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"You can be tested every time you cross a border. You cannot be vaccinated every time you cross a border," Thomas Crampton, chief marketing and communications officer for The Commons Project, told CNN Business.

Large tech firms are also getting in on the act. IBM (IBM) developed its own app, called Digital Health Pass, which allows companies and venues to customize indicators they would require for entry including coronavirus tests, temperature checks and vaccination records.

Early on in the pandemic, Apple (AAPL) and Google (GOOG) set aside their smartphone rivalry to jointly develop a Bluetooth-based system to notify users if they'd been exposed to someone with Covid-19.

"I think where exposure notification ran into some challenges was more of the piecemeal implementation choices, lack of federal leadership ... where each state had to go it alone and so each state had to figure it out independently," said Jenny Wanger, who leads the exposure notification initiatives for Linux Foundation Public Health, a tech-focused organization helping public health authorities around the world combat Covid-19.

"If we're successful, you should be able to say: I've got a vaccine certificate on my phone that I got when I was vaccinated in one country, with a whole set of its own kind of health management practices... that I use to get on a plane to an entirely different country and then I presented in that new country a vaccination credential so I could go to that concert that was happening indoors for which attendance was limited to those who have demonstrated that they've had the vaccine," said Brian Behlendorf, executive director of Linux Foundation.

A few companies within the Covid-19 Credentials Initiative are also developing a smart card that strikes a middle ground between the traditional paper vaccine certificates and an online version that's easier to store and reproduce.

CommonPass, IBM and the Linux Foundation have all stressed privacy as central to their initiatives. IBM says it allows users to control and consent to the use of their health data and allows them to choose the level of detail they want to provide to authorities.

"Trust and transparency remain paramount when developing a platform like a digital health passport, or any solution that handles sensitive personal information," the company said in a blog post. "Putting privacy first is an important priority for managing and analyzing data in response to these complex times."

"A point of entry — whether that's a border, whether that's a venue — is going to want to know, did you get the Pfizer vaccine, did you get the Russian vaccine, did you get the Chinese vaccine, so they can make a decision accordingly,"

The variance can be wide: the vaccine developed by Chinese state-owned pharmaceutical giant Sinopharm, for example, has an efficacy of 86% against Covid-19, while the vaccines made by Pfizer and Moderna each have an efficacy of around 95%.

It's also unclear how effective the vaccines are in stopping the transmission of the virus, says Dr. Julie Parsonnet, an infectious disease specialist at Stanford University. So while a vaccine passport app will show that you've received the shot, it may not be a guarantee that you safely attend an event or get on a flight.

Still, Behlendorf anticipates that the rollout and adoption of vaccine passports will happen rather quickly once everything falls into place and expects a variety of apps that can work with each other to be "widely available" within the first half of 2021.

There are no obvious financial bubbles, and given the stock market expansion, consumers and investors appear confident about the long run.

The scope of tax losses could mean layoffs of teachers, firefighters and police across much of the nation.

The next round of Covid relief must accomplish two things. First, it must extend the supplemental pandemic unemployment insurance that has sustained more than 10 million families since March.

Failure to replace state and local government tax losses will have damaging effects, deepening the downturn and potentially adding years to a full recovery.

In fact, since January, approximately 1 million local government employees have already lost their jobs. But it also means significant reductions in public services next year.

Many investments could also reduce costs for local governments with more energy efficient buildings and lower transportation costs.

The House passed a version of pandemic relief with a $2.2 trillion estimated cost in the spring.

While GOP resistance to this size of relief has been characterized as a bailout to poorly run states, that rhetoric is simply wrong.

the economic distress facing states is caused by the fallout of Covid, not fiscal mismanagement.

But we face the pandemic with the government we have, not the government we wished we had. So, a new relief bill should provide a good working example of compromise for the next administration

Most large American cities face significant congestion problems, and few roads have the necessary technology to accommodate smart vehicles.

The Biden infrastructure plan calls for $2 trillion of spending. This is more than earlier transit plans, but not out of range of all federal infrastructure spending over a typical five to seven year spending plan.

Still, the short-term economic damage from the pandemic will likely persist for several more years. And the long-term damage, particularly to children and young adults, may last for decades. Because of this, Covid-19 relief should be the first economic policy priority of the Biden administration.

We still have rapidly rising health care spending, a counterproductive trade war that weakened US manufacturing and comprehensive immigration reform to contend with. We need longer term paths to constructive compromise.

Over the past few decades, the United States has moved away from federalism, where state and local government take a more active role in determining their own best course of action on many of our most divisive issues. This weakens our ability to craft compromises.

President-elect Biden faces an historically weakened economy and strengthening pandemic. He also steps into office in an age of deep political distrust. As he fights the economic fallout of Covid, he has a rare chance to resurrect the mechanisms of compromise that have served the United States well for 244 years.

But then he still raised doubts about counting votes beyond Election Day, even though in any election, it typically takes longer to count absentee ballots that by law count just the same as votes cast in person.

More of those ballots are being cast this year because of the pandemic.

Trump also suggested that voters should have mailed in their ballots well before the deadlines set by states, saying, "If people wanted to get their ballots in, they should have gotten their ballots in long before [Election Day]. They could have put their ballots in a month ago.

Americans are breaking early voting records, with more than 93 million votes already cast. Of that, 59 million mail-in ballots have been returned, with 32 million ballots still waiting to be mailed back, according to the U.S. Elections Project.

If you speak with many smart Democrats, they believe President Trump will be ahead on election night, probably getting 280 electorals, somewhere in that range, and then they're going to try to steal it back after the election," Miller said.

But that's not the way voting in America works.

For starters, no state ever reports its final results on election night.

"

Delaware, in fact, is the only state that will certify its results within the same week as Election Day. Most states will certify their results in the last two weeks of November, with some states even extending until the second week of December.

Election experts predicted that there would be a large increase in mail-in ballots this cycle because of concerns over the coronavirus pandemic. The increase in these absentee ballots may mean the count will take longer, particularly because election workers typically need to process each ballot by hand.

"The counties are staffing up, have a ton of equipment, best practices in place, and are planning, for the most part, to count 24/7 until it's done."

Mental health experts are worried about what the coming winter could hold as the pandemic stretches on, and socializing outdoors becomes impossible. For those with obsessive-compulsive disorder, COVID-19 brings extra challenges, but also some lessons about dealing with anxiety.

People with OCD often develop compulsions — those are rituals or repeated behaviors — that they use to soothe themselves when obsessions — or unwanted, repeated thoughts — pop into their brains.

Travis Osborne is a psychologist who specializes in OCD. When the pandemic started, he said, "It definitely made me feel really sad and concerned for some of my clients with OCD — because I just knew that, for some of them, this is going to create more work."

For people with OCD, their self-soothing rituals take time and interfere with their daily lives.

Multiple studies have shown that the pandemic is exacerbating the symptoms of some people with OCD.

Acknowledging anxiety and learning to live with it is a useful skill for everyone, especially during a pandemic.

"Now, I don't know if that's going to be changed, because we're going to go in the night of -- as soon as that election is over, we're going in with our lawyers. But we don't want to have Pennsylvania, where you have a political governor -- a very partisan guy -- and we don't want to have other states -- like Nevada, where you have the head of the Democratic clubhouse as your governor.

we're doing great in Nevada. We're doing great in Arizona. We're doing great all over. But if you take Nevada or Pennsylvania -- and everyone knows what happens in Philadelphia. You don't have to say it. But I've read about it for years. And I don't think it's fair that we have to wait a long period of time after the election.

It's not entirely clear what Trump is talking about here

Presumably that means a cadre of Trump's attorneys will descend on, say, Pennsylvania and attempt to shut down any further counting of votes beyond Tuesday night. Of course, that is a) completely undemocratic and b) very unlikely to succeed given the Supreme Court ruling that allows absentee ballots received for several days after Election Day to be counted.

The only way that I can see that such a legal move might work is if Trump and his lawyers find actual evidence of widespread voter fraud

what is Trump up to here? Intimidation, pure and simple. He is trying to work the refs in advance of the big game.

"If you speak with many smart Democrats, they believe President Trump will be ahead on election night, probably getting 280 electorals, somewhere in that range, and then they're going to try to steal it back after the election."

Nope! Votes counted after Election Day, as long as they have been cast within the legal parameters of their state, are just as above-board as votes cast early or votes cast on Election Day.

Is it true? Absolutely not. Is it dangerous? 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I suspect history will come to think of “social media” as one of history’s more Orwellian terms. What it really should be called is antisocial media. If it has brought people closer together in virtual space, it has also made it easier for them to remain alone and isolated in physical space.

There’s one part of this I’ve been really haunted by: social media. Perfectly happy to acknowledge all the great progress in bringing folks together and giving voices outside the mainstream a better chance to be heard.

I’m a pretty optimistic person, so I’m just not going to buy into the idea that things can’t be fixed. I grew up during the civil rights and antiwar movements. Families torn apart by politics. And if all the problems certainly weren’t solved, I think we came out of that era a better country.

If it has made it easier for people to find communities of like-minded people, it has also made them more hostile to anyone who thinks a little differently from them.

That said, she was right — and I was wrong — about the danger to our democracy posed by the extraordinary concentration of financial and political power in Silicon Valley. There are a few ironies here, not the least of which is that much of the tech industry tends to lean pretty far to the left.

There’s also a serious problem when the industry tries to blur the difference between being platforms that merely provide a vehicle for people to say whatever they want (and are therefore not subject to libel laws) and publishers that regulate the content of the speech they host on their site.

The most important of them is that he’s steered clear of fighting the election along cultural and ideological lines and instead made it about steadiness and decency. I’m not sure Warren or Bernie Sanders would have resisted the temptation to take the culture-war bait that Trump keeps throwing at them.

But the idea of having a president who actually wants to declare war on global warming seems so revolutionary now, we’re temporarily on the very same page. Temporarily. Until, say, the first State of the Union address.

I suspect Biden will declare war on global warming the way past presidents declared war on cancer: By throwing a lot of money at it and hoping something works. He’ll bring America back into the Paris Climate Accord. He’ll spend more on renewables. Frankly, the most effective thing he could do is impose a carbon tax, which is something the Obama administration never had the political guts to do.

On the other hand, the G.O.P. incumbents Susan Collins and Martha McSally also look like political goners, though I’m having trouble squaring McSally’s lagging position in the race with Trump’s competitiveness in Arizona.

We’re just on the edge of getting rid of this man, after four years of total trauma. I think we deserve at least a couple of nights of cheer before we tackle the irreparable damage issue.

I’m not liking the numbers in Florida and particularly Iowa.

Absolutely true for African-Americans, women, and the gay and lesbian community. Less true in terms of social trust and shared values.

it’s made it so easy to declare war on various chunks of society that your chunk finds irritating, or evil for that matter.

I think it would be a much tighter race right now if Warren were the nominee. A liberal senator who comes in third in the Massachusetts Democratic primary is not the strongest contender to take down Trump.

There was a time when popularizing such crazed machinations would have caused one to be cast to the outer fringes of American politics; in the case of Mr. Trump, it helped elect him and has created a cultlike devotion among tens of millions of his supporters. And because of Mr. Trump, conspiracy theorizing is now a central feature of the Republican Party and American politics.

“We’ve never had a president who trades in conspiracy theories, who prefers lies instead of fact,” the presidential historian Douglas Brinkley told Peter Nicholas of The Atlantic.

But what is new — where Mr. Trump is a genuine innovator — is having a conspiracy-monger who is president in a social media age. Whatever his other limitations, Mr. Trump is a master at trafficking in conspiracy theories, implying that they are true without always embracing them as true.

There is something particularly dangerous about contemporary conspiracy theories. “What we’re seeing today is something different: conspiracy without the theory,”

This is injurious to Trump supporters because people who believe conspiracy theories can become consumed by them. It is not good for your brain (or your family life) when you see patterns — secret plots by powerful, sinister figures — that don’t exist, in order to give meaning to events.

Of course, there is an allure to conspiracy theories; they provide their followers with a sense of control, certainty and the belief that they are holders of “privileged knowledge.” At the same time, studies show that a belief in conspiracy theories correlates to “impoverished interpersonal functioning,” meaning paranoia,

People who believe in conspiracy theories are more likely to endorse violence as a way to express disagreement with the government

But the damage hardly stops there. Conspiracy theories, when they gain a wide enough currency, are destructive to democracy.

They cloud and eventually warp people’s thinking to the point that even the most basic and obvious steps we need to take to slow the spread of a lethal pandemic, like wearing a mask, are ridiculed.

The president has also accused doctors around the country of inflating the number of Covid-19 cases, in unforgettable terms: “Our doctors get more money if somebody dies from Covid. You know that, right?” he told a rally in Michigan on Friday. “I mean our doctors are very smart people. So what they do is they say ‘I’m sorry but everybody dies of Covid.’ ”

Conspiracy theories also create profound mistrust of institutions and our fellow citizens; their purpose is to demolish faith in facts, data and science. And the propaganda spread by conspiracy theorists encourages extremism and hatred of others, especially anti-Semitism.

When conspiracy theories are promoted with the velocity and on the scale that we are seeing today — when vanishingly few Republican officials publicly stand against them — the effect is vertiginous and disorienting. Peddling so much misinformation and disinformation eventually overwhelms people and their critical faculties.

This is what Donald Trump has done to our country, with the full backing of his party.

There is also the inevitability of backlash: History shows that there are always people who turn to hate in the very moments that others find hope.

We know little about how to combat hate effectively; the federal government has cut funding for programs to counter right-wing extremism and blocked the dissemination of data on the subject

Ms. Olsen had never thought too hard about being white. Like many white Americans, she never had to. She grew up in a largely white school district in Eugene, Ore., and she did not interact meaningfully with people of other races until her late 20s, when she moved to Portland for her embalming career. She had paid such little mind to race as a concept that there was a flatness to her understanding of it, a one-dimensionality susceptible to simplified reasoning.

To Ms. Olsen, these people seemed smart. Just as important, she told me, “they seemed immensely interested in me and my life, and they wanted to be my friend.” To someone who “grew up without friends, that was very appealing. It made me feel like I must be doing something right.”

Then came the election of President Barack Obama. “Right-wing extremists are harnessing this historical election as a recruitment tool,” a Homeland Security report noted in 2009. The first year of Mr. Obama’s presidency, Stormfront registered nearly 100,000 new users.

The most basic definition of hate is personal animus, but there is a more useful, and frightening, description: Hate is a social bond — a shared currency — and it abhors a vacuum

“social camaraderie, a desire for simple answers to complex political problems, or even the opportunity to take action against formidable social forces can coexist with, even substitute for, hatred as the reason for participation in organized racist activities.”

So can a need for validation, visibility and purpose. For someone like Ms. Olsen, hate becomes a cure for loneliness.

People who are drawn to the hate movement have an acute desire to make sense of their place in the world. There’s a gap between who they are and who they think they should be, what they have and what they want. They want to seize or regain what they believe is a rightful status. They want empowerment, with minimal effort. Hate promises them that.

White Citizens’ Councils and other organs of resistance emerged in reaction to the civil rights movement. Hate fed on opposition to second- and third-wave feminism, the expansion of L.G.B.T.Q. rights, and shifting racial demographics.

She wasn’t always sure that she believed what she said when she echoed her new friends’ views, but what mattered was that they wanted to keep talking to her; all she had to do was log in and start typing. If playing a part graduated to instinct, maybe they would like her even more.

Ms. Olsen was part of this wave, which also found fuel in the xenophobia of the post-Sept. 11 era and public disgust with the financial crisis.

Many people rationalize their racism — or even refuse to call it that — by insisting that it isn’t as bad as someone else’s. They could spit on immigrants instead of complaining in private about foreigners stealing American jobs. They could put Jewish people in camps instead of muttering about how they have too much power.

Bigotry has many branches, some bigger and stronger than others, but they all derive from the same trunk. No wonder, then, that when “somebody said he didn’t like Black people, or he told a racist joke, or he said illegal immigration is wrong,” Ms. Olsen recalled, she assumed he might be interested in becoming a neo-Nazi, too.

n her telling, Ms. Olsen decided to leave the hate movement because she realized that she could not tolerate violence. That may have been part of it, but when I spoke to her, it was clear that she also exited because the movement stopped giving her the meaning and camaraderie she wanted.

People don’t leave the hate movement because a veil lifts and they are suddenly able to see hate for what it is. The truth is more disappointing. They leave because it makes sense to them and for them, because the value hate once gave them has diminished or evaporated. Ms. Olsen seemed to know this, writing once on a blog, “The reality is, people rarely change their personality or ideals during adulthood, and if they do, it needs to be something they do on their own, for themselves.”

Some prominent white supremacists now point to the birth of Black Lives Matter as a pivotal moment in their radicalization

Perhaps more people than ever will emerge from 2020 on the side of justice. Still, there are those who will turn to hate, finding it — perversely — to be a kind of balm.

Research shows that a shared sense of racial identity is hardening among white Americans. The political scientist Ashley Jardina has found that some 20 percent of white Americans, roughly 40 million people, now have “strong levels of group consciousness,” meaning they “feel a sense of discontent over the status of their group.”

Having group consciousness does not automatically translate into prejudice, but the hate movement is poised to exploit white people’s grievances and fears.

What can we do to stop it? There aren’t easy answers.

while reporting on the hate movement, I found it difficult not to feel despondent. Magnifying my gloom were encounters with white liberals who made statements that I recognized as precisely the kind of bait white nationalists use to make their case to the mainstream.

The least Americans can ask of one another is to have frank conversations about whiteness, no matter how uncomfortable.

People concerned about the tide of hate can also work to empower minority populations, tackle inequality, foster dialogue about prejudice and root discriminatory ideas out of American life. They can vote bigots out of office. They can support the work of groups like Life After Hate, which helps people leave far-right groups.

First, though, combating hate requires understanding it. Not what it seems to be, but what it actually is. That includes who embraces it, and why.

So much of history is made up of small moves. Hope, too, dwells in increments. There is hope if white Americans can confront the true face of hate and their own complicity in bigotry. There is hope if we can see white nationalism as a crisis of individual and collective responsibility.

It also reflects a transformation within the meritocracy itself — a sense in which, since 2001, the system has consistently been asking more of ladder climbers and delivering less as its reward.

the “overproduction of elites.” In the context of college admissions that means exactly what it sounds like: We’ve had a surplus of smart young Americans pursuing admission to a narrow list of elite colleges whose enrollment doesn’t expand with population, even as foreign students increasingly compete for the same stagnant share of slots.

Then, having run this gantlet, our meritocrats graduate into a big-city ecosystem where the price of adult goods like schools and housing has been bid up dramatically, while important cultural industries — especially academia and journalism — supply fewer jobs even in good economic times

And they live half in these crowded, over-competitive worlds and half on the internet, which has extended the competition for status almost infinitely and weakened some of the normal ways that local prestige might compensate for disappointing income.

And wouldn’t it be especially appealing if — and here I’m afraid I’m going to be very cynical — in the course of relaxing the demands of whiteness you could, just coincidentally, make your own family’s position a little bit more secure?

These stresses have exposed the thinness of meritocracy as a culture, a Hogwarts with SATs instead of magic, a secular substitute for older forms of community, tradition or religion

the increasing appeal, to these unhappy young people and to their parents and educators as well, of an emergent ideology that accuses many of them of embodying white privilege, and of being “fragile,”

there is also something important about its more radical and even ridiculous elements — like the weird business that increasingly shows up in official documents, from the New York Public Schools or the Smithsonian, describing things like “perfectionism” or “worship of the written word” or “emphasis on the scientific method” or “delayed gratification” as features of a toxic whiteness.

Wouldn’t it come as a relief, in some way, if it turned out that the whole “exhausting ‘Alice in Wonderland’ Red Queen Race of full-time meritocratic achievement,” in the words of a pseudonymous critic, was nothing more than a manifestation of the very white supremacy that you, as a good liberal, are obliged to dismantle and oppose?

If all the testing, all the “delayed gratification” and “perfectionism,” was, after all, just itself a form of racism, and in easing up, chilling out, just relaxing a little bit, you can improve your life and your kid’s life and, happily, strike an anti-racist blow as well?

if your bourgeois order is built on a cycle of competition and reward, and the competition gets fiercer while the rewards diminish, then instead of young people hooking up safely on the way to a lucrative job and a dual-income marriage with 2.1 kids, you’ll get young people set adrift, unable to pair off, postponing marriage permanently while they wait for a stability that never comes.

For instance: Once you dismiss the SAT as just a tool of white supremacy, then it gets easier for elite schools to justify excluding the Asian-American students whose standardized-test scores keep climbing while white scores stay relatively flat

it’s worth considering that maybe a different kind of fragility is in play: The stress and unhappiness felt by meritocracy’s strivers, who may be open to a revolution that seems to promise more stability and less exhaustion, and asks them only to denounce the “whiteness” of a system that’s made even its most successful participants feel fragile and existentially depressed.

the program offers tips on “how to verbally and nonverbally communicate empathy and support” while wearing a mask

Or, Ms. Driscoll said, “when someone is defensive and losing their rationality, you give them a choice or set a limit.”

inquiries to the organization for de-escalation information have doubled since the pandemic started

The National Retail Federation said it did not have data on disputes at retailers

Many retail workers will receive a new sort of preparation for this year’s holiday season: training on how to manage conflicts with customers who resist mask-wearing, social distancing and store capacity limits

The U.S. government is lending its support to SMR development. In September, the Nuclear Regulatory Commission for the first time issued a final safety evaluation report on a SMR—a critical step before a design can be approved—to NuScale

is developing its first commercial SMR for utilities in Utah and promising power by the end of the decade.

the Energy Department awarded $210 million to 10 projects to develop technologies for SMRs and beyond, as part of its Advanced Reactor Demonstration Program. The agency had already awarded $400 million to various projects since 2014 “to accelerate the development and deployment of SMRs,

. Potential buyers range from U.S. utilities trying to phase out coal-fired generators to Eastern European countries seeking energy independence.

GE’s second offering, a system now in development with nuclear startup TerraPower LLC, replaces water with molten salt, similar to what’s used in some advanced solar-power arrays. Dubbed Natrium, the system runs hotter than water-cooled reactors but at lower pressure and with passive cooling, which eliminates piping and electrical systems while improving safety, according to TerraPower CEO Chris Levesque.

“When you have a really elegant design, you can get multiple benefits working together,” Mr. Levesque says. TerraPower, established by investors including Bill Gates, received $80 million of the Energy Department funding for Natrium in October.

Greenpeace, the Union of Concerned Scientists and other advocacy groups argue that nuclear power remains a dangerous technological dead-end that causes as many problems as it solves.

Traditional reactors grew over time to achieve greater efficiencies of scale and lower cost per kilowatt-hour because power output rose faster than construction and operating costs. “There’s no reason that’s changed,” he says, dismissing SMR makers’ promises of lower costs and increased safety

Many proposed SMR expense reductions, such as less shielding, could ultimately increase their danger, while the combined use of several modules could create new safety risks like radioactive contamination that negate gains in individual modules, he says.

Mr. Ramana also says that the technological advances like 3-D printing and digital manufacturing that make SMRs possible are doing even more to improve green renewables. “It’s a kind of treadmill race, where one treadmill is going much faster.”

although SMRs have lower upfront capital cost per unit, their economic competitiveness is still to be proven.”

“People began to fixate on individual liberties without understanding that one of the most fundamental civil liberties in the US is the right to health – the right to stay alive.”

Demographic data suggests that younger people, between the ages of 18 and 50, are fueling the current wave of infections, accounting for nearly 60% of cases statewide. “Maybe they feel invincible, so they go out to bars, they gather in big groups,” Riley said. “But then they can spread the virus to their grandmas and grandpas, their parents, their buddies with asthma or diabetes, who are more vulnerable.”

Among the hardest-hit regions are rural counties in the south and the Central Valley, where farmworkers have been toilin

The vast majority – more than 90% – of farmworkers in California are Latinx, working in precariously crowded environments. More than 60% of workers involved in food preparation are Latinx as well

Latinx, Black and other minority groups are disproportionately infected with and dying of Covid-19, according to a tracking tool designed by UCLA, and early metrics suggest that the state’s reopening has exacerbated disparities. Devastating outbreaks in California’s prisons and homeless shelters have further fueled inequities.

the state rushed its reopening plan. Initially, officials had set two weeks of declining as a benchmark for advancing through each phase of reopening. “We wanted to not only flatten the curve but see a downturn,” he said. “Then we began seeing the anti-lockdown protests, basically egged on with a wink and a nod from Donald Trump, and the governor faced increasing pressure to move faster.”

the governor’s recent orders pausing the California’s reopening, and his statewide mandate requiring residents to wear masks, are laudable, he said. “Still, we’re only successful if people follow the order – and right now, they’re not doing it.”

at the same time, Trumpism was changing the Republican party. Perhaps in some good ways. But definitely in some very bad ways. 

these changes will not easily be reversed. When something attaches itself to a political party, it can—with effort and often some pain—be either excised or marginalized. This is what Buckley and the neoconservatives did to the Birchers, once upon a time. But when the infection makes its way into the party's actual bloodstream, sepsis sets in.

Donald Trump changed the Republican party more—much more—than the Republican party changed him. And even if people like my friend don't realize it, the racists and the cranks do.

And I keep telling people, I'm not asking some of America to do it. We all got to do it. This is one of those interventions that got to be 95%, 96%, 97%, 98%, 99%, if it's going to work for us.

it's clearly going to be a major cause of death in the United States.

But if we don't do that, as I said last April, this could be the worst fall from a public health perspective, we've ever had.

one of my hopes that we'll take from this is that people now realize that public health matters. This nation is going to spend somewhere between $3, 4, 5, 6, 7 trillion in responding to this pandemic.

I think many people may not realize CDC is the background funding for the public health infrastructure of every city and every state in this nation. We need to over-invest. Get over-prepared.

Chloroquine had produced what he called “spectacular improvements” in the Chinese patients. “It’s excellent news — this is probably the easiest respiratory infection to treat of all,” Raoult said. “The only thing I’ll tell you is, be careful: Soon the pharmacies won’t have any chloroquine left!”

Raoult wrote his first research paper, in 1979, on a tick-borne infection sometimes known as Marseille fever. The disease was also called “benign summer fever,” and more than 50 years of science said it was nonlethal. And yet one of the 41 patients in his data set had died.

Before submitting the paper, Raoult, who was then a young resident, gave it to a supervising professor for review. “And he takes it,” Raoult told me, “he doesn’t show it to me again, and he publishes it — and he’d taken out the death. Because he didn’t know how to make sense of the death.”

Raoult was disgusted, and the incident shaped his philosophy of scientific inquiry. “I learned that the people who wanted to follow the familiar path were prepared to cheat in order to do it,” he said.

In Raoult’s view, French science was a duchy of appearances, connections and self-reverence. “It was people saying” — he mimed the drone of an aristocrat — “ ‘Oh, him, yes, he’s very good.’ And this reputation, you don’t know what it’s based on, but it’s not the truth.”

“He was a ‘follower,’” Raoult said of the professor. “And these ‘followers’ are all cheaters. That’s what I thought. And it’s still what I think.”

He is, fundamentally, a contrarian. In Raoult’s view, little of consequence has been accomplished by researchers who endorse the habitual tools and theories of their age.

“I’ve spent my life being ‘against,’” he told me. “I tell young scientists: ‘You know, you don’t need a brain to agree. All you need is a spinal cord.’” He is thrilled by conflict. It is a matter both of philosophy — the influence, no doubt, of the thinker he refers to admiringly as “master Nietzsche” — and of temperament.

His peers shake their heads at this behavior but grant him a grudging respect. “You can’t knock him down,” said Mark Pallen, a professor of microbial genomics at the University of East Anglia. “In terms of his place in the canon, the sainthood of science, he’s pretty secure there.”

In 1985 and 1986, Raoult worked at the Naval Medical Research Institute in Bethesda, Md., where he discovered the Science Citation Index. The index, a tool that can be used to measure a scientist’s influence on the basis of his or her publication history, was relatively unknown in France. Raoult looked up the researchers reputed to be the best in Marseille. “It was really the emperor wears no clothes,” he said. “These people didn’t publish. There was one who hadn’t written a paper in 10 years.”

In subsequent work, he demonstrated that Marseille fever was indeed fatal in almost precisely one in every 41 cases.

Raoult’s name sits atop several thousand; in each of the past eight years, he has produced more than 100. In 2020, he has already published at least 54.

Like many doctors, Molina viewed Raoult’s study with skepticism, but he was also curious to see if his proposed treatment regimen might in fact work. He tested hydroxychloroquine and azithromycin in 11 of his own patients. “We had severe patients, and we wanted to try something,” Molina told me. Within five days, one had died, and two others had been transferred out of his service to intensive care. In another patient, the treatment was suspended after the onset of cardiac issues, a known side effect of the drugs. Eight of the 10 surviving patients still tested positive for SARS-CoV-2 at the conclusion of the study period

Raoult is reputed to be an indefatigable worker, but he also achieves his extreme rate of publication by attaching his name to nearly every paper that comes out of his institute.

In recent years, Raoult has amused himself, it seems, by staking out tendentious scientific claims, sometimes in territories that are well beyond the scope of his expertise.

He is skeptical, for instance, of the utility of mathematical modeling in the realm of epidemiology.

The same logic has led him to conclude that climate modelers are no more than “soothsayers” for our “scientistic era” and that their dire predictions are mostly just an attempt to expiate our intense but irrational feelings of guilt.

Raoult’s most recent book, “Epidemics: Real Dangers and False Alerts,” was published in late March, by which time the W.H.O. had reported more than 330,000 confirmed cases of Covid-19 worldwide and more than 14,500 deaths. “This anguish over epidemics,” he writes, “is completely untethered from the reality of deaths from infectious diseases.”

Testing had been scheduled to run for two weeks per patient, but after only six days, the results were so favorable that Raoult decided to end the trial and publish

Others might have proceeded with more caution or perhaps waited to confirm these results with a larger, more rigorous trial. Raoult likes to think of himself as a doctor first, however, with a moral obligation to treat his patients that supersedes any desire to produce reliable data.

For decades, Raoult has boasted of his prodigious rates of publication and citation, which, as objective statistics, he considers to be the best measure of his worth as a researcher.

This observation has come to be known as the parachute paradigm: We tend to accept the claim that parachutes reduce injury among people who leap from airplanes, but this effect has never been proved in a randomized study that compares an experimental parachute group to an unlucky parachuteless control.

“If you don’t have something that’s visible in 10 patients, or 30, it’s useless. It’s not of any consequence.” An effective treatment for a potentially lethal infectious disease will be visible to the naked eye.

There is much about Raoult that might make him, and by extension his proposed treatment, appealing to a man like Trump. He is an iconoclast with funny hair; he thinks almost everyone else is stupid, especially those who are typically regarded as smart; he is beloved by the angry and conspiracy-minded; his self-congratulation is more or less unceasing.

Raoult classified Trump’s psychology as that of an “entrepreneur,” by way of contrast with that of a “politician.” “Entrepreneurs are people who know how to decide, who know how to take risks,” he said. “And at a certain point, to decide is to take a risk. Every decision is a risk.”

The French waited far too long, in his estimation, to approve the use of hydroxychloroquine in Covid-19 patients. The authorization came only after Raoult announced in the press that he would continue, “in accordance with the Hippocratic oath” and effectively in defiance of the government, to treat patients with his combination therapy. “I’m convinced that in the end, everyone will be using this treatment,” Raoult told Le Parisien. “It’s just a matter of time before people agree to eat their hats.”

Raoult had already begun assembling data for a larger study, but he dismissed the need for anything particularly vast or lengthy. Like other critics of the R.C.T., he likes to point out that a number of self-evidently useful developments in the realm of human health have never been validated by such rigorous tests.

Raoult’s study had measured only viral load. It offered no data on clinical outcomes, and it was not clear if the patients’ actual symptoms had improved or indeed whether the patients lived or died. At the outset, 26 patients were assigned to receive hydroxychloroquine, six more than the 20 who appeared in the final results.

The six additional patients had been “lost in follow-up,” the authors wrote, “because of early cessation of treatment.” The reasons given were concerning. One patient stopped taking the drug after developing nausea. Three patients had to be transferred out of the institute to intensive care. One patient died. (Another patient elected to leave the hospital before the end of the treatment cycle.)

“So four of the 26 treated patients were actually not recovering at all,” noted Elisabeth Bik, a scientific consultant who wrote a widely circulated blog post on Raoult’s study. She paraphrased the sarcasm circulating on Twitter: “My results always look amazing if I leave out the patients who died.”

The report was also riddled with discrepancies and apparent errors.

This apparent sloppiness was unsurprising to many of those who have tracked Raoult’s work in the past. A prominent French microbiologist told me that, in terms of publication, Raoult’s reputation among scientists has been “long gone” for some time.

Beyond its apparent errors and omissions, the study’s design — its small size, its flawed control, the unrandomized assignment of patients to the treatment and control groups — was widely viewed to render its results meaningless. Fauci repeatedly called its results “anecdotal”;

Large, well-controlled randomized trials are by no means the only way to arrive at useful scientific insights. Their utility is that they enhance statistical signals such that, amid the noise of human variability and random chance, even the faint effect of some new treatment can be detected.

The results of his initial trial have yet to be replicated. “I think what he secretly hopes is that no one will ever be able to show anything,”

The prime statistical hurdle that any proposed treatment for Covid-19 will have to overcome — one that is delicate for even Raoult’s critics to make note of, amid the sorrow and fear of this pandemic — is that the signal is likely to be very faint, because the disease is, in the end, rarely fatal. Nearly everyone survives; an effective treatment will save the life of the one or so patients in every hundred who would not have lived without it.

“Alzheimer’s drugs, obesity drugs, cardiovascular drugs, osteoporosis drugs: Over and over, there have been what looked like positive results that evaporated on closer inspection. After you’ve experienced this a few times, you take the lesson to heart that the only way to be sure about these things is to run sufficiently powered controlled trials. No shortcuts, no gut feelings — just data.”

“I’ve invented 10 or so treatments in my life,” Raoult told me. “Half of them are prescribed all over the world. I’ve never done a double-blind study in my life, never. Never! Never done anything randomized, either.”

“When you tell the story, it’s extremely straightforward, no? It’s subject, verb, complement: You detect a disease; there’s a drug that’s cheap, whose safety we know all about because there’s two billion people who take it; we prescribe it, and it changes what it changes. It might not be a miracle product, but it’s better than doing nothing, no?”

Raoult had by then begun to lose his composure. He accused Lacombe of being a shill for the pharmaceutical industry; his fans sent her death threats. On Twitter, he called Bik, the consultant who wrote critically about the first study, a “witch hunter” and called a study that she tweeted — one of several published in April and May that seemed to suggest that Raoult’s treatment regimen was ineffectual or even harmful — “fake news.” The authors of another such study were accused of “scientific fraud.” “My detractors are children!” Raoult told an interviewer.

It is possible that hydroxychloroquine and azithromycin are an effective treatment for Covid-19. But Raoult’s study showed, at best, that 20 people who would almost certainly have survived without any treatment at all also survived for six days while taking the drugs Raoult prescribed.

In recent weeks, Raoult has in fact tempered his claims about the virtues of his treatment regimen. The published, peer-reviewed version of the final study noted that another two patients had died, bringing the total to 10. Where the earlier version called the drugs “safe and efficient,” they were now described merely as “safe.”

He has shown flickers of what appears to be doubt.

“I don’t trust popularity,” he told the interviewer. “When too many people think you’re wonderful, you should start to wonder.” His initial YouTube video, “Coronavirus: Game Over!” has also been renamed. The new language is more measured, and in place of the exclamation point there now stands a question mark.

The fear-mongering needs to stop

a pharmacist who has worked in public health

About half came from other states — as far away as Texas and Arizona

State officials said the task has been complicated because the Republican National Committee only provided them with email addresses for attendees, not addresses and phone numbers.

Attendees said many guests were wearing masks — but not all the tim

"I was surprised to hear that he had the virus because he looked as healthy as I've ever seen him,"

President Trump's last public event – a fundraiser at his golf club in New Jersey – has touched off a major contact tracing effort as well as a messy political fight

I believe that if all of us had caved, Trump would now be much closer to victory, not just at the polls, but over the Constitution itself. Many of us instead held firm and made the case for democracy and the rule of law from the right flank against our own tribe.

We all paid for our dissent, in various ways.

While some lost money, all lost friends. A few needed law enforcement to step in because of threats to their lives and to their families.

I spent decades studying repressive regimes, but I always did so with the swagger of a man who holds an American passport. Other people had to fight for their rights, not me. Now I was accused of legal wrongdoing for expressing my political views as a private citizen. For the first time in my life, I felt like a dissident.

The people I care most about in the world all told me the same thing: Fight.

That summer, I sat down with my wife and members of my family. Continuing to write about Trump could mean serious financial hardship. I had a lifetime contract with the Navy, but no contract is unbreakable. We were facing real risk, and I wanted to know their feelings.

As they did with all of us in the Never Trump camp, the president’s most fanatical supporters accused me of outright treason. They demanded my arrest. Some sent messages telling me that they looked forward to my official execution or other versions of my untimely death

If we’d been in it for our own enrichment, we’d have made the smart play and signed on with Trump, because that’s where the money was right from the start.

The experience of fighting taught the Never Trumpers how much the president had poisoned the Republican Party and long ago exposed the character of many of our former comrades. Some turned out to be as racist and authoritarian as Trump himself, while others merely confirmed that they were little more than vacuous opportunists who were capable of betraying the Constitution at will.

Whether it is Nikki Haley or Tom Cotton running for president or Fox’s prime-time lineup bolstering Trump’s underlings, for as long as I have a public platform, I will contend that these are people who betrayed the principles of our system of government for their own gain and that my fellow citizens should refuse to give them votes or ratings.

As Smiley said over his brandy, “if my past were still around today, you could say I’d failed.” But as the election approaches, I prefer to think about my time as a Never Trumper by recalling the old spy’s final words to those young students:“Never mind. What matters is that a long war is over. What matters is the hope.”

Mr. Trump paid no federal income taxes for 11 of the 18 years examined and just $750 in 2016, the year he won the presidency, and $750 in 2017, his first year in office. Mr. Trump wrote off more than $70,000 paid to style his hair during “The Apprentice” and collected $72.9 million in refunds challenged by I.R.S. auditors. He owes hundreds of millions of dollars due in the next four years.

Mr. Trump, who unlike other presidents since Watergate has adamantly refused to release his tax returns and fought efforts to obtain them all the way to the Supreme Court, attacked the Times report on Monday on Twitter without actually denying any of its particulars.

The Fake News

taking advantage of the tax code is simply “smart” for a business person, while also painting himself as a jobs creator.

Tim Murtaugh, the campaign spokesman, called the report inaccurate because the president has paid “tens of millions in taxes,” without specifying whether they were federal income taxes or directly denying that there were years he paid none.

Fox News.

hairstyling expenses

Representative Alexandria Ocasio-Cortez of New York tweeted that she paid thousands of dollars in federal taxes in 2016 and 2017 — when she was still working as a bartender in New York City. “He contributed less to funding our communities than waitresses & undocumented immigrants,” she wrote.

Mr. Limbaugh said on his show on Monday that Mr. Trump’s penchant for minimizing his taxes was something to be proud of, not scorned. “He’s a master at this,” Mr. Limbaugh said. “These tax returns show that he is a master at using the tax code legally. If Trump had done all of this illegal stuff after all of these years, it would have caught up with him by now.”

“These folks are scraping to make a living and they’re going to wake up to find out this incredible mogul paid $750? I don’t care what his excuses are,” Mr. Kasich told CNN. “It doesn’t pass the smell test. It’s not going to disrupt those people who were for him totally. They’ll still be for him. But it’s those people on the fence.”

In his tweets, the president seemed to be as upset about the perception that he is not as wealthy and successful as he claims to be.

Fake News

n fact, as the article noted, Mr. Trump is heavily in debt, and much of what he owes to lenders will have to be paid back in just a few years.

Luckily, she also has a solution.

it appears that Abbot was barred from a more august podium out of an assumption that his views on racial preferences are beyond debate. Even though he was to speak on an unrelated topic. This “deplatforming” — if we must — was, in a word, simplistic.

the existence of racism does not, as DiAngelo suggests, make it valid to propose that there is a kind of undifferentiated body of white people with indistinguishable interests.

Writers like DiAngelo, who wield enormous influence in our current discourse, encourage the assumption that white people act as a self-preservationist amalgam. This notion of a pale-faced single organism stomping around the world is a cartoon, yet smart people hold this cartoon up as an enlightened way of thinking, and it has caught on.

I also suspect I am hardly alone, when hearing the term “systemic racism,” in quietly wondering how useful it is to use the same word, racism, for both explicit bigotry and inequality, even if the latter is according to race.

His simplistic definitions declare a dichotomy between racism and antiracism with naught in between — quite a blunt instrument to apply to something as complex as the sociology and history of race in our nation

In his similarly best-selling “How to Be an Antiracist,” the Boston University professor Ibram Kendi begins by defining a “racist” as “one who is supporting a racist policy through their actions or inaction or expressing a racist idea.” He then defines an “antiracist” as “one who is supporting an antiracist policy through their actions or expressing an antiracist idea.”

religion tends to anthropomorphize. He sees a major difference between religious belief and science as the tendency for the former to attribute agency and intentionality to things we may not be able to explain.

In the new woke religion, society is described as “racist,” a term originally applied to people.

Note also the eerie parallel between the conceptions of original sin and white privilege as unremovable stains about which one is to maintain a lifelong concern and guilt.

Religions don’t always have gods, but they usually need sins, which in the new religion is the whiteness that supposedly bestrides everything in our lives.

With an unreachable pitilessness, a catechism couched in an elaborate jargon is being imposed almost as if sacred: privilege, decentering, hegemony, antiracism.

The only thing that will turn back this tide is a critical mass willing to insist on complexity, abstraction and forgiveness. As a Black man, I am especially appalled by the implication that to insist on these three things in thinking about race issues is somehow anti-Black.