Group items matching

in title, tags, annotations or url

COVID-19 testing has been an unmitigated failure in this country.

Rather than growing rapidly—as all experts think is absolutely necessary—the daily number of tests administered in some jurisdictions has even decreased. In New York, for instance, 10,241 tests were performed on April 6, but supply limits forced a huge drop a few days later to 25 total tests.

Quest Diagnostics, one of the two biggest firms that run tests, just furloughed 9 percent of its workforce. In addition, news reports suggest that, as of last week, 90 percent of the 15-minute tests developed by Abbott Laboratories are idle due to a lack of necessary reagents and qualified personnel

How many tests do we need in order to safely relax social-distancing measures, reopen nonessential businesses and schools, and allow large gatherings

we should be conducting a minimum of 500,000 tests a day.

Paul Romer, has called for the capacity to run 20 million to 30 million tests a day

Even this has been criticized as insufficient for the task of identifying enough of the asymptomatic spreaders to keep the pandemic in check.

Current guidelines from the Centers for Disease Control and Prevention give priority first to hospitalized patients and symptomatic health-care workers, then to high-risk patients

ptomatic individuals are not tested, even if they had contact with people who tested positive.

This is an enormous mistake. If we want to control the spread of COVID-19, the United States must adopt a new testing policy that prioritizes people who, although asymptomatic, may have the virus and infect many others.

We should target four groups. First, all health-care workers and other first responders who directly interact with many people

The fourth group would include all those who are planning to return to the workplace. These are precisely the individuals without symptoms whom the CDC recommends against testing.

The next group would be potential “super-spreaders”—asymptomatic individuals who could come into contact with many people. This third group would include people in large families and those who must interact with many vulnerable people, such as employees of long-term-care facilities

Second, workers who maintain our supply chains and crucial infrastructure, including grocery-store workers, police officers, public-transit workers, and sanitation personnel.

Not testing suspected COVID-19 patients will not harm those patients

Symptomatic patients should be tested only in the rare case where a positive test would meaningfully change what type of care is delivered.

To shift the focus of testing away from the sickest patients and toward the people most likely to spread the coronavirus, we will have to conduct millions of tests a day.

How can we close this gap between our needs and current capacity? We need a national strategy over the next 10 weeks, one that draws on the many strengths of our research system

We also need to encourage rapid adoption of the saliva test that now has an emergency approval from the FDA and expedite the approval of tests that require fewer reagents and staff.

Another promising pathway is to pool many tests and run them together. If a pooled sample tests negative, everyone in the pool is negative. If it is positive, the members of the pool can be tested individually

A more sophisticated version of this approach uses genetic “bar codes” that make it possible to trace back which of the many samples in a pool was the one that had RNA from the virus, without any retesting.

How can we get this testing capacity up and running? One idea is for Congress to award in the next stimulus bill, say, $150 million in unrestricted research funds to the first five universities that can process 10 million tests in a week or less

Another catalyst could be to subsidize businesses that agree to test all their employees as they return to work

When someone tests positive, officials should identify close contacts, find them, and test them. To do the tracing, we may need to hire 100,000 to 200,000 additional public-health workers.

This type of voluntary contact tracing is labor-intensive and requires some training, but it does not require highly specialized skills

If we adopt and follow a coherent plan, we can have a testing regime that keeps us safe without compromising our freedoms

Rockefeller Center, like other entertainment spots, was captured in an unfamiliar light Wednesday as it was closed, with no skaters and no onlookers to fill it.

The city's hotels were less than 49% full last week, according to data released Wednesday, and Gov. Cuomo announced a mandatory ban on businesses that would allow no more than 50% of the workforce to report for work outside their home. As a result, coming and going in the city has dwindled.

Bezos is providing the vital infrastructure of state. When Amazon locates its second headquarters on the Potomac, staring across the river at the capital, it will provide a perfect geographic encapsulation of the new balance of power.

there is no meaningful public oversight of Bezos’s power. His investments and donations—not to mention the dominance of his sprawling firm and his ownership of one of the nation’s most important newspapers—give him an outsize role in shaping the human future.

There’s no clear sense of the projects it will bankroll, even though a contribution of that scale will inevitably set the agenda of academics and nongovernmental organizations.

Bezos’s personal biases—his penchant for technological solutions, his skepticism of government regulation—will likely shape how the Bezos Earth Fund disperses cash. And that will, in turn, shape how activists and researchers craft their grant proposals, how they attempt to please a funder who can float their operations.

Even if Amazon aims to slash its own emissions, it’s creating an economy that seems likely to undermine its stated goal of carbon neutrality. A reasonable debate about planetary future would at least question the wisdom of the same-day delivery of plastic tchotchkes made in China.

Then there are the policies that permit companies, like Amazon, to pay virtually nothing in taxes—revenue that would ideally fund, say, a Green New Deal. It hardly seems likely that the Bezos Earth Foundation will seek to erode the very basis of the fortune that funds it.

A skeptical response to the Bezos Earth Fund doesn’t preclude the hope that it will do real good. Michael Bloomberg’s climate philanthropy has played an important role in shutting down coal-fired power plants.

In these years of polarization and dysfunction, the public keeps turning to saviors who present themselves as outsiders and promise transformation. Trump, of course, billed himself as this sort of salvific figure. But instead of curing voters of this yearning, he seems to have exacerbated it. The current temptation comes in the form of billionaires who exude competence

That the public seems indifferent to the dangers of a growing plutocracy is perhaps the greatest national failing of them all.

“If you require people to stop working, go home and stay at home but they have absolutely no other source of income, then the choice can become between that of protecting yourself against the virus and having no means of surviving, no means to feed yourself,” he said. “And these are impossible dilemmas.”

their explanation begins by dismantling several others.

Was the source of the problem America’s all-too-ready supply of prescription opioids?

About a million Americans now use heroin daily or near-daily. Many others use illicitly obtained synthetic opioids like fentanyl.

As Case and Deaton note, most people who abuse or become addicted to opioids continue to lead functional lives and many eventually escape their dependence

The oversupply of opioids did not create the conditions for despair. Instead, it appears, the oversupply fed upon a white working class already adrift.

although opioid deaths plateaued, at least temporarily, in 2018, suicides and alcohol-related deaths continue upward.

Could deaths of despair be related to the rising incidence of obesity?

Case and Deaton report that we’re seeing the same troubling health trends “among the underweight, normal weight, overweight, and obese.”

Is the problem poverty?

Overdose deaths are most common in high-poverty Appalachia and along the low-poverty Eastern Seaboard, in places such as Massachusetts, New Hampshire, Delaware, and Connecticut. Meanwhile, some high-poverty states, such as Arkansas and Mississippi, have been less affected. Black and Hispanic populations are poorer but less affected, too.

How about income inequality? Case and Deaton have found that patterns of inequality, like patterns of poverty, simply don’t match the patterns of mortality by race or region.

A consistently strong economic correlate, by contrast, is the percentage of a local population that is employed

In the late nineteen-sixties, Case and Deaton note, all but five per cent of men of prime working age, from twenty-five to fifty-four, had jobs; by 2010, twenty per cent did not.

What Case and Deaton have found is that the places with a smaller fraction of the working-age population in jobs are places with higher rates of deaths of despair—and that this holds true even when you look at rates of suicide, drug overdoses, and alcohol-related liver disease separately. They all go up where joblessness does.

Conservatives tend to offer cultural explanations

People are taking the lazy way out of responsibilities, the argument goes, and so they choose alcohol, drugs, and welfare and disability checks over a commitment to hard work, family, and community. And now they are paying the price for their hedonism and decadence—with addiction, emptiness, and suicide.

Yet, if the main problem were that a large group of people were withdrawing from the workforce by choice, wages should have risen in parallel.

Case and Deaton argue that the problem arises from the cumulative effect of a long economic stagnation and the way we as a nation have dealt with it

For the first few decades after the Second World War, per-capita U.S. economic growth averaged between two and three per cent a year. In the nineties, however, it dipped below two per cent. In the early two-thousands, it was less than one per cent. This past decade, it remained below 1.5 per cent.

Different populations have experienced this slowdown very differently

Anti-discrimination measures improved earnings and job prospects for black and Hispanic Americans. Though their earnings still lag behind those of the white working class, life for this generation of people of color is better than it was for the last.

Not so for whites without a college education. Among the men, median wages have not only flattened; they have declined since 1979. The work that the less educated can find isn’t as stable: hours are more uncertain, and job duration is shorter

Among advanced economies, this deterioration in pay and job stability is unique to the United States.

In the past four decades, Americans without bachelor’s degrees—the majority of the working-age population—have seen themselves become ever less valued in our economy. Their effort and experience provide smaller rewards than before, and they encounter longer periods between employment.

The problem isn’t that people are not the way they used to be. It’s that the economy and the structure of work are not the way they used to be

Today, about seventy-five per cent of college graduates are married by age forty-five, but only sixty per cent of non-college graduates are

Nonmarital childbearing has reached forty per cent among less educated white women.

Religious institutions previously played a vital role in connecting people to a community. But the number of Americans who attend religious services has declined markedly over the past half century, falling to just one-third of the general population today.

Case and Deaton see a picture of steady economic and social breakdown, amid over-all prosperity.

climate—the amount of social and economic instability not only in your life but also in your family and community—matters, too. Émile Durkheim pointed out more than a century ago that despair and then suicide result when people’s material and social circumstances fall below their expectations.

why has the steep rise in deaths of despair been so uniquely American

The United States has provided unusually casual access to means of death.

The availability of opioids has indeed played a role, and the same goes for firearms

The U.S. has also embraced automation and globalization with greater alacrity and fewer restrictions than other countries have. Displaced workers here get relatively little in the way of protection and support.

And we’ve enabled capital to take a larger share of the economic gains. “Economists long thought that the ratio of wages to profits was an immutable constant, about two to one,” Case and Deaton point out. But since 1970, they find, it has declined significantly.

A more unexpected culprit identified by Case and Deaton is our complicated and costly health-care system.

The focus of Case and Deaton’s indictment is on the fact that America’s health-care system is peculiarly reliant on employer-provided insurance.

As they show, the premiums that employers pay amount to a perverse tax on hiring lower-skilled workers.

According to the Kaiser Family Foundation, in 2019 the average family policy cost twenty-one thousand dollars, of which employers typically paid seventy per cent.

“For a well-paid employee earning a salary of $150,000, the average family policy adds less than 10 percent to the cost of employing the worker,” Case and Deaton write. “For a low-wage worker on half the median wage, it is 60 percent.”

between 1970 and 2016, the earnings that laborers received fell twenty-one per cent. But their total compensation, taken to include the cost of their benefits (in particular, health care), rose sixty-eight per cent. Increases in health-care costs have devoured take-home pay for those below the median income.

this makes American health care itself a prime cause of our rising death rates.

we must change the way we pay for health care. Instead of preserving a system that discourages employers from hiring, retaining, and developing workers without bachelor’s degrees, we need to make health-care payments proportional to wages—as with tax-based systems like Medicare.

So far, the American approach to the rise in white working-class mortality has been to pour resources into addiction-treatment centers and suicide-prevention programs. Yet the rates of suicide and addiction remain sky-high. It’s as if we’re using pressure dressings on a bullet wound to the chest instead of getting at the source of the bleeding.

Case and Deaton want us to recognize that the more widespread response is a sense of hopelessness and helplessness. And here culture does play a role.

When it comes to people whose lives aren’t going well, American culture is a harsh judge: if you can’t find enough work, if your wages are too low, if you can’t be counted on to support a family, if you don’t have a promising future, then there must be something wrong with you

We Americans are reluctant to acknowledge that our economy serves the educated classes and penalizes the rest. But that’s exactly the situation, and “Deaths of Despair” shows how the immiseration of the less educated has resulted in the loss of hundreds of thousands of lives, even as the economy has thrived and the stock market has soared.

capitalism, having failed America’s less educated workers for decades, must change, as it has in the past. “There have been previous periods when capitalism failed most people, as the Industrial Revolution got under way at the beginning of the nineteenth century, and again after the Great Depression,” they write. “But the beast was tamed, not slain.”

Today, the battles are over an employer-based system for financing health care, corporate governance that puts shareholders’ interests ahead of workers’, tax plans that benefit capital holders over wage earners.

We are better at addressing fast-moving crises than slow-building ones. It wouldn’t be surprising, then, if we simply absorbed current conditions as the new normal.

When you see someone spooning sugar onto a bowl of cornflakes or Cheerios, you should not see the act as sweetening something that’s good for you, you should see it as someone spooning sugar onto sugar.

the biggest culprits in America’s bad health are sugar and refined grains, in that order. Sugar, a carbohydrate, now seems to be the chief villain. (In his recent book “The Case Against Sugar,” Taubes suggests it should be considered toxic in the same way cigarettes are.) But its nutritional cousin, the refined-grain carbohydrate, may be a close second.

Cereal was not always the morning staple that it is today. It only became so at about the same time that our health problems began to be documented, in the 1960s. A coincidence?

cereal was initially eaten on Sundays, when the women of our churchgoing nation didn’t have time to make the family breakfast. Once women entered the workforce, though, we began pouring our convenient breakfasts out of a box in significant numbers daily, a trend that peaked in 1995,

it may not even just be cereal that’s had such a huge impact on American health. “Maybe the problem,” Sukol said, “is the huge quantity of nutritionally bankrupt foods that are supposed to stand in for breakfast.”

By this she means anything composed primarily of refined wheat, which would be, um, 90 percent of the American breakfast repertoire: pancakes, waffles, bagels, toast, muffins, biscuits, scones, croissants, and so on.

eating this stuff on an empty stomach (i.e. in the morning), may be especially bad for your system, as there is little fiber, fat or protein in your system to slow the sugar absorption. Our breakfast staples might all best be considered as a single category of food: sugar bomb.

she nevertheless recommends that all her patients avoid what she calls “stripped” carbs, carbohydrates stripped of their fiber matrix, before noon.

What does she recommend for breakfast? Steel-cut oats, not cooked but rather soaked overnight with a dash of vinegar. I add whole-fat Greek yogurt and some nuts if I have them

Beans are great too. I had a delicious dish of lentils and a small amount of basmati rice

An egg and some cheese are also a nourishing and satisfying way to begin the day.

it throws a different light on the cereal aisle. That hulking behemoth in the middle of the grocery store, the racks of cereal, is stripped-carb and sugar ground zero, representing a kind of unrecognized terrorism wrought on parents by our own food makers

The request, made during a telephone conversation, came in response to North Korea's ...

"the Sea of Japan is not Japan's sea."

"learn how to behave as a big power."

But Kim, who now serves on the House Foreign Affairs Committee, tells NPR's All Things Considered that when he began to look into the issue, he learned that Asian Americans in particular seemed to be subject to this policy.

Kim says that the problem isn't limited to just one administration. Recently, Asian Americans and Pacific Islanders working in national security and diplomacy signed a statement condemning the recent rise in hate crimes against the AAPI community.

"No American should be asked to prove their loyalty, absent evidence to the contrary," the statement reads. "We as Asian-Americans are integral in combatting and securing America's collective cognitive security."

He currently has a bill pending that would address diversity at the State Department through measures such as monitoring its abilities to recruit a diverse workforce and assessing the effectiveness of the department's anti-harassment and anti-discrimination policies.

Meanwhile, Facebook said that if COVID-19 numbers in Menlo Park, Calif., the home of its headquarters, continues to decline, up to 10% of its workforce can go back to the office on May 10. Similarly, offices in Fremont and Sunnyvale can open a little later — May 17 and May 24, respectively. And the San Francisco office is slated to open its doors on June 7. All three companies say they intend to abide by all local health protocols and safety guidelines that have been developed in coordination with experts.

Uber added, "Employees returning to the workplace need to take a virtual training, sign a COVID-19 Precautions & Acknowledgement form, and take a daily health screening (including temperature check) at home to qualify for return."

A sprawling study by Microsoft on the impact of forced work-from-home policies due to the coronavirus pandemic revealed that "flexible work is here to stay" and that employers who want to retain talented employees should accept the idea of hybrid work even after the current health crisis. The report, titled "The Next Great Disruption Is Hybrid Work — Are We Ready?" advises business leaders to accept that "the past year has fundamentally changed the nature of work.

When surveyed, 73% of workers said they want flexible remote options. The study also found remote job postings on LinkedIn increased more than five times during the pandemic. But people are also working a lot more and having a hard time, the report says. Around the world, people are spending more than twice as much time in meetings and "over 40 billion more emails were delivered in February of this year compared with last." People are also crying with the coworkers a lot more. One is six report having cried with a colleague in the past year.

"He is exactly what the DOJ needs at this historic moment in our nation's history," said Michael Zeldin, a former CNN contributor who previously served in several senior roles at the Justice Department. "He knows the department, he's a legal scholar, and he recognizes the inflection point the criminal justice system is at and understands the imperative of getting it right."

Some issues percolated to the front-burner before Garland was confirmed. Under Biden, the Justice Department already revoked some hardline immigration policies and told the Supreme Court that it was reversing the Trump-era position that the Affordable Care Act is unconstitutional.

Other issues pose long-term challenges. Biden made big promises on criminal justice and police reform. At the peak of last summer's protests against racial inequality, Biden said at an NAACP town hall that the US had reached "a moment where we must make substantive changes now."

Another related priority looms at the Justice Department. Biden vowed to crack down on White supremacists and right-wing extremist groups. It's now up to Garland to make that happen.

"Garland will be watched closely for his handling of domestic terrorism matters," said Jessica Carmichael, a DC-area defense attorney who specializes in privacy and surveillance issues. "I hope (that he) approaches this issue in keeping with a broader goal of criminal justice reform and not simply advocating for more criminal laws, more surveillance, and more incarceration."

It will be an uphill climb -- especially in this heated political climate and with disinformation running rampant -- to convince Americans that these investigations are being handled without bias. After repeated abuses and attempts by Trump to politicize the Justice Department, experts have said that it could take many years to restore the public's faith in federal law enforcement.

If Democrats stay united, they can confirm Lisa Monaco to the No. 2 post, Vanita Gupta to the No. 3 spot, and Kristen Clarke to run the Civil Rights Division. But the GOP hasn't made it easy.

Gorelick continued, "He was talking about the Justice Department as 'we' during his confirmation hearing because he grew up there, and it will be very natural for him to return."

The “replacement” demagoguery seeks to exploit fears rooted in reaction to a truism: Immigrants have increased as a share of the U.S. population since national origins quotas were ended in the 1960s.

But as Brownstein notes, the further “browning” of America will be caused not primarily by new immigration, but rather the higher reproduction rates of immigrants already here and their descendants, relative to slower reproduction among Whites.

That means restricting immigration, even severely, cannot halt the transition to a majority-minority country by 2060. But it would mean a smaller workforce relative to the aging population.

To fully appreciate what a despicable scam this is, however, we need to look at the darker implications of the “replacement” narrative.

The argument isn’t just that liberals want more immigration to win future elections. It’s also that elites are deliberately importing more immigrants to threaten aging Whites’ long term survival.

Prominent Republicans who have echoed Carlson’s line in a deceptively softer form also trade on this idea. They have said liberals want more immigration to “permanently transform” our “political landscape” and to “remake the demographics of America” to “stay in power forever.”

What’s unmistakable, again and again, is the dark invocation of permanent erasure and elimination

There’s an audience for this: A recent survey by GOP pollster Kristen Soltis Anderson found that nearly half of Republican respondents believe politics is about “ensuring the country’s survival as we know it.” As Anderson told Ezra Klein, there is a “real sense in the Republican coalition today that they are under siege.”

As Ed Kilgore writes, this intimation of an “overclass-underclass alliance” that feasts parasitically on the authentic “producerist” majority of “hard-working Americans” is a decades-old right wing populist trope that trades in “paranoia” of “uncommon power.”

Economists have long warned that the aging US population means the nation will need to rely on a steady influx of foreign workers to meet demand. Yet Washington has repeatedly failed to reach a deal on immigration reform. And the Trump administration repeatedly put up obstacles to legal immigration, including restrictions imposed in 2020 that cited the pandemic's impact on the jobs market.

"Immigration was completely upended by the pandemic," said Bradley. "Go to any resort town in America. Where you would normally have individuals on temporary J-1 visas, they are nonexistent."

"The survivability of your business comes down to how lucky you are in the lottery," Bradley said.

"But labor supply will be a longer run issue, just like before the pandemic," Zandi said. "There are reasons to believe it will be a bigger problem post-pandemic because immigration is a shadow of what it was."

"The [Biden] administration deserves a lot of credit for taking that step," Bradley said. "They are operating within the limits of where the current law exists."

Beyond immigration reform, the Chamber told CNN Business it will urge states to use American Rescue Plan funding to help parents struggling with the high cost of childcare.

"There is no question the disruption of in-person schooling and childcare has reduced the number of caregivers, principally women, who are in the workforce and able to work," Bradley said.

Arizona announced plans on May 13 to use funds from the $1.9 trillion American Rescue Plan to assist working parents with childcare costs. The state said it will provide three months of childcare assistance to people making $52,000 or less who return to work after collecting unemployment benefits. The initiative is part of Arizona's decision to end the $300 enhanced unemployment benefit.

"The president deserves credit for identifying a lot of important problems that we need to discuss with the American Families Plan," Bradley said, specifically citing the affordability and accessibility of childcare. /* dynamic basic css */ .AR_36.ob-widget .ob-widget-items-container {margin:0;padding:0;} .AR_36.ob-widget .ob-widget-items-container .ob-clearfix {display:block;width:100%;float:none;clear:both;height:0px;line-height:0px;font-size:0px;} .AR_36.ob-widget .ob-widget-items-container.ob-multi-row {padding-top: 2%;} .AR_36.ob-widget .ob-dynamic-rec-container {position:relative;margin:0;padding;0;} .AR_36.ob-widget .ob-dynamic-rec-link, .AR_36.ob-widget .ob-dynamic-rec-link:hover {text-decoration:none;} .AR_36.ob-widget .ob-rec-image-container .ob-video-icon-container {position:absolute;left:0;height:50%;width:100%;text-align:center;top:25%;} .AR_36.ob-widget .ob-rec-image-container .ob-video-icon {display:inline-block;height:100%;float:none;opacity:0.7;transition: opacity 500ms;} .AR_36.ob-widget .ob-rec-image-container .ob-video-icon:hover {opacity:1;} .AR_36.ob-widget .ob-rec-image-container .ob-rec-rtb-image {background-color:white;background-position:center;background-repeat:no-repeat;width:100%;position:absolute;top:0;bottom:0;left:0;right:0;} .AR_36.ob-widget .ob-rec-image-container .ob-rec-rtb-image.ob-lazy-bgimg{background:none!important;}.AR_36.ob-widget .ob_what{direction:ltr;clear:both;padding:5px 10px 0px;} .AR_36 .ob_what a:after {content: "";vertical-align:super;;;background-image: url('https://widgets.outbrain.com/images/widgetIcons/achoice.svg');background-size:75% 75%;width:12px;height:12px;padding-left:4px;display:inline-block;background-repeat:no-repeat;background-position:right center;border-left:1px solid #999;} .AR_36.ob-widget .ob_what a{color:#757575;font-size:11px;font-family:arial;text-decoration: none;} .AR_36.ob-widget .ob_what.ob-hover:hover a{text-decoration: underline;} .AR_36.ob-widget .ob_amelia, .AR_36.ob-widget .ob_amelia_covid, .AR_36.ob-widget .ob_logo, .AR_36.ob-widget .ob_feed_logo, .AR_36.ob-widget .ob_sfeed_logo, .AR_36.ob-widget .ob_text_logo{vertical-align:baseline !important;display:inline-block;vertical-align:text-bottom;padding:0px 5px;box-sizing:content-box;-moz-box-sizing:content-box;-webkit-box-sizing:content-box;} .AR_36.ob-widget .ob_amelia{background:url('https://widgets.outbrain.com/images/widgetIcons/ob_logo_16x16.png') no-repeat center top;width:16px;height:16px;margin-bottom:-2px;} .AR_36.ob-widget .ob_amelia_covid{width:auto;height:16px;max-height:16px;margin-bottom:-2px;} .AR_36.ob-widget .ob_logo{background:url('https://widgets.outbrain.com/images/widgetIcons/ob_logo_67x12.png') no-repeat center top;width:67px;height:12px;} .AR_36.ob-widget .ob_text_logo{background:url('https://widgets.outbrain.com/images/widgetIcons/ob_text_logo_67x22.png') no-repeat center top;width:67px;height:22px;} .AR_36.ob-widget .ob_feed_logo{background:url('https://widgets.outbrain.com/images/widgetIcons/ob_feed_logo.png') no-repeat center top;width:86px;height:23px;} .AR_36.ob-widget .ob_sfeed_logo{background:url('https://widgets.outbrain.com/images/widgetIcons/ob_smartFeedLogo.min.svg') no-repeat center top;width:140px;height:21px;} .AR_36.ob-widget .ob_sphere_logo{background:url('https://widgets.outbrain.com/images/widgetIcons/ob_sphere.svg') no-repeat center top;width:93px;height:27px;vertical-align:baseline!important;display:inline-block;vertical-align:text-bottom;padding:0px 0px;box-sizing:content-box;-moz-box-sizing:content-box;-webkit-box-sizing:content-box;} @media only screen and (-webkit-min-device-pixel-ratio: 2),(min-resolution: 192dpi) { .AR_36.ob-widget .ob_amelia{background:url('https://widgets.outbrain.com/images/widgetIcons/ob_logo_16x16@2x.png') no-repeat center top;width:16px;height:16px;margin-bottom:-2px; background-size:16px 32px;} .AR_36.ob-widget .ob_logo{background:url('https://widgets.outbrain.com/images/widgetIcons/ob_logo_67x12@2x.png') no-repeat center top;width:67px;height:12px; background-size:67px 24px;} .AR_36.ob-widget .ob_text_logo{background:url('https://widgets.outbrain.com/images/widgetIcons/ob_text_logo_67x22@2x.png') no-repeat center top;width:67px;height:20px; background-size:67px 40px;} .AR_36.ob-widget .ob_feed_logo{background:url('https://widgets.outbrain.com/images/widgetIcons/ob_feed_logo@2x.png') no-repeat center top;width:86px;height:23px;background-size: 86px 23px;} } @media only screen and (max-width: 600px) { .AR_36.ob-widget .ob_sfeed_logo{width:90px;height:20px;background-size:90px 20px;} } .AR_36.ob-widget:hover .ob_amelia, .AR_36.ob-widget:hover .ob_logo, .AR_36.ob-widget:hover .ob_text_logo{background-position:center bottom;} .AR_36.ob-widget {position:relative;} .AR_36.ob-widget .ob_what{position:absolute;top:5px;right:0px;} .AR_36.ob-widget .ob_what{text-align:right;} .AR_36.ob-widget .ob-rec-image-container .ob-rec-image {display:block;} .AR_36.ob-widget .ob-rec-description {max-height:53.0px;overflow:hidden;font-weight:normal;} /* dynamic smartfeed-strip css */ .AR_36.ob-widget .ob-rec-image-container {position:relative;} .AR_36.ob-widget .ob-rec-image-container .ob-image-ratio {height:0px;line-height:0px;padding-top:60.0%;} .AR_36.ob-widget .ob-rec-image-container img.ob-rec-image {width:100%;position:absolute;top:0;bottom:0;left:0;right:0;opacity:0;transition:all 750ms;} .AR_36.ob-widget .ob-rec-image-container img.ob-show {opacity:1;} .AR_36.ob-widget .ob-rec-image-container .ob-rec-label {position:absolute;bottom:0px;left:0px;padding:0px 3px;background-color:#666;color:white;font-size:10px;line-height:15px;} .AR_36.ob-widget .ob-rec-image-container .ob-rec-video {position:absolute;top:0;left:0;right:0;bottom:0;width:100%;height:100%;min-height:0;min-width:0} .AR_36.ob-widget {width:auto;min-width:120px;} .AR_36.ob-widget .ob-dynamic-rec-container {display:inline-block;vertical-align:top;min-width:50px;width:48.85%;box-sizing:border-box;-moz-box-sizing:border-box;} .AR_36.ob-widget .ob-unit.ob-rec-brandName, .AR_36.ob-widget .ob-unit.ob-rec-brandLogo-container, .AR_36.ob-widget .ob-rec-brandLogoAndName {display:inline-block;} .AR_36.ob-widget .ob-rec-brandLogo {width:20px;height:20px;} .AR_36.ob-widget .ob-rec-brandName {vertical-align:bottom;} .AR_36.ob-widget .ob-unit.ob-rec-brandName {vertical-align:super;} .AR_36.ob-widget .ob-w

The petition asks Simon & Schuster executives not to treat “the Trump administration as a ‘normal’ chapter in American history

broke the public’s trust in our editorial process, and blatantly contradicted previous public claims in support of Black and other lives made vulnerable by structural oppression

Even before Covid, it was clear to anyone who looked at the data that child care allowed parents to get to their jobs, and a lack of it did the opposite. In 2016, nearly two million American parents said they had to quit their job, refuse a new one, or significantly change the one they had thanks to problems with child care. One of the reasons that the United States has fallen so far behind our international peers when it comes to the share of women in the labor force is that we invest so few resources in child care and early education. Since the 1990s, the rising cost of private day care has reduced employment for American mothers of children ages 5 and younger by 13 percent.

If child care is infrastructure, then, it should be nearly self-evident that care for the elderly and disabled is, too. Children aren’t the only members of our families who require daily care. But we offer miserly support for those who need to secure and pay for it. Medicare doesn’t cover nursing home or assisted living stays, only Medicaid does, requiring families with resources to spend them down before they can get assistance with the exorbitant cost. Medicare also doesn’t cover in-home care, and not all state Medicaid programs cover it.

Paid leave helps mothers in particular stay connected to their jobs before and after the arrival of a new child. On top of that, an analysis of more than 10,000 companies found that after they offered paid leave the majority had an increase in revenue and profit per each employee — in other words, it allowed workers to perform better.

All of these things clearly undergird the functioning of our economy, just as a smooth road allows trucks to transport goods to stores and drivers to get to their workplaces. It’s one thing to debate whether or not to invest in them. But there’s no rational argument for why they should be excluded from Mr. Biden’s focus on repairing and upgrading the systems that keep our country running.

Yet there is no doubt that the political implications of his plan have the potential to be nothing less than radical.

It was 11 years ago, almost to the day, that House Speaker Nancy Pelosi said of Obamacare, “we have to pass the bill so that you can know what’s in it.” That notion, which seemed borrowed from the Queen of Hearts’ absurdist “Sentence first! Verdict afterwards!” approach in Alice in Wonderland, turns out to have been even more applicable to this week’s American Rescue Act.

And there’s an $86 billion commitment to protect the pensions of a million retirees whose multi-employer plans were in danger of insolvency—without even a pretense that this is linked to the Covid pandemic. It’s the kind of bailout you might expect in a nation where organized labor is a significant share of the workforce. Now, in a United States where unions represent barely 6 percent of the private sector labor force, that protection is law.

what it represents is the possibility that the Democratic Party has found a tool to reconnect it to a working and middle class whose loyalty has been threatened for well over half a century.

The fraying of the New Deal coalition was very much on the mind of Robert F. Kennedy, whose presidential campaign was based on holding it together. In his last weeks, he began talking about an issue he believed had broad appeal: specifically, how many of the wealthiest Americans avoided paying a fair share of taxes. By the end of 1968, divisions over the war in Vietnam, deadly riots in the cities and upheaval on college campuses reduced the Democratic share of the presidential vote from 60 percent in 1964 to 43 percent; Richard Nixon and George Wallace divided the rest.

All through the 1980s, Democrats and their intellectual allies tried to grapple with the fact that voters seemed to prefer Democratic policies (on health care, education, taxes), but voted, at least at the presidential level for Republicans. (I have a vivid memory of House Majority Leader Dick Gephardt assuring a group of journalists that once the American people saw his party’s proposals for lower drug prices and access to college, they would return to the fold.)

And it took an emerging demographic sea change that yielded an increasingly nonwhite electorate, and a more liberal cohort of college-educated whites, to outweigh (at least in popular vote terms), the increasingly Republican tilt of less-educated whites and to put Barack Obama in the White House.

While both were reelected, those midterm failures had severe consequences that endure; in particular, 2010 produced a GOP takeover at the state level that now threatens severe voting limits across the country.

It is an unapologetic assertion of the power of government to redress a set of grievances without any assertion of identity politics; while the stark facts of the pandemic mean that it has hit with special force in Black and brown communities, the remedial power of government is directed to the victims defined by circumstance, not color.

This is a possibility that Republicans simply may not have imagined, given their midterm successes in running against the initiatives of the past two Democratic presidents, and inflicting on Clinton and Obama successive political catastrophes.

More broadly, it appears to contain provisions that leapfrog a dilemma that has plagued Democratic social programs in the past: When they are perceived as helping one class of voters, they meet with a powerful backlash, (often one infused by racial resentment). When a program reaches broadly—Social Security, Medicare and, increasingly, the Affordable Care Act—it becomes politically potent.

But what does seem clear is that, unlike past measures that required huge congressional majorities, a radical change in the social fabric of the United States has become a reality—and with it, an opportunity for the Democratic Party no one could have imagined 50 days ago.

Republicans decry its cost and argue that much of what the proposed American Jobs Plan contains, including the emphasis on home-based care, doesn't count as real infrastructure.

Medicare covers home-based health care services only for older adults and people with severe disabilities who are homebound and need skilled services from nurses and therapists. It does not pay for 24-hour care or care for personal aides or homemakers. In 2018, about 3.4 million Medicare members received home health services.

doesn't address the full extent of care needed by the nation's rapidly growing older population. In particular, middle-income seniors won't qualify directly for programs that would be expanded. They would, however, benefit from a larger, better paid, better trained workforce of aides that help people in their homes — one of the plan's objectives.

This reflects a sobering reality: for most individuals and families paying for long-term care services is even more expensive than providing the care themselves.

Home and community-based services help people who need significant assistance live at home as opposed to nursing homes or group homes.

Medicaid — the federal-state health program for 72 million children and adults in low-income households — can be an alternative, but financial eligibility standards are strict and only people with meager incomes and assets qualify.

Biden's proposal doesn't specify how the $400 billion in additional funding would be spent, beyond stating that access to home and community-based care would be expanded and caregivers would receive "a long-overdue raise, stronger benefits and an opportunity to organize or join a union."