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Javier E

On Grand Strategy (John Lewis Gaddis) - 0 views

  • minds. Ordinary experience, he pointed out, is filled with “ends equally ultimate . . . , the realization of some of which must inevitably involve the sacrifice of others.” The choices facing us are less often between stark alternatives—good versus evil, for instance—than between good things we can’t have simultaneously. “One can save one’s soul, or one can found or maintain or serve a great and glorious State,” Berlin wrote, “but not always both at once.”
  • We resolve these dilemmas by stretching them over time. We seek certain things now, put off others until later, and regard still others as unattainable. We select what fits where, and then decide which we can achieve when. The process can be difficult: Berlin emphasized the “necessity and agony of choice.” But if such choices were to disappear, he added, so too would “the freedom to choose,” and hence liberty itself.24
  • only narratives can show dilemmas across time. It’s not enough to display choices like slivers on a microscope slide. We need to see change happen, and we can do that only by reconstituting the past as histories, biographies, poems, plays, novels, or films. The best of these sharpen and shade simultaneously: they compress what’s happening in order to clarify, even as they blur, the line between instruction and entertainment. They are, in short, dramatizations. And a fundamental requirement of these is never to bore.
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  • When Thaddeus Stevens (Tommy Lee Jones) asks the president how he can reconcile so noble an aim with such malodorous methods, Lincoln recalls what his youthful years as a surveyor taught him: [A] compass . . . [will] point you true north from where you’re standing, but it’s got no advice about the swamps and deserts and chasms
  • chasms that you’ll encounter along the way. If in pursuit of your destination, you plunge ahead, heedless of obstacles, and achieve nothing more than to sink in a swamp . . . , [then] what’s the use of knowing true north?
  • The real Lincoln, as far as I know, never said any of this, and the real Berlin, sadly, never got to see Spielberg’s film. But Tony Kushner’s screenplay shows Fitzgerald’s linkage of intelligence, opposing ideas, and the ability to function: Lincoln keeps long-term aspirations and immediate necessities in mind at the same time. It reconciles Berlin’s foxes and hedgehogs with his insistence on the inevitability—and the unpredictability—of choice:
  • Whether we approach reality from the top down or the bottom up, Tolstoy seems to be saying, an infinite number of possibilities exist at an indeterminate number of levels, all simultaneously. Some are predictable, most aren’t, and only dramatization—free from the scholar’s enslavement to theory and archives—can begin to represent them.
  • what is “training,” as Clausewitz understands it? It’s being able to draw upon principles extending across time and space, so that you’ll have a sense of what’s worked before and what hasn’t. You then apply these to the situation at hand: that’s the role of scale. The result is a plan, informed by the past, linked to the present, for achieving some future goal.
  • I think he’s describing here an ecological sensitivity that equally respects time, space, and scale. Xerxes never had it, despite Artabanus’ efforts. Tolstoy approximated it, if only in a novel. But Lincoln—who lacked an Artabanus and who didn’t live to read War and Peace—seems somehow to have achieved it, by way of a common sense that’s uncommon among great leaders.
  • It’s worth remembering also that Lincoln—and Shakespeare—had a lifetime to become who they were. Young people today don’t, because society so sharply segregates general education, professional training, ascent within an organization, responsibility for it, and then retirement.
  • This worsens a problem Henry Kissinger identified long ago: that the “intellectual capital” leaders accumulate prior to reaching the top is all they’ll be able to draw on while at the top.37 There’s less time now than Lincoln had to learn anything new.
  • A gap has opened between the study of history and the construction of theory, both of which are needed if ends are to be aligned with means. Historians, knowing that their field rewards specialized research, tend to avoid the generalizations
  • Theorists, keen to be seen as social “scientists,” seek “reproducibility” in results: that replaces complexity with simplicity in the pursuit of predictability. Both communities neglect relationships between the general and the particular—between universal and local knowledge—that nurture strategic thinking.
  • concrete events in time and space—the sum of the actual experience of actual men and women in their relation to one another and to an actual three-dimensional, empirically experienced, physical environment—this alone contained the truth,
  • Collaboration, in theory, could have secured the sea and the land from all future dangers. That would have required, though, the extension of trust, a quality with strikingly shallow roots in the character of all Greeks.
  • The only solution then is to improvise, but this is not just making it up as you go along. Maybe you’ll stick to the plan, maybe you’ll modify it, maybe you’ll scrap it altogether. Like Lincoln, though, you’ll know your compass heading, whatever the unknowns that lie between you and your destination. You’ll have in your mind a range of options for dealing with these, based—as if from Machiavelli—upon hard-won lessons from those who’ve gone before.
  • The past and future are no more equivalent, in Thucydides, than are capabilities and aspirations in strategy—they are, however, connected.
  • The past we can know only from imperfect sources, including our own memories. The future we can’t know, other than that it will originate in the past but then depart from it. Thucydides’ distinction between resemblance and reflection—between patterns surviving across time and repetitions degraded by time—aligns the asymmetry, for it suggests that the past prepares us for the future only when, however imperfectly, it transfers. Just as capabilities restrict aspirations to what circumstances will allow.
  • Insufficiency demands indirection, and that, Sun Tzu insists, requires maneuver: [W]hen capable, feign incapacity; when active, inactivity. When near, make it appear that you are far; when far away, that you are near. Offer an enemy a bait to lure him; feign disorder and strike him. . . . When he concentrates, prepare against him; where he is strong, avoid him. . . . Pretend inferiority and encourage his arrogance. . . . Keep him under a strain and wear him down. Opposites held in mind simultaneously, thus, are “the strategist’s keys to victory.”
  • it was Pericles who, more than anyone else, unleashed the Peloponnesian War—the unintended result of constructing a culture to support a strategy.
  • By the mid-450s Pericles, who agreed, had finished the walls around Athens and Piraeus, allowing total reliance on the sea in any future war. The new strategy made sense, but it made the Athenians, as Thucydides saw, a different people. Farmers, traditionally, had sustained Athens: their fields and vineyards supplied the city in peacetime, and their bodies filled the ranks of its infantry and cavalry when wars came. Now, though, their properties were expendable and their influence diminished.
  • If Athens were to rely upon the ardor of individuals, then it would have to inspire classes within the city and peoples throughout the empire—even as it retained the cohesiveness of its rival Sparta, still in many ways a small town.
  • Pericles used his “funeral oration,” delivered in Athens at the end of the Peloponnesian War’s first year, to explain what he hoped for. The dead had given their lives, he told the mourners, for the universality of Athenian distinctiveness: Athens imitated no one, but was a pattern for everyone. How, though, to reconcile these apparent opposites? Pericles’ solution was to connect scale, space, and time: Athenian culture would appeal to the city, the empire, and the ages.
  • The city had acquired its “friends,” Pericles acknowledged, by granting favors, “in order by continued kindness to keep the recipient in [its] debt; while the debtor [knows] that the return he makes will be a payment, not a free gift.” Nevertheless, the Athenians had provided these benefits “not from calculations of expediency, but in the confidence of liberality.” What he meant was that Athens would make its empire at once more powerful and more reassuring than that of any rival.
  • It could in this way project democracy across cultures because insecure states, fearing worse, would freely align with Athens.22 Self-interest would become comfort and then affinity.
  • The Athenians’ strategy of walling their cities, however, had reshaped their character, obliging them restlessly to roam the world. Because they had changed, they would have to change others—that’s what having an empire means—but how many, to what extent, and by what means? No one, not even Pericles, could easily say.
  • Equality, then, was the loop in Pericles’ logic. He saw both it and empire as admirable, but was slow to sense that encouraging one would diminish the other.
  • Like Lincoln, Pericles looked ahead to the ages. He even left them monuments and sent them messages. But he didn’t leave behind a functional state: it would take well over two millennia for democracy again to become a model with mass appeal.
  • as Thucydides grimly observes, war “brings most men’s character to a level with their fortunes.”
  • “Island” strategies require steady nerves. You have to be able to watch smoke rise on horizons you once controlled without losing your own self-confidence, or shaking that of allies, or strengthening that of adversaries.
  • For the abstractions of strategy and the emotions of strategists can never be separated: they can only be balanced. The weight attached to each, however, will vary with circumstances. And the heat of emotions requires only an instant to melt abstractions drawn from years of cool reflection.
  • if credibility is always in doubt, then capabilities must become infinite or bluffs must become routine. Neither approach is sustainable: that’s why walls exist in the first place.
  • he encouraged his readers to seek “knowledge of the past as an aid to the understanding of the future, which in the course of human things must resemble if it does not reflect it.” For without some sense of the past the future can be only loneliness: amnesia is a solitary affliction.
  • But to know the past only in static terms—as moments frozen in time and space—would be almost as disabling, because we’re the progeny of progressions across time and space that shift from small scales to big ones and back again. We know these through narratives, whether historical or fictional or a combination of both.
  • No one can anticipate everything that might happen. Sensing possibilities, though, is better than having no sense at all of what to expect. Sun Tzu seeks sense—even common sense—by tethering principles, which are few, to practices, which are many.
  • Clausewitz’s concept of training, however, retains its relevance. It’s the best protection we have against strategies getting stupider as they become grander, a recurring problem in peace as well as war. It’s the only way to combine the apparent opposites of planning and improvisation: to teach the common sense that comes from knowing when to be a hedgehog and when a fox.
  • Victories must connect: otherwise they won’t lead anywhere. They can’t be foreseen, though, because they arise from unforeseen opportunities. Maneuvering, thus, requires planning, but also improvisation. Small triumphs in a single arena set up larger ones elsewhere, allowing weaker contenders to become stronger.
  • The actions of man, Kennan concluded, “are governed not so much by what he intellectually believes as by what he vividly realizes.”
  • Nor is it clear, even now, whether Christianity caused Rome’s “fall”—as Gibbon believed—or—as the legacies of Augustus suggest—secured Rome’s institutional immortalities. These opposites have shaped “western” civilization ever since. Not least by giving rise to two truly grand strategies, parallel in their purposes but devised a thousand years apart
  • Augustine shows that reality always falls short of the ideal: one can strive toward it, but never expect to achieve it. Seeking, therefore, is the best man can manage in a fallen world, and what he seeks is his choice. Nevertheless, not all ends are legitimate; not all means are appropriate. Augustine seeks, therefore, to guide choice by respecting choice. He does this through an appeal to reason: one might even say to common sense.
  • A peaceful faith—the only source of justice for Christians—can’t flourish without protection, whether through toleration, as in pre-Constantine Rome, or by formal edict, as afterward.20 The City of God is a fragile structure within the sinful City of Man. It’s this that leads Christians to entrust authority to selected sinners—we call it “politics”—and Augustine, for all his piety, is a political philosopher.
  • Augustine concluded that war, if necessary to save the state, could be a lesser evil than peace—and that the procedural prerequisites for necessity could be stated. Had provocation occurred? Had competent authority exhausted peaceful alternatives? Would the resort to violence be a means chosen, not an end in itself? Was the expenditure of force proportionate to its purposes, so that it wouldn’t destroy what it was meant to defend?
  • No one before Augustine, however, had set standards to be met by states in choosing war. This could be done only within an inclusionary monotheism, for only a God claiming universal authority could judge the souls of earthly rulers. And only Augustine, in his era, spoke so self-confidently for Him. The
  • Augustine’s great uncertainty was the status of souls in the City of Man, for only the fittest could hope to enter the City of God. Pre-Christian deities had rarely made such distinctions: the pagan afterlife was equally grim for heroes, scoundrels, and all in between.25 Not so, though, with the Christian God: behavior in life would make a huge difference in death. It was vital, then, to fight wars within rules. The stakes could hardly be higher.
  • Alignment, in turn, implies interdependence. Justice is unattainable in the absence of order, peace may require the fighting of wars, Caesar must be propitiated—perhaps even, like Constantine, converted—if man is to reach God. Each capability brings an aspiration within reach, much as Sun Tzu’s practices tether his principles, but what’s the nature of the tether? I think it’s proportionality: the means employed must be appropriate to—or at least not corrupt—the end envisaged. This, then, is Augustine’s tilt: toward a logic of strategy transcending time, place, culture, circumstance, and the differences between saints and sinners.
  • a more revealing distinction may lie in temperament: to borrow from Milan Kundera,37 Machiavelli found “lightness of being” bearable. For Augustine—perhaps because traumatized as a youth by a pear tree—it was unendurable.
  • “I judge that it might be true that fortune is arbiter of half our actions, but also that she leaves the other half, or close to it, for us to govern.” Fifty percent fortune, fifty percent man—but zero percent God. Man is, however precariously, on his own.
  • States, Machiavelli suggests, operate similarly. If governed badly, men’s rapacity will soon overwhelm them, whether through internal rebellion or external war. But if run with virtù—his untranslatable term for planning without praying40—states can constrain, if not in all ways control, the workings of fortune, or chance. The skills needed are those of imitation, adaptation, and approximation.
  • Machiavelli commends the study of history, “for since men almost always walk on paths beaten by others and proceed in their actions by imitation . . . , a prudent man should always enter upon the paths beaten by great men, and imitate those who have been most excellent, so that if his own virtue does not reach that far, it is at least in the odor of it.”
  • What, then, to do? It helped that Machiavelli and Berlin had lightness of being, for their answer is the same: don’t sweat it. Learn to live with the contradictions. Machiavelli shows “no trace of agony,” Berlin points out, and he doesn’t either:
  • Eternal truths have little to do with any of this, beyond the assurance that circumstances will change. Machiavelli knows, as did Augustine, that what makes sense in one situation may not in the next. They differ, though, in that Machiavelli, expecting to go to Hell, doesn’t attempt to resolve such disparities. Augustine, hoping for Heaven, feels personally responsible for them. Despite his afflictions, Machiavelli often sees comedy.42 Despite his privileges, Augustine carries a tragic burden of guilt. Machiavelli sweats, but not all the time. Augustine never stops.
  • “Lightness of being,” then, is the ability, if not to find the good in bad things, then at least to remain afloat among them, perhaps to swim or to sail through them, possibly even to take precautions that can keep you dry. It’s not to locate logic in misfortunes, or to show that they’re for the best because they reflect God’s will.
  • Augustine and Machiavelli agree that wars should be fought—indeed that states should be run—by pre-specifiable procedures. Both know that aspirations aren’t capabilities. Both prefer to connect them through checklists, not commandments.43
  • Augustine admits, which is why good men may have to seek peace by shedding blood. The greater privilege, however, is to avert “that calamity which others are under the necessity of producing.” Machiavelli agrees, but notes that a prince so infrequently has this privilege that if he wishes to remain in power he must “learn to be able not to be good,” and to use this proficiency or not use it “according to necessity.”51 As fits man’s fallen state, Augustine sighs. As befits man, Machiavelli simplifies.
  • As Machiavelli’s finest translator has put it: “[J]ustice is no more reasonable than what a person’s prudence tells him he must acquire for himself, or must submit to, because men cannot afford justice in any sense that transcends their own preservation.”53
  • princes need advisers. The adviser can’t tell the prince what to do, but he can suggest what the prince should know. For Machiavelli this means seeking patterns—across time, space, and status—by shifting perspectives. “[J]ust as those who sketch landscapes place themselves down in the plain to consider the nature of mountains . . . and to consider the nature of low places place themselves high atop mountains,
  • Machiavelli embraces, then, a utilitarian morality: you proportion your actions to your objective, not to progress from one nebulous city to another, but because some things have been shown to work and others haven’t.60
  • Who, then, will oversee them? They’ll do it themselves, Machiavelli replies, by balancing power. First, there’ll be a balance among states, unlike older Roman and Catholic traditions of universality. Machiavelli anticipates the statecraft of Richelieu, Metternich, Bismarck,
  • But Machiavelli understands balancing in a second and subtler sense, conveyed more explicitly in The Discourses than in The Prince: [I]t is only in republics that the common good is looked to properly in that all that promotes it is carried out; and, however much this or that private person may be the loser on this account, there are so many who benefit thereby that the common good can be realized in spite of those few who suffer in consequence.64 This idea of an internal equilibrium within which competition strengthens community wouldn’t appear again until Adam Smith unveiled an “invisible hand” in The Wealth of Nations (1776), until the American Founding Fathers drafted and in The Federalist justified constitutional checks and balances (1787–88), and until Immanuel Kant linked republics, however distantly, with Perpetual Peace (1795).
  • Machiavelli’s great transgression, Berlin concluded, was to confirm what everyone knows but no one will admit: that ideals “cannot be attained.” Statecraft, therefore, can never balance realism against idealism: there are only competing realisms. There is no contest, in governing, between politics and morality: there is only politics. And no state respects Christian teaching on saving souls. The incompatibilities are irreconcilable. To deny this is, in Berlin’s words but in Machiavelli’s mind, to “vacillate, fall between two stools, and end in weakness and failure.”
  • And approximation? “[P]rudent archers,” Machiavelli points out, knowing the strength of their bow, “set their aim much higher than the place intended, not to reach such height with their arrow, but to be able with the aid of so high an aim to achieve their plan.”41 For there will be deflection—certainly from gravity, perhaps from wind, who knows from what else? And the target itself will probably be moving.
  • Augustine’s City of God no longer exists on earth. The City of Man, which survives, has no single path to salvation. “[T]he belief that the correct, objectively valid solution to the question of how men should live can in principle be discovered,” Berlin finds, “is itself in principle not true.” Machiavelli thus split open the rock “upon which Western beliefs and lives had been founded.” It was he “who lit the fatal fuse.”
  • Machiavelli’s blood ran colder than was ordinary: he praised Cesare Borgia, for example, and he refused to condemn torture despite having suffered it (Augustine, never tortured, took a similar position).75 Machiavelli was careful, however, to apportion enormities: they should only forestall greater horrors—violent revolution, defeat in war, descent into anarchy, mass killing, or what we would today call “genocide.”
  • Berlin sees in this an “economy of violence,” by which he means holding a “reserve of force always in the background to keep things going in such a way that the virtues admired by [Machiavelli] and by the classical thinkers to whom he appeals can be protected and allowed to flower.”76 It’s no accident that Berlin uses the plural. For it comes closer than the singular, in English, to Machiavelli’s virtù, implying no single standard by which men must live.
  • “[T]here are many different ends that men may seek and still be fully rational,” Berlin insists, “capable of understanding . . . and deriving light from each other.” Otherwise, civilizations would exist in “impenetrable bubble[s],” incomprehensible to anyone on the outside. “Intercommunication between cultures in time and space is possible only because what makes men human is common to them, and acts as a bridge between them. But our values are ours, and theirs are theirs.”
  • Perhaps there are other worlds in which all principles are harmonized, but “it is on earth that we live, and it is here that we must believe and act.”77 By shattering certainty, Machiavelli showed how. “[T]he dilemma has never given men peace since it came to light,” Berlin lightly concludes, “but we have learnt to live with it.”
  • Posterity has long regarded Augustine and Machiavelli as pivots in the history of “western” thought because each, with enduring effects, shifted long-standing relationships between souls and states.
  • Philip promises obedience to God, not his subjects. Elizabeth serves her subjects, fitting God to their interests. The king, looking to Heaven, venerates. The queen, feet on earth, calculates. The differences test the ideas of Augustine and Machiavelli against the demands of statecraft at the dawn of the modern age.
  • Relishing opposites, the queen was constant only in her patriotism, her insistence on keeping ends within means, and her determination—a requirement for pivoting—never to be pinned down.
  • Pivoting requires gyroscopes, and Elizabeth’s were the best of her era. She balanced purposefulness with imagination, guile, humor, timing, and an economy in movement that, however extravagant her display, kept her steady on the tightrope she walked.
  • Machiavelli, thinking gyroscopically, advised his prince to be a lion and a fox, the former to frighten wolves, the latter to detect snares. Elizabeth went him one better by being lion, fox, and female, a combination the crafty Italian might have learned to appreciate. Philip was a grand lion, but he was only a lion.
  • princes can through conscientiousness, Machiavelli warned, become trapped. For a wise ruler “cannot observe faith, nor should he, when such observance turns against him, and the causes that made him promise have been eliminated. . . . Nor does a prince ever lack legitimate causes to color his failure to observe faith.”46
  • What we like to recall as the Elizabethan “golden age” survived only through surveillance and terror: that was another of its contradictions, maintained regretfully with resignation.
  • The queen’s instincts were more humane than those of her predecessors, but too many contemporaries were trying to kill her. “Unlike her sister, Elizabeth never burned men for their faith,” her recent biographer Lisa Hilton has written. “She tortured and hanged them for treason.”60 Toleration, Machiavelli might have said, had turned against Elizabeth. She wanted to be loved—who wouldn’t? It was definitely safer for princes, though, to be feared.
  • “The failure of the Spanish Armada,” Geoffrey Parker has argued, “laid the American continent open to invasion and colonization by northern Europeans, and thus made possible the creation of the United States.” If that’s right, then the future pivoted on a single evening—August 7, 1588—owing to a favorable wind, a clever lord admiral, and a few fiery ships. Had he succeeded, Philip would have required Elizabeth to end all English voyages to America.4
  • In contrast to Spain’s “new world” colonies—and to the territories that France, more recently, had claimed (but barely settled) along the banks of the St. Lawrence, the Great Lakes, and the Ohio and Mississippi rivers—British America “was a society whose political and administrative institutions were more likely to evolve from below than to be imposed from above.”10 That made it a hodgepodge, but also a complex adaptive system.
  • The principles seem at odds—how can supremacies share?—but within that puzzle, the modern historian Robert Tombs has suggested, lay the foundations of England’s post-Stuart political culture: [S]uspicion of Utopias and zealots; trust in common sense and experience; respect for tradition; preference for gradual change; and the view that “compromise” is victory, not betrayal. These things stem from the failure of both royal absolutism and of godly republicanism: costly failures, and fruitful ones.
Javier E

What white people can learn from the Starbucks arrests - The Washington Post - 0 views

  • imagine that these two black men came forward to say they had been wrongly arrested, but there was no video and no white people in the Starbucks corroborated their story. My guess is that a good percentage of white people would assume they had done something to provoke the cops. They were probably too loud. Maybe they were harassing other customers. Perhaps they tried to take something without paying. Much of white America just isn’t ready to believe that black people can get arrested, harassed by cops or beaten for doing little to nothing.
  • many white people tend to think that for a cop to shoot you, or beat you, or arrest you, you must have provoked them in some way. Don’t want police attention? Don’t commit crimes. Don’t hang with the wrong crowd or project an aura of violence and intimidation. Be polite and courteous when interacting with police. Do what you’re told, and you’ll be fine
  • We can’t empathize with the person who was shot because we can’t imagine a scenario in which a cop might consider us potentially dangerous. And that’s because we just don’t do the sorts of things that cause cops to shoot people.
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  • When many black or Latino or, in some parts of the country, Native American people read about a police shooting of someone like them, the reaction is often more “That could have been me. “There are no precautions to take. It isn’t about not hanging with the wrong crowd, or not talking back to cops, or not engaging in criminal behavior.
  • The “sorts of things” they do that attract police attention are things such as being a U.S. senator driving a nice car, standing outside of a store, walking home after a long shift  at a restaurant, trying to make a living by selling CDs, or waiting for a business associate at a Starbucks. It is simply to exist.
  • we shouldn’t need a viral video and the word of white witnesses to understand that being black or brown often means negotiating an entirely different landscape when it comes to the police (as well as the white people who tend to call the police after seeing black people behave in a way that’s even the slightest bit abnormal).
nrashkind

The Coronavirus Is Forcing American Hospitals to Ration Care - The Atlantic - 0 views

  • Hospitals are poised to face the kind of life-and-death decisions that industrialized countries typically encounter only in times of war and natural disaster.
  • wo weeks ago, a man came to an emergency room in New York with pain in the lower-right quadrant of his abdomen.
  • A CT scan showed inflammation around a fingerlike projection at the base of his colon.
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  • The next day, recovering upstairs, the man still had a fever. Doctors ordered a test for the coronavirus. A day later, his results came back positive.
  • Last week, the Illinois Department of Public Health sent a notice to clinics that only those people “hospitalized with severe acute lower respiratory illness” could be tested for the coronavirus
  • Today, if every hospital employee who had a close encounter with a COVID-19 patient disappeared for two weeks, the medical workforce would quickly become depleted
  • The virus has an average incubation period of five days, which means people can spread it in the absence of symptoms
  • After the man with appendicitis (a patient of one of the doctors I spoke with for this story) tested positive, the hospital implemented such precautions. And staff members who’d cared for him went into two weeks of isolation.
  • The majority of workers who keep America’s hospitals running don’t have the salary to afford extra bedrooms, much less extra properties
  • During World War II, Ford and General Motors rallied to the cause by building tanks and manufacturing ammunition instead of car
  • The ubiquitous curve is being flattened by shutdowns and social distancing, but it is not flat enough. Those who might end up in a hospital, which is to say all of us, can do at least one thing to help relieve pressure on the medical system and its overtaxed, dwindling workforce.
  • America rolled the dice. For just one example, the federal government has invested only about $500 million annually in the strategic stockpile, maintaining about 12 million N95 masks and 16,600 ventilators. This is enough to equip an area hit by a localized disease outbreak, natural disaster, or terrorist attack. But it is nowhere near what could be necessary in a Disease X pandemic.
  • In January of this year, some Chinese scientists warned that a Disease X had arrived, based on genetic sequencing they’d performed.
  • When we spoke by phone late Tuesday night, as he was driving home from the hospital, he sounded tired. I asked him to think back to the Disease X war game
nrashkind

FEMA Says at Least 7 People at the Disaster Agency Have the Coronavirus - The New York ... - 0 views

  • The agency leading the nation’s coronavirus response said that seven of its employees had tested positive for the virus with another four cases pending
  • Union leaders last week had asked the agency, Federal Emergency Management Agency, how many employees had tested positive, and in which offices, so that workers who might have interacted with those people could decide whether to get tested as well
  • But those steps only go so far.
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  • “If we’re out there handing out masks and gloves, and we’ve got Covid, then they’re contaminated,” said Mr. Reaves, referring to the disease caused by the coronavirus.
  • The concern over the health and safety of FEMA employees comes as the agency is already stretched thin by three years of major natural disasters.
  • The virus, however, is forcing the agency to rethink that approach. It has urged its staff to work from home when possible, and distance themselves from their colleagues when it isn’t. FEMA has also restricted the number of disaster victims who are allowed inside its field offices at once, and has made it easier for states to shelter victims in hotels or other settings where they don’t have to be crammed together.
  • “FEMA has taken every precaution recommended by the C.D.C. to protect all employees,” Ms. Litzow added, referring to the Centers for Disease Control and Prevention.
  • Mr. Reaves said that at least two other people who worked in the office had since told him that they were self-isolating out of concern that they were exposed.
  • Some FEMA officials had grown concerned over how crowded its headquarters had become since President Trump tapped the disaster agency to lead his administration’s response to the coronavirus.
  • FEMA’s communications office did not say if any employees are self-isolating because they have symptoms.
  • The office also didn’t comment on its decision to decline the union’s request to find out which offices have had confirmed cases.
  • In its letter to the union, the agency suggested that providing that information could violate employees’ privacy. At some FEMA locations, the agency said
nrashkind

WHO Reviews 'Available' Evidence On Coronavirus Transmission Through Air : NPR - 0 views

  • The World Health Organization says the virus that causes COVID-19 doesn't seem to linger in the air or be capable of spreading through the air over distances more than about three feet.
  • But at least one expert in virus transmission said it's way too soon to know that.
  • "I think the WHO is being irresponsible in giving out that information. This misinformation is dangerous," says Dr. Donald Milton, an infectious disease aerobiologist at the University of Maryland School of Public Health.
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  • "The epidemiologists say if it's 'close contact' then it's not airborne. That's baloney," he says.
  • Of course, the world is struggling with a shortage of the most protective medical masks and gear.
  • What's more, one study of hospital rooms of patients with COVID-19 found that "swabs taken from the air exhaust outlets tested positive, suggesting that small virus-laden droplets may be displaced by airflows and deposited on equipment such as vents." Another study in Wuhan hospitals f
  • "The U.S. CDC has it exactly right,"
  • When epidemiologists are working in the field, trying to understand an outbreak of an unknown pathogen, it's not possible for them to know exactly what's going on as a pathogen is spread from person to person, Milton says. "Epidemiologists cannot tell the difference between droplet transmission and short-range aerosol transmission."
  • For the average person not working in a hospital, Milton says the recommendation to stay 6 feet away from others sounds reasonable.
  • People shouldn't cram into cars with the windows rolled up, he says, and officials need to keep crowding down in mass transit vehicles like trains and buses.
  • With coronavirus cases continuing to climb and hospitals facing the prospect of having to decide how to allocate limited staff and resources, the Department of Health and Human Services is reminding states and health care providers that civil rights laws still apply in a pandemic.
  • States are preparing for a situation when there's not enough care to go around by issuing "crisis of care" standards.
  • But disability groups are worried that those standards will allow rationing decisions that exclude the elderly or people with disabilities.
  • On Saturday, the HHS Office for Civil Rights put out guidance saying states, hospitals and doctors cannot put people with disabilities or older people at the back of the line for care.
  • Severino said his office has opened or is about to open investigations of complaints in multiple states. He did not say which states could be the focus of investigation, but in the last several days, disability groups in four states — Alabama, Kansas, Tennessee and Washington — have filed complaints.
  • In Kansas and Tennessee, disability groups and people with disabilities say state guidelines would allow doctors to deny care to some people with traumatic brain injuries or people who use home ventilators to help them breathe.
  • The ventilator issue is coming up in New York, which may soon be the first place where there are not enough ventilators to meet the demand of patients. Gov. Andrew Cuomo said the state will need double its current amount in about three weeks.
  • Severino said Saturday that his office was concerned about complaints of possible ventilator reallocation, an issue that had been raised in New York and Kansas.
  • The PREP Act provides immunity to tort liability claims for manufacturers or drug companies that are asked to scale up quick responses to a disaster such as a nuclear attack or a pandemic.
  • Severino said his office would investigate civil rights violations and it would be up to another office at HHS, the general counsel's office, to make waivers under the PREP Act.
  • Some disability advocates have worried whether that exception could be used to trump civil rights laws that protect people with disabilities from treatment decisions.
  • He was 98 years old.
  • The Reverend Joseph Lowery, co-founder of the Southern Christian Leadership Conference, died Friday, according to a statement by the Joseph & Evelyn Lowery Institute for Justice and Human Rights.
  • The statement said Lowery died peacefully at home Friday night, surrounded by his daughters.
  • Known affectionately as the "Dean" of the Civil Rights Movement, Lowery was a part of pivotal moments in the nation's history
  • At an appearance on the national mall in 2013, at the age of 91, he led the crowd in the chant "Fired Up? Ready to go?" The event marked 50 years since the 1963 March on Washington, which Lowery attended as a contemporary of the Rev. Martin Luther King, Jr. At that 50th anniversary appearance, he warned that hard-fought gains were under attack.
  • Joseph Echols Lowery was born in Huntsville, Alabama in 1921. He was the son of a teacher and a shopkeeper. The young Lowery experienced firsthand the brutalities of the Jim Crow South and would spend his life fighting for racial justice.
  • One of the first protests he organized was as a young Methodist minister in Mobile, Alabama in the early 1950s. It was aimed at desegregating city buses.
  • From there, Lowery helped coordinate the 1955 Montgomery bus boycott, the non-violent movement that desegregated the city's public transportation and led to the formation of the Southern Christian Leadership Conference.
  • Four decades later, at a gathering of civil rights foot soldiers in Montgomery, Lowery reflected on that accomplishment, noting that the number of black elected officials in the country had gone from less than 300 in 1965 to nearly 10,000 by 2005.
  • "It changed the face of the nation," said Lowery.
Javier E

America is in crisis. We need universal basic income now | Karl Widerquist | Opinion | ... - 0 views

  • The more people we have who can afford to stay home the better off we’ll be, at least for the duration of the outbreak.
  • After the 2008-2009 economic meltdown, the United States government and governments around the world created trillions of dollars worth of currency out of thin air and injected it into the economy, usually by buying back their own debt, in an effort to stimulate demand and reverse the multiplier effec
  • Buying back government debt isn’t necessarily the best way to stimulate the economy, however. The money goes mostly to people who are already rich, and they have very little incentive to invest that money when everyone else is losing income.
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  • An emergency UBI is just about the best economic stimulator that exists in modern times because it gets money in the hands of everyone. No one’s income would go to zero due to stock market-related layoffs or corona-related precautions
  • Congress should act now. An emergency UBI, providing $1,000 per adult and $500 per child, per month, for four months or as long as the outbreak lasts, can help everyone get through this critical time
  • We don’t know how bad coronavirus will get. We shouldn’t have to worry about how we will be able to buy food and pay rent as well.
  • The economy needs more money and less labor. We need people to spend money. And we don’t need them to work for it.
Javier E

Governors balk at Trump's call to reopen economy during coronavirus - The Washington Post - 0 views

  • President Trump has leaned hard into the idea of reopening the economy in recent days, but as has been noted, he only has so much power to do so. It’s the governors who issue stay-at-home orders and decide what opens and what doesn’t in their states.
  • That’s the key takeaway. However much Trump wants to reopen the country, he’ll need governors to cooperate with that. The governors listed above represent five of the seven biggest states and more than 40 percent of the U.S. population, and they’re just the ones who have weighed in so far. Most of the other biggest states are also run by Democrats, who wouldn’t be as inclined to align themselves with Trump on a controversial proposal.
  • As president, Trump can change the federal guidance, but it’s just that: guidance. Experts say he doesn’t have many legal tools to override the precautions taken by state and local officials.
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  • These governors also have to deal with problems on a more micro level and are more directly held responsible for what happens in their states. Any of them who would begin opening things up would put themselves in line for whatever criticism might follow from the fallout, and it would be much easier to readily quantify the effects of those decisions in their states — particularly if they can be compared with other states that took tougher stances.
Javier E

Opinion | A Complete List of Trump's Attempts to Play Down Coronavirus - The New York T... - 0 views

  • In the weeks that followed, Trump faced a series of choices. He could have taken aggressive measures to slow the spread of the virus. He could have insisted that the United States ramp up efforts to produce test kits. He could have emphasized the risks that the virus presented and urged Americans to take precautions if they had reason to believe they were sick. He could have used the powers of the presidency to reduce the number of people who would ultimately get sick.
  • He did none of those things
  • Below are the facts — a timeline of what the president was saying, alongside statements from public-health experts as well as data on the virus.
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  • I’ve reviewed all of his public statements and actions on coronavirus over the last two months, and they show a president who put almost no priority on public health. Trump’s priorities were different: Making the virus sound like a minor nuisance. Exaggerating his administration’s response. Blaming foreigners and, anachronistically, the Obama administration. Claiming incorrectly that the situation was improving. Trying to cheer up stock market investors
  • Almost two decades ago, during George W. Bush’s presidency, the federal government developed guidelines for communicating during a public-health crisis. Among the core principles are “be first,” “be right,” “be credible,” “show respect” and “promote action.”But the Trump administration’s response to coronavirus, as a Washington Post news story put it, is “breaking almost every rule in the book.”
  • At every point, experts have emphasized that the country could reduce those terrible numbers by taking action. And at almost every point, the president has ignored their advice and insisted, “It’s going to be just fine.”
  • Around the world, the official virus count has climbed above 142,000. In the United States, scientists expect that between tens of millions and 215 million Americans will ultimately be infected, and the death toll could range from the tens of thousands to 1.7 million.
Javier E

Exercising Outdoors With a Face Mask - The New York Times - 0 views

  • In general, outdoor exercise, with or without a mask, seems to be safe, according to most experts.
  • “I think relatively little Covid-19 transmission would occur outdoors, except perhaps in large crowds,”
  • the senior author of a study published in Nature this month that looked at breathing, viral shedding and masks.
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  • Masks also could reassure people with whom you share paths or sidewalks while running and who, in my experience, have started to shy away when we runners pant by.
  • Even so, most of us probably should cover our faces while we exercise outside. The Centers for Disease Control and Prevention recommends that everyone now wear a mask of some kind when they leave home
  • “Running is good for health,” he says, “and transmission risk should be minimal, both for others, if a runner were infected, or for the runner, if they passed by infected people.”
  • “If the mouth and nose are fully covered,” he says, “there may be some limitation to the intake of air, which may raise discomfort and attenuate your running performance.”
  • Worse, he says, wet masks “lose antimicrobial efficiency.”
  • And then there is the oozing. “Exercising in a face mask will create a warm and humid microclimate around your face” as the mask traps your exhaled breaths
  • the mask turns the bottom half of your face into a “mini-sauna,” he says, leading to a buildup of sweat under the mask and a related rise in nasal secretions.
  • The result can feel “unpleasant,” he says, if, like so many of us, “you find the sensation of mucus pouring down your face to be unpleasant.”
  • “The most important precaution is social distancing,” Dr. Boulet says. Stay at least six feet away from anyone you pass. And disinfect your hands and your mask when you get home.
Javier E

Safety Advice If You Must Visit the Grocery Store - WSJ - 0 views

  • if you must go to the store, what’s the best way to navigate the aisles and crowds? Information and guidance about the virus is changing quickly, so we asked the experts.
  • Try to minimize visits to the store. “The biggest risk factor is really being around other people,”
  • If you must go, maintain a buffer around yourself and try to go at off-hours. (The Centers for Disease Control and Prevention recommends a 6-foot buffer
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  • Try to avoid exchanging money or credit cards with the cashier. Use a credit-card reader when possible.
  • all Americans to wear cloth face masks when out in public, which includes when in the grocery store.
  • wash your hands with soap and water before going out and when coming home, and use hand sanitizer when out.
  • If you use gloves, choose disposable ones and throw them before getting into your car or as soon as you get home
  • Try not to use your phone when in the store. If you do, clean it when you get home.
  • it’s a good idea to bring your own, mainly to wipe the grocery cart
  • Wipes can also be used for other high-touch areas in the store like freezer handles or tongs used in self-serve bins.
  • To be extra cautious, you could heat food in the oven or microwave, though this hasn’t been specifically studied so it’s unclear if there’s a particular length of time needed.
  • People over 65 and those who have medical conditions that put them at greater risk of hospitalization and serious illness should avoid going to the grocery store, if possible. Try to order groceries online or have a family member or friend deliver them while taking precautions.
  • Though there have been no documented cases of transmission of the novel coronavirus through food packaging, a recent NEJM study found that the virus can live on cardboard for up to 24 hours and on hard surfaces such as plastic and stainless steel for two to three days.
  • use self-checkout when possible and use hand sanitizer when you’re done.
  • experts say wiping down cereal boxes and other packages isn’t necessary. “Use the wipes when you need them,” says Dr. Chapman. If you’re home you can easily wash your hands. “That’s going to reduce your risk as much if not more than trying to wipe everything down,” he says.
  • instead of being preoccupied with wiping down packaging and containers, focus on washing your hands. “It’s much better to treat your hands, wash your hands, rather than dealing with all the surfaces,”
  • Your mouth is a gateway to both your respiratory system (your lungs) and your digestive system (stomach). Respiratory viruses like the novel coronavirus are believed to enter the body and reproduce through the respiratory tract, not the digestive tract.
  • Experts say it is possible that if the virus rubs off from any object to the inside of your mouth, it could infect you if it goes into your respiratory system. But there doesn’t appear to be any risk of infection via your digestive trac
  • doctors say getting the virus through ingestion of contaminated food seems unlikely. Gregory Poland, director of the Mayo Clinic’s Vaccine Research Group in Rochester, Minn., speculates that the gastric acid in the stomach would kill it. “My own speculation is that the GI route would be very low likelihood compared to known and efficient methods of infection,”
  • the studies were done in a laboratory with high doses of the virus, so it’s unknown if in real life the virus can be transmitted that way. Most likely if someone were to sneeze or cough on a cardboard container, the virus would degrade more quickly due to environmental factors, such as sunlight.
  • If you touch virus particles on raw food and then touch your nose, eyes or mouth, that is a potential source of transmission. But experts note that is very unlikely. To be vigilant, thoroughly wash your hands with soap and water, and don’t eat your food with your hands.
  • Experts urge people not to wash fruits and vegetables with anything but water. The chemicals on wipes and chlorine solutions especially can be dangerous—don’t ingest those.
  • There’s no evidence that the virus can be transmitted through clothing, but it hasn’t been specifically studied
  • The good news is it can be killed by doing laundry. So if you were in a grocery store where people near you were coughing, it’s a good idea to remove your clothes when you get home. Don’t shake clothing. Place it in your laundry hamper.
  • The CDC recommends laundering contaminated clothes in the warmest appropriate water setting and drying them thoroughly.
  • The CDC says there are no known cases of the novel coronavirus being spread through the fecal-oral route, which is a common route of transmission for stomach viruses like the norovirus.
  • But a recent study that hasn’t been peer reviewed yet found the virus in the stool of some patients. This route of transmission remains unknown, and experts say it’s unlikely to be contributing significantly to the pandemic.
Javier E

How to Practice Social Distancing as the Coronavirus Spreads - WSJ - 0 views

  • Infections depend not only on exposure, but also on the amount of virus you are exposed to and how often
  • . Whether or not you get the virus depends on the nature and intensity of the exposure. Touching an object someone sneezed on is less of an exposure than drinking out of your child’s cup or kissing someone. “The closer you are to somebody with it, the longer time you spend with that person, and where they are in their infection” are all factors
  • People with Covid-19 likely start shedding virus 24 to 48 hours before they are symptomatic and continue to shed virus over the course of their illness. People will generally be most infectious during the first few days that they are symptomatic, when they are coughing or sneezing the most
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  • Only 2% of the patients in a review of nearly 45,000 confirmed Covid-19 cases in China were children, and there were no reported deaths in children under 10
  • Among nearly 6,300 Covid-19 cases reported by the Korea Centers for Disease Control & Prevention on March 8, there were no reported deaths in anyone under 30. Only 0.7% of infections were in children under 9 and 4.6% of cases were in those ages 10- to 19-years-old.
  • Studies from China show that the rate of deaths for those with cardiovascular issues is 10.5% while it’s 7.3% for diabetes patients and about 6% for those with hypertension or lung and respiratory disease. In cancer patients, it was reported as 5.6%.
  • Is Covid-19 more contagious than influenza or other viral respiratory diseases? It appears to be. Both are very contagious. The R0—pronounced “R naught”—is an estimate of how many healthy people one contagious person will infect. The R0 for Covid-19 is estimated to be 2.6. “That’s a lot,” says Dr. Schaffner.
  • In comparison, for influenza the figure is somewhere around 1.2 to 1.8
  • Are there any precautions or steps different in coronavirus prevention than in influenza prevention? What about treatment? No. Both illnesses are infectious respiratory illnesses caused by different viruses but spread the same way, says Vanessa Raabe, an infectious disease specialist at NYU Langone Health. They are transmitted through droplets from a sick person sneezing or coughing or talking within 2 meters or 6 feet. If such a droplet enters your eyes, mouth or nose, you could become infected.
  • There is some concern that the new coronavirus can also be transmitted by tiny fine droplets that remain suspended in the area after an ill person leaves, but Dr. Raabe says that it’s not believed to be the main way it’s transmitted and it’s more of a worry in the health care setting.
  • Do allergy and asthma sufferers have a higher rate of illness contraction? There is no evidence that allergy sufferers have a higher rate of getting the new coronavirus. But asthma suffers do. The groups with the highest risk of fatalities are the elderly and those with diabetes, heart disease, lung disease, including respiratory illnesses, and smokers
  • When should I go to the hospital? Experts say you should go to a hospital if you’re sick enough that you think you should be admitted. The telltale sign is difficulty breathing or shortness of breath combined with a high fever
  • shortness of breath and difficulty breathing is a sign that the lungs are being affected and the virus has moved from being an upper tract respiratory illness to a lower tract one. Upper tract illness is usually defined by a runny nose, congestion, and sore threat. Once a virus moves to the lower tract symptoms can include shortness of breath and a lot of coughing that produces mucus
  • A high fever would be 101 or higher
  • How do you distinguish the new coronavirus from the flu or the common cold? It’s impossible to do based on symptoms alone, says Dr. Raabe. The main symptoms of the new coronavirus are fever, cough, shortness of breath, and general fatigue and muscle aches. These overlap with the symptoms of the flu or any other respiratory virus. The only way to know for sure is to get tested by a doctor
Javier E

Of course the rich are getting tested first. The wealthy always do better during a pand... - 0 views

  • “The wealthy have often done better than the poor when faced with epidemics and pandemics because they tend to be resilient as a function of having greater resources,”
  • When President Trump was asked Wednesday why athletes and other well-connected people are getting tested before everyone else, he said, “Perhaps that’s been the story of life.”
  • “We have seen a substantial increase in the desire to fly private,” says Stephanie Chung, president of JetSuite, a top luxury rental company. “In the past few weeks and particularly this past week, we have seen an uptick of about 5 to 10 percent in new inquiries from travelers that have not flown private in the past.”
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  • New customers include families traveling for spring break and corporate clients restricted from flying commercially who are able to spend up to $7,000 an hour for a charter flight. And this isn’t just about the plane: Many clients have expressed fear of traveling through large airports, especially after seeing news reports of crowds crammed into Chicago’s O’Hare and New York’s JFK. Most private planes fly out of small terminals reserved for VIP customers.
  • doctors with concierge service are suddenly in high demand. The idea is simple. Clients pay an annual fee, which allows the doctors to spend more time with fewer patients. It’s the modern version of the small-town general physician who’s been taking care of families for decades.
  • Long’s practice isn’t just for the rich, but his clients — about 60 percent are older than 60 — pay about $2,000 a year for the personal attention and access a concierge physician can provide.
  • Clients with MD2, which has practices in New York, Beverly Hills, McLean and other high-income locations, pay $15,000-$25,000 annually for doctors who serve only 50 families
  • Throughout history, scholars, scientists and philosophers have wrestled with the stark fact that the most of the rich survive plagues and pandemics while the poor die cruelly.
  • Historians believe the disease killed about 75 million people, a third of Europe’s population overall, and most of the victims were poor. “Plague is primarily an urban phenomenon,” says Keller. As with most pandemics, the disease spread quickly among those living in close quarters
  • Mortality demographics are hard to pinpoint before the 19th century, but it is believed that the wealthy fared far better because they were better fed and healthier to begin with.
  • Cholera is the “health and wealth story of the 19th century,” explains Keller. The first pandemic began in Jessore, India, in 1817 — where hundreds of thousands died — and reached Europe by 1831, killing 6,500 in London and 18,000 in Paris. Almost all of these deaths occurred in the poorest, most crowded sections of the cities, the product of contaminated food or water.
  • In 1842, Edgar Allan Poe wrote "Masque of the Red Death." The short story, one of Poe's best, is set in a fictional country where a gruesome disease called the Red Death has ravaged the land.
  • The ruler, Prince Prospero, is not afraid. He closes his palace to all except a thousand of his favorite knights and ladies, then welds the doors shut. “With such precautions the courtiers might bid defiance to contagion,” writes Poe. “The external world could take care of itself. In the meantime it was folly to grieve or to think. The prince had provided all the appliances of pleasure.
  • One night, the prince decides to host a masquerade ball for his friends. At midnight, a guest arrives wearing a mask of a corpse and a costume like a funeral shroud. Prospero is furious at the tasteless display; his guests shrink away. The prince confronts the figure and immediately dies.
  • You can guess what happens next: Everyone else in the castle dies. “And Darkness and Decay and the Red Death held illimitable dominion over all,” concludes Poe.
Javier E

Italians Find Promise of Antibodies Remains Elusive, for Now - The New York Times - 0 views

  • nfected people develop different quantities of antibodies, and researchers are still studying the level that offers protection, and for how long.“We don’t know how long they last,” Dr. Venturi said. ‘‘This is the central point.”
  • Many businesses in the region have been paying for employees to get the tests, so that they could go back to work if they tested negative for the virus or positive for the antibodies.
  • His Humanitas research hospital near Milan treated Italy’s first known coronavirus patient and has deep experience with the virus. It has been examining the 2 or 3 percent of people in the region who swab tests show are actively infected but whose blood also contains the antibodies — known as immunoglobulin G, or IgG, antibodies — that should neutralize the virus. In other words, these people are no longer contagious.
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  • Dr. Venturi said those tests were essentially “useless” because they did not describe whether a person had the right level of antibodies and because no one knew yet how long they lasted.
  • Instead, he said, Italy’s reopening phase needs to rely on uninfected people, which he considered to be 90 percent of the population, and on social distancing and other protective measures.
  • In theory, even those lucky few would not need to wait for two consecutive negative swab tests — which sometimes take months — before being released from quarantine and allowed back to work. “It would be like a negative test result,” he said.
  • In the meantime, though, Dr. Venturi said it was impossible to consider a work force made up only of people showing neutralizing antibodies.
  • Results will take weeks more, but if confirmed, he said, it would show that people who test positive for an adequate level of neutralizing IgG antibodies do not pose a danger of contagion.
  • “I did it to free myself of this doubt,” said Mr. Passaggio, who last month showed Covid-19 symptoms, including a low fever. Unable to get tested for the virus, as swabs are generally reserved for the hospitalized, he took precautions to avoid contaminating others, including staying isolated for weeks.
  • Last Tuesday he got the results: high levels of immunoglobulin G, or IgG, antibodies. Mr. Passaggio said he understood from doctors on television that it meant a degree of immunity, confidence he was not a danger to others and that he could possibly “go to work before someone else.”
  • Mr. Francese said that a month ago, 50 people in the town showed clear symptoms of the virus, but that the health authorities failed to test them. They got sick, and then their relatives got sick and cases kept building.
  • The town, out of desperation, tracked down serological tests offered by a Chinese factory that the mayor said had an 96 percent accuracy rate, and which he said Italy’s national research center had approved.
  • Robbio has already tested about half of its residents and found and isolated many positive cases, about half of whom had symptoms, he said. He also said that the tests had shown 12 percent had IgG antibodies.
  • He said he considered those people “immune and thus would be eligible” for an eventual immunity license, despite health experts’ doubts.
clairemann

Ted Cruz Falsely Suggests CDC Guidelines Are Why He Won't Wear A Mask On TV | HuffPost - 0 views

  • Were you worried that Sen. Ted Cruz might run out of new ways to act like a jerk?Never fear. He always comes through in the clutch.
  • “Uh, when I’m talking to the TV camera I’m not going to wear a mask,” Cruz said, adding that all his Senate colleagues have been immunized.
  • Cruz then snidely suggested that going maskless was “the whole point of a vaccine,” and implied he was following Centers for Disease Control and Prevention guidance by not practicing social distancing or wearing a mask in public.
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  • There are quite a few problems with Cruz’s comments. For starters, CDC guidelines recommend that people who’ve been vaccinated should still wear masks and practice social distancing when in public.
  • “For now, fully vaccinated people should continue to [...] take precautions in public like wearing a well-fitted mask and physical distancing,” reads a March 8 post on the CDC website.
clairemann

Whitmer vetoes bill that would have limited her admin's emergency powers in Michigan | ... - 0 views

  • Michigan Gov. Gretchen Whitmer vetoed a bill that would have given a degree of power over emergency orders to the state legislature, limiting how long her administration could enforce orders without lawmakers' approval.
  • "Unfortunately, epidemics are not limited to 28 days," Whitmer said in a veto letter, according to MLive.com. "We should not so limit our ability to respond to them."
  • Throughout the coronavirus pandemic, Whitmer has faced criticism for her administration's orders. At the height of the pandemic in April, Michigan saw armed protesters storm the state's Capitol in opposition to Whitmer's stay-at-home order.
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  • This order is similar to one issued by New York Gov. Andrew Cuomo that has been the basis for him being blamed for thousands of nursing home deaths.
  • Whitmer's order did say, however, that hospitals could only send residents to nursing homes if the homes had a dedicated unit for those COVID-19, and if they did not, the patients should be sent to a regional hub or alternate facility. Cuomo's order, which was rescinded in May, only said "standard precautions must be maintained, and environmental cleaning made a priority."
ethanshilling

California and Florida Prepare to Give Vaccine Access to All Adults - The New York Times - 0 views

  • Governors across the United States are speeding up eligibility for coronavirus vaccines as the number of new cases nationally plateaus, adding more urgency to vaccination efforts.
  • California will open up vaccine eligibility on April 1 to any resident who is 50 or older, and will expand that to residents 16 or older on April 15, state officials announced on Thursday, saying they could do so because of increasing supplies of vaccine from the federal government.
  • In Connecticut, which is among the most-vaccinated states in the country, Gov. Ned Lamont said Thursday that all residents 16 and above would be eligible beginning April 1.
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  • Gov. Andy Beshear of Kentucky said the state would open vaccinations to those 40 and older starting Monday, adding that a mask mandate would stay in place for at least another 30 days.
  • Alaska, Mississippi, Utah and West Virginia are the only states where all adults are now eligible to receive shots, but many more have announced plans to expand eligibility on or before May 1, a goal set by President Biden.
  • The nation is averaging about 2.5 million doses of vaccine a day. At that pace, about half of the nation’s population would be at least partially vaccinated by mid-May.
  • State officials said they expected California to start receiving 2.5 million doses a week in the first part of April, and more than three million by the second half of the month, a major increase from the current pace of about 1.8 million doses a week.
  • The governor has repeatedly said that short and unpredictable supplies have been to blame for what has been criticized as a confusing and chaotic vaccination process that has left many poorer communities to lag behind.
  • Florida, more than most states, has emphasized age, rather than occupation or other risk factors, in its approach to vaccine eligibility.
  • The number of new virus cases reported in Florida has been hovering around 4,600 a day in recent weeks, a level that health officials say is still too high, even though it has fallen significantly from a peak earlier this year.
  • The state’s efforts to reopen its tourism industry has not been without problems. In Miami Beach, local officials have been overwhelmed with spring break revelers who have ignored safety precautions like mask wearing and social distancing.
katherineharron

US officials plead for caution as coronavirus variants spread -- Coronavirus Fact vs. F... - 0 views

  • Dr. Anthony Fauci has pleaded with the US public to "hold out just a bit longer" as health experts fear coronavirus variants and pandemic fatigue could lead to a spring surge in Covid-19 cases.
  • "We're concerned that [cases have] plateaued at a high level, an unacceptably high level,"
  • The B.1.1.7 variant was first spotted in the United Kingdom. It spreads more easily and appears to be deadlier as well.
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  • "We can't claim victory prematurely," he said. "Everybody, including myself, has some degree of Covid-19 fatigue, but the thing we try and emphasize is that this will end."
  • The agency said it still advises fully vaccinated people to wear masks outdoors and to take precautions until more is known about how vaccines protect against coronavirus.
  • Fauci's comments echoed those of President Joe Biden from earlier this week. Biden said Monday that "now is not the time" to ease social restrictions
  • People who have had both Covid-19 shots can gather indoors without wearing masks, meaning that the celebration can be held with some semblance of normality.
  • The spike is causing tension between the White House and some state governors who are pushing ahead with relaxed restrictions. Arkansas Gov. Asa Hutchinson said Tuesday he was lifting the state's mask mandate, while Alabama's Kay Ivey plans to do the same next week. New Orleans city leaders said Wednesday that they were relaxing capacity limit caps on gatherings. Meanwhile, Florida has welcomed crowds of spring breakers -- many of whom are unvaccinated and maskless.
  • The protection offered by the Pfizer and Moderna coronavirus vaccines is likely to last longer than six months, and maybe even years, vaccine experts told CNN, after data was released showing good protection half a year after people were inoculated.
  • The British medicines watchdog has identified 30 cases of rare blood clots in people who have received the AstraZeneca Covid-19 vaccine -- 25 more than previously reported -- but none with the Pfizer/BioNTech shot.
  • the UK's Medicines and Healthcare products Regulatory Agency (MHRA) said it received 22 reports of cerebral venous sinus thrombosis and eight reports of other thrombosis events, out of a total of 18.1 million doses of the vaccine
  • The MHRA said people should continue to get the AstraZeneca vaccine, because the benefits greatly outweigh the risks.
  • Germany has this week limited the AstraZeneca vaccine to people over 60, following reports of a rare blood clot in the brains of 31 people who had received a first dose in the country.
  • Side effects from Covid-19 vaccines won't last long
katherineharron

There's a lot of misinformation around what's happening at the border. Here are the fac... - 0 views

  • The Biden administration is facing an increasing number of unaccompanied migrant children crossing into the United States, placing added strain on a system operating under limited capacity due to the coronavirus pandemic.
  • The pandemic has taken a dramatic toll on Latin America, where Covid-19 cases and deaths have soared and economies once projected to grow have been decimated. The region was also hit with two devastating hurricanes. The decline in economic growth in 2020, according to the Congressional Research Service, is expected to worsen income inequality and poverty
  • The majority of border crossers since October are single adults, many of whom are from Mexico. In January, the US Border Patrol arrested more than 75,000 migrants on the southern border, up from around 71,000 in December, according to the latest data. Of those, single adults made up around 62,000 arrests.
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  • On average, over the last 21 days, the US Border Patrol arrested around 340 children who crossed the US-Mexico border alone, according to internal documents reviewed by CNN.
  • There are approximately 7,700 unaccompanied children in HHS care. The department has around 13,650 beds to accommodate children when not under reduced capacity.In 2019, the Trump administration faced large numbers of children and families at the US-Mexico border that overwhelmed facilities. While it's difficult to compare today's arrests with those of recent years because of the drastically different circumstances as a result of the pandemic, the increasing trend of children has raised concerns.
  • the Border Patrol encountered around 5,100 unaccompanied children. This past January, Border Patrol took roughly 5,700 children who crossed the border alone into custody.
  • The numbers of children coming into US custody may look higher when compared to last year because the Trump administration subjected children crossing the US-Mexico border alone to a policy that allowed for the swift removal of migrants.
  • In a holdover from the Trump era, individuals encountered illegally crossing the US-Mexico border can be swiftly expelled from the United States with little consequence under a public health order put in place last March. That's led to single adults trying to cross multiple times.
  • After being taken into Border Patrol custody, unaccompanied children have to be turned over within 72 hours to the Department of Health and Human Services
  • Once in care, case managers will work to place children with a sponsor, like a parent or relative, in the US, but as a result of the coronavirus pandemic, and precautions to avoid spread of Covid-19, the department is only able to use a little more than half of the beds it has for children.
  • HHS has an expansive shelter network nationwide equipped to care for children until they can be placed with family in the United States. These shelters are separate from Border Patrol facilities, which are not intended to house children, and have been used under previous administrations.
  • But on Friday, the Biden administration notified facilities caring for migrant children that they can open back up to pre-Covid-19 levels, acknowledging "extraordinary circumstances" due to a rising number of minors crossing the US-Mexico border, according to a memo obtained by CNN.
anonymous

Tech Companies Plan Workers' Return To Office As COVID Cases Decline : NPR - 0 views

  • Facebook, Microsoft and Uber have announced plans to reopen offices on a limited basis, as the spread of the coronavirus pandemic continues to slow. Microsoft and Uber say their headquarters in Redmond, Wash., and San Francisco respectively will welcome employees on March 29.
  • The software giant has already begun to accommodate some additional workers in offices around the globe at its 21 locations and reopening offices in the Northwest by taking a hybrid approach is the next step, the company said in a statement.
  • Uber is moving up a back-to-the-office plan from Sept. 13 to next Monday, the company said in an emailed statement, stressing that it is on a voluntary basis. In line with local guidelines, the ride-share company said only up 20% of employees can opt to work from the office.
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  • Meanwhile, Facebook said that if COVID-19 numbers in Menlo Park, Calif., the home of its headquarters, continues to decline, up to 10% of its workforce can go back to the office on May 10. Similarly, offices in Fremont and Sunnyvale can open a little later — May 17 and May 24, respectively. And the San Francisco office is slated to open its doors on June 7. All three companies say they intend to abide by all local health protocols and safety guidelines that have been developed in coordination with experts.
  • Uber added, "Employees returning to the workplace need to take a virtual training, sign a COVID-19 Precautions & Acknowledgement form, and take a daily health screening (including temperature check) at home to qualify for return."
  • A sprawling study by Microsoft on the impact of forced work-from-home policies due to the coronavirus pandemic revealed that "flexible work is here to stay" and that employers who want to retain talented employees should accept the idea of hybrid work even after the current health crisis. The report, titled "The Next Great Disruption Is Hybrid Work — Are We Ready?" advises business leaders to accept that "the past year has fundamentally changed the nature of work.
  • When surveyed, 73% of workers said they want flexible remote options. The study also found remote job postings on LinkedIn increased more than five times during the pandemic. But people are also working a lot more and having a hard time, the report says. Around the world, people are spending more than twice as much time in meetings and "over 40 billion more emails were delivered in February of this year compared with last." People are also crying with the coworkers a lot more. One is six report having cried with a colleague in the past year.
anonymous

Two teens were suspended for hours on a broken slingshot ride in Kissimmee - CNN - 0 views

shared by anonymous on 27 Mar 21 - No Cached
  • This week, two Florida teens were suspended for a few hours on a slingshot ride around three stories high after a cable snapped, rescue officials told CNN affiliate WKMG-TV. The passengers were rescued without injuries from the ride at Old Town theme park by the Osceola County Fire Rescue and Kissimmee Fire Department. The cable that snapped was non-load-bearing, rescue crews said. The cause of the malfunction is still being investigated.
  • The slingshot ride was last inspected on March 19 without issue, the Florida Department of Agriculture & Consumer Services told WKMG. Stine said the company performs daily inspections, with state inspections happening twice a year.
  • Investigators said rescue crews had to retrieve the passengers from the 30- to 40-foot height they were stranded at, since the ride cannot lower a pod below 30 feet when the cable is not functioning, as a safety precaution.
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  • Slingshot attractions across Florida in Daytona Beach, Orlando and Panama City Beach have been closed as a result of the Kissimmee malfunction, WKMG-TV reported.
  • Officials said the rides will not reopen until the state performs an inspection and consults with the manufacturer.
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