Skip to main content

Home/ History Readings/ Contents contributed and discussions participated by martinelligi

Contents contributed and discussions participated by martinelligi

martinelligi

Americans Could See A Vaccine By Mid-December, Says Operation Warp Speed Adviser : Coro... - 0 views

  • Moncef Slaoui, the chief scientific adviser for Operation Warp Speed, says that some Americans could start receiving a COVID-19 vaccine by the second week of December.
  • While millions of people in the U.S. could be vaccinated in the weeks and months following an emergency use authorization, Slaoui said it will be well into 2021 before the nation would be able to achieve herd immunity.
  • Slaoui's comments on Sunday echo what Dr. Anthony Fauci, the country's top infectious disease expert, told NPR's Morning Edition this past Tuesday. Fauci said that Americans with the "highest priority" — such as health care workers and those most at risk of the virus — will likely receive a vaccine towards the end of December.
martinelligi

ApiJect To Get $590 Million Loan For Device To Help Deliver Coronavirus Vaccine : NPR - 0 views

  • Later today, the U.S. International Development Finance Corp, or DFC, is expected to announce that it has extended a $590 million loan to ApiJect Systems America, NPR has learned. The Connecticut company makes a disposable injection device that it says can be mass produced to deliver vaccines and medications around the world.
  • "This is going to be, we believe, the next generation of safe injections worldwide," ApiJect Systems Corp. Executive Chairman Jay Walker told NPR.
  • That's what happened during the first phase of the pandemic when Americans rushed to doctors offices and medical centers to get COVID-19 tests only to be turned away because of a shortage of reagent chemicals, testing kits, and nose swabs. State laboratories that were also facing shortages began competing on the open marketplace for pipettes and lab materials they needed to process the tests.
  • ...1 more annotation...
  • The DFC financing is meant to help ApiJect build a million square foot campus in North Carolina for a speedier fill-finish operation. It will take pharmaceutical-grade plastic resin, pour it into a mold and then move it to a sterile filling space where the drug or the vaccine will be inserted before it is sealed.
martinelligi

COVID-19 Conspiracy Theories Still Rampant In Some U.S. Hot Spots : NPR - 0 views

  • Signs posted at the entrance to the grocery store in northwest Montana told customers to wear a mask. Public health officials in Flathead County urged the same. Infection rates here are among the highest in the state. Infection rates in the state are among the highest in the country.
  • "It's absolute garbage," he said. "There has been plenty of proof that the coronavirus 'pandemic,' if you will, links back to Communist China. It's communist Marxism that they're trying to push on this country."
  • As health care professionals grapple with soaring numbers of COVID-19 cases across the country, they're also combatting another quick-spreading and frustrating contagion: misinformation.
  • ...4 more annotations...
  • "These conspiracy theorists and these groups who are against [masks] have been so vocal on social media that at some point, it starts to resonate with people and starts to have as big of a voice as the medical community - if not more," said Anita Kisseé, the public relations manager for St. Luke's, the largest hospital network in Idaho, where coronavirus cases are also surging.
  • "The whole country has fatigue. Everyone is tired of this," Zuckerman said. "The trouble is it's here. It's not going anywhere quickly, so we need to get back to the basics: social distancing, washing your hands, wearing a mask. We need to get back on that train."
  • The hope, said Mellody Sharpton, the hospital's executive director of communications, is that by repeating the same message on multiple platforms, it will rise above all of the misinformation swirling below.
  • Ruth Parker, a professor at the Emory University School of Medicine, who studies health literacy, said that part of what has fed into the "chaos of content," the nation is experiencing is the politicization of mask-wearing and the virus's origins by President Trump, among others, and the fact that public health officials didn't adequately express the uncertainty of COVID-19 in the early days of the pandemic.
martinelligi

12 Million To Lose Jobless Benefits The Day After Christmas Unless Congress Acts : NPR - 0 views

  • The day after Christmas, millions of Americans will lose their jobless benefits, according to a new study.
  • "Congress is set to cut off 12 million Americans from the only thing holding them back from falling into financial wreckage and disaster," says Andrew Stettner, a co-author of the new study from the progressive-leaning think tank the Century Foundation.
  • "Those will come to a crashing halt on Dec. 26, the day after Christmas," Stettner says. He says this is happening just as the pandemic is raging across the country and states and cities are reimposing restrictions on businesses and schools.
  • ...2 more annotations...
  • There are many people calling for Congress to act. Economists warn that without more relief for out-of-work people and small-business owners the economy will be damaged more than it needs to be.
  • "The refusal of Democrats and Republicans to cooperate with one another is not due to some mysterious force beyond our control," he said. "It's a conscious decision. It's a choice that we make."
martinelligi

As the Virus Surges, How Much Longer Can N.Y. Avoid a Full Shutdown? - The New York Times - 0 views

  • The numbers are also spiking in some areas that were spared the worst in the spring: Western New York has seen about 3,700 new cases in the last week alone, with rates of positive test results running above 5 percent.
  • Gov. Andrew M. Cuomo says his response to the pandemic continues to be aggressive and highlights his state’s achievements: New York is still seeing much lower rates of infection than most states. And the number of daily deaths and hospitalizations pales in comparison to the spring, when thousands died for several weeks running, and tens of thousands were sickened.
  • he defensive posture from Mr. Cuomo, a third-term Democrat, is striking considering the confident air he’s projected since the early days of the pandemic.
  • ...4 more annotations...
  • Mr. Cuomo also announced a ban on gatherings of more than 10 people in private residences, a rule that drew some angry rebuttals and could be difficult for families to comply with during Thanksgiving, Hanukkah and Christmas. Some upstate sheriffs have said they will not enforce the rule.
  • reality is that the sooner you close, the softer you have to close.”
  • At the same time, they recognize people were weary of Covid-related restrictions. “We see the fatigue,” said Gareth Rhodes, a member of New York State’s Covid-19 Task Force.
  • “I don’t think we need a full lockdown; on the other hand, I do think we need action,” said Dr. Wafaa El-Sadr, a professor of epidemiology and medicine at Columbia University, noting that political leaders had been suggesting for weeks that they are considering new restrictions. “I always say if you think you need to do something, it probably means you need to do it.”Joseph Goldstein and Emma G. Fitzsimmons contributed reporting
martinelligi

New York City Schools Closed Again Because Of Coronavirus : Coronavirus Updates : NPR - 0 views

  • In another sign of the enduring nationwide impact of the coronavirus pandemic, New York City — still the U.S. city with the highest death toll — announced it will again close its schools for in-person learning as of Thursday, Nov. 19.
  • Of the city's approximately 1 million public school students, only about 300,000 had been attending school in person on a hybrid schedule, along with some pre-K and special education students who were able to attend full time.
  • "It's frankly ridiculous that you can go to a restaurant and have someone serve you a pizza indoors, but my child is being deprived of an education," she told NPR. "Our priorities are just backwards."
  • ...1 more annotation...
  • Jampel said not only are her children too young to get much benefit from remote instruction, but she and her husband need their kids to be in school for what is also effectively child care. "It's just so frustrating how parents and especially working mothers have been just dumped on this entire time."
martinelligi

As U.S. Reaches 250,000 Deaths From COVID-19, A Long Winter Is Coming : Coronavirus Upd... - 0 views

  • The United States has surpassed yet another devastating milestone in the ongoing COVID-19 pandemic: 250,000 Americans have now died from the disease. That's more than twice the number of U.S. service members killed in World War I.
  • "Unfortunately, we are entering what I think will be the worst stretch that we have experienced so far," says Caitlin Rivers, an epidemiologist at the Johns Hopkins Center for Health Security. "We're seeing hot spots all across the country and new highs for the number of cases and hospitalizations."
  • With cases spiking, more deaths will follow — but advances in medicine in recent months have improved the odds of surviving COVID-19.
  • ...6 more annotations...
  • According to the Institute for Health Metrics and Evaluation's latest model, by March 1, the U.S. may see nearly 439,000 total deaths from COVID-19. But Mokdad and his colleagues have calculated two alternative scenarios, depending on the path the country takes. If governmental mandates to limit the spread are eased, the model predicts more deaths: perhaps 587,000 by March 1.
  • There has been good news this month, with Pfizer and Moderna each announcing that their experimental vaccines are highly effective in preventing disease – 95% in the case of Pfizer's, and nearly 95% for Moderna's.
  • "That means that schools and other institutions that serve primarily children may be continue to need to follow the nonpharmaceutical interventions longer than older adult communities, for example, just because they will not be eligible for the vaccine right away," she says.
  • "We are in a worse place than we were even in the spring, because in the spring it was primarily New York City and New Jersey and Connecticut that were experiencing a strain on their health care systems," Rivers says. "Right now we are seeing intense community transmission really all across the country. And that doesn't leave a lot of wiggle room to make sure that we are able to deploy extra resources to those places."
  • As the pandemic stretches on, people get tired of being vigilant about masks and social distancing and not gathering with others indoors. Many people have suffered economic pain from the virus and the restrictions that have followed, and are eager for their lives to return to normal.
  • Public health officials are pleading with Americans not to celebrate Thanksgiving the way they usually do but instead use this occasion to invent new traditions. One idea is to drop off food contactlessly to another household and then share the meal over video.
martinelligi

Opinion | How to Deal With People Who Ignore Covid Safety - The New York Times - 0 views

  • Covid-19 cases are up around the country, even in places that had low rates over the summer. In response, many states have increased restrictions and emphasized the need to prevent transmission. People are not listening
  • Families continue to make Thanksgiving plans. Large gatherings are continuing despite the warnings. This is happening outside of the United States, as well. There’s a phrase for this: “pandemic fatigue.” People are tired of changing their behavior because of the coronavirus.
  • Stemming the spread of Covid-19 requires exactly this — a change in private behavior. The virus is being spread in informal settings like parties, sleepovers, dinners in people’s homes. The spread has accelerated in recent weeks, as colder weather has moved more social gatherings indoors.
  • ...4 more annotations...
  • South Korea, for example, has much higher compliance with masking and other social distancing guidelines. But that is not all; testing, contact-tracing and other public health infrastructure have proved to be just as important.
  • Americans need to start thinking about how to control the pandemic under the assumption that people are not necessarily going to listen. Testing is a key component of this. What if, for Thanksgiving, in addition to telling people not to see their families, we also emphasized getting a test before and after traveling and isolating until results were available?
  • Our testing capacity makes this strategy difficult in many places. But in some states, testing on either end of travel is possible. Public health officials may worry that testing should be presented only as a last resort, out of fear that it will encourage people to travel and let their guard down. But the fact is, their guard is already down.
  • As with so many other health behaviors, we cannot expect solutions based solely on individual behavior change. Pandemic fatigue is real, and we need to find more realistic solutions.
martinelligi

Fauci: Vaccine Results Are 'Important Advance,' But Virus Precautions Are Still Vital :... - 0 views

  • Dr. Anthony Fauci, the country's foremost infectious disease expert, tells NPR that it's "OK to celebrate" the good news about Moderna's coronavirus vaccine, but warned it's not the time to back off on basic health measures.
  • The Food and Drug Administration set a minimum effectiveness of 50%. Fauci said a few months ago he would "like [a vaccine] to be 75% or more" effective. So the news of two vaccines showing early results of being 90% or higher "is a very, very important advance in our armamentarium of trying to stop this outbreak," Fauci said Tuesday.
  • The timeline is significantly quicker than the standard drug approval and distribution process. It's helped by the government's Operation Warp Speed, which has already paid companies billions of dollars to start making vaccines before they are approved.
  • ...4 more annotations...
  • There's also the challenge of convincing people to get vaccinated once they can. In one poll in August, 35% of respondents said they wouldn't get a coronavirus vaccine once it becomes available.
  • The eventual vaccine is "not going to do it alone, though," he said. "That's the important point. This should not be a signal to pull back on the public health measures that we must continue to implement."
  • As part of that, health experts are warning that traveling for Thanksgiving next week is fraught with risk as coronavirus cases soar nationwide.
  • "I don't like it that way, but I think they're making a prudent decision and trying to protect their father, and I'm proud of them for that," he said.
martinelligi

Vivek Murthy: COVID Restrictions Should Be More Of A 'Dial' Less Of A 'Switch' : NPR - 0 views

  • Still, Biden's coronavirus advisory board co-chair Vivek Murthy says they're doing everything they can to ensure plans are ready to go on Inauguration Day — including stronger mask requirements.
  • "The worse this pandemic gets, there are more leaders, elected leaders, who are coming around to the fact that as unpalatable as these mandates might be, they are important and they actually work," Murthy said.
  • What is clear, he said, is that strict lockdowns aren't always necessary if people comply with less restrictive measures.
  • ...2 more annotations...
  • Health experts say that once a vaccine becomes available, about three quarters of the population will have to take it to really protect the public — a goal that Murthy called "ambitious but achievable." "It's not going to be easy. And it's going to take not only an adequate supply of the vaccine, but it's going to take perhaps one of the most important but challenging elements too, which is public trust."
  • Klain noted that Biden's advisors will have meetings this week with drug makers to discuss the progress of their vaccine efforts. But the mechanics of manufacture and distribution is even more important, Klain said. "That really lies with folks at the Health and Human Services Department," he said. "We need to be talking to them as quickly as possible."
martinelligi

How Pfizer Will Distribute Its Covid-19 Vaccine - The New York Times - 0 views

  • f Pfizer receives authorization for its vaccine from the Food and Drug Administration in the coming weeks, as expected, the company in theory could vaccinate millions of Americans by the end of the year, taking advantage of months of planning and decades of experience
  • So it was cause for celebration this week when Pfizer announced that an early analysis showed its vaccine candidate was more than 90 percent effective.
  • The effort will hinge on collaboration among a network of companies, federal and state agencies, and on-the-ground health workers in the midst of a pandemic that is spreading faster than ever through the United States.
  • ...5 more annotations...
  • Before Pfizer can begin shipping its vaccine, federal and state governments must tell it where to send how many doses. McKesson, a major medical supplier, will have to provide hospitals and other distribution sites with the syringes, needles and other supplies necessary to administer the vaccine.
  • The vaccine, developed with the German company BioNTech, has to be stored at around minus 70 degrees Celsius (minus 94 Fahrenheit) until shortly before it is injected
  • If an analysis planned for next week confirms the vaccine’s safety, the company is likely to ask the F.D.A. this month for emergency authorization to distribute its vaccine. In that case, limited doses will most likely be shipped to large hospitals and pharmacies to be provided to health care workers and other vulnerable groups.
  • Then there is the thorny question of who will receive vaccines first. That will be up to state governments.
  • The chief executives of Pfizer and BioNTech have suggested that half of those may go to the United States. Since each person needs two doses, about 12.5 million Americans could be vaccinated.
martinelligi

Biden Plans To Reopen America To Refugees After Trump Slashed Admissions : NPR - 0 views

  • President-elect Joe Biden has pledged to reassert America's commitment to refugees, after the Trump White House has slashed the resettlement program, part of his anti-immigration drive.
  • In 2016, President Barack Obama aimed to admit 110,000 refugees. President Trump lowered the cap of refugee admissions every year of his presidency. For fiscal year 2021, he set the cap at 15,000, the lowest on record.
  • The agencies' budgets are based on the number of refugees admitted. Low admission levels reduced government funding, which decimated programs supporting newly arrived refugees. After the State Department told them to pare their operations, many agencies had to shutter or reduce offices and lay off workers.
  • ...2 more annotations...
  • annual
  • So far, the election has produced a divided Congress. Members may not have the appetite to take on immigration policy amid the coronavirus pandemic and an economic recession, says Muzaffar Chishti, with the Migration Policy Institute. The Biden administration will also be consumed by the COVID-19 crisis.
martinelligi

Four Seasons Total Landscaping In Philadelphia Cashes In On Newfound Fame : NPR - 0 views

  • Four Seasons Total Landscaping wants to "Make America Rake Again."
  • It's still not entirely clear how the Trump campaign ended up holding a press conference in Northeast Philadelphia near a sex shop, a crematorium and a jail. The hoopla was kicked off Saturday morning with a Trump tweet about an event at the Philadelphia Four Seasons.
  • At the press event, Trump's lawyer Rudy Giuliani claimed without evidence that Joe Biden's victory in Pennsylvania was due to voter fraud. Four Seasons Total Landscaping declined requests for comment.
  • ...1 more annotation...
  • Wendy Gordon, a Philly expat now living in Washington, D.C., ordered a Four Seasons T-shirt on Monday. The Biden supporter said she never wants to forget that surreal half-hour on Saturday when a week's worth of election anxiety finally started to dissipate.
martinelligi

Learning from Taiwan about fighting Covid-19 - and using EHRs - STAT - 0 views

  • One of the strongest performers is Taiwan, with 446 confirmed cases and just seven deaths for nearly 24 million citizens, or 0.03 deaths per 100,000. On a per capita basis, the U.S. has 1,200 times as many Covid-19 deaths as Taiwan.
  • Taiwan could easily have had a Covid-19 disaster. It is situated less than 100 miles from China, and more than 1 million Taiwanese work in China. There is frequent travel between the two countries. As a result, Taiwan is at high risk of exposure to any novel infection that arises in China. So why didn’t it get slammed by SARS-Cov-2?
  • accidents of history, including the outbreak of severe acute respiratory syndrome (SARS) that began in February 2003. It generated a culture of taking infections from China seriously — unlike what happened in the U.S. The island also has a strong “face mask” culture, which the U.S. should be emulating, but isn’t.
  • ...6 more annotations...
  • deliberate, systematic use of its digital health infrastructure.
  • Every person in Taiwan has a health card with a unique ID that all doctors and hospitals use to access online medical records. Providers use the card to document care episodes for reimbursement from the Ministry of Health. As a result, the card gives the ministry regular, nearly real-time data on physician and hospital visits and use of specific services.
  • When Covid-19 hit, the health card and electronic health records system were repurposed to fight the spread of the virus.
  • “Taiwan enhanced Covid-19 case finding by proactively seeking out patients with severe respiratory symptoms (based on information from the National Health Insurance [NHI] database) who had tested negative for influenza and retested them for Covid-19.” The availability of almost immediate data on patient visits allowed the country to efficiently identify, test, trace, and isolate cases. This has dramatically reduced Covid-19 spread without the need for extensive lockdowns.
  • we seem reluctant to allow the Department of Health and Human Services to monitor patient encounters, as Taiwan does, to track disease and determine what medical tests and treatments to order.
  • Insurers already get data based on hospital and physician claims, but only weeks or months after encounters, making the information less useful for tracking infectious outbreaks
martinelligi

Despite Covid-19 Success, Taiwan Still Struggles for International Legitimacy > Articles | - 0 views

  • No one understands the CCP better than Taipei. Simply put, Taiwan operates on the premise that its cross-strait counterparts are inherently untrustworthy. This was a key factor in the rapidity and comprehensiveness with which Taiwan President Tsai Ing-wen’s administration responded to reports of a strange new virus in late December.
  • The system of integrated rapid-response agencies behind Taiwan’s successful handling of Covid-19 emerged — at least partly — in response to Bejing’s attempts to prevent Taiwan attaining observer status at the WHO’s annual World Health Assembly (WHA), beginning in the late 1990s.
  • “The Chen administration, in order to improve its prospects of re-election in 2004, deliberately utilized the threat posed by the SARS pandemic to appeal to Taiwanese identity,” writes Björn Alexander Lindemann in a 2014 case study of Taiwan’s WHO bid. “The mobilization of the Taiwanese population during the SARS crisis indeed benefitted the DPP government in the 2004 elections [as] public discourse shifted... to the consequences of SARS and the threat that China posed to Taiwan’s security in the run-up to the presidential elections. People were left with the impression that the island had been left on its own and were thus susceptible to the government’s efforts to appeal to Taiwanese identity and nationalist sentiments.”1
  • ...1 more annotation...
  • “doctors in the hospital did not identify the first SARS case immediately, because not all the criteria for the identification of SARS that had been defined by the WHO had been made available to Taiwan: unaware that the WHO was going to revise these particular criteria very soon, the medical personnel did not classify the patient as a SARS case and thus did not institute sufficient measures to prevent the spread of the virus right from the beginning.” Lindemann adds that, although it was not the only reason for Taiwan’s inadequate reaction to the SARS outbreak, government officials claimed that the lack of WHO assistance “made a bad situation worse.”
martinelligi

What Is Biden's 100-Day Plan? : NPR - 0 views

  • Biden ran a heavily policy-focused campaign, releasing dozens of lengthy and ambitious plans ranging from large-scale economic and environmental initiatives to broad actions on racial justice, education and health care.
  • Biden heads into office with strategies to address the COVID-19 crisis and the search for a vaccine as well.
  • The sheer volume of Biden's plans could make it a challenge to execute them all. On immigration alone, he has proposed more than a dozen initiatives to complete within 100 days of taking office, a feat that could prove difficult to execute.
  • ...12 more annotations...
  • He will likely need to focus more immediately on issues that could attract bipartisan support, such as providing COVID-19 relief and improving U.S. infrastructure.
  • Days after becoming president-elect, Biden announced a team of advisers that will spearhead his pandemic response once he takes office. The task force will be led by Dr. David Kessler, a former Food and Drug Administration commissioner; former Surgeon General Vivek Murthy; and Dr. Marcella Nunez-Smith, an associate professor of medicine and epidemiology at Yale School of Medicine.
  • "I'll ask the new Congress to put a bill on my desk by the end of January with all the resources to see how both our public health and economic response can be seen through the end,"
  • Biden has said he'll start working to install "an effective distribution plan" for a potential COVID-19 vaccine on the first day of his presidency. His plan would spend $25 billion on vaccine production and disbursement, and calls for an eventual vaccine to be free for all Americans.
  • Biden has pledged that on his first day as president he will raise corporate income taxes to 28% — compared with the current 21% rate set by the GOP-led tax cuts of 2017. Also, this promise falls under Biden's larger proposed tax plan, which stresses that Americans making less than $400,000 would not pay more in taxes.
  • Biden has said that on his first day as president he will produce comprehensive immigration legislation that creates a pathway to citizenship for 11 million migrants living in the U.S. illegally. It would also provide a pathway to citizenship for people commonly known as DREAMers, who are part of the Deferred Action for Childhood Arrivals program.
  • The president-elect has vowed to stop the practice of separating immigrant families trying to enter the U.S. from Mexico.
  • Biden said he will institute a national police oversight commission within his first 100 days of taking office.
  • reduce the use of mandatory minimum sentencing for nonviolent offenses and institute policies geared at lowering recidivism.
  • which includes getting the country to net-zero carbon emissions by 2050.
  • A large part of Biden's health care proposal offers a new public option plan that builds on the existing Affordable Care Act, also known as Obamacare. But the ACA's fate remains in question during the rest of Trump's term and into next year. On Nov. 10, the Supreme Court is set to hear arguments against the ACA from the Trump administration and multiple states. If the justices side with Trump next year when they make their decision, Biden's plans for health care could completely change
  • Notably, the president-elect has expressed support for the College for All Act, proposed in 2017 by Sen. Bernie Sanders of Vermont and Rep. Pramila Jayapal, D-Wash., which would eliminate tuition at public colleges and universities for families making up to $125,000.
martinelligi

Taiwan's National Health Insurance: A Model for Universal Health Coverage - The Diplomat - 0 views

  • This has since been expanded to provide equal coverage to all citizens from birth, regardless of age, financial status or employment status. Furthermore, all foreigners who legally work or reside in Taiwan are also afforded the same coverage.
  • single-payer model
  • Implementing the Global Budget Payment on top of Fee-For-Service reimbursement method effectively reduced annual medical expenditure growth from 12 percent to 5 percent since 2003
  • ...6 more annotations...
  • And the way premiums are collected has also changed from being purely payroll-based, to including supplementary premiums based on capital gains, which has created a surplus into the National Health Insurance Fund.
    • martinelligi
       
      Capital gains are the profits from the sale of an asset
  • In addition, the NHI’s information system has migrated to the cloud, making it much easier for hospitals, clinics, and doctors to access medical information. We encourage hospitals to upload computed tomography (CT) and magnetic resonance imaging (MRI) scans so they can be retrieved for follow-up consultations. A personalized cloud-based service called My Health Bank also enables patients to check their medical records at any time.
  • We have premium subsidies for low-income and near-poor households, as well as the unemployed.
    • martinelligi
       
      A subsidy is a benefit given to an individual, business, or institution, usually by the government. Premium is an amount paid periodically to the insurer by the insured for covering his risk.
  • Taiwan has a constructive role to play in creating a robust global health network, and the best way to share our experience with other countries is through participation in the World Health Assembly and the WHO.
martinelligi

An overview of the healthcare system in Taiwan - 0 views

  • Taiwanese citizens can see any doctor without a referral. They may also go to any level of hospital directly, as they wish. However, larger, more popular hospitals charge a higher co-payment and can be overcrowded. Seeing a GP is much cheaper.
  • Although the insurance scheme is run by the government, private providers including doctors and hospitals dominate the healthcare market. There are more private establishments than the public ones. All providers claim and compete for payments fro
  • Owing to the single insurer system, Taiwan's NHI has one of the lowest administrative costs in the world, typically under 2% of total healthcare spending. Every year, the Department of Health negotiates with physicians and hospitals to set the global budget, and this helps keep the cost of the NHI down.
  • ...2 more annotations...
  • There is a high level of health seeking behaviour in Taiwan. It is part of the Taiwanese culture to take medicines or to seek medical help frequently, even for minor ailments. The average outpatient department visit rate is 14 times per year per person2. This is substantially higher than the equivalent rate in the UK
  • As in the health systems of many countries including the UK, significant financial problems exist in Taiwan. The payment systems for healthcare providers are formulated in global budget and based on the care provided. The new pharmaceutical agents and medical technologies that emerge also pose financial dilemmas to the health system. Currently, the Taiwanese NHI does not take in enough money from premium payment to cover the entire healthcare provided by the hospitals and other healthcare personnel. The government often has to provide additional funds to keep the system running.
martinelligi

Win or Lose, Trump Will Remain a Powerful and Disruptive Force - The New York Times - 0 views

  • WASHINGTON — If President Trump loses his bid for re-election, as looked increasingly likely on Wednesday, it would be the first defeat of an incumbent president in 28 years. But one thing seemed certain: Win or lose, he will not go quietly away.
  • At the very least, he has 76 days left in office to use his power as he sees fit and to seek revenge on some of his perceived adversaries.
  • and commanded about 48 percent of the popular vote, meaning he retained the support of nearly half of the public despite four years of scandal, setbacks, impeachment and the brutal coronavirus outbreak that has killed more than 233,000 Americans.
  • ...6 more annotations...
  • Even if his own days as a candidate are over, his 88-million-strong Twitter following gives him a bullhorn to be an influential voice on the right, potentially making him a kingmaker among rising Republicans.
  • That following may yet enable Mr. Trump to eke out a second term and four years to try to rebuild the economy and reshape the Republican Party in his image. But even from out of office, he could try to pressure Republican senators who preserved their majority to resist Mr. Biden at every turn, forcing them to choose between conciliation or crossing his political base.
  • Mr. Trump enjoyed strong support within his own party, winning 93 percent of Republican voters.
  • “If he is defeated, the president will retain the undying loyalty of the party’s voters and the new voters he brought into the party
  • Indeed, Mr. Trump failed to reproduce his fluky 2016 success when he secured an Electoral College victory even while losing the popular vote to Hillary Clinton. For all of the tools of incumbency, he failed to pick up a single state that he did not win last time, and as of Wednesday, he had lost two or three, with a couple of others still on the edge.
  • For months, as his chances of being re-elected dwindled, Mr. Trump told advisers — sometimes joking, sometimes not — that should he lose he would promptly announce that he was running again in 2024.
martinelligi

Protests Over Vote Count Sweep Through Minneapolis, Portland and Other Cities - The New... - 0 views

  • PORTLAND, Ore. — Calling on election officials to “count every vote,” protesters marched through the streets of several American cities on Wednesday in response to President Trump’s aggressive effort to challenge the vote count in Tuesday’s presidential election.
  • In Minneapolis, protesters blocked a freeway, prompting arrests. In Portland, hundreds gathered on the waterfront to protest the president’s attempted interventions in the vote count as a separate group protesting the police and urging racial justice surged through downtown, smashing shop windows and confronting police officers and National Guard troops.
  • In Detroit, another group of pro-Trump poll watchers gathered earlier in the day outside a ballot-counting center, demanding that officials “stop the count” of ballots after the Trump campaign filed suit to halt the cou
  • ...3 more annotations...
  • Mr. Trump claimed early on Wednesday that he had won the election long before key states had counted all their ballots. He spent much of the day asserting, without evidence, that people were trying to “steal” the election from him and cast doubt on the legitimacy of the many ballots sent through the mail because of the coronavirus pandemic.
  • “Our focus is on not allowing Donald Trump to steal this election from the American people,” Nekima Levy Armstrong, a lawyer who was part of the protest, said in a phone interview from the freeway. She said that the protesters had halted traffic and that the police, some on horses, had begun to make arrests and were not allowing protesters to leave.
  • More than a dozen protests against Mr. Trump’s efforts to stop votes from being counted were organized by Refuse Fascism. At the one in Seattle, a group of protesters yelled, “Every city, every town, Trump-Pence out now,” and “count every single vote.”
« First ‹ Previous 121 - 140 of 179 Next › Last »
Showing 20 items per page