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Contents contributed and discussions participated by brickol

brickol

How the Fox News presidency has politicized a national health crisis - CNN - 0 views

  • As the coronavirus crisis deepens all across the United States, the Trump administration is favoring Fox and turning down almost all other networks' interview requests. It's the politicization of a pandemic.The result: Key administration officials are not being subjected to much-needed scrutiny. And doctors are being drawn into a petty political game.
  • White House press secretary Stephanie Grisham appeared on "Fox & Friends" Wednesday morning and criticized the press. She said some unnamed "members of the media are using a really important time in our country to try and divide people on the task force." Grisham is a regular on Fox, but almost never agrees to interviews on broadcast networks, which draw more viewers than Fox.
  • The task force's TV appearances suggest a shoring-up-the-base strategy by the White House -- which is incongruent while the entire country is fighting a virus that has no political party.
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  • Fox programs have soft-pedaled the government's shortcomings and promoted an imminent rollback of social distancing restrictions. Public health experts say such a change could be catastrophic because it would cause a surge in new coronavirus infections.But Trump was barely challenged on that point when Fox anchors interviewed him on Tuesday.
  • Throughout the duration of the coronavirus crisis, Trump has appeared at regular White House briefings, and has attracted criticism for spreading misinformation from the podium.He has given interviews to Fox but has declined virtually all other interview requests.
brickol

President Trump is as popular as he's ever been right now - CNNPolitics - 0 views

  • Here's an indisputable fact: President Donald Trump is as popular today as he has been since his first day in office.In a new Gallup poll, 49% approve of the job Trump is doing as president while 45% disapprove, matching the highest his approval rating has ever been in Gallup surveys. A Monmouth University poll released on Monday showed Trump at 46% approval, again the best he has done in that poll in more than three years.
  • In the Gallup poll, 60% of Americans approve of the job Trump is doing in handling the crisis while 38% disapprove of how he has done. Six in 10 independents approve of how Trump has done on the coronavirus as do more than 1 in 4 (27%) of Democrats. In the Monmouth poll, 50% say Trump has done a good job with coronavirus while 45% said he has done a bad job.The heightened approval for how Trump has managed this crisis -- particularly among independents and even Democrats -- is what is pushing up his overall approval numbers, which have been largely stagnant for years.
  • There's a tendency for even partisans of the opposite party from the president to soften a bit in their perception of him as we are reminded of our common humanity and the need for our leaders to, well, lead us out of crisis.
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  • Trump's high approval ratings for how he has dealt with coronavirus and how he is handling the job more broadly might well shock people who have been keeping close track of his and his administration's performance on the pandemic.After all, it's quite clear that the administration simply didn't take the threat of coronavirus seriously enough soon enough. And the testing capabilities for coronavirus in the US were decidedly slow. And Trump's public statements have been marked by inaccurate claims (the test is "perfect", the vaccine is coming fast, etc).
  • It's important to keep this perspective in mind when analyzing the political impact this massive campaign of social distancing has as the medical world battles the virus. A large number of Americans are looking at Trump's behavior not from the 50-foot or even 500-foot level but the 50,000-foot level.
brickol

Germany coronavirus: Why is the Covid-19 death rate so low? (opinion) - CNN - 0 views

  • As of this past weekend, nine countries had diagnosed more than 9,000 cases, and three -- South Korea, Switzerland, and Germany -- had deaths rates well below the others. For South Korea, this in part is due to the cases occurring in much younger people, while the information in Switzerland is only now emerging. But for Germany, Covid-19 is being diagnosed in the same middle-aged people as other countries. The deaths in Germany also fit the seemingly established pattern of also occurring among the very old.
  • Recent articles have raised this issue with several theories put forth by local experts. Some feel that it is a temporary situation, since Germany, like South Korea, has been aggressively testing its population from the outset. Aggressive testing likely will identify persons otherwise too well to come to medical attention, thereby diluting the tested pool with a large set of infected but otherwise well people who are likely to remain so.
  • Others have speculated that the first cases in Germany were older adults who had used an early spring vacation to go skiing in countries that turned out to have high rates of Covid-19. So yes, goes this thinking: the German cases are in older persons, but all were well enough to ski, that is, they were people without the various other medical conditions that increase risk of death.
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  • There might be other explanations. With any infection, there are four basic questions to ask when looking at broad differences in death rates. Is the virus different here versus there? NO. Right now, there is no evidence that the virus is mutating toward a more potent strain in the US.Is one country diagnosing the virus sooner than another? YES. As above, this may be skewing German and South Korean results by identifying asymptomatic and mildly symptomatic persons unlikely to require medical care. Hospitalization rates by country, currently not tracked, would help sort out the contribution of aggressive testing to survival rates. Is the infected patient different here versus there? YES. South Korea (young patients) and Italy (old patients) are unique in the outbreak, and the characteristics in Iran are not well known. All other countries with specific information, from China to even the US epicenter of New York City, have shown the same basic distribution with respect to age, sex (more men than women) and smoking. Is the health care system different here versus there? OH YES. Health care system differences at the country level are hard to examine: information is sparse and, given the 50,000-foot view, possibly misleading. However, health care experts typically can rely on "structural measures" to determine the quality of a hospital or a state or a country.
  • The World Bank tracks health care information by country on three relevant structural measures (though recentness of information varies country to country), each measured per 1,000 general population: doctors, nurses and hospital beds. They and other sources also track two other relevant variables: lifespan per country and health care spending per individual. Neither of these demonstrate differences in affected Western European countries that might explain a difference in Covid-19 survival.
  • Among the nine countries with the highest number of Covid-19 cases, the country that has the highest nurse rate also has the lowest death rate from the disease. Germany has 13.2 nurses per 1,000 (echoing a trend for high nurse numbers throughout Northern Europe) far above the other heavily Covid-19 affected countries. This may be just another armchair epidemiologist observation of course. But higher numbers of nurses may reflect one of two beneficial factors (or both): first, that nurses, the backbone of hospital (and especially ICU) care, are essential to patient management and, ultimately, survival.
  • Either way, it is a reminder that Covid-19 will continue to reveal the strengths and weaknesses of health care systems across the world. The current observed differences also mandate that, when we finally are out from underneath the weight of the current crisis, we must work to determine how we can deliver better health care to large populations across the world.
brickol

India coronavirus: The country faces up to potential crisis, but is it really prepared?... - 0 views

  • India is the world's second-most populous country and has the fifth-biggest economy, with trade connections all over the world. Yet despite its size, the country of 1.34 billion appears to have avoided the full hit of the pandemic. To date, India has only 492 confirmed cases of coronavirus and nine deaths.
  • Prime Minister Narendra Modi has maintained there is no sign of community spread, and the World Health Organization (WHO) has praised India's swift response, which has included grounding domestic and international commercial flights and suspending all tourist visas.On Tuesday night, Modi ordered a 21-day nationwide lockdown starting at midnight Wednesday. The order, the largest of its type yet to be issued globally, means all Indians must stay at home and all nonessential services such as public transport, malls and market will be shut down.
  • But fears are growing that the country remains susceptible to a wider, potentially more damaging outbreak. Experts have cautioned that India is not testing enough people to know the true extent of the issue -- and have questioned the viability and sustainability of a nationwide lockdown.
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  • So far, India has confirmed relatively few cases -- but the country is also testing relatively few people. In total, 15,000 tests have been conducted, compared with South Korea, where well over 300,000 people out of its 52 million population have been tested.
  • But Balram Bhargava, director-general of the Indian Council of Medical Research, said there is no need for "indiscriminate testing." At a news briefing on Sunday, he said the country has a test capacity of 60,000 to 70,000 per week. By comparison, the United Kingdom -- a country with 5% of the population size of India -- says it is hoping to increase its test capacity to 25,000 a day.
  • Although it's not yet clear why India's case numbers are relatively low, as with other countries, it's clear that an outbreak would be incredibly difficult to control.A growing number of governments are encouraging citizens to self-isolate, and wash their hands to control the spread of coronavirus. But in parts of India, even those basic measures would be extremely difficult.
  • In 2011, an Indian government report estimated that 29.4% of the country's urban population live in low quality, semi-permanent structures, known as slums. Many of the homes here don't have bathrooms or running water. Some slum residents get their water from a communal tap, while others collect theirs in canisters and buckets from tankers that visit a few times a week.
  • It may also prove difficult to maintain the type of social isolation as ordered by Modi. In India, there are 455 people per square kilometer (or 1,178 people per square mile), according to World Bank statistics -- significantly more than the world average of 60 people, and much higher than China's 148. "Social distancing in a country like India is going to be very, very challenging," Prabhakar said. "We might be able to pull it off in urban areas, but in slums and areas of urban sprawl, I just don't see how it can be done."
  • Every country that goes into lockdown faces a huge economic impact. But in India, telling people to stay home puts millions of jobs at risk.
  • According to government estimates, there are around 102 million people -- including 75 million children -- who do not have an Aadhaar identity card, which is used to access key welfare and social services including food, electricity and gas subsidies. Most of these people are essentially undocumented -- and are less likely to receive a government handout.
  • "There are some states with very well-resourced, well-equipped health systems, and others which are weaker," Swaminathan said. "So the focus really needs to be both in short term and the medium to long term on strengthening the health systems in those states where it is relatively weak and this would involve a number of different actions."
  • According to the World Bank, India spends about 3.66% of its GDP on health -- far below the world average of 10%. Although the United Kingdom and the US have struggled to deal with their own outbreaks, each spend 9.8% and 17% of their GDP on health, respectively.
brickol

Why are these three presidents downplaying coronavirus warnings? - CNN - 0 views

  • Brazilians have been tricked by the media over a "little flu," according to president Jair Bolsonaro. Families should still go out to eat despite coronavirus fears, says Mexico's president Andres Manuél Lopez Obrador. And Nicaragua's leader Daniel Ortega has all but disappeared, while political marches and rallies continue.As global leaders race to contain the brutal threat of a growing pandemic, a triumvirate of denial has emerged in Latin America, with the leaders of Brazil, Mexico and Nicaragua downplaying the danger of a looming outbreak.
  • As confirmed cases have surged in recent days, AMLO, as the president is often called, has shown more concern, encouraging people to stay home. He said his cabinet will be working on ways to help vulnerable populations, providing relief to small businesses and banning gatherings of 100 people or more. But as recently as Sunday, he posted a video encouraging people to continue to go out to eat, urging Mexicans to limit any damage to the economy. "We do nothing good and we don't help if we're paralyzed, if we act in an exaggerated way," he said in the video. "Let's continue living life normally."
  • In the absence of a large federal response, the fight against the virus has largely fallen to Mexico's states, municipalities, and even private businesses. On Monday, Mexico City forced all bars, nightclubs, and movie theaters to close and banned gatherings of 50 people or more (though CNN witnessed lots of people still out on city streets Monday).
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  • When news emerged on March 12 that Brazilian President Jair Bolsonaro's press secretary had tested positive for the virus, some hoped the president who described the novel coronavirus as "overrated" would take the viral threat more seriously.But he's only doubled down since then, calling the virus "a little flu" in a television interview on Sunday. "The people will soon see that they were tricked by these governors and by the large part of the media when it comes to coronavirus," he told Brazilian network Record TV, referring to the states of Sao Paolo and Rio de Janeiro, where governors have declared states of emergency.
  • And many Brazilians aren't buying Bolsonaro's reassurances. In cities across the country, residents go to their windows and balconies every night at 8:30pm, banging pots and pans to show discontent with Bolsonaro's administration.
  • As one of the western hemisphere's poorest nations, Nicaragua is in a worse position than most to fight off any potential outbreak inside its borders
  • Nicaragua's vice president, Rosario Murillo -- the wife of President Ortega -- has advised Nicaraguans to turn to religion in difficult times. "We can move forward serenely...responsibly, and above all believing in the Lord, knowing that this faith defends and saves us," Murillo said in the context of the coronavirus, according to state-run news agency Digital 19.The federal government has taken few preventative measures so far, only launching a public hygiene campaign while monitoring tourists from countries with a high number of cases, according to Digital 19. As a part of the hygiene campaign, the government sent workers door to door with instructions on how to properly wash hands.
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A restless Trump wants to end the country's isolation -- and his own - CNNPolitics - 0 views

  • Antsy at being sealed off, with no visiting dignitaries and no large crowds, Trump has wondered aloud to aides when life will again return to normal -- not just for the nation, but for himself. The slowdown in his own life has led, in part, to Trump's strong desire to see the guidelines he offered on avoiding crowds and staying at home lifted quickly.
  • He has established one set routine: the daily coronavirus briefing, where he has sparred with reporters and declared himself a "wartime president" in a somewhat sputtering bid to accompany the nation through the crisis.
  • Lately, internal discussions have focused intently on how long the self-isolation measures Trump unveiled last week will last. In late night phone calls and television viewing sessions, Trump has heard from conservatives who question whether the benefits to public health are worth the damage to the economy.The issue has emerged as a key point of contention between members of Trump's coronavirus task force, where health professionals -- such as Dr. Anthony Fauci, the nation's top infectious disease specialist -- have advocated for a longer period of containment to prevent further contagion.
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  • Trump's focus on the economic fallout of the crisis is driven in part by his own belief that it will dictate his political future. Facing a potential recession, Trump has fretted that the coronavirus pandemic could cost him his job in November, though polls have shown his approval rating largely holding steady through the crisis.As the crisis worsened, Trump held off canceling his political rallies, hopeful he would be able to remain on the campaign trail even amid the outbreak. But eventually it became clear his preferred outlet for speaking to supporters and touring the country would temporarily end -- and that, like most Americans, Trump would be constrained to his home -- the White House.
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The coronavirus may be killing more men than women. The US should take note - CNN - 0 views

  • Smoking, drinking, general poor health: Researchers say these are some of the factors that could explain why more men seem to be dying from coronavirus than women.In countries such as Italy, men represent nearly 60% of people who tested positive for the virus and more than 70% of those who have died, according to the country's National Health Institute (ISS). Even in countries like South Korea, where the proportion of women who have tested positive for the virus is higher than that of men, about 54% of the reported deaths are among men.
  • But while health officials are starting to take note of these staggering numbers, the United States is not releasing the basic nationwide data that is crucial to understanding who is most vulnerable to the virus, according to a CNN analysis.
  • But across the countries for which we have data - spanning nearly a quarter of the world's population - we found that men were 50% more likely than women to die after being diagnosed with Covid-19.
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  • Comprehensive data about those who have gotten sick could help inform more effective responses to the crisis. But public health researchers say that when governments such as the United States either don't collect, or don't publish their data, it's impossible for experts to gain an accurate sense of what's going on.
  • "I am fairly sure that down to the smallest districts across the US, people have the data. What we've not seeing happening it seems is a collation, a collection of that data at state and national level with the speed which one might hope to see from the perspective of global health research."
  • "If I was designing clinical guidelines, I would very much want to understand why some people seem to have a much higher risk of mortality than others. It might for example lead to a difference in the way in which we administer clinical guidelines amongst people who have pre-existing health conditions that lead to risk of death along with those with chronic lung disease, who are more likely to be men."Hawkes also noted that reporting sex-disaggregated data on epidemics has been requested by the World Health Organization since 2007, but many countries fail to do so.
  • While necessarily partial and incomplete, the results highlight what public health experts have been warning for some time, theorizing that it is not only biology but also gendered behaviors -- the different ways in which men and women conduct their lives -- which may play a significant role in the different mortality rate for respiratory diseases.
  • From an evolutionary perspective, some research suggests that women have a stronger immune response against viral infections than men because they spend part of their lives with a foreign body inside -- their offspring -- thus granting them a survival advantage."It might have to do with hormonal changes," Ostrosky-Zeichner said. "There is actual research in animals that has shown there may be a biological basis for the sort of increasing susceptibility in the male gender and not only that but also an increased severity and response to the virus."
  • Initial reports of people with severe Covid-19 disease have found that they were likely to have underlying health conditions such as hypertension, cardiovascular disease and chronic lung disease, according to Global Health 50/50. These conditions tend to be more common among men in the six countries analyzed as well as globally, the institute said, possibly because of riskier lifestyle choices.
  • China has the largest smoking population in the world, with around 316 million adult smokers. But while over 50% of Chinese men smoke, less than 3% of women do, according to the Chinese Center for Disease Control and Prevention. In Italy, 7 million men smoke as opposed to the 4.5 million women, according to 2020 data released by the National Health Institute (ISS)The institute reported that, upon admission to hospital, "a third more Covid-19-positive smokers had a more serious clinical situation than non-smokers."
  • But the lack of data on how many men died of novel coronavirus as opposed to women, Global Health 50/50 researchers say, feels like a missed opportunity for governments to implement public health policies that target certain groups of people who are significantly more vulnerable than the rest of the population.
  • "What Covid-19 reveals is a classic case of failing to use data for decision making. For every patient there is a record of their sex. But that data is not collated and analyzed with a gender lens," Dr. Kent Buse, co-founder of GH5050 and chief of strategic policy directions at UNAIDS told CNN.
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Coronavirus deaths in the US could reach peak in three weeks, epidemiologist says - CNN - 0 views

  • A leading epidemiologist advising the US Centers for Disease Control and Prevention has estimated the peak of deaths in the US coronavirus pandemic will be three weeks from now, after which "most of the damage will be done," and says it may be possible to only isolate the vulnerable, allowing many back to work.
  • Longini's suggestion that US deaths could peak in less than a month will have two possible impacts. First, a sudden surge in deaths risks overwhelming health care systems that are currently struggling to prepare for cases needing intensive care. Secondly and conversely, it could support calls -- echoed by President Trump -- to reduce restrictions on movement in the coming weeks.
  • Asked if there could be a risk of a relapse when the virus circulated again in the following weeks, he said: "If it were limited, and we continued to protect the most vulnerable, that may be acceptable for now. Also, let's see what happens in the next two-three weeks. We can also keep an eye on China as they begin to relax restrictions there."
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  • A second expert agreed broadly. Dr. Arnold Monto, a professor of epidemiology at the University of Michigan School of Public Health, said by email: "I agree that by 3 weeks, we will have a better idea of what is going to happen going forward. The outbreaks seem to be hitting different communities at different times and at different intensities, so it is hard to generalize However, I agree in general. And that is why action now in terms of social distancing is so important."
  • Dr. William Schaffner, an infectious disease specialist at Vanderbilt University, said the peak might take three more weeks.
  • He said he was more skeptical about the United States being able to lift restrictions on only part of the population. "Asking a subset to remain sheltered in place, to remain in home, that's more difficult to do," he said by phone.
  • One disease modeler said it was "impossible to predict" when the peak would hit. Dr. Stefan Flasche, a disease modeler at The London School of Hygiene & Tropical Medicine, told CNN by email the peak was influenced by the efficiency of lockdown measures, and "may be anywhere between some time very soon and not for another few months."
  • President Donald Trump has said his desire to lift measures as quickly as possible is motivated by a desire to get the American economy moving again. He has expressed a belief that the economy could experience a "v" shaped, ultra-fast recovery. Yet one economist expressed doubt recovery could be that fast-paced and warned that snapping back in and out of restrictions could cause greater damage.
  • Erin Strumpf, a professor of economics at McGill University, told CNN: "Nothing suggests that we could just 'snap back' to life as it was before. We're taking concrete actions to lower the probability of an uncertain outcome."
brickol

Stimulus checks: Senate deal includes individual payments -- but don't expect the money... - 0 views

  • Washington (CNN)Lawmakers struck a $2 trillion stimulus deal early Wednesday that includes sending checks directly to individuals amid the coronavirus crisis -- but it will likely take until at least May before the money goes out.Under the plan as it was being negotiated, single Americans would receive $1,200, married couples would get $2,400, and parents would see $500 for each child under age 17.However, the payments would start to phase out for individuals with adjusted gross incomes of more than $75,000, and those making more than $99,000 would not qualify at all. The thresholds are doubled for couples.About 90% of Americans would be eligible to receive full or partial payments, according to estimates by the Tax Policy Center. Lawmakers set aside $250 billion for the so-called recovery rebates.
  • There are provisions in the bill to include those who don't earn enough to file returns, but some people may be missed, said Howard Gleckman, a senior fellow at the center.Under the legislation being negotiated, lower- and middle-income Americans would receive just over two-thirds of the benefits, Gleckman said. An earlier version of the bill would have given lower-income households less or no assistance.
  • The Internal Revenue Service has sent out economic stimulus checks before, and although those plans were slightly different, they can offer some insight into how long the process might take."Certainly from what we've seen in the past, it's taken a pretty significant amount of time to get checks out after a policy is put in place," said Erica York, an economist at the Tax Foundation.In 2001, it took six weeks for the IRS to start sending out rebate checks authorized by President George W. Bush's tax cut. Then in 2008, amid the Great Recession, it took three months for the checks to start going out after the law was signed by Bush. In that case, Americans were required to file their tax return first, in order to get the check. Once they filed their return, it took between eight and 12 weeks to see the money.
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  • It's likely that Americans would receive the stimulus payments faster this time around because more of them file electronically and provide the IRS with their bank information, Gleckman said. Some 88% of individual returns were filed electronically in 2018, compared to 58% in 2008.But there are other factors that may slow the process. Even absent the coronavirus challenges, the agency is working with a smaller budget and less staff than it had in 2010. Now, because of the coronavirus, the agency has shut down its in-person taxpayer assistance centers located across the country at a time when people are sure to have questions about the emergency checks and other changes. Treasury announced last week that it is pushing back the tax return deadline to July 15. Additionally, Congress created a new tax credit designed to refund businesses that are offering their employees coronavirus-related paid leave.
  • First, the IRS will have to calculate each person's payment amount. Then, it will need the correct direct deposit information or mailing addresses. To get the money to people who don't usually file tax returns, it might have to request that information from the Social Security Administration or Veterans Affairs. In 2008, those people were required to file a return anyway in order to get their rebate.Meanwhile, the IRS will inevitably be fielding calls from Americans concerned about when their check will arrive and whether they took all the necessary steps to receive the money.
  • Later in 2008, after the economic stimulus checks were sent out, Olson testified before Congress, telling lawmakers that they should fund a new unit within the agency that would be dedicated to facilitating new and emergency initiatives. She argued that it would free up other employees to focus on improving the existing systems and executing the day-to-day work of the agency -- but that never happened.
brickol

I.O.C. and Japan Agree to Postpone Tokyo Olympics - The New York Times - 0 views

  • After months of internal discussions and mounting pressure from nations and athletes across the world, the International Olympic Committee will postpone the Tokyo Games that had been scheduled to begin in late July, Prime Minister Shinzo Abe of Japan said Tuesday.
  • The Summer Games, the world’s largest sporting event, will instead take place sometime in 2021, a change that will likely wreak havoc with sports schedules but should bring great relief to the athletes, organizers and health officials who pressed for a delay and complained that the I.O.C. was not moving quickly enough to adjust to the coronavirus pandemic.
  • The decision became inevitable after the national Olympic committee in Canada announced on Sunday that it was withdrawing from the Games, and Australia’s committee told its athletes that it was not possible to train under the widespread restrictions in place to control the virus. The United States Olympic and Paralympic Committee, after initially declining to take a stand, joined the fray Monday night, urging the I.O.C. to postpone.
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  • Bach said the situation became untenable in recent days as the World Health Organization detailed the acceleration of the virus in Africa for Olympic leaders. That forced the I.O.C. to shift its focus from whether Japan could be safe at the start of the Games to what was happening immediately in various countries and continents.
  • “I am disappointed,” Mori said. “But to be on course with a certain direction is a sigh of relief.” He added: “This could be a good pretext for us to go forward and we can prepare for an even better Olympic and Paralympic Games than what we have planned for this year.”That could include adjusting the dates to avoid the hottest weeks of the summer, a criticism Olympic organizers faced before the coronavirus threat developed into a pandemic.
  • The decision quickly gained the support of national Olympic committees from around the world. In a statement, Andy Anson, the chief executive of the British Olympic Association, said a postponement was the only decision his organization could support. “It would have been unthinkable for us to continue to prepare for an Olympic Games at a time the nation and the world no less is enduring great hardship,” Anson said.
  • At a time when Japan’s economy is already stumbling, the delay of the Olympics could deal a serious blow. In a report early this month, SMBC Nikko Securities Inc. projected that a cancellation of the Games would erase 1.4 percent of Japan’s economic output.Advertisement
  • Until now, the Olympics had not been canceled or postponed since World War II. Tokyo was supposed to host the Summer Games in 1940 but had to bow out after it went to war with China. The Games were then awarded to Helsinki, but were canceled after the outbreak of the war in Europe. Helsinki ultimately hosted the 1952 Summer Games, and Tokyo held them in 1964.
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Nearly a Million Children Left Behind in Venezuela as Parents Migrate - The New York Times - 0 views

  • Seven years into an economic crisis, mothers and fathers have been forced to go abroad in search of work, leaving hundreds of thousands of children in the hands of relatives, friends — and sometimes, one another.
  • Seven years into an economic collapse, Venezuela’s migrant crisis has grown into one of the largest in the world. Millions have already left. By the end of 2020, an estimated 6.5 million people will have fled, according to the United Nations refugee agency — a number rarely, if ever, seen outside of war.But hidden inside that data is a startling phenomenon. Venezuela’s mothers and fathers, determined to find work, food and medicine, are leaving hundreds of thousands of children in the care of grandparents, aunts, uncles and even siblings who have barely passed puberty themselves.
  • Many parents do not want to put their children through the grueling and sometimes very dangerous upheaval of displacement. Others simply cannot afford to take them along.
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  • The exodus is so large that it is reshaping the very concept of childhood in Venezuela, sending grade-schoolers into the streets to work — and leaving many exposed to the swirl of abusive players who have filled the vacuum left by the collapsing Venezuelan state, including sex traffickers and armed groups.
  • In rare situations, children have been passed from grandparent to cousin to neighbor, with each caretaker migrating or disappearing, until young people finally have found themselves alone.
  • The arrival of the new coronavirus in Venezuela has isolated these children further. To combat the spread, President Nicolás Maduro has announced a countrywide lockdown, sending the military into the streets to enforce the measures.The effort has cut many young people off from the teachers and neighbors who may be their only means of support. At the same time, borders are now closed, severing these children from the rest of the world and making it impossible for their parents to return, or to come and retrieve them.
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Virus Brings States to a Standstill: Sessions Halt, Budgets Crater, Plans Wait - The Ne... - 0 views

  • The coronavirus has wreaked havoc on statehouses across the United States, derailing policy agendas, forcing legislators to set aside plans for spending on education, road construction and opioid addiction, and draining state coffers with startling speed.
  • Vast numbers of businesses have been forced to close their doors and millions of Americans face unemployment, creating a sudden need to spend on virus-related assistance, the certainty of sharp drops in tax collections and a turning of once optimistic budget projections upside down.
  • The outbreak has forced at least 22 state legislatures to close or postpone sessions at the busiest time of the year, when lawmakers typically pass legislation and negotiate budgets. But the toll on state policies and spending appears likely to extend far beyond a single legislative season.
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  • The crisis has brought state policymaking to a standstill regardless of partisan control. Any legislative proposal with a price tag appears endangered.
  • And in state after state, lawmakers say they suddenly have little money to address anything but the unfolding medical and economic crises. In some places, the annual budget-writing process, which depends on projected tax collections, has been sent into chaos.
  • The virus is threatening citizen-driven policy initiatives in the states as well. Twenty-six states allow residents to write referendums that carry the force of law, and this has become a popular way of forcing change.
  • In recent years, with federal leaders and parties clashing in Washington, D.C., states have often been the crucibles for policy innovation. As the virus sweeps through the nation, some of those policies may serve as a shield for Americans struggling to recover.
  • Republicans favor easing mandates and pushing back tax deadlines, he said. And Democrats, according to Melissa Hortman, the Democratic House Speaker, want to find ways to provide more direct aid to working-class residents.
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In World's Most Vulnerable Countries, Coronavirus Pandemic Rivals the 2008 Crisis - The... - 0 views

  • Your highlight number is over quota: 500 highlights for Free Plan, you have 500 highlights.
  • From South Asia to Africa to Latin America, the pandemic is confronting developing countries with a public health emergency combined with an economic crisis, each exacerbating the other. The same forces are playing out in wealthy nations, too. But in poor countries — where billions of people live in proximity to calamity even in the best of times — the dangers are amplified.It is unfolding just as many governments are burdened by debt that limits their ability to help those in need. Since 2007, total public and private debt in emerging markets has multiplied from about 70 percent of annual economic output to 165 percent, according to Oxford Economics.
  • The pandemic has triggered a sharp reversal of international investment away from emerging markets and toward the safety of U.S. government bonds.
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  • Most economists assume that a worldwide recession is already underway — a synchronized downturn that is punishing countries indiscriminately, turning traditional economic strengths into alarming vulnerabilities.
  • The disruption of industry worldwide has drastically cut demand for commodities, walloping copper producers like Chile, Peru, the Democratic Republic of Congo and Zambia, along with zinc producers like Brazil and India. Oil exporters are especially susceptible to the downturn as prices remain cheap, pressuring Colombia, Algeria, Mozambique, Iraq, Nigeria and Mexico.
  • As the coronavirus pandemic brings the global economy to an astonishing halt, the world’s most vulnerable countries are suffering intensifying harm. Businesses faced with the disappearance of sales are laying off workers. Households short of income are skimping on food. International investment is fleeing so-called emerging markets at a pace not seen since the global financial crisis of 2008, diminishing the value of currencies and forcing people to pay more for imported goods like food and fuel.
  • In wealthy nations, quarantines have been mandated, while governments and central banks have unleashed trillions of dollars in spending and credit to limit the economic damage. But in poor countries, where families cram into teeming slums, quarantining may be impossible. People who support themselves by collecting scrap metal harvested from garbage dumps risk hunger if they stay home.
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Live Coronavirus News, Updates and Video - The New York Times - 0 views

  • The Tokyo Olympics have been postponed. New York, now the center of the outbreak in America, braces for a flood of patients. The playwright Terrence McNally dies of complications from the coronavirus.
  • tocks rallied on the hope that Washington was close to producing a stimulus bill. Shares soared for airlines and other companies expected to benefit.
  • Trump expressed outrage at having to ‘close the country’ to curb the spread of the virus.
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  • Even as nations from Britain to India declare nationwide economic lockdowns, President Trump said he “would love to have the country opened up, and just raring to go, by Easter,” less than three weeks away, a goal that top health professionals have called far too quick.
  • he expressed outrage about having to “close the country” to curb the spread of the coronavirus and indicated that his guidelines on business shutdowns and social distancing would soon be lifted.
  • “I gave it two weeks,” he said, adding, “We can socially distance ourselves and go to work.”
  • “We are honored to serve and put our lives on the front line to protect and save as many lives as possible,” the American Medical Association, American Hospital Association and American Nurses Association wrote in an open letter. “But we need your help.”
  • Mr. Trump fell back on his comparison of the coronavirus to the flu, saying that despite losing thousands of people to the flu, “We don’t turn the country off.”
  • States including California, Maryland, Illinois and Washington have declared stay-at-home or shutdown orders, but other states have been looking for directives from the Trump administration. And countries in Asia are beginning to see a resurgence of coronavirus after easing up on restrictions.
  • For governors and mayors who have been trying to educate people about the urgent need to stay home and maintain social distance, Mr. Trump’s recent statements suggesting that such measures may be going too far threatened to make their jobs more difficult.
  • Mr. Hogan, the chairman of the bipartisan National Governors Association, said that health officials suggest that the virus’s peak could be weeks or months away. “We’re just trying to take the best advice that we can from the scientists and all the experts, and making the decisions that we believe are necessary for our states,” he said.
  • Both Mr. Trump and Vice President Mike Pence said that a lockdown had never been under consideration for the United States.
  • But the president and vice president were resolute that they want the country reopened. Mr. Pence said the administration’s timeline for trying to get businesses restarted and workers out of their homes was shorter than the period that health experts have said would be necessary to flatten the curve.
  • “We’ll focus on our most vulnerable, but putting America back to work will also be a priority, in weeks not months,” Mr. Pence said.
  • Mr. Pence also said two malaria drugs, chloroquine and hydroxychloroquine, had been approved by the Food and Drug Administration for off-label use treating patients with Covid-19, the disease caused by the coronavirus. The F.D.A. did not immediately confirm that assertion, but two administration health officials said it was not true.
  • India, the world’s second-most populous country, will order its 1.3 billion people to stay inside their homes for three weeks to try to curb the spread of the coronavirus, Prime Minister Narendra Modi declared on Tuesday.
  • Left unclear was how Indians would be able to get food and other needed supplies. Mr. Modi alluded vaguely to the government and civil society groups stepping in to help, but offered no details.
  • Mr. Modi also pledged to spend about $2 billion on medical supplies, isolation rooms, ventilators, intensive care units and training for medical personnel to combat the pandemic.
  • New York’s case count is doubling every three days, the governor says.
  • “We haven’t flattened the curve,” he said. “And the curve is actually increasing.” The governor, appearing in front of piles of medical supplies, spoke in a far more sober tone and delivered notably bleaker news than he has in previous days.The peak of infection in New York could come as soon as two to three weeks, far earlier than previously anticipated, Mr. Cuomo said, which would put even bigger strain on the health care system than officials had feared.
  • The governor said the state now projects that it may need as many as 140,000 hospital beds to house virus patients, up from the 110,000 projected a few days ago. As of now, only 53,000 are available. Up to 40,000 intensive-care beds could be needed. “Those are troubling and astronomical numbers,” he said.
  • In New York City alone, there have been around 15,000 cases.“Look at us today,” he warned the rest of the country. “Where we are today, you will be in four weeks or five weeks or six weeks. We are your future.”
  • Perhaps it was inevitable that New York City and surrounding suburbs would become the epicenter of the coronavirus epidemic in the United States. The population density, reliance on public transportation and constant influx of tourists — all would seem to make the metropolitan area a target.
  • But to stop the virus, scientists have to figure out which factors played a greater role than others. As it turns out, that is not so simple.
  • Perhaps the epidemic in New York had less to do with the virus than with discrete opportunities to spread: In so-called super-spreader events, one patient somehow manages to infect dozens, even scores of others. At one point, half the cases in Massachusetts were attributed to a single initial infection.
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Cuomo warns coronavirus infection rates are rising faster than expected | US news | The... - 0 views

  • New York’s governor, Andrew Cuomo, has issued his most dire statement yet about the coronavirus pandemic, warning that coronavirus infection rates are rising much faster than expected and the state’s hospitals are woefully unequipped for the deluge.
  • “The inescapable conclusion is that the rate of infection is going up,” Cuomo said at a press conference on Tuesday morning. “It is spiking. The apex is higher than we thought, and the apex is sooner than we thought. That is a bad combination of facts.”
  • In New York state, 25,665 cases of coronavirus were confirmed as of Tuesday morning, with 210 deaths – far higher numbers than elsewhere in the US – as 14,776 cases and 131 fatalities were concentrated in New York City alone.
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  • New York is conducting more testing per capita than countries such as South Korea, which may partially explain the spike in numbers.
  • “We need to be smarter about this … we need the federal help and we need it now,” he said, calling on Donald Trump to utilise the Defense Production Act (DPA) to force companies to produce medical equipment and provide them the necessary financial support to do so. So far, the administration has relied on volunteer efforts that Cuomo said were not appropriate for the urgency of crisis.
  • “What happens to New York is gonna wind up happening to California, and Washington state and Illinois. It’s just a matter of time. We’re just getting there first,” Cuomo said. “Look at us today … where we are today, you will be in four weeks or five weeks or six weeks. We are your future.”
  • Speaking later in the day, the vice-president, Mike Pence, said the Federal Emergency Management Agency (Fema) had sent New York 2,000 ventilators and plans to send 2,000 more on Wednesday.
  • He also rejected the suggestion, floated by the president in recent days, that advice from public health officials could be rowed back in a matter of weeks to protect the US economy, saying that sensible steps in both areas could be made now without increasing risk to more vulnerable people in society.
  • uomo’s urgent message comes as a spokesperson for the World Health Organization (WHO) warned the US has the potential to become the next global hotspot for the pandemic. The country already has more than 46,000 confirmed Covid-19 cases, resulting in close to 600 deaths, according to Johns Hopkins University School of Medicine.
  • With cases surging, Cuomo said new projections estimate his state will need 140,000 hospital beds once the crisis reaches its apex, which could happen within 14 to 21 days instead of in May as previously forecast.
  • The outbreak has led to a dramatic change in America’s social fabric: as of Monday, the New York Times estimated that more than 158 million people in 16 states would soon be under strict orders to stay at home – approaching half of the population.
  • The shift in messaging came after James Bullard, president of the Federal Reserve Bank of St Louis, predicted unemployment could reach 30% nationwide, according to Bloomberg News, and as negotiations for a coronavirus stimulus package dragged on for days in the US Senate. For weeks, suddenly jobless workers have been imploring the government for help, and Trump is staring down what could become a historic recession during an election year.
  • Even still, medical experts have cautioned against such an abrupt restart to the economy while the virus continues to spread exponentially. “You can’t call off the best weapon we have, which is social isolation, even out of economic desperation, unless you’re willing to be responsible for a mountain of deaths,” Arthur Caplan, founding head of the division of medical ethics at NYU School of Medicine, told the New York Times. “Can’t we try to put people’s lives first for at least a month?”
  • “If you ask the American people to choose between public health and the economy, then it’s no contest,” Cuomo said. “No American is going to say, accelerate the economy at the cost of human life, because no American is going to say how much a life is worth.”
brickol

Coronavirus in America: why the US has struggled to tackle a growing crisis | US news |... - 0 views

  • Exactly a month after Donald Trump tweeted that the US had the coronavirus outbreak “very much under control”, the World Health Organization delivered a stark and jarring reality check: America faces being the centre of a pandemic that has paralysed much of the world.
  • Coronavirus has raced across the American continent with the aid of a chronic lack of preparation, deep-rooted dysfunction in the US healthcare system, and a president who has repeatedly dismissed the crisis and is now looking to scale back containment efforts in favour of restarting economic activity.
  • More than 46,000 people in the US have been diagnosed with Covid-19 and nearly 600 have died.
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  • The sharp acceleration in cases – just two weeks ago the official number was less than 2,000 – has led to the WHO warning that the US is overtaking countries such as Italy as the global hotspot for the virus.
  • early one in 10 Americans have no health insurance, while a widespread lack of sick pay across the country has forced many ill people into work despite the risk of spreading the virus.
  • the US response has been hobbled by the administration’s rejection of standard WHO testing kits, instead opting to develop its own, which turned out to be faulty.
  • The true scale of infection in the US is almost certainly far worse, with a severe lack of testing having stymied efforts to contain Covid-19 once it emerged near Seattle
  • Muddled messaging from the White House, where Trump has often contradicted the sombre warnings of his top infectious disease expert, Dr Anthony Fauci, has done little to Americans stop congregating on beaches or in shopping malls.
  • Authorities in New York are scouring the world for the ventilators, masks and gowns needed for an unfolding public health emergency that is expected to peak in the next three weeks.
  • The apex of this pandemic is higher and sooner than we thought,” said Andrew Cuomo, the New York governor who has garnered praise for his handling of the crisis. “I will turn this state upside down to get the hospital beds we need.”
  • Cuomo also condemned Fema and the Trump administration again, saying: “You want a pat on the back for sending 400 ventilators? What are we going to do with 400 ventilators when we need 30,000 ventilators? You’re missing the magnitude of the problem, and the problem is defined by the magnitude.”
  • The number of cases was higher in New York, he said, “because it started here first because we have global travelers coming here first. Because we have more density than other places. You will see this in suburban communities across the country. We are just a test case. We are just a test case. And that’s how the nation should look at it. Where we are today, you will be in three weeks or five weeks or six weeks.”
  • Trump has signaled that he is prepared to wind down restrictions at the end of a 15-day window in an attempt to bolster the economy and a sagging stock market.
brickol

Coronavirus US live: Trump says 'we have to get back to work' as number of US deaths ri... - 0 views

  • An emerging pattern across the country is that governors are encouraging people to donate medical supplies that are in high demand in response to the Coronavirus epidemic.
  • The latest Gallup poll out today finds that Trump’s approval rating is 49% with 45% disapproving, the highest of his term to date and up five points from earlier this month. Additionally, 60% approve of the president’s handling of the coronavirus pandemic with 38% disapproving.
  • on Capitol Hill, congressional negotiators say they’re close to a deal on a stimulus package.
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  • Because of the coronavirus epidemic Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases, has enjoyed an increased national presence. He has accompanied Trump and other top administration officials at coronavirus briefings.
  • For days the sticking point for Democrats in the stimulus package negotiations was a $500bn fund for businesses. Democrats called it a “slush fund” because, they argued, it lacked sufficient oversight. In a press conference on Monday he said that he would provide the oversight.
  • Just now Trump signaled a new openness to signing off what seems like an imminent deal between lawmakers on a $1.6 trillion economic stimulus package.
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Trump to suspend travel from Europe, excluding UK, amid coronavirus outbreak | World ne... - 0 views

  • Donald Trump has announced that the US would temporarily suspend most travel from the European Union, as the country reckons with the spread of coronavirus and the White House grapples with the severity of the situation.
  • The restrictions, which would begin on Friday and last for 30 days, would not apply to US citizens or to travelers from the UK.
  • During the rare address to the nation, Trump defended his administration’s response while laying blame on the European Union for not acting quickly enough to address the “foreign virus”, saying US clusters had been “seeded” by European travelers.
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  • “I can say we will see more cases, and things will get worse than they are right now,” Fauci told the House Oversight and Reform Committee. He said it is “10 times more lethal than the seasonal flu”.
  • Trump’s speech comes on a tumultuous day as cases in the US topped 1,000 and the number of deaths rose to 37, while fluctuations in the financial markets continued and Washington strained to respond. Testifying on Capitol Hill on Wednesday, Dr Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases, warned that the outbreak in the US is going to get worse.
  • The president also said he would take “emergency action” to provide relief to workers who are affected. He said he was asking Congress for $50bn for small business loans, and he also called for “immediate” payroll tax cuts.
  • In a statement, the US Department of Homeland Security (DHS) said the affected countries include: Austria, Belgium, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Slovakia, Slovenia, Spain, Sweden, and Switzerland”.
  • The Trump administrators has faced a raft of criticism over its handling of the coronavirus outbreak, from the shortage of testing kits available in the US to Trump’s own lack of urgency and downplaying the severity of the situation
  • Daniel Drezner, a professor of International politics at Tufts University, told the Guardian that limiting travel from Europe would “be a drop in the bucket” compared with the number of cases that are already in the US.
  • Democrats also called out Trump for failing to address the shortage of testing kits that has hampered containment efforts across the country. “We have a public health crisis in this country and the best way to help keep the American people safe and ensure their economic security is for the president to focus on fighting the spread of the coronavirus itself,” said Chuck Schumer and Nancy Pelosi, the Democratic leaders of the Senate and House, in a joint statement. “Alarmingly, the president did not say how the administration will address the lack of coronavirus testing kits throughout the United States.”
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China, Desperate to Stop Coronavirus, Turns Neighbor Against Neighbor - The New York Times - 0 views

  • These outcasts are from Wuhan, the capital of Hubei Province, which is at the center of a rapidly spreading viral outbreak that has killed more than 420 people in China and sent fear rippling around the world. They are pariahs in China, among the millions unable to go home and feared as potential carriers of the mysterious coronavirus.
  • All across the country, despite China’s vast surveillance network with its facial recognition systems and high-end cameras that is increasingly used to track its 1.4 billion people, the government has turned to familiar authoritarian techniques — like setting up dragnets and asking neighbors to inform on one another — as it tries to contain the outbreak.
  • Local officials offered no explanation but returned a few days later to fasten police tape to his door and hang a sign that warned neighbors that a Wuhan returnee lived there. The sign included an informant hotline to call if anyone saw him or his family leave the apartment. Mr. Tang said he received about four calls a day from different local government departments.
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  • “In reality there’s not much empathy,” he said. “It’s not a caring tone they’re using. It’s a warning tone. I don’t feel very comfortable about it.”
  • China has a major incentive to track down potential carriers of the disease. The coronavirus outbreak has put parts of the country under lockdown, brought the world’s second-largest economy to a virtual standstill and erected walls between China and the rest of the world.
  • Still, even some government officials called for understanding as concerns about prejudice spread. Experts warned such marginalization of an already vulnerable group could prove counterproductive, further damaging public trust and sending those who should be screened and monitored deeper underground.
  • While networks of volunteers and Christian groups have been vocal about offering help, many local leaders have focused efforts on finding and isolating people from Hubei. On big screens and billboards, propaganda videos and posters warn people to stay inside, wear masks and wash hands.
  • In the northern province of Hebei, one county offered bounties of 1,000 yuan, or about $140, for each Wuhan person reported by residents. I
  • In the eastern province of Jiangsu, quarantine turned to imprisonment after authorities used metal poles to barricade shut the door of a family recently returned from Wuhan. To get food, the family relied on neighbors who lowered provisions with a rope down to their back balcony
  • “They’re only working to separate Wuhan people from Nanjing people,” Mr. Li said. “They don’t care at all if Wuhan people infect each other.”
  • Across the country, the response from local authorities often resembles the mass mobilizations of the Mao era rather than the technocratic, data-driven wizardry depicted in propaganda about China’s emerging surveillance state. They have also turned to techniques Beijing used to fight the outbreak of SARS, another deadly disease, in 2002 and 2003, when China was much less technologically sophisticated.
  • Checkpoints to screen people for fevers have popped up at tollbooths, at the front gates of apartment complexes and in hotels, grocery stores and train stations. Often those wielding the thermometer guns don’t hold them close enough to a person’s forehead, generating unusually low temperature readings. Such checks were worthless, for instance, against one man in the western province of Qinghai, whom police are investigating on suspicion that he covered up his symptoms to travel.
  • “I feel that the villagers are ignorant and the government isn’t helping; instead it’s leaking the information everywhere without telling them that I don’t have any symptoms,”
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Trump impeachment trial: Democrats warn Trump 'will do it again' if acquitted | US news... - 0 views

  • the Democratic representative Adam Schiff mounted an impassioned closing argument in the Senate impeachment trial on Monday, urging the chamber to hold the president to account
  • The House impeachment managers, who are prosecuting Trump, pleaded with Senate Republicansto find Trump guilty of the charges in the two articles of impeachment: abuse of power and obstruction of Congress.
  • Schiff blasted Trump in personal terms, warning that Trump had tried to cheat in the 2020 election and will keep trying if acquitted.
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  • But a mostly party-line vote on Friday not to call witnesses in the trial signaled a lack of interest on the Republican side.
  • Trump maintains that his conduct has been irreproachable, and all but a handful of the 53 senators in the majority have seamlessly agreed.
  • The closing arguments set the stage for a vote to acquit Trump on Wednesday afternoon. The senators will hold separate votes on each article of impeachment, with an out-of-reach two-thirds majority needed to convict Trump and remove him from office.
  • the members of the upper chamber finally had the chance to make speeches about the charges against Trump starting on Monday afternoon, when the trial adjourned temporarily for regular Senate business.
  • Trump’s defense focused their closing argument on the urgency, they said, of keeping Trump’s name on the ballot in 2020.
  • But Trump’s defense also continued to offer a blanket defense of Trump’s conduct. “The president has done nothing wrong,” Cipollone said. “These types of impeachment must end.” Schiff said Republican partisanship had blinded them to Trump’s wrongdoing.
  • Trump directed his personal lawyer, Rudy Giuliani, to pursue conspiracy theories on the ground in Ukraine tied to former vice-president Joe Biden and the 2016 election. That plot set in motion the character assassination of a US ambassador, a perceived regional retreat by the US, the suspension of a promised White House meeting and military aid to Ukraine, a direct demand by Trump himself that the Ukrainian president do him a “favor” and a whistleblower complaint.
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