Thursday Coronavirus Reads: Denial of Science and Collective Trauma

Posted: April 23, 2020 | Author: | Filed under: morning reads, U.S. Politics | Tags: , , , , , , , , | 30 Comments

Katherine Bernhardt’s new public mural painted in Guatemala, 2020. Courtesy of the artist.

Good Morning!!

Yesterday the world watched in horror as Trump forced another scientist to soften remarks he had made in the media. We also learned that the government scientist who was in charge of Covid-19 vaccine development was demoted because he criticized Trump’s advocacy for an unproven and dangerous drug combination to treat the virus. Day after day in his “coronavirus briefings, Trump is trying to crush scientific expertise with his iron fist of ignorance.

The Washington Post: Under Trump, coronavirus scientists can speak — as long as they mostly toe the line.

Robert Redfield, director of the Centers for Disease Control and Prevention, issued a candid warning Tuesday in a Washington Post interview: A simultaneous flu and coronavirus outbreak next fall and winter “will actually be even more difficult than the one we just went through,” adding that calls and protests to “liberate” states from stay-at-home orders — as President Trump has tweeted — were “not helpful.”

By Wednesday evening, Redfield appeared at the daily White House briefing — saying he had been accurately quoted after all, while also trying to soften his words as the president glowered next to him.

“I didn’t say that this was going to be worse,” Redfield said. “I said it was going to be more difficult and potentially complicated because we’ll have flu and coronavirus circulating at the same time.”

What about the first CDC director to speak out back in March?

In another instance, Nancy Messonnier, the CDC’s director of the National Center for Immunization and Respiratory Diseases, was removed from her post as her agency’s coronavirus response head after sounding early alarms that Americans should begin preparing for “significant disruption” to their lives from a “severe illness.” The CDC held its last daily briefing on March 9 — a forum through which the nation would normally receive critical public health information — in part out of a desire not to provoke the president.

There’s much more at the WaPo link.

A painted fence depicts president Trump as the coronavirus, Photo by Josh Edelson, APP Getty Images

The New York Times: Health Dept. Official Says Doubts on Hydroxychloroquine Led to His Ouster.

The official who led the federal agency involved in developing a coronavirus vaccine said on Wednesday that he was removed from his post after he pressed for rigorous vetting of hydroxychloroquine, an anti-malaria drug embraced by President Trump as a coronavirus treatment, and that the administration had put “politics and cronyism ahead of science.”

Rick Bright was abruptly dismissed this week as the director of the Department of Health and Human Services’ Biomedical Advanced Research and Development Authority, or BARDA, and removed as the deputy assistant secretary for preparedness and response. He was given a narrower job at the National Institutes of Health.

In a scorching statement, Dr. Bright, who received a Ph.D. in immunology and molecular pathogenesis from Emory University, assailed the leadership at the health department, saying he was pressured to direct money toward hydroxychloroquine, one of several “potentially dangerous drugs promoted by those with political connections” and repeatedly described by the president as a potential “game changer” in the fight against the virus.

“I believe this transfer was in response to my insistence that the government invest the billions of dollars allocated by Congress to address the Covid-19 pandemic into safe and scientifically vetted solutions, and not in drugs, vaccines and other technologies that lack scientific merit,” he said in his statement. “I am speaking out because to combat this deadly virus, science — not politics or cronyism — has to lead the way.”

Read the rest at the NYT. In another horrifying moment at yesterday’s briefing, Dr. Fauci defended Bright’s ouster.

A dog walks past a mural depicting a coronavirus cell, Dublin, Ireland, Photo by Aidan Crawley, EPA

Meanwhile, more than 47,000 Americans have died from Covid-19 complications, and Trump isn’t capable of mustering even a drop of sympathy for the heartbroken survivors or for those currently battling the disease in hospitals and homes around the country.

Today the total of confirmed cases in the U.S. is 842,624, based on our extremely limited testing. What does the future hold for survivors and the rest of us?

Charlotte Jee at Technology Review: Many covid-19 survivors will be left traumatized by their ICU experience.

There’s a phrase to describe what we’re experiencing: collective trauma. We are all grieving—whether it’s for the deaths of loved ones, the loss of our way of life, or the knowledge that things will never quite be the same again. Most of us are experiencing some level of anxiety. The loss of control over major aspects of our lives and lack of a clear end point to the crisis are both partly to blame. For some, stress will spiral into a diagnosable mental health problem.

But we’re not all going through the same thing. Health-care workers who treat coronavirus patients every day are likely at increased risk of such issues. Many worry about working with inadequate protective equipment. The stress they’re under now could take months or even years to process, so we won’t know the pandemic’s full impact for a long time.

From artist Debbie.lee Miszaniec’s COVID-19 Sketchbook. Courtesy, Debbie.lee Miszaniec, Calgary

And there’s another group we need to prepare for: people who have been admitted to intensive care with covid-19 and survived. It’s very difficult to predict how many people will end up in this situation. The vast majority of those who catch coronavirus won’t need a hospital stay, according to a study of nearly 45,000 cases in China carried out by the country’s Center for Disease Control and Prevention, which found that 81% of infections are mild.

These survivors are going to be dealing with the aftereffects of major trauma.

For those who make it out the other side, their stay in intensive care is likely to be one of the most traumatic things they will ever experience. Being able to breathe is something we take for granted. But patients who have such difficulty breathing that they need to be intubated (which involves having a tube inserted into their mouth and down their airway) often believe they are going to die at some point during their stay in intensive care. Anecdotally, ICU doctors say patients with covid-19 tend to need a particularly large amount of sedation, which damages muscles and nerves, especially in the lungs. That damage can be permanent—which can in turn undermine the patient’s mental health.

“Their lives will never look exactly as they were before. Being admitted to an ICU is one of those ‘before and after’ life events, like having a child, or a parent dying,” says Megan Hosey, a psychologist who treats ICU patients.

Patients on ventilators often become delirious. They can drift in and out of consciousness, hallucinate, and become confused about what’s happening to them. It’s common for them to form delusions and misremember what’s occurred. “They can recollect that a nurse or doctor was trying to hurt them when they were doing a procedure to help them,” says Timothy Girard, associate professor of critical care medicine at the University of Pittsburgh Medical Center. It’s unsurprising, then, that so many ICU survivors go on to experience depression, anxiety, posttraumatic stress disorder, and other mental health issues.

Read the rest at MIT’s Tech Review.

 

Scientific American offers an article on personal growth following traumatic experiences: The Coronavirus and Post-Traumatic Growth, by Steve Taylor.

Post-traumatic growth (or PTG) is the idea that, in the long run, traumatic events and experiences—like illness, accidents, bereavement, addiction and divorce—can have beneficial effects. Often, after the initial shock and pain of a traumatic situation has faded away, people report feeling more appreciative of their lives, and sensing a new inner strength and confidence. They feel that their relationships are more intimate and authentic, and that they have a new sense of meaning and purpose. They often become less materialistic and more altruistic, more concerned with the well-being of others than with their own success and status. They develop a more philosophical or spiritual attitude to life, with—in the words of Richard Tedeschi and Lawrence Calhoun, two of the pioneers of the theory of PTG—a “deeper level of awareness.”

Overall, it appears that nearly half of people who experience such traumatic events are likely to experience PTG in the aftermath.

Over the last 10 years or so, my own research has focused on what I call post-traumatic transformation. I have found that psychological turmoil and trauma may not simply bring about growth, but a dramatic transformation. After a period of intense suffering (such as a diagnosis of cancer or a long period of depression or addiction), a person may undergo a sudden shift of identity.

Painting to honor the heroes of the service industry, Terrance Osborne, New Orleans, LA

All of a sudden, they feel like a different person inhabiting the same body, with heightened sensory awareness, an increased sense of compassion and connection, and new values or goals. For example, a woman who experienced post-traumatic transformation after the death of her daughter told me that she felt like she had broken through “to another state. I’ve moved up to another level of awareness which I know is going to stay with me.”

As I showed in my book The Leap, many people could specify a particular moment at which transformation occurred, often at the moment when they shifted into an attitude of acceptance of their predicament. For example, a man told me how, as an alcoholic undergoing the Alcoholics Anonymous recovery process, he experienced transformation at the moment when he “handed over” his problem. Another person had become severely disabled and underwent a shift at the point when he heard an inner voice say, “Let go, man, let go. Look at how you’re holding on. What do you think life’s telling you?” A woman who went through a period of intense postnatal depression, entering into a psychotic state, which led to four nights without sleep. In the midst of this turmoil, she had an argument with her husband, which suddenly triggered what she described as “feelings of such perfect joy and peace. I remember thinking afterward ‘so that’s what I’m supposed to feel like!’ Within that one instant, you are forever changed.”

Taylor argues that traumatic growth can also happen within communities. Read all about at Scientific American.

One more rather dark look at our future from John Harris, founding editor of Politico Magazine: Stop Looking on the Bright Side: We’ll Be Screwed By the Pandemic for Years to Come.

…my wariness toward seeing the glass half-full is grounded in the experience of the past generation. Unfortunately, that experience offers ample reason to be pessimistic about the next one. People who feel that the pandemic is going to “break the fever” of the last couple decades—that it will finally drain public life of its malice, its addiction to remorseless conflict and conspiracy theory, its devil-take-the-hindmost nihilism—carry the burden of proof. I’d like to buy it but can’t yet.

A glass sculpture entitled “coronavirus – COVID-19” created by British artistLuke Jerram, Bristol, southwest of England on March 17, 2020.

What if instead of ushering in a new era of respect for science—including the obvious truth that most policy questions around science involve mixed evidence and relative probabilities rather than absolute certainties—the next several years are marked by a distorted, dishonest, told-you-so debate over the pandemic? What if instead of launching a new season of public interest, a weak economy leaves little money or political will to solve long-deferred problems like climate change? What if this cataclysm makes us even more selfish and short-term in our thinking?

In short: What if we’re screwed?

None of this is a prediction. Nor is it a generational lament. Unlike some younger friend —who feel they came of age with events conspiring against their life prospects and are aggrieved about it—I was already in my thirties at the turn of the century and my basic worldview was pretty well set. That view was that the tides of modern life were moving unevenly but inexorably toward liberal democracy; that politics often could be distorted by corruption or fanaticism but was more rational than irrational; that public life was contentious and chaotic but more on the level than not.

like many of the thinkers commissioned by POLITICO, my impulse was to respond to the succession of astounding, can-this-really-be-happening events of the past 20 years by assuming they might somehow be occasions to hit the reset button, to get back to normal. Maybe a bizarre election in which George W. Bush became president under disputed circumstances will cause him to transcend ideological warfare and find common ground. Maybe the horror of 9/11 will be a great unifying event in the United States and for civilized people around the world. Maybe Hurricane Katrina will focus useful attention on climate change and the need to invest in improved national infrastructure. Maybe the 2008 financial crash will bring pressure to bear on income inequality. Maybe Donald Trump surprised even himself with his 2016 victory and will actually prove to be an effective post-partisan dealmaker.

Read more at the Politico link.

I hope I haven’t completely bummed you out. I tend to be an optimist generally, but right now I’m more in agreement with John Harris’ take. What do you think? What stories have you been following?

Tuesday Reads: Living In A Failed State

Posted: April 21, 2020 | Author: | Filed under: morning reads, Republican politics, U.S. Politics | Tags: , , , , , | 20 Comments

Good Morning

More than 40,000 Americans have died of Covid-19, but the so-called “president” is doing nothing to stop the carnage. He refuses to help states with desperately need medical equipment and tests to identify carriers. He has made it abundantly clear that we are on our own. Money and supplies are being doled out selectively–red states get the most and blue states the least. He is using FEMA and the FBI to try to stop shipments of equipment to hospitals in blue states. It actually looks like Trump is hoping those of us who did not and won’t vote for him just get sick and die.

The U.S. is no longer the country I grew up in. We are looking more like post-Soviet Russia. George Packer describes the situation we find ourselves in: We Are Living in a Failed State. The coronavirus didn’t break America. It revealed what was already broken.

When the virus came here, it found a country with serious underlying conditions, and it exploited them ruthlessly. Chronic ills—a corrupt political class, a sclerotic bureaucracy, a heartless economy, a divided and distracted public—had gone untreated for years. We had learned to live, uncomfortably, with the symptoms. It took the scale and intimacy of a pandemic to expose their severity—to shock Americans with the recognition that we are in the high-risk category.

The crisis demanded a response that was swift, rational, and collective. The United States reacted instead like Pakistan or Belarus—like a country with shoddy infrastructure and a dysfunctional government whose leaders were too corrupt or stupid to head off mass suffering. The administration squandered two irretrievable months to prepare. From the president came willful blindness, scapegoating, boasts, and lies. From his mouthpieces, conspiracy theories and miracle cures. A few senators and corporate executives acted quickly—not to prevent the coming disaster, but to profit from it. When a government doctor tried to warn the public of the danger, the White House took the mic and politicized the message.

Every morning in the endless month of March, Americans woke up to find themselves citizens of a failed state. With no national plan—no coherent instructions at all—families, schools, and offices were left to decide on their own whether to shut down and take shelter. When test kits, masks, gowns, and ventilators were found to be in desperately short supply, governors pleaded for them from the White House, which stalled, then called on private enterprise, which couldn’t deliver. States and cities were forced into bidding wars that left them prey to price gouging and corporate profiteering. Civilians took out their sewing machines to try to keep ill-equipped hospital workers healthy and their patients alive. Russia, Taiwan, and the United Nations sent humanitarian aid to the world’s richest power—a beggar nation in utter chaos.

Donald Trump saw the crisis almost entirely in personal and political terms. Fearing for his reelection, he declared the coronavirus pandemic a war, and himself a wartime president. But the leader he brings to mind is Marshal Philippe Pétain, the French general who, in 1940, signed an armistice with Germany after its rout of French defenses, then formed the pro-Nazi Vichy regime. Like Pétain, Trump collaborated with the invader and abandoned his country to a prolonged disaster. And, like France in 1940, America in 2020 has stunned itself with a collapse that’s larger and deeper than one miserable leader. Some future autopsy of the pandemic might be called Strange Defeat, after the historian and Resistance fighter Marc Bloch’s contemporaneous study of the fall of France. Despite countless examples around the U.S. of individual courage and sacrifice, the failure is national. And it should force a question that most Americans have never had to ask: Do we trust our leaders and one another enough to summon a collective response to a mortal threat? Are we still capable of self-government?

Head on over to The Atlantic to read the rest.

What’s next for this country? Can we survive the ravages of this pandemic? Over the weekend, The New York Times published an important piece by Donald G. McNeil Jr.: The Coronavirus in America: The Year Ahead.

In truth, it is not clear to anyone where this crisis is leading us. More than 20 experts in public health, medicine, epidemiology and history shared their thoughts on the future during in-depth interviews. When can we emerge from our homes? How long, realistically, before we have a treatment or vaccine? How will we keep the virus at bay?

Some felt that American ingenuity, once fully engaged, might well produce advances to ease the burdens. The path forward depends on factors that are certainly difficult but doable, they said: a carefully staggered approach to reopening, widespread testing and surveillance, a treatment that works, adequate resources for health care providers — and eventually an effective vaccine.

Still, it was impossible to avoid gloomy forecasts for the next year. The scenario that Mr. Trump has been unrolling at his daily press briefings — that the lockdowns will end soon, that a protective pill is almost at hand, that football stadiums and restaurants will soon be full — is a fantasy, most experts said.

“We face a doleful future,” said Dr. Harvey V. Fineberg, a former president of the National Academy of Medicine.

He and others foresaw an unhappy population trapped indoors for months, with the most vulnerable possibly quarantined for far longer. They worried that a vaccine would initially elude scientists, that weary citizens would abandon restrictions despite the risks, that the virus would be with us from now on.

“My optimistic side says the virus will ease off in the summer and a vaccine will arrive like the cavalry,” said Dr. William Schaffner, a preventive medicine specialist at Vanderbilt University medical school. “But I’m learning to guard against my essentially optimistic nature.”

Most experts believed that once the crisis was over, the nation and its economy would revive quickly. But there would be no escaping a period of intense pain.

Exactly how the pandemic will end depends in part on medical advances still to come. It will also depend on how individual Americans behave in the interim. If we scrupulously protect ourselves and our loved ones, more of us will live. If we underestimate the virus, it will find us.

Read more about what the experts had to say at the NYT link.

Jonathan Chait on Trump’s abandonment of the states: Trump Wants to Starve the States Into Opening Before It’s Safe.

President Trump’s current pandemic strategy — emphasize current; like the cliché about the weather, if you don’t like it, wait a few hours — is a baffling knot of contradictions. He is hurling all responsibility to state governments, leaving it to them to devise effective tests and to decide when to relax social distancing.

At the same time, he is starving them of the resources to handle the job. And even as Trump hides behind a policy of deference to governors, he is goading right-wing protesters to force their hand. Trump is “saying things that seem contradictory,” as the New York Times puts it, “like pledging to work with governors and then urging people to ‘liberate’ their states, and leaving it to his audiences to hear what they want to hear in his words.”

Yet there does appear to be a strategy here. The Wall Street Journal reported Friday afternoon that Trump has “asked White House aides for economic response plans that would allow him to take credit for successes while offering enough flexibility to assign fault for any failures to others.” Trump’s seemingly paradoxical stance is an attempt to hoard credit and shirk risk, straddling the demands of his business allies with the pleas of his public-health advisers. On the surface, he is deferring responsibility and blame to the governors. Just below the surface, he is coercing them to resume economic activity as fast as possible, regardless of what public-health officials say.

Trump’s plan to coerce the states into reopening has at least three discernible elements. The first is, or was, the formation of a task force to reopen the country. The purpose of the council was to give Trump cover. The council would prod governors to reopen businesses, and because it would be seen as coming from the business community, Trump himself would not bear the blame for future outbreaks that might result. As the Washington Post reported last week, “Trump’s advisers are trying to shield the president from political accountability should his move to reopen the economy prove premature and result in lost lives, and so they are trying to mobilize business executives, economists and other prominent figures to buy into the eventual White House plan, so that if it does not work, the blame can be shared broadly, according to two former administration officials familiar with the efforts.” (In part because its purpose was so naked, the task force seems to have collapsed.)

The second element is the mobilization of protests. The appearance of flag-waving and sometimes gun-toting demonstrators in a handful of state capitols this weekend seems to have come as a shock to the news media, but Trump’s allies signaled this was coming. Last Monday, Stephen Moore, a right-wing pseudo-economist and close Trump ally who has spent weeks pushing back on public-health guidelines, was quoted in the press saying, “In the next two weeks, you’ll see protests in the streets of conservatives; you’ll see a big pushback against the lockdown in some states.”

Click the link to read the rest at New York Magazine.

At The Washington Post, Paul Waldman on Trump’s “war against the states”:

President Trump and congressional Republicans are going to war with the states.

It’s bizarre, it’s self-defeating, it will do enormous harm to Americans in every corner of the country, and it can be fully explained only by understanding the president’s pettiest and most narcissistic motives. In other words, it’s the kind of thing we’ve come to expect in the Trump era.

Last week, the $349 billion allotted for small businesses in the CARES Act rescue package ran out, with only a portion of the American businesses that have suffered in this pandemic-driven recession getting the help they need. While everyone seemed ready to provide more money, we found ourselves in a familiar situation, with Democrats saying we need to be swift and aggressive in saving Americans suffering from this economic catastrophe, and Republicans saying that we shouldn’t spend too much or help too many people.

When negotiations began, Republicans wanted to add about $250 billion to the small business fund — and do nothing else. Now it appears that Democrats have pressured them into accepting a package that sends $370 billion to small businesses, gives $75 billion to hospitals, and spends $25 billion to beef up coronavirus testing.

What isn’t included in the package, however, is the desperately needed aid to states and cities Democrats sought. Republicans absolutely refused to even consider it.

Why? The need is urgent. State and local budgets are suddenly facing all kinds of new costs related to the pandemic, while at the same time tax revenues have fallen off a cliff. If they don’t get help, they’ll have to start laying people off and slashing state services, which will only make the recession deeper and longer. By some estimates, states and cities will need $500 billion in federal aid to make up the shortfall.

Read more at the WaPo.

So far Trump’s strategy isn’t convincing most Americans. The Washington Post: Most rate Trump’s coronavirus response negatively and expect crowds will be unsafe until summer, Post-U. Md. poll finds.

Most Americans expect no immediate easing of the health risks associated with the coronavirus pandemic, despite calls by President Trump and others to begin reopening the economy quickly. A majority say it could be June or later before it will be safe for larger gatherings to take place again, according to a Washington Post-University of Maryland poll.

Most Americans — 54 percent — give the president negative marks for his handling of the outbreak in this country and offer mixed reviews for the federal government as a whole. By contrast, 72 percent of Americans give positive ratings to the governors of their states for the way they have dealt with the crisis, with workers also rating their employers positively.

Partisan allegiances shape perceptions of when it will be safe to have gatherings of 10 or more people and of the president’s performance during the pandemic. But governors win praise across the political spectrum for their leadership, which has sometimes put them sharply at odds with Trump and his administration.

Personal health concerns are widespread, with 57 percent saying they are “very” or “somewhat” worried about becoming infected and seriously ill from the coronavirus, including at least 40 percent of people in every major demographic and political group. For those most concerned, the fear was enough to override partisanship when it comes to the safety of public gatherings, particularly for Republicans.

Today we face another day in the time of coronavirus. There will be more reports of deaths and infections, more horror stories, and more lies and propaganda from the Trump gang, and another insane briefing airing of grievances by Trump. We have to steel ourselves to protect ourselves from the virus and save our sanity in these crazy times.

Have courage Sky Dancers! What’s on your mind today?

Lazy Caturday Reads: A Little Good News And More Bad News

Posted: April 18, 2020 | Author: | Filed under: morning reads, Republican politics, U.S. Politics | Tags: , , | 20 Comments

Okazaki Cat Demon, by Utagawa Kuniyoshi, 1850

Good Morning!!

Yesterday, Dakinikat wrote about the Trump death cult. In the past couple of days we’ve been seeing ominous signs that Trump and his zombie followers are going to make the coronavirus epidemic in the U.S. even worse than it already is by fomenting unrest over restrictions governors and mayors have imposed in order to slow the spread of infections. But before I get to that, I want to highlight something positive that is happening here in Massachusetts.

The New York Times: An Army of Tracers Takes Shape in Massachusetts.

Alexandra Cross, a newly minted state public health worker, dialed a stranger’s telephone number on Monday, her heart racing.

It was Ms. Cross’s first day as part of Massachusetts’s fleet of contact tracers, responsible for tracking down people who have been exposed to the coronavirus, as soon as possible, and warning them. On her screen was the name of a woman from Lowell.

“One person who has recently been diagnosed has been in contact with you,” the script told her to say. “Do you have a few minutes to discuss what that exposure might mean for you?” Forty-five minutes later, Ms. Cross hung up the phone. They had giggled and commiserated. Her file was crammed with information.

She was taking her first steps up a Mount Everest of cases.

Dancing Cats by Utagawa Kuniyoshi

Massachusetts is the first state to invest in an ambitious contact-tracing program, budgeting $44 million to hire 1,000 people like Ms. Cross. The program represents a bet on the part of Gov. Charlie Baker that the state will be able to identify pockets of infection as they emerge, and prevent infected people from spreading the virus further.

This could help Massachusetts in the coming weeks and months, as it seeks to relax strict social-distancing measures and reopen its economy.

Contact tracing has helped Asian countries like South Korea and Singapore contain the spread of the virus, but their systems rely on digital surveillance, using patients’ digital footprints to alert potential contacts, an intrusion that many Americans would not accept.

Massachusetts is building its response around an old-school, labor-intensive method: people. Lots of them.

Read the rest at the NYT.

So that’s the good news. The bad news is that Trump himself is egging on public protests by his craziest supporters that could lead to more infections and quite possibly violence.

Axios: Trump accelerates the unrest.

What he’s saying: “LIBERATE MICHIGAN! … LIBERATE MINNESOTA! … LIBERATE VIRGINIA, and save your great 2nd Amendment. It is under siege!”

Why it matters: Governors have in place strong public health restrictions and are likely to want to continue to hold the line for some time to come. This was a position Trump publicly supported as recently as Thursday.

  • Michigan in particular has a bad coronavirus outbreak, with a lockdown from Gov. Gretchen Whitmer that’s among the most severe nationwide.

Japanese Cat by Utagawa Kuniyoshi

The ingredients for mayhem, via Axios’ Jonathan Swan:

  • Deepening economic desperation: 22 million have filed for jobless benefits, with a second wave of layoffs already underway. More help appears to be coming for small businesses, but Congress is still haggling.
  • Conservative TV and talk radio influencers encouraging protests: “People instinctively know now that however bad this is, it isn’t as bad as they all told us,” Rush Limbaugh told listeners on Thursday.
  • Early signs of big conservative donor money getting behind the protests: In Michigan, one protest was planned by the political adviser to the family of Education Secretary Betsy DeVos, WashPost reports.
  • Police departments are stressed: Hundreds of police officers have been quarantined for coronavirus exposure, with some dying. Multiple departments nationwide have reported issues getting PPE.

Between the lines: As we reported in yesterday’s PM, public support is strongly on the side of social distancing.

  • 66% of Americans are concerned state governments will lift restrictions too quickly.
  • 73% say the worst is yet to come from the outbreak.

The bottom line: It surely can’t be helping individuals and businesses to have the yo-yo effect created by federal and state officials openly arguing about timelines that involve life and death.

NBC News: In Trump’s ‘LIBERATE’ tweets, extremists see a call to arms.

When President Donald Trump tweeted “LIBERATE MINNESOTA!” on Friday morning, some of his most fervent supporters in far-right communities — including those who have agitated for violent insurrection — heard a call to arms.

Cats Practicing Their Music, Utagawa Kuniyoshi

The tweet was one of three sent from the president’s account, along with “LIBERATE MICHIGAN!” and “LIBERATE VIRGINIA, and save your great 2nd Amendment. It is under siege!”

Trump’s tweets came after small protests by Trump supporters broke out in a handful of states, many of which were fueled by anti-vaccination and anti-government groups. Anti-government sentiment has percolated among far-right extremists in recent weeks over the stay-at-home orders governors have issued to prevent the spread of the coronavirus.

Trump’s tweets, however, pushed many online extremist communities to speculate whether the president was advocating for armed conflict, an event they’ve termed “the boogaloo,” for which many far-right activists have been gearing up and advocating since last year.

There were sharp increases on Twitter in terms associated with conspiracies such as QAnon and the “boogaloo” term immediately following the president’s tweets, according to the Network Contagion Research Institute, an independent nonprofit group of scientists and engineers that tracks and reports on misinformation and hate speech across social media.

Posts about the “boogaloo” on Twitter skyrocketed in the hours after the president’s tweets, with more than 1,000 tweets featuring the term, some of which received hundreds of retweets.

“We the people should open up America with civil disobedience and lots of BOOGALOO. Who’s with me?” one QAnon conspiracy theorist on Twitter with over 50,000 followers asked.

“Boogaloo” is a term used by extremists to refer to armed insurrection, a shortened version of “Civil War 2: Electric Boogaloo,” which was coined on the extremist message board 4chan.

Falling Cat, Utakawa Kuniyoshi

Washington Governor Jay Inslee released a statement in response to Trump’s twitter taunts.

“The president’s statements this morning encourage illegal and dangerous acts. He is putting millions of people in danger of contracting COVID-19. His unhinged rantings and calls for people to “liberate” states could also lead to violence. We’ve seen it before.

“The president is fomenting domestic rebellion and spreading lies even while his own administration says the virus is real and is deadly, and that we have a long way to go before restrictions can be lifted.

“Just yesterday, the president stood alongside White House officials and public health experts and said science would guide his plan for easing restrictions. The White House released a sensible plan laying out many of the guidelines that I agree are essential to follow, as we work to resume economic activity. Trump slowly read his script and said the plan was based on ‘hard, verifiable data’ and was done ‘in consultation with scientists, experts and medical professionals across government.’

“Less than 24 hours later, the president is off the rails. He’s not quoting scientists and doctors but spewing dangerous, anti-democratic rhetoric.

“We appreciate our continued communication with the vice president, Dr. Birx, Admiral Polowczyk, Admiral Giroir and others in the federal government, but their work is undermined by the president’s irresponsible statements.

“I hope someday we can look at today’s meltdown as something to be pitied, rather than condemned. But we don’t have that luxury today. There is too much at stake.

Three cats at an indoor party by Utagawa Kuniyoshi

“The president’s call to action today threatens to undermine his own goal of recovery by further delaying the ability of states to amend current interventions in a safe, evidence-based way. His words are likely to cause COVID-19 infections to spike in places where social distancing is working — and if infections are increasing in those places, that will further postpone the 14 days of decline that his own guidance says is necessary before modifying any interventions.

“I hope political leaders of all sorts will speak out firmly against the president’s calls for rebellion. Americans need to work together to protect each other. It’s the only way to slow the spread of this deadly virus and get us on the road to recovery.”

But some Republicans are singing a different tune. The Washington Post: GOP’s growing ‘open it up’ caucus urges fewer virus restrictions amid warnings from fellow Republicans.

A growing number of Republican lawmakers across the country are pushing for a more rapid reboot of the American economy amid the coronavirus pandemic, arguing that the risk of spreading more sickness — and even death — is outweighed by the broader economic damage that widespread stay-at-home orders have wrought.

They are taking cues from and breathing energy into a grass-roots conservative movement of resistance against government-ordered quarantine measures — one that President Trump appeared to back in several tweets Friday — but are facing defiance within their own party from Republican congressional leaders, governors and fellow lawmakers who warn that a rash reopening could reinvigorate the virus’s spread.

The emerging “open it up” caucus has spoken out on key conservative media platforms, including some of Trump’s favorite programs. In a prime-time Fox News Channel appearance Wednesday, for instance, Sen. John Neely Kennedy (R-La.) said that balancing the health of Americans with a functioning economy amid the pandemic was “like choosing between cancer and a heart attack.”

Read more at the WaPo.

By Utagawa Kuniyoshi

Politico: Trump allies press administration to unleash lawsuits against lockdowns.

As President Donald Trump uses the bully pulpit to press state and local governments to ease their virus-related lockdowns, conservative activists and religious leaders are urging his administration to go further by unleashing a wave of lawsuits arguing that the measures are intruding on Americans’ legally protected rights to worship, protest and buy guns.

In a letter sent to Attorney General Bill Barr on Friday, the Conservative Action Project, a group of conservative leaders including Matt Schlapp of the American Conservative Union, Tom Fitton of Judicial Watch and Jenny Beth Martin of Tea Party Patriots, called governors and local leaders “petty, would-be dictators” who had committed “rampant abuses of constitutional rights and civil liberties” as part of their response to the coronavirus.

Among the examples they include are “arresting pro-life counselors for peacefully standing outside an abortion clinic while maintaining social distance,” “arresting a man for surfing,” ticketing people attending drive-in church services, and “prohibitions on citizens’ rights to purchase firearms.”

The letter comes as Trump put pressure on Michigan, Minnesota, and Virginia to ease up on social distancing measures a day after the White House released federal guidelines to reopen the economy. Protests, many led by Trump supporters, have cropped up across the country demanding state leaders reel in restrictions designed to stop the spread of the virus.

Meanwhile, Trump’s so-called “plan” to reopen the economy is complete bullshit. The Guardian: Operation reopen America: are we about to witness a second historic failure of leadership from Trump?

Unveiling new guidelines for the loosening of the lockdown, [Trump] committed his administration to a “science-based reopening”. “We are starting our life again, we are starting rejuvenation of our economy again, in a safe and structured and very responsible fashion.”

Woman with a cat, by Utagawa Kuniyoshi

Beyond the cloistered confines of the White House an alternative interpretation of events was gathering force. On a day in which the US suffered its highest death toll from Covid-19, with a total of more than 680,000 confirmed cases and 34,000 deaths, public health experts were scrutinising the president’s new guidelines and coming to rather different conclusions.

“This isn’t a plan, it’s barely a powerpoint,” spluttered Ron Klain on Twitter. Klain, the US government’s Ebola tsar during the last health crisis to test the White House, in 2014, said the proposals contained “no provision to ramp up testing, no standard on levels of disease before opening, no protections for workers or customers”.

On 28 March the Guardian exposed the missing six weeks lost as a result of Trump’s dithering and downplaying of the crisis when the virus first struck. Jeremy Konyndyk, another central figure in the US battle against Ebola, told the Guardian that the Trump administration’s initial response was “one of the greatest failures of basic governance and leadership in modern times”.

Now that the US is contemplating a shift into the second phase of the crisis – tentative reopening of the economy – scientists and public health officials are agreed that three pillars need to be put into place to manage the transition safely. They are: mass testing to identify those who are infected, contact tracing to isolate other people who may have caught Covid-19 from them, and personal protective equipment (PPE) to shield frontline healthcare workers from any flare-up.

A chorus of expert voices has also begun to be heard warning that those three essential pillars remain in critically short supply throughout the US. Less than a month after the Guardian’s exploration of the missing six weeks, the chilling recognition is dawning that the country is heading for a second massive failure of governance under Trump, this time on an even bigger scale.

Unless testing capability is dramatically ramped up and a giant army of health workers assembled to trace the contacts of those infected – right now – the consequences could be devastating.

We are in big trouble. That last thing we need is another tea party-style uprising in the midst of a deadly global pandemic. Somehow, some way, Trump has to go.

What stories are you following today?

Tuesday Reads: Trump’s Most Insane, Out of Control Meltdown Yet

Posted: April 14, 2020 | Author: | Filed under: morning reads, U.S. Politics | Tags: , , , , , , , , , , | 30 Comments

Good Morning!!

Yesterday Trump had an epic meltdown at his “coronavirus briefing,” Yes, I know he has meltdowns all the time, but this was the worst one yet. It included screaming, yelling, attacks on the press, a North Korea style propaganda video, and claims of dictatorial power. There was almost no mention of a federal response to the pandemic.

He began the performance by bringing Dr. Anthony Fauci to the podium to explain why what he said on CNN’s State of the Union on Sunday wasn’t a criticism of Trump. USA Today: Anthony Fauci says he used a ‘poor choice of words’ in discussing Trump administration’s coronavirus response.

Anthony Fauci, the health care policy expert under fire from allies of  President Donald Trump, said Monday he used a “poor choice of words” when he suggested lives could have been saved had the Trump administration put in place coronavirus restrictions earlier in the year.

“Hypothetical questions sometimes can get you into some difficulty,” Fauci said during a unique statement delivered amid reports that Trump was thinking of firing him.

In an interview Sunday on CNN’s “State of the Union,” Fauci was asked if lives could have been saved had social distancing been imposed during the third week of February instead of mid-March. Fauci said, “It’s very difficult to go back and say that. I mean, obviously, you could logically say that if you had a process that was ongoing and you started mitigation earlier, you could have saved lives. Obviously, no one is going to deny that.”

Fauci said, “What goes into those kinds of decisions is – is complicated. But you’re right. I mean, obviously, if we had, right from the very beginning, shut everything down, it may have been a little bit different. But there was a lot of pushback about shutting things down back then.”

Trump, who on Sunday re-tweeted a supporters’ statement that Fauci should be fired, called the epidemic expert to the podium early in the briefing, an unusual move.

A reporter asked Fauci if he had been forced to make the statement, and he claimed it was “voluntary.” Raise your had if you believe him. It looks like Fauci has become just another Trump sycophant. We. are. so. fucked.

Ashley Parker at The Washington Post: The Me President: Trump uses pandemic briefing to focus on himself.

President Trump stepped to the lectern Monday on a day when the coronavirus death toll in the United States ticked up past 23,000. He addressed the nation at a time when unemployment claims have shot past 15 million and lines at food banks stretch toward the horizon.

Yet in the middle of this deadly pandemic that shows no obvious signs of abating, the president made clear that the paramount concern for Trump is Trump — his self-image, his media coverage, his supplicants and his opponents, both real and imagined.

“Everything we did was right,” Trump said, during a sometimes hostile 2½ -hour news conference in which he offered a live version of an enemies list, brooking no criticism and repeatedly snapping at reporters who dared to challenge his version of events.

Trump has always had a me-me-me ethos, an uncanny ability to insert himself into the center of just about any situation. But Monday’s coronavirus briefing offered a particularly stark portrait of a president seeming unable to grasp the magnitude of the crisis — and saying little to address the suffering across the country he was elected to lead.

At one point — after praising himself for implementing travel restrictions on China at the end of January and griping about being “brutalized” by the press — Trump paused to boast with a half-smirk, “But I guess I’m doing okay because, to the best of my knowledge, I’m the president of the United States, despite the things that are said.”

Read the rest at the WaPo.

Earlier in the day, Trump tweeted that he and he alone–not governors of states–has the authority to “reopen” their economies.

Then during the briefing, Trump claimed that he and he alone has the power to open businesses, etc. in individual states. He has no understanding of the Constitution, much less the Tenth Amendment, which reserves police powers for the states.

Rick Wilson at The Daily Beast: Trump the Narcissistic Authoritarian Statist Declares He Has ‘Total’ Authority.

If you watched President Donald Trump’s daily press briefing Monday, you know that even by his abysmal standards this was the loudest siren yet, a warning that the man occupying the Oval Office is more suited to a very long, involuntary stay in an inpatient mental-health facility than the presidency of the United States.

It wasn’t presidential leadership. It wasn’t executive power made manifest. It wasn’t a grown-ass adult facing a serious crisis. It was an angry, needy man not looking outward to the needs of a nation in crisis but inward, and downward.

Anyone—and I mean anyone—who tells you Monday’s presser was anything other than a complete meltdown shitshow on the top of the dumpster fire at the peak of Burning-Tire Mountain is a liar.

It was a manic, gibbering, squint-eyed ragefest by America’s Worst President, a petty display by a failed man who long ago passed the limits of his competence and knowledge. It left little to cling to for even his most fervent lackeys but the grunting media animus that replaced conservatism as the motivating force of the Republican Party.

There was no there there when it came to facing the most consequential national crisis in generations. Even the parts about actions by the government were just mummery to frame his desperate desire for more stroking of his delicate feels. Everything is incidental to his delicate feelings and ego. Everything—and, more importantly, everyone else—is incidental.

Trump just gave the nation a performance that was so manic, so furious, and so utterly unhinged that anyone watching it walked away thinking the 25th Amendment has been too long unexercised and the proof is behind the podium every damn day.

Even John Yoo, the torture advocate says Trump can’t force states to “reopen.”

Our elected leaders confront the difficult decision on when to start lifting the lockdowns, even at the risk of a faster spread of COVID-19. Presiding Trump claims that he has the right to determine when businesses open their doors, employees return to work, and consumers shop again. “For the purpose of creating conflict and confusion, some in the Fake News Media are saying that it is the Governors decision to open up the states, not that of the President of the United States & the Federal Government,” he tweeted earlier today. “Let it be fully understood that this is incorrect . . . It is the decision of the President, and for many good reasons.”

But the federal government does not have that power. The Constitution’s grant of limited, enumerated powers to the national government does not include the right to regulate either public health or all business in the land. Congress enjoys the authority to “regulate Commerce with foreign Nations, and among the several States.” This gives Washington, D.C. an important, yet supporting, role in confronting the pandemic. It can bar those who might be infected from entering the United States or traveling across interstate borders, reduce air and road traffic, and even isolate whole states.

But our federal system reserves the leading role over public health to state governors. States possess the “police power” to regulate virtually all activity within their borders. As the Supreme Court has recognized, safeguarding public health and safety presents the most compelling use of state power. Only the states can impose quarantines, close institutions and businesses, and limit intra-state travel. Democratic governors Gavin Newsom in California, Andrew Cuomo in New York, and J.B. Pritzker Illinois imposed their states’ lockdowns, and only they will decide when the draconian policies will end.

Read more at The National Review.

NBC News: Cuomo warns of constitutional crisis ‘like you haven’t seen in decades’ if Trump tries to reopen New York.

New York Gov. Andrew Cuomo warned Tuesday that President Donald Trump should not try to reopen the state against his wishes, saying it would create “a constitutional crisis like you haven’t seen in decades” and could result in a dramatic increase in coronavirus cases.

“The only ways this situation gets worse is if the president creates a constitutional crisis,” Cuomo said on MSNBC’s “Morning Joe.”

“If he says to me, ‘I declare it open,’ and that is a public health risk or it’s reckless with the welfare of the people of my state, I will oppose it,” he said. “And then we will have a constitutional crisis like you haven’t seen in decades, where states tell the federal government, ‘We’re not going to follow your order.’ It would be terrible for this country. It would be terrible for this president.”

This morning Trump responded with another insane tweet.

Finally, there was the insane campaign ad that Trump forced the press and his science advisers to watch during the “briefing.”

The Daily Beast: Trump Uses Coronavirus Briefing to Play Batshit Campaign Ad Attacking Press.

President Donald Trump took over Monday’s White House task force briefing to lash out at critics and the press with a bizarre video that amounted to a campaign ad, before later declaring his authority is “total” if governors disagree with him during the coronavirus pandemic.

Monday’s unprecedented press briefing began to go off the rails with the video, but before the end, the president was falsely trumpeting definitive authority during the health-care crisis that has already led to the deaths of more than 23,000 Americans.

The briefing almost immediately devolved into the president airing widespread grievances against his critics, from his likely 2020 general election opponent Joe Biden to governors and reporters who have dared to call his virus response into question over the last few weeks as American life has ground to a halt during the pandemic.

In a mash up of clips and audio that amounted to a campaign ad, Trump lashed out at critics and returned to his favorite pastime of going after reporters. The video began with a white screen saying “the media minimized the risk from the start.” At one point, it showed news clips of different governors giving kind remarks about the president’s response to the pandemic.

An agitated and indignant president pointed at the seated press corps, telling them that while he’d answer some questions after airing his montage of coronavirus praise that maybe “I’ll ask you some questions because you’re so guilty.”

Both CNN and MSNBC, which have wavered between airing the increasingly antagonistic briefings, both cut away during the multi-minute campaign ad. The networks, however, came back to broadcast the performance after a short break.

The highlight of the show was questioning from CBS correspondent Paul Reid. BBC News:

CBS White House correspondent Paula Reid was met with a fiery response when she challenged President Trump during a coronavirus briefing.

Mr Trump touted his ban on travel from China at the end of January as an example of his administration taking decisive action. However, he did not declare a national emergency until 13 March – and public health experts have criticised the response to the outbreak, including early testing failures and a shortage of protective equipment.

The reporter asked Mr Trump what his administration had done in February, “with the time you bought with your travel ban”.

So . . . another crazy day has dawned in America. Will we survive? What stories are you following?

Thursday Reads: Why Is Trump Choosing to Kill Americans?

Posted: April 9, 2020 | Author: | Filed under: morning reads, U.S. Politics | Tags: , , , , , , , , , | 31 Comments

Five Puppies on the Carpet, by Edvard Munch

Good Morning!!

Yesterday Eric Boehlert asked an important question that the mainstream media never will: Memo to media: We still don’t know why Trump is doing this.

Why?

One month into our mounting crisis and we still don’t know why Trump won’t help key states secure desperately needed medical equipment to deal with the growing coronavirus pandemic. Or why Trump is touting a dubious miracle cure, fills marathon pandemic briefings with ceaseless contradictions and lies, and has silenced scientists. Why he purposefully ignored detailed intelligence warnings about Covid-19, placed his unqualified son-in-law in charge of a national emergency, and refused to invoke the Defense Production Act to compel private companies to manufacture needed medical supplies. Or why the government airlifted 18 tons of donated respirator masks, surgical masks, gowns and other medical supplies to China in February.

Woman with a dog, Fernando Botero, 1997

If Trump had done just one of these things, it would’ve been considered shortsighted and represented a shocking lack of leadership. Trump’s done them all. Yet that still doesn’t prompt most journalists to address the bigger picture and ask disturbing questions about a president who seems to be okay with watching America crumble and decay, in very real ways, on his watch.

As I stressed last week, the media’s preferred storyline that suggests Trump is simply incompetent doesn’t add up because Trump has made the wrong decision every single time in terms of how crises like this are supposed to be dealt with. (i.e. Be consistent, transparent, factual, and credible.) It’s increasingly not believable for the press to suggest Trump has been distracted or inept during this crisis, in part because of the level of White House uselessness has become so staggering.

Maybe Trump’s vengeful. Maybe he wants to wreck the economy to create investment opportunities? He’s under the thumb of a foreign entity? He wants to cause panic and cancel the November elections? He’s a fatalist? Who knows. And honestly, the specific “why” isn’t what matters now. What matters is asking the difficult questions and pondering what the Trump presidency is truly about, no matter what lurks in the shadows.

Read the rest at Press Run.

The evidence is piling up that Trump is helping red states and choosing to let people in blue states die because of equipment shortages.

Los Angeles Times: Hospitals say feds are seizing masks and other coronavirus supplies without a word.

Although President Trump has directed states and hospitals to secure what supplies they can, the federal government is quietly seizing orders, leaving medical providers across the country in the dark about where the material is going and how they can get what they need to deal with the coronavirus pandemic.

Pierre_Bonnard, Woman with Dog and Still Life, 1917

Hospital and clinic officials in seven states described the seizures in interviews over the past week. The Federal Emergency Management Agency is not publicly reporting the acquisitions, despite the outlay of millions of dollars of taxpayer money, nor has the administration detailed how it decides which supplies to seize and where to reroute them.

Officials who’ve had materials seized also say they’ve received no guidance from the government about how or if they will get access to the supplies they ordered. That has stoked concerns about how public funds are being spent and whether the Trump administration is fairly distributing scarce medical supplies.

“In order to have confidence in the distribution system, to know that it is being done in an equitable manner, you have to have transparency,” said Dr. John Hick, an emergency physician at Hennepin Healthcare in Minnesota who has helped develop national emergency preparedness standards through the National Academies of Sciences, Engineering and Medicine.

The medical leaders on the front lines of the fight to control the coronavirus and keep patients alive say they are grasping for explanations. “We can’t get any answers,” said a California hospital official who asked not to be identified for fear of retaliation from the White House.

In Florida, a large medical system saw an order for thermometers taken away. And officials at a system in Massachusetts were unable to determine where its order of masks went.

“Are they stockpiling this stuff? Are they distributing it? We don’t know,” one official said. “And are we going to ever get any of it back if we need supplies? It would be nice to know these things.”

Maybe it’s not just blue states if it happened in Florida. So why are they doing this? We need explanations.

Another example from CNN: Colorado Democrat believes Trump awarded ventilators as political favor to vulnerable GOP senator.

Still Life With Puppies, Paul Gaugin

Rep. Diana DeGette, a veteran Democrat, said that President Donald Trump’s announcement that he would send 100 ventilators to Colorado smacks of a political favor to vulnerable GOP Sen. Cory Gardner after the federal government had not fulfilled the delegation’s request for the devices.

“I think this thing that happened with Sen. Gardner and President Trump is very disturbing,” the Colorado Democrat told CNN Wednesday evening. “What is the process here?”

DeGette said that while she wants the state to get every ventilator it can — after initially requesting 10,000 — the process employed by the White House shows that the President appears to be doling out the ventilators to his allies at a time when the virus is affecting people of all political persuasions.

“It seems that way to me,” DeGette said when asked if it appeared to be a political favor to Gardner. “I was totally outraged.”

DeGette said that the decision to award 100 ventilators followed a tortured process after the state’s delegation and Democratic Gov. Jared Polis had been asking for 10,000 ventilators.
But while they were waiting for an answer from the Federal Emergency Management Agency, Polis reached a deal with a private company for 500 ventilators to be sent to the state. Once FEMA got word of the state deal, the federal agency stepped in to prevent that contract from going through so it could acquire the ventilators instead, Polis said on CNN last week.

Gardner then called Trump on Tuesday night, and the President tweeted Wednesday that the state would get 100 ventilators from the federal stockpile at the Republican senator’s request. Gardner is one of the most vulnerable Republican senators up for reelection.

Trump seems to think that rural areas will not be overwhelmed by coronavirus infections, but the places where most Trump voters live will likely be the next hot spots, and they aren’t likely to be as prepared as the big cities.

Nancy LeTourneau at Washington Monthly: Some Coronavirus Hot Spots Are in Rural America.

Pablo Picasso, Woman with a dog

Most of the reporting on coronavirus has focused on its spread in major urban areas, especially New York City. But I was spurred into looking at what is happening in rural America by the fact that the “hot spot” in my home state of Minnesota is not the Twin Cities metro area. The disease has taken hold in the city of Fairmont, which is located in Martin County—an agricultural community in the southwestern part of the state.

While the number of cases and deaths related to coronavirus in Martin County is fairly low (34 cases and 4 deaths), it dwarfs those in the metro counties on a per capita basis. For example, per 100,000 people, Martin County’s numbers represent 170 cases and 20 deaths, compared to 17 cases and 0.7 deaths per 100,000 in Hennepin County, which includes Minneapolis.

No one knows why this virus has taken hold in Martin County, but that hasn’t stopped speculation. Here is what Tim Langer, public health sanitarian with Martin County Human Services, ventured.

“My personal opinion is there are some folks listening to some media outlets that were not taking this seriously. That can be a factor, too. It’s hard to prove that. I don’t want to get political. But there were outlets saying it’s a hoax, it’s no worse than a cold, and those are things people listen to.”

Martin County, Minnesota isn’t the only rural area that is facing a coronavirus outbreak. In hotspots like Blaine County, Idaho and Eagle County, Colorado, the explanation is clear: rich ski towns have some of the highest infection rates in the country. But what explains the fact that Greer County, Oklahoma is the hot spot of that state, with an infection rate of 520 and death rate of 50 per 100,000?

Click the link to read the rest.

Susan on a balcony holding a dog, Mary Cassatt

NPR: Small-Town Hospitals Are Closing Just As Coronavirus Arrives In Rural America.

By this time next week, Decatur County, Tenn., will have lost its only hospital, Decatur County General, which has been serving the rural community of about 12,000 people along the Tennessee River since 1963.

The hospital’s human resources director, Melinda Hays-Kirkwood, has already begun laying off people, and she says by next week only a skeleton staff will remain….

The closure will have a huge economic toll locally — with more than 100 on staff, the hospital was one of the county’s largest employers. But the ironic timing isn’t lost on its staff either. Because of the COVID-19 crisis, most nonessential businesses in the area were already closed.

“It’s a difficult time to be shutting down a hospital in the middle of the coronavirus,” Hays-Kirkwood says.

There are currently no known cases in Decatur County, but she says every county around it has reported infections.

Small-town hospitals were already closing at an alarming rate before the COVID-19 pandemic. But now the trend appears to be accelerating just as the disease arrives in rural America. When Decatur County General Hospital shuts down indefinitely by April 15, it will be the ninth small-town hospital to close in 2020 alone. According to a report released this month by the Chartis Center for Rural Health, nearly half of rural hospitals were already operating in the red before the COVID-19 crisis.

What will happen when it becomes clear that Trump is killing his own supporters? Lloyd Green at The Guardian, April 5: ‘Trump is killing his own supporters’ – even White House insiders know it.

On Sunday, initially at least, there was no White House briefing on the president’s public schedule. But the bad news kept coming. Coronavirus deaths continued to climb and reports of the heartland being unprepared for what may be on its horizon continued to ricochet around the media.

In the words of one administration insider, to the Guardian: “The Trump organism is simply collapsing. He’s killing his own supporters.”

By Edouard Vuillard

Members of the national guard, emergency workers, rank-and-file Americans: all are exposed. Yet Trump appears incapable of emoting anything that comes close to heart-felt concern. Or just providing straight answers.

Rather, he is acting like Jefferson Davis, the president of the Confederate States of America: repeatedly letting governors know the burden of shoring up their sick, their doctors and their people falls on their shoulders first. The national government? It’s the world’s greatest backstop.

Remember when the Republican party freaked out about Barack Obama and the US “leading from behind” abroad? Remember the howls that evoked from GOP leaders? Those days are gone. Welcome to what Martin O’Malley, a Democratic former governor of Maryland, calls the “Darwinian approach to federalism”.

Trump is telling NFL owners he wants the season to start on time. He is disregarding Centers for Disease Control and Prevention advice on wearing facemasks in public. And he is touting untested coronavirus cures live on national TV.

Think Trump University on steroids, only this time we all stand to be the victims.

When Dr Anthony Fauci says there is no evidence to back up Trump’s claims surrounding hydroxychloroquine, an anti-malaria drug, pay attention. The fact Jared Kushner is on the case is hardly reassuring. He’s the guy who thought firing James Comey was win-win politics and promised Middle East peace in our time.

While all this is going on, the Wisconsin Republican party is giving America a taste of the campaign to come in the fall. Right now, the Badger State GOP is fighting in the US supreme court efforts to extend mail-in voting for this Tuesday’s Democratic primary.

In other words, voters will be forced to choose between foregoing their rights and risking their lives. Democracy shouldn’t work that way.

Read the rest at The Guardian.

What’s happening where you live? And what stories are you following today?

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