story.

Consider, on the other hand, countries that have handled covid-19 badly. Anthropologist Martha Lincoln, writing in Nature, points out that several of these countries tend to think of themselves as exceptional in some way. She notes that the United States, Britain, Brazil and Chile all have strong national narratives that see themselves as separate, distinct and better than others.

That sense of being special makes a country unlikely to adopt the standard attitude of any business when confronting a challenge — to look for best practices.

Bill Gates recently wrote that he has always approached problem-solving by starting with two fundamental questions: “Who has dealt with this problem well? And what can we learn from them?

And yet the United States is remarkably uninterested in how other countries approach similar challenges.

Dozens of advanced countries have health-care systems that deliver better results at half the cost of America’s. Most have a fraction of our homicide rates. Many much poorer countries have better infrastructure, which they build at far lower cost. They ensure that money does not dominate their elections. Not only do we not learn from them, we barely bother to look.

In an essay in Foreign Affairs, Jeremy Konyndyk argues that “American exceptionalism — the notion that the United States is unique among nations and that the American way is invariably the best — has blinded the country’s leaders (and many of its citizens) to potentially lifesaving lessons from other countries.

He quotes the eminent U.S. historian Eric Foner, who once explained that American exceptionalism translates into “hubris and closed-mindedness, and . . . ignorance about the rest of the world. Since the United States is so exceptional, there is no point in learning about other societies.” Konyndyk concludes: “That mentality is now costing American lives.”

For 80 years it has been the practice that the Senate has not confirmed any nomination made during an election year, and we shouldn’t make an exception now.8

Biden — and this is not something we’ve said very often — was absolutely correct.10 It’s a political cauldron to avoid.11 There should be no hearings. There should be no confirmation.12 Not during a presidential election year, with millions of votes having been cast in highly charged contests.13

This year is a tremendous opportunity for our country to have a sincere and honest debate about the role of the Supreme Court in our constitutional system of government.19

The Supreme Court seat doesn’t belong to any president or any political party.24

Our view is this: Give the people a voice.30

Voters in some major cities, in addition to choosing their next mayor, will also have the opportunity to weigh in on an important issue that has been heavily debated in their communities.

Proposition 6 would codify the right for long-term care residents to designate an essential caregiver for in-person visitation.

Texas -- Proposition 3 Read MoreWritten in response to Covid-19 restrictions, Texans will consider a constitutional amendment that would prohibit the state or a political subdivision, such as an elected official, from "prohibiting or limiting religious services of religious organizations."

Like Proposition 3, Proposition 6 was also influenced by the Covid-19 restrictions enforced during the height of the pandemic.

Texas -- Proposition 3 Read MoreWritten in response to Covid-19 restrictions, Texans will consider a constitutional amendment that would prohibit the state or a political subdivision, such as an elected official, from "prohibiting or limiting religious services of religious organizations." Enter your email or view the Vault By CNN webpage to own a piece of CNN History with blockchain technology.close dialogExplore Vault by CNN . Presidential elections, space discoveries, CNN exclusives and more.Explore NowGet UpdatesBe the first to know about upcoming releases from our Vault, with updates delivered right to your inbox.Please enter aboveSign Me UpBy subscribing, you agree to our privacy policy.Success!See you in your inbox.close dialog/* effects for .bx-campaign-1426699 *//* custom css .bx-campaign-1426699 *//* custom css from creative 60682 *//* V Text Alignment Fix */ .bx-custom.bx-campaign-1426699 .bx-row-input + .bx-row-submit { vertical-align: top;}/* custom css from creative 60872 *//************************************ CREATIVE STRUCTURE Do not remove or edit unless non applicable to creative set.************************************//* rendered styles .bx-campaign-1426699 */.bxc.bx-campaign-1426699.bx-active-step-1 .bx-creative:before {min-height: 185px;}.bxc.bx-campaign-1426699.bx-active-step-1 .bx-creative {bo

Cleveland -- Issue 24 Ballot initiative Issue 24 would establish a new civilian commission, called the Community Police Commission, whose members will have final authority over the police department's policy and procedures, hiring and training, and disciplinary action.

Question 2 would replace Minneapolis Police Department with a new "Department of Public Safety" overseen by the mayor and city council.

Proposal 7, also known as Local Law J, asks city residents whether to expand a civilian police review board's authority to conduct investigations and "to exercise oversight, review, and resolution of community complaints alleging abuse of police authority."

Austin, Texas -- Proposition A Voters in Austin, Texas are being asked whether to bulk up the city's police department with Proposition A, as its supporters argue that the city is in the midst of a "crime wave" and a shortage of police officers.Proposition A would require that the Austin police department employs at least two police officers for every 1,000 residents.

Detroit -- Proposal R A "yes" vote on Proposal R would be in favor of the Detroit City Council establishing a task force that would recommend housing and economic programs that "address historical discrimination against the Black community in Detroit."

New Jersey -- Question No. 1 Question No. 1 asks New Jersey voters whether to allow betting on college sports. Currently, sports betting on college events in the state and on college events in which New Jersey teams participate is prohibited.

Richmond, Virginia -- Local ReferendumResidents of Virginia's capital city will decide whether to approve the construction of a new casino and 250-room luxury hotel in south Richmond along the I-95 highway.

New York -- Ballot Proposal 1New Yorkers are being reminded to flip over their ballots to answer five statewide ballot proposals.

New York -- Ballot Proposal 3New York currently requires that its residents register to vote at least 10 days before an election. Ballot Proposal 3 would remove that requirement, clearing the way for state lawmakers to enact new laws that would allow a resident to register to vote in less than 10 days -- such as same-day voter registration.

New York -- Ballot Proposal 4As it stands now, New York voters may vote by absentee ballot if they are unable to appear at their polling place due to illness or physical disability or expect to be absent from their county of residence, or New York City if they're residents, on Election Day.Ballot Proposal 4 asks whether to eliminate the requirement that a voter provide a reason if they wish to vote by absentee ballot.

Philadelphia -- Question #1: Asks whether to amend the city charter so it urges the Pennsylvania legislature and governor to legalize cannabis for recreational use in the state.

2 doses = fully vaccinated

< 6 feet + > 15 minutes = close contact

Get within six feet of an infected person for at least 15 minutes over a 24-hour period, and congratulations—you’ve had a “close contact.”

scientists have known for years that SARS-CoV-2 can hitch a ride in bubbles of spittle and snot small enough to drift across rooms and remain aloft for hours, especially in poorly ventilated indoor spaces. Pathogens don’t slam up against a magic wall “at the six-foot mark,

Nor will viruses bide their time for 14 minutes and 59 seconds before launching themselves noseward at 15 minutes on the dot

5 days = end of isolation

Many people now report strings of negative results early in their symptom course, then positives that persist into their sixth, seventh, or eighth day of sickness or later, raising the possibility that they remain quite contagious past when formal isolation may end. “I find it impossible to believe you can end isolation without testing,”

And yet, many workplaces have already embraced the five-day rule with no exit test, using that timeline as the basis for when employees should return.

Infection + 90 days = no retest

reinfections have gotten more common, and far closer together. They were happening even in the era of Delta; now, with so many immunity-evading Omicron offshoots at the helm, and masks and other mitigation matters mostly vanished, they’ve become a quite-frequent fixture.

The number of people who have caught the virus twice within just a matter of weeks “has grown so much that we should forget these windows,”

the 90-day number, Malaty Rivera said, is no longer relevant. “It has to be deleted from people’s minds.”

200 cases + 10 hospital admissions per 100,000 = mask?

t waiting to just suggest masks at those levels of transmission and hospitalization—not even require them—leaves far too much time for widespread disease, disability, even death, experts told me. A bar that high still lets long COVID slip through; it continues to imperil the vulnerable, immunocompromised, and elderly,

Case rates, Malaty Rivera pointed out, are also a terrible yardstick right now because so many people have been testing at home and not reporting the results to public-health agencies.

A better system would flip on protections earlier—taking a preventive approach, rather than scrambling to react.

The COVID vaccines are, without exaggeration, among the safest and most effective therapies in all of modern medicine. An unvaccinated adult is an astonishing 68 times more likely to die from COVID than a boosted one

Yet widespread vaccine hesitancy in the United States has caused more than 163,000 preventable deaths and counting

Even in absolute numbers, America’s unvaccinated and current-smoker populations seem to match up rather well: Right now, the CDC pegs them at 13 percent and 14 percent of all U.S. adults, respectively, and both groups are likely to be poorer and less educated.

Countries such as Denmark and Sweden have already declared themselves broken up with COVID. They are confidently doing so not because the virus is no longer circulating or because they’ve achieved mythical herd immunity from natural infection; they’ve simply inoculated enough people.

data suggest that most of the unvaccinated hold that status voluntarily at this point

The same arguments apply to tobacco: Smokers are 15 to 30 times more likely to develop lung cancer. Quitting the habit is akin to receiving a staggeringly powerful medicine, one that wipes out most of this excess risk.

If everyone who is eligible were triply vaccinated, our health-care system would be functioning normally again.

We should neither expect that every stubbornly unvaccinated person will get jabbed before next winter nor despair that none of them will ever change their mind. Let’s accept instead that we may make headway slowly, and with considerable effort

With a vaccination timeline that stretches over years, our patience for restrictions, especially on the already vaccinated, will be very limited. But there is middle ground. We haven’t banned tobacco outright—in fact, most states protect smokers from job discrimination—but we have embarked on a permanent, society-wide campaign of disincentivizing its use.

Long-term actions for COVID might include charging the unvaccinated a premium on their health insurance, just as we do for smokers, or distributing frightening health warnings about the perils of remaining uninoculated

And once the political furor dies down, COVID shots will probably be added to the lists of required vaccinations for many more schools and workplaces.

nother aspect of where we’re headed with COVID. Tobacco is lethal enough that we are willing to restrict smokers’ personal freedoms—but only to a degree. As deadly as COVID is, some people won’t get vaccinated, no matter what, and both the vaccinated and unvaccinated will spread disease to others.

anti-COVID actions, much like anti-smoking policies, will be limited not by their effectiveness but by the degree to which they are politically palatable.

Without greater vaccination, living with COVID could mean enduring a yearly death toll that is an order of magnitude higher than the one from flu.

this, too, might come to feel like its own sort of ending. Endemic tobacco use causes hundreds of thousands of casualties, year after year after year, while fierce public-health efforts to reduce its toll continue in the background. Yet tobacco doesn’t really feel like a catastrophe for the average person.

Losing a year or two from average life expectancy only bumps us back to where we were in … 2000.

We still care for smokers when they get sick, of course, and we reduce harm whenever possible. The health-care system makes $225 billion every year for doing so—paid out of all of our tax dollars and insurance premiums

Hospitals have a well-honed talent for transforming any terrible situation into a marketable “center of excellence.”

But we shouldn’t forget the most important reason that the coronavirus isn’t like the flu: We’ve never had vaccines this effective in the midst of prior influenza outbreaks, which means we didn’t have a simple, clear approach to saving quite so many lives. Compassionate conversations, community outreach, insurance surcharges, even mandates—I’ll take them all. Now is not the time to quit.

There were 606 firearm-related accidents in the same year -- about 5% of the number of intentional gun deaths.

There are about 310 million guns in the country. About 40% of households have them, a fraction that has been slowly declining over the last few decades, down from about 50% in the 1960s.

gun ownership has gotten much more concentrated among fewer households: if you own one gun, you probably own several

The most comprehensive public list of U.S. mass shootings is the spreadsheet of 62 incidents from 1982-2012, compiled by Mother Jones. Their list shows:

Mass shootings happen all over the country. Killers used a semi-automatic handgun in 75% of incidents, which is about the same percentage as the 72% in overall gun violence. Killers used an assault weapon in 40% of incidents. This is much higher than overall assault weapon use in crimes, estimated at less than 2%. The guns were obtained legally in 79% of mass shootings. Many of the shooters showed signs of mental illness, but in only two cases was there a prior diagnosis. There were no cases where an armed civilian fired back.

they account for only a small fraction of gun violence in the United States.

It's also possible that gun ownership is a deterrent to crime, because criminals must consider the possibility that their intended victim is armed.

. In 2010, different researchers re-examined Lott's work, the NRC report, and additional data up through 2006, and reaffirmed that there is no evidence that right-to-carry laws reduce crime.

The most comprehensive estimate is that a 10% reduction in U.S. households with guns would result in a 3% reduction in homicides.

current federal gun regulation (see above) contains an enormous loophole: While businesses that deal in guns are required to keep records and run background checks, guns can be transferred between private citizens without any record. This makes straw purchases easy.

There's abundant evidence that under the current system, guns flow easily between legal and illegal markets.

guns are used to commit a crime about 10 times as often as they are used for self-defense.

Won't criminals kill with other weapons if they don't have guns? The crux of this question is whether most homicides are planned, or whether killers more often confront their victims with no clear intention. In the second case, adding a gun could result in a fatal shooting that would otherwise have been avoided.

In 1968, Franklin Zimring examined cases of knife assaults versus gun assaults in Chicago. The gun attacks were five times more deadly

Here are some approaches that don't seem to work, at least not by themselves, or in the ways they've been tried so far: Stiffer prison sentences for gun crimes. Gun buy-backs: In a country with one gun per person, getting a few thousand guns off the street in each city may not mean very much. Safe storage laws and public safety campaigns.

We don't really have good enough evidence to evaluate these strategies: Background checks, such as the Brady Act requires. Bans on specific weapons types, such as the expired 1994 assault weapons ban or the handgun bans in various cities.

These policies do actually seem to reduce gun violence, at least somewhat or in some cases: More intensive probation strategies: increased contact with police, probation officers and social workers. Changes in policing strategies, such increased patrols in hot spots. Programs featuring cooperation between law enforcement, community leaders, and researchers, such as Project Safe Neighborhoods.

Removing legal restrictions that prevent the Centers for Disease Control and other agencies from tracking and researching gun violence is also a sensible idea, and follows a long history of calls from scientists (see: what don't we know).

We lack some of the most basic information we need to have a sensible gun policy debate, partially because researchers have been prevented by law from collecting it. The 2004 National Research Council report discussed above identified several key types of missing data: systematic reporting of individual gun incidents and injuries, gun ownership at the local level, and detailed information on the operation of firearms markets. We don't even have reliable data on the number of homicides in each county.

Centers for Disease Control, the main U.S. agency that tracks and studies American injuries and death, has been effectively prevented from studying gun violence, due to a law passed by Congress in 1996.

anonymized hospital reporting systems are the main ways we know about many other types of injuries, but the Affordable Care Act prevents doctors from gathering information about their patients' gun use. A 2011 law restricts gun violence research at the National Institutes of Health. The legal language prevents these agencies from using any money "to advocate or promote gun control."

Perry was accused of using his veto power to threaten a public official and overstepping his authority, but the judges ruled that courts can't undermine the veto power of a governor.

"Come at the king, you best not miss," Republican Judge David Newell wrote in his concurring opinion, quoting a popular line from the HBO series "The Wire."

Perry has been campaigning for Republican presidential candidate Ted Cruz since becoming the first major GOP candidate to drop out of the race last year.

"I've always known the actions I took were not only lawful and legal, they were right," said Perry, who spoke at the headquarters of an influential Texas conservative think tank, which has previously christened its balcony overlooking downtown as the "Gov. Rick Perry Liberty Balcony."

The court said veto power can't be restricted by the courts and the prosecution of a veto "violates separations of powers." A lower appeals court had dismissed the other charge, coercion by a public servant, in July.

Perry had rebuked the charges as a partisan attack from the start, calling it a "political witch hunt," but the dismissal brought accusations of Republican judges doing a favor for a party stalwart.

Texans for Public Justice, a left-leaning watchdog group that filed the original criminal complaint that led to the indictment, said Perry was handed a "gift" based on his stature.

Even a Republican judge who dissented in the ruling said the decision could leave the public with an uneasy perception that the system went out of its way to clear a famous politician with deep connections.

Perry, the longest-serving governor in Texas history, made just one court appearance in the case and was defiant from the start — he went out for ice cream after turning himself in for booking at an Austin jail, and smiled wide for his mug shot.

Legal scholars across the political spectrum raised objections about the case. Still, the Republican judge overseeing it repeatedly refused to throw it out on constitutional grounds, prompting Perry's appeals.

Michael McCrum, the special prosecutor who secured Perry's indictment, maintained that the matter was built on evidence — not politics — and deserved to go to trial. He can appeal, but that would be a lengthy process. Combined, the original charges carried a potential maximum of 109 years in prison.

Perry had formally announced he was running for president in June, hoping to convince GOP primary voters he deserved another chance after his 2012 bid was undone by a series of public gaffes. But his second campaign lasted barely three months, and he dropped out of the race in September.

The former governor spent more than $2 million on top defense lawyers. His latest White House campaign raised barely half that much in its first month, and Perry blamed the indictment for his sluggish fundraising. But polls showed he was badly trailing despite visits to Iowa, New Hampshire and South Carolina. He was the first candidate to leave a GOP field jammed with 17 presidential hopefuls at the time.

This time around, all of that frigidity is being kept north, causing the far more pleasant temperatures experienced around the east coast.

Meanwhile on the West Coast, a series of storm systems is expected to bring more rain and cover the Northwest and Rockies with snow this week.

Some meteorologists have warned the Arctic Oscillation could slip as winter carries on, leading to a sudden downturn in temperatures.

Taxpayers will lose nearly $90bn from the change, which suspends a restriction introduced in the 2017 tax bill.

Because of the suspension, the JCT estimated 43,000 people making $1m or more would owe a total of $70.3bn less in taxes in 2020. Less than 3% of the benefits from the change will go to Americans earning less than $100,000 a year.

The JCT analysis was prompted by two Democratic senators seeking more information from Donald Trump’s administration about changes to the tax law included in the coronavirus relief package.

After the analysis was published, Whitehouse called for this provision to be repealed.

“It’s a scandal for Republicans to loot American taxpayers in the midst of an economic and human tragedy,” Whitehouse said in a statement. “This analysis shows that while Democrats fought for unemployment insurance and small business relief, a top priority of President Trump and his allies in Congress was another massive tax cut for the wealthy.

A large portion of activity online at the end of February and early March appeared in French and centered on a study published by French researcher and doctor Didier Raoult.

Anecdotal evidence refers to people’s personal stories about taking the drugs and has no basis in scientific data. It’s akin to a Yelp review.

The faulty research then appeared in the Gateway Pundit, Breitbart and the Blaze. It ultimately made its way to Fox News, first appearing on Laura Ingraham’s program on March 16. Fox News shows hosted by Sean Hannity and Tucker Carlson went on to promote the drugs and continue to do so.

On March 19, Trump first mentioned hydroxychloroquine at a White House news briefing. DiResta’s analysis showed that the following week, the claim started to spike in the United States, with 101,844 posts on Facebook. Starbird reports Trump’s first mention set off a surge in attention, seeing tens of thousands of tweets per hour in late March.

Trump again spoke about the drugs at news conferences on April 3, 4 and 5. Mentions on Twitter skyrocketed on April 6.

scientists say there is only “anecdotal evidence” on the drugs. To a layperson, that may not sound bad, but it’s actually an insult in the scientific community.

Yet before the record could be set straight, the hypothesis spread widely on U.S. social media.

t there’s very little evidence that we actually have that this has a clinical benefit, which is kind of bad for something that’s being very heavily promoted. We should probably have some data and some science behind it.”

Asked whether chloroquine was a possible cure for covid-19, Janet Diaz of WHO told reporters on Feb. 20 that the organization was prioritizing other therapeutics: “For chloroquine, there is no proof that that is an effective treatment at this time. We recommend that therapeutics be tested under ethically approved clinical trials to show efficacy and safety.” A few weeks later, both chloroquine and hydroxychloroquine were included in a mega-trial WHO launched.

The Food and Drug Administration granted an emergency use approval to distribute millions of doses of the drugs to hospitals across the country on March 29.

Luciana Borio, the former head of medical and biodefense preparedness at the National Security Council, criticized the FDA’s EUA announcement and has called for a randomized clinical trial of the drugs.

“I think that it was a misuse of emergency authorizations of the authority that the FDA has. Because it gives this credence that the government is actually backing, and it’s so common for people to equate that with an approval,” Borio said.

When asked whether any of the completed studies have provided substantial evidence that the benefits of the drugs outweigh the risks, Borio responded, “Not at all. No study was done in a way that would allow that conclusion.”

Over the course of only a few weeks, posts online, the media and politicians turned chloroquine from an unknown drug to a “100% coronavirus cure,” misleading the public on its effectiveness and engendering unintended but negative consequences.

Hydroxychloroquine and chloroquine as treatments for covid-19 are not yet backed by reliable scientific evidence. In a pandemic, it’s important for everyone to follow the lead of scientists. Rumors on the Internet are the least reliable source of information. And politicians are not qualified to provide scientific advice, despite even the best intentions.

In particular, Trump’s incorrect comments on the drugs and his role in advocating for their use, based on minimal and flimsy evidence, sets a bad example. His advocacy for this unproven treatment provides potentially false hope and has led to shortages for people who rely on the drugs. The president earns Four Pinocchios.