WOW…

I used to glance at the New England Journal of Medicine many years ago, when I was married to a doctor (let’s just say I found neither the Journal nor the doctor very exciting.) Exciting or not, the Journal is a longtime, highly respected source of medical research–and to the best of my knowledge, has always been entirely apolitical.

Until now.

A tip of my hat goes to Juanita Jean at the World’s Most Dangerous Beauty Shop for the link to this unprecedented column–the apology the Journal believes Donald Trump owes  America.

I am giving over the rest of today’s post to that column– asking readers to consider how outraged the editors had to be to run it, and how comforting it would be if the buffoon-in-chief had a vocabulary sufficient to deliver it.

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Dear Nation — A Series of Apologies on COVID-19
(What I’m sincerely hoping we’ll be hearing in an upcoming press conference, and soon.)

Dear Fellow Americans,

I’d like to take a brief moment in today’s press briefing to say something that is long overdue.

I’m sorry.

In a moment, I’ll cite the specifics of what I’ll be apologizing about.

But first, I want to acknowledge the sadness of this spring. I see our parks, fields, and forests coming alive with beautiful flowers and trees in bloom, but see none of the exciting vitality, diversity, and spirit that characterizes our great country.

Here in your nation’s capital, the cherry blossoms bear witness only to a sad silence. I imagine they are in mourning for the terrible losses already inflicted by this cruel virus. No doubt many of you have experienced losses yourself — I offer you my deepest, and most heartfelt condolences in your grief.

Now it’s time for me to apologize. By doing so now, I hope to chart a path forward so we can work together to end this devastating threat.

Let me apologize for dismantling programs put in place to deal with global infectious threats.

Acting like a reality TV host instead of a leader, I fired Tom Bossert — he was Homeland Security Adviser and coordinated the response to pandemics. I also let Tim Ziemer go — he was the head of global health security on the White House’s National Security Council. I then shut down the entire global health security unit.

Then Dr. Luciana Borio, the National Security Council’s director for medical and biodefense preparedness, left as well. Like Ziemer and Bossert, my administration never replaced these talented individuals — I confess these moves greatly weakened our ability to respond to infectious threats.

Dr. Borio tried to warn us in late January what was coming. I’m sorry for not heeding that warning.

I also apologize to the reporter who asked me about these actions, and I called her questions “nasty” — that was an inappropriate and disrespectful response. You were correct to challenge me on these moves, as have many others in these exchanges. Going forward, I promise to engage in productive dialogue with an understandably interested press corp.

I have repeatedly proposed funding cuts to the Centers for Disease Control and Prevention (CDC), where many positions also remain unfilled. I even did this after COVID-19 had already appeared in our country. I’m sorry about that.

In addition, I have taken away the CDC’s lead role in navigating and monitoring a response to the outbreak, silencing their regular briefs during infectious threats. The CDC workers are dedicated public health professionals who deserve our respect, and our thanks. They tried to issue a broad warning in late February, one we should have heeded.

Instead, I downplayed their warnings. I’m sorry to them, and to you, for this misdirection.

I apologize for all the times I’ve mentioned that media coverage of COVID-19 is politically motivated. Such comments only serve to drive us further apart at a time when we need to be working together.

In other words, from now on, no more of this:

Low Ratings Fake News MSDNC (Comcast) & @CNN are doing everything possible to make the Caronavirus look as bad as possible, including panicking markets, if possible. Likewise their incompetent Do Nothing Democrat comrades are all talk, no action. USA in great shape! @CDCgov…..

I’m sorry for not accepting the WHO COVID-19 test when first offered to the United States, for not moving more quickly to remedy our initially flawed tests, and for the ongoing struggles you experience even today with testing.

I did not help matters by saying in mid-March that COVID-19 testing could be obtained easily by any doctor, and that the tests were perfect. This clearly misled the public, causing more confusion — I apologize for that.

I’m sorry for calling the virus that causes COVID-19, which is SARS-CoV-2, the “Chinese virus”. Such medically inaccurate comments only encourage racism.

I’m sorry for saying to those working at overrun and beleaguered hospitals that they are exaggerating their need for lifesaving equipment such as ventilators. To the Governor of New York, I admire the selfless leadership you are displaying as our country’s largest city grapples with this terrible health threat.

To those of you on the front lines, putting your health and your family’s health at risk to care for people with COVID-19, I apologize for not doing enough to protect you. Despite what you have heard from our administration thus far, the federal stockpile should be there for all of us.

I also am sorry for the patchwork system in place for distributing these materials, which does not appear to be equitable.

Moreover, I apologize for implying that we already have an effective treatment for COVID-19, when such statements need the support of carefully done clinical studies.

Mostly, I’m sorry for the lies, half-truths, impulsive attacks, and bullying I’ve been responsible for ever since this horrible pandemic spread around the world. At times I confess financial and market forces, along with politics, motivated my actions more than personal and public health. I deeply apologize for that.

Many, including myself, have said we’re at war right now. Indeed, some aspects of this struggle are similar to war, when all a nation’s resources must be mobilized against a common enemy.

But wars pit people against people, so the comparison doesn’t quite fit, especially in a time when human kindness and caring are so important. In the fight against this infection, it isn’t other people who are enemies — it’s the virus.

Let’s work together to fight it.

Thank you.

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The Rest Of The Story

When I was much younger, a radio personality named Paul Harvey had a feature on his newscast (or whatever it was) called “The Rest of the Story.” He would begin with a report of some sort, there would be a commercial break, and he would then return and conclude with “The Rest of the Story.” Usually, it was something that shone a rather different light on what had gone before.

So what is the Rest of the Story behind Trump’s incessant hawking of hydroxychloroquine–his insistence that it represents a “cure,” and that people “have nothing to lose” by trying it?

The Guardian recently published a well-resourced explanation of the multiple flaws in the French study that Trump and others latched onto. Dr. Fauci–one of the few remaining competent persons in this bizarre administration–has repeatedly said there is no probative evidence that it works.

Worse, people ingesting it based on Trump’s representations have died, and people who do need it for auto-immune diseases are increasingly unable to get their prescriptions filled. For them, it’s lifesaving, so this is a huge problem.

It’s easy enough to chalk up Trump’s embrace of this fantasy to the mental illness that has characterized his performance for the past three years– his need to believe (and have others believe) that he is all-knowing, his need to convince his cult that he is in control and doing a good job–coupled with his abysmal ignorance.

But the rest of the story is in a report first published in the New York Times, and picked up by other outlets.

President Donald Trump has a “small financial interest” in the maker of an anti-malarial drug that he has been touting as a “game changer” in treating coronavirus, according to The New York Times. Over the past two weeks, Trump and his Fox News allies have aggressively promoted hydroxychloroquine as a potential cure, despite top infectious-disease expert Dr. Anthony Fauci and others urging caution and noting that there was not enough evidence of the drug’s efficacy.

The Times reports the president’s family trusts all have investments in a mutual fund whose largest holding is Sanofi, the manufacturer of Plaquenil, the brand-name version of hydroxychloroquine. Associates of the president, including Commerce Secretary Wilbur Ross, have also run funds that hold investments in the pharmaceutical firm.

Other reports have reminded us that right after the 2016 election, Novartis, another major manufacturer of the drug, paid Trump’s now-incarcerated former personal attorney Michael Cohen more than $1 million for “access” to Trump.

The Times article noted that Trump  has hyped hydroxychloroquine “with all of the enthusiasm of a real estate developer,” repeatedly asking  “What do you have to lose?”

Apologists for the administration have excused the enthusiastic promotion as an effort to “provide hope” at a difficult time; others have suggested that more scientifically-valid studies might yet show the drug’s usefulness. But as the Times reported,

The professional organization that published a positive French study cited by Mr. Trump’s allies changed its mind in recent days. The International Society of Antimicrobial Chemotherapy said, “The article does not meet the society’s expected standard.” Some hospitals in Sweden stopped providing hydroxychloroquine to treat the coronavirus after reports of adverse side effects, according to Swedish news media.

According to the Times, the Administration is continuing to push hydroxychloroquine, and to order large quantities of it, despite the absence of properly-conducted studies suggesting its effectiveness. Trump has been quoted as saying it would be wrong to wait for the kind of study Dr. Fauci wanted. “We don’t have time,” the president said. “We don’t have two hours because there are people dying right now.”

Evidently, the people dying as a result of the President’s misinformation are unimportant.

It would be bad enough if this misinformation was just added evidence of Trump’s manifest stupidity, but it certainly looks like the financial incentive is “the rest of the story.”

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WTF?

Sorry for the inelegant headline, but…

We’ve all gotten used to hearing about the continued shenanigans of this corrupt administration: the purge of federal employees who earned Trump’s enmity by actually doing their jobs; the continued rollback of environmental protections; the cushy contracts with friends and supporters; etc.

We’d have had to be blind to have missed the central policy imperative motivating Trump–overturning anything and everything Obama ever did, no matter how sane, helpful or appropriate. That’s why one of the first things he did when he assumed office was dismantle the pandemic preparation task force Obama had established.

We’re also well aware of the incredible ineptitude of this administration. Governors and public health officials are pleading for coherent policies, for protective gear, for straight talk–none of which they are getting.

Okay. So we know he’s corrupt, insanely jealous of the black guy who preceded him, and totally ignorant of how government (and much else) works. But what explains this? 

At Talking Points Memo, Josh Marshall reports

Let’s talk about these seizures of PPE goods by federal authorities. There are a number of instances of this and as I noted in the post below a number of reasons why it might be happening. There are numerous cases where orders placed by states or hospitals have been canceled after they have been outbid by federal authorities or federal authorities have ordered vendors to sell to the federal government. According to Kaiser Health News, those compelled sales appear to be pursuant to an executive order President Trump signed on March 18th under authorities granted by the Defense Production Act.

But what I’m more interested in are reports of federal authorities confiscating physical shipments en route to states, local governments or regional hospital systems. The most publicized case of this came at some point in March when, according to Massachusetts Gov. Charlie Baker (R), a shipment of 3 million masks ordered through BJ’s Wholesale was seized by federal authorities in the Port of New York. Baker did not say which agency confiscated the goods or under what authority. That incident was what led to the widely reported and successful effort to fly goods in from China using the New England Patriots jet.

Another case happened just yesterday when the top county official in Somerset County, New Jersey, Freeholder Director Shanel Robinson, announced that a shipment of 35,000 masks had been confiscated by federal officials. According to this report in the Franklin Reporter and Advocate, “As of early in the afternoon of April 3, Robinson said that the county was told the surgical face masks would be delivered that day, but that the federal government had taken the N-95 masks.

Evidently, there have been a number of other, similar incidents reported, including what Marshall says is a “reliable report of a major non-governmental entity in the western United States having a major shipment seized by federal authorities at an airport in California.”

This is inexplicable–and just nuts. (Hence the “headline” of this post.) Every time Trump holds one of his briefing-cum-political-rallies,  he insists that the states are responsible for getting their own supplies and should only appeal to the federal government in emergencies. Why, then, would federal authorities be seizing shipments that states, local governments and major medical organizations have managed to locate and purchase?

As Marshall says,

In any case, we need to know more. States have been asking the federal government to take over the process of provisioning the country with these critical PPE goods. That at least would avoid states being forced to bid up prices by bidding against each other. After having FEMA swoop in and purchase ventilators that Colorado was in the process of buying, Gov. Jared Polis (D) said: “Either be in or out. [Either let] us know what we’re going to get and when we’re going to get them or stay out and let us buy them.” But these seizures of shipments are at best causing confusion for desperate states and hospitals. And they seem so haphazard that they are raising legitimate questions about whether they are being allocated to states in a preferential or politicized fashion.

If this was part of a legitimate FEMA effort to allocate supplies more equitably, the narcissist-in-chief would undoubtedly have bragged about it. So I repeat: WTF is going on?

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Well–For Once, He’s Been Honest, Even If Accidentally

As if being confined to our homes–or worse, going to essential jobs and worrying whether we were inevitably going to contract the Coronavirus–wasn’t stressful enough, those of us who follow such things watch in frustration as the Trump Administration reverses environmental protections and amasses powers the Constitution previously denied to the Executive branch.

Not to mention increasing worries about the upcoming election.

It is beginning to look as if  mandatory social distancing will extend right through what should be campaign season, and disrupt the ability of millions of Americans to vote in November. Republicans may have demonstrated their utter inability to govern in the public interest, but political observers are well aware of their consummate skills in vote suppression–their ability to use any disruption, any excuse, to keep people from the polls.

The one bright spot is the jaw-dropping idiocy of Trump himself. (As a friend frequently reminds me, just think how much more harm he could do if he had an IQ or was even minimally competent.) As the Guardian recently reported, 

Donald Trump admitted on Monday that making it easier to vote in America would hurt the Republican party.

The president made the comments as he dismissed a Democratic-led push for reforms such as vote-by-mail, same-day registration and early voting as states seek to safely run elections amid the Covid-19 pandemic. Democrats had proposed the measures as part of the coronavirus stimulus. They ultimately were not included in the $2.2tn final package, which included only $400m to states to help them run elections.

“The things they had in there were crazy. They had things, levels of voting that if you’d ever agreed to it, you’d never have a Republican elected in this country again,” Trump said during an appearance on Fox & Friends.

Talking Points Memo also commented on the admission.

You’re not supposed to say the quiet parts out loud, Mr. President!

On Monday morning, President Donald Trump told the co-hosts of “Fox and Friends” that House Democrats had tried to include “crazy” proposals in the $2 trillion COVID-19 relief package that passed last week, including measures aimed at easing the voting process for Americans during the coronavirus outbreak.

It isn’t that We the People have been unaware that the country has millions more Democrats than Republicans. The Electoral College is fiercely defended by GOP operatives who know that it gives disproportionate influence to rural Republicans; thanks to GOP gerrymandering, Republicans dominated Congress after the 2016 election despite receiving a million and a half fewer votes than Democrats–in 2018, in order to overcome that advantage and retake control of the House, Democrats had to win by staggering percentages.

This isn’t new. The Guardian  went back to 1980.

“I don’t want everybody to vote,” Paul Weyrich, an influential conservative activist, said in 1980. “As a matter of fact, our leverage in the elections quite candidly goes up as the voting populace goes down.”

In the wake of the Depression, Americans demanded changes to governance that shaped the America most of us grew up in. The GOP has fought most of those changes–especially those that strengthened the social safety net–and has relied heavily on voter apathy and the party’s ability to suppress the votes of minorities and poorer Americans to erase them.

There really is no debate about what sorts of policies the majority of Americans want–or about the tactics Republicans intend to employ to ensure that those policies never get implemented. Trump has admitted what every sentient person already knew.

The unanswered question is: will the current pandemic be as much of a wake-up call as the Depression?

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Yang Was Right

The Guardian recently ran a headline that made me chuckle: “California Mayor Has Tried Universal Basic Income. His advice to Trump: Go Big.” The chuckle wasn’t due to the California Mayor’s conclusions about Universal Basic Income (UBI); it was a response to the demonstrably ridiculous idea that Trump would take advice from anyone about anything.

As federal lawmakers continued to squabble over the form of the zillion-dollar intervention(s) that are clearly required if we are to have any chance at all to avert a depression, the Mayor of Stockton, California was the latest to sing the praises of a UBI–the proposal that formed the centerpiece of Andrew Yang’s Presidential campaign.

Stockton launched a basic income experiment last year, and Michael Tubbs, Stockton’s mayor, has become an ardent advocate of providing direct cash assistance to people.

The idea of providing a universal basic income to citizens is not new, but it has found new supporters in recent years, as some tech industry leaders have embraced “UBI” as a possible response to rising inequality and a growing number of American jobs lost to automation. The Facebook co-founder Chris Hughes is among the proponents of the policy; the Economic Security Project, which he co-chairs, is helping fund basic income experiments in Stockton and elsewhere.

Stockton is just the latest in a global string of experiments with no-strings cash assistance. Results of those experiments have been extremely positive, as is the early data from this one, according to the academic researchers  running the evaluation of the program.

“If you give people free cash, how do they spend it? They’re very rational about it, and they make great decisions,” said Stacia Martin-West, an assistant professor at the University of Tennessee College of Social Work and one of the lead researchers.

Labor leader Andrew Stern has pointed out that, with a UBI, in contrast to welfare, there’s no phase-out, no marriage penalties, no people falsifying information. And support for the concept isn’t limited to progressives. Milton Friedman famously proposed a “negative income tax,” and F.A. Hayek, the libertarian economist, wrote “There is no reason why in a free society government should not assure to all, protection against severe deprivation in the form of an assured minimum income, or a floor below which nobody need descend.”

In 2016, Samuel Hammond of the libertarian Niskanen Center, noted the “ideal” key features of a UBI: its unconditional structure avoids creating poverty traps; it sets a minimum income floor, it raises worker bargaining power without wage or price controls; it decouples benefits from a particular workplace or jurisdiction; since it’s cash, it respects a diversity of needs and values; and it simplifies and streamlines a complex web of bureaucracy, eliminating rent seeking and other sources of inefficiency.

Hammond’s point about worker bargaining power is especially important. Today’s work
environment is characterized by vestigial unions and the growth of the “gig economy.” Employee bargaining power has eroded; wages  have been effectively stagnant for years, despite significant growth in productivity. In 2018, Pew Research reported that “today’s real average wage (that is, the wage after accounting for inflation) has about the same purchasing power it did 40 years ago. And what wage gains there have been have mostly flowed to the highest-paid tier of workers.”

If the U.S. had a UBI and single payer health coverage, workers would have the freedom to leave abusive employers, unsafe work conditions, and uncompetitive pay scales. A UBI might not level the playing field–but it would sure reduce the tilt.

It is also worth noting that a UBI would have much the same positive effect on economic growth as a higher minimum wage. When poor people get money, they spend it, increasing demand.

This is all, of course, pie in the sky so long as we have a self-absorbed, monumentally ignorant, mentally-ill President, and a Republican Senate led by the irredeemably  corrupt Mitch McConnell. It remains to be seen how the Coronavirus pandemic will affect November’s election, but if these men–representing the utter detritus of humanity–are still in office in January, the lack of a rational social-safety net will be the least of our problems.

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