HealthCare Notes

3/18/20

Lawrence: Trump Gave Republicans False Hope On Coronavirus

How To Get More Ventilators And What To Do If We Can’t

https://www.huffpost.com/entry/coronavirus-ventilators-supply-manufacture_n_5e6dc4f7c5b6747ef11e8134
"The consequences of a shortage would be dire. Doctors would have to make harrowing decisions about who gets the ventilators and who doesn’t, decisions that doctors in coronavirus-ravaged China, Iran and Italy say they are making already."

How To Support People In Health Care Working During Coronavirus

https://www.huffpost.com/entry/how-to-support-health-care-workers-coronavirus_l_5e6f840ac5b6747ef121c749
"Natasha Bhuyan, a practicing family physician in Phoenix, said you can help by heeding expert and government-issued advice. This includes washing your hands and practicing social distancing. “And don’t stockpile medical masks or hand sanitizer in mass amounts so front-line health care providers and patients in need are able to access them,” she said." People who work in medicine are being stretched beyond the limit in this COVID-19 outbreak. Take care of them."

200 Nurses Furloughed Due To Lack Of Corona Testing, Danbury Hospital At Capacity

Trump’s damage is already done

https://www.washingtonpost.com/opinions/2020/03/17/trumps-damage-is-already-done/
"President Trump’s delay in preparing for the coronavirus might be the costliest presidential bungle in history, one that will likely increase the number of deaths and damage the long-term well-being of Americans. (The pathetic attempt to rewrite history to keep the Trumpian myth intact will not protect his reputation nor that of his enablers, including those who voted for acquittal in his Senate impeachment trial.) He has also poisoned the well of public opinion."

3/17/20

Governor Andrew Cuomo Pushes For Unified State Response To Coronavirus

US hospitals are struggling to respond to the Covid-19 pandemic

https://www.vox.com/policy-and-politics/2020/3/17/21183263/coronavirus-us-hospitals-elective-surgeries-icu-masks
"The coronavirus surge is coming, America’s hospitals are struggling to prepare, and the eventual demand for intensive care unit beds for Covid-19 cases could far exceed what US hospitals will be able to provide. Researchers at the Imperial College London wrote in a devastating new analysis that even stringent mitigation measures of case isolation, home quarantine, and social distancing “would still result in an 8-fold higher peak demand on critical care beds over and above the available surge capacity in ... the US.” America’s hospitals do not appear ready. Tom Frieden, former CDC director under President Barack Obama, told me that in “any place there is community transmission,” hospitals should cancel elective surgeries so they can make more beds available to Covid-19 patients. Surgeon General Jerome Adams has made a similar plea."

Team Trump received pandemic warning - in January 2017

https://www.msnbc.com/rachel-maddow-show/team-trump-received-pandemic-warning-january-2017-n1161811
"Trump recently said that one can "never really think" something like this is "going to happen." Evidently, his team was warned that something extremely similar to this might very well happen, but the Republican's operation didn't much care."

Confirmed Cases Of COVID-19 In The U.S. Reaches 6000

3/15/20

CDC Suggests Ban On Groups Of 50 People Or More As U.S. Moves Closer To Shutdown

https://www.huffpost.com/entry/coronavirus-national-shutdown_n_5e6eb670c5b6bd8156f9f468
"Restaurants, bars and schools have been shuttered, and the top infectious diseases expert said he’d like to see a 14-day national shutdown imposed."

Top U.S. Health Official: Americans Should ‘Hunker Down Significantly More’

https://www.huffpost.com/entry/anthony-fauci-coronavirus-shutdown_n_5e6e26e8c5b6bd8156f936bb
"Anthony Fauci, one of the top U.S. health officials leading the country’s response to the coronavirus, urged Americans on Sunday to “hunker down significantly more” as the virus continues to spread across the country."

Lying, Tweeting And Wishing A Pandemic Away Doesn’t Work, It Turns Out

https://www.huffpost.com/entry/trump-pandemic-response_n_5e6d412ec5b6747ef11e4072
"What happens when the president of the United States tries to lie, wish and tweet a pandemic away? As it turns out, it puts a government response four to six weeks behind schedule, possibly resulting in thousands — or even tens or hundreds of thousands — more Americans getting seriously ill and dying."

3/14/20

Infection Rate Charts Forecast Steep Rise In US Coronavirus Cases

No Quick Solution To Treat Coronavirus Despite Hopeful Leads

Watch Katie Porter Relentlessly Grill CDC Chief Into Saying ‘Yes’ to Free COVID-19 Tests

https://www.rollingstone.com/politics/politics-news/watch-katie-porter-grill-cdc-director-coronavirus-966572/
"Using a whiteboard and a deep breadth of knowledge regarding the costs of testing for the coronavirus, Representative Katie Porter peppered Trump administration officials into submission, finally causing them to cry uncle and commit to free testing for Americans “regardless of insurance"."

Threat Of Crush Of Coronavirus Cases Calls For Creative Solutions

Who could have predicted Trump would be such a bad crisis manager? Everyone, actually.

https://www.washingtonpost.com/opinions/2020/03/12/who-could-have-predicted-trump-would-be-such-bad-crisis-manager-everyone-actually/
"Who could have predicted that Trump would be such an incompetent crisis manager? Pretty much everyone, actually. Yet nearly 63 million Americans voted for him anyway — and the Republican-controlled Senate refused to convict and remove him in January for his impeachable conduct. The entire country is now paying for those colossally irresponsible decisions as we face the worst crisis since 9/11 under the bungling leadership of the worst president in modern times."

Trump Says ‘I Don't Take Responsibility’ For Coronavirus Failures

How Trump's Mistakes Made Coronavirus Worse

REPORT: Trump Rejected Coronavirus Testing To Help Re-Election

Please, Listen to Experts About the Coronavirus. Then Step Up.

https://www.nytimes.com/2020/03/11/opinion/coronavirus-expert-advice.html
"On Tuesday, a Harvard epidemiologist, Marc Lipsitch, shared his recent research into the coronavirus epidemics in Wuhan and Guangzhou, China, comparing their I.C.U. and hospital bed use with the capacity here in the United States. His conclusion was blunt: “We need to stop feeling sheepish about it and just realize that some places (Italy, Iran) are in crisis, and some are very likely in the days before crisis, a crisis that will be less bad if we slow down the virus. #flattenthecurve to reduce peak demand on health care.” Trevor Bedford, a researcher at Seattle’s Fred Hutchinson Cancer Research Center, has been posting findings of genome sequencing of the virus to estimate spread. His research suggests an outbreak in the Seattle area that’s still not reflective of testing. Like other experts, Dr. Bedford offers links to public health officials with information about the effectiveness of social distancing, like Caitlin Rivers, an assistant professor at Johns Hopkins Center for Health Security studying outbreak science and epidemiology. Caitlin Rivers, PhD Community interventions like event closures have an important role in limiting covid transmission, but individual behavior changes are even more important. 1/ Caitlin Rivers, PhD Community interventions are temporary and socially and economically costly. Individual actions are humble but powerful and permanent. 2/ Unlike government officials offering vague advice, many experts seem clear that difficult measures must be put in place. In a 35-tweet thread on Monday, Tom Inglesby, director of the Center for Health Security of the Johns Hopkins Bloomberg School of Public Health, laid out the case for social distancing in American cities. At a basic level, social distancing means keeping sick people home and out of contact with healthy as well as vulnerable people. It also means that healthy people distance themselves by avoiding crowded or public places, canceling plans and not traveling."

Trump: "I Take No Responsibility"

Trump Admin Fails On Basic Guidance To Americans Facing Coronavirus

12 Steps to Tackle the Coronavirus

https://www.nytimes.com/2020/03/11/opinion/coronavirus-united-states.html
"At least Emperor Nero supposedly only fiddled while Rome burned; he didn’t tell the Romans that the fire was no big deal. President Trump squandered two precious months trying to downplay the new coronavirus while attempting to talk up the stock market. We still have no idea how many Americans are infected, because the administration bungled diagnostics. As of a few days ago, South Korea had conducted up to 700 times more tests per capita than the United States. Trump’s passivity will cost lives, but we can still make preparations before hospitals risk becoming overwhelmed by a pandemic that is both more contagious than the seasonal flu and apparently many times more lethal. Dr. Tom Frieden, a former director of the Centers for Disease Control and Prevention, warns that in a plausible worst-case scenario, this virus could kill more than one million Americans. After speaking to epidemiologists and public health specialists, I have a list of a dozen practical steps that the president and other officials should take immediately, while there is time. 1. Invest in a huge rollout of free testing so that we know who is sick. The University of Washington set up a drive-through system so that certain people can be tested without contaminating a clinic; South Korea did the same. We urgently need “rapid tests” — offering results in minutes — and before long we will also desperately need tests to determine who has had the virus and now has immunity. 2. Cancel large gatherings in parts of the country where community transmission is occurring, as Gov. Jay Inslee has done in Washington State. Employers should encourage people to work from home where possible. Even with social distancing, more than one-third of Americans may eventually be infected (a worst case is that 70 percent become infected, as Chancellor Angela Merkel of Germany has cautioned for her country). But lives will be saved by flattening the curve so that infections grow more slowly."

A President Unequal to the Coronavirus Moment

https://www.newyorker.com/news/letter-from-trumps-washington/a-president-unequal-to-the-moment
"Trump has spent years devaluing and diminishing facts, experts, institutions, and science—the very things upon which we must rely in a crisis—and his default setting during the coronavirus outbreak has been to deny, delay, deflect, and diminish. His speech on Wednesday night was a disappointment but not a surprise. He told us what we already knew: America is in big trouble."

How A Country Serious About Coronavirus Does Testing And Quarantine

U.S. Ill Served By Trump's Repeated Lying About Coronavirus Response

Trump Is Failing to Prepare Americans for a Disturbing New Reality

https://www.theatlantic.com/ideas/archive/2020/03/trump-doesnt-grasp-what-americans-are-going-through/607870/
"Trump’s efforts to minimize the disease look delusional against everything we know about it. The United States is just entering the mitigation stage of this crisis, during which cities and states will severely curb movement and social interactions to slow the spread of the disease and relieve burdens on our health-care system. For weeks to come, Americans will become accustomed to this jarring sense that time and basic social norms are suspended. After falsely saying the coronavirus is essentially contained, then not seeming to show much interest until the stock market took notice, Trump has shown no empathy for what the nation is now suffering. By all evidence, he is deeply concerned with how the pandemic will make him look. But as Craig Fugate, the former head of the Federal Emergency Management Agency, used to tell his teams, the best way to get good press is to do a good job. Americans need to brace for impact. Trump’s standard tactics—blaming immigrants and outsiders, promising fantastical walls, wearing red hats with slogans—are powerless against a global pandemic. While the coronavirus is by far the most dangerous crisis that the United States has faced since Trump took office, he has not participated in its resolution in any meaningful way. But a president isn’t allowed to be irrelevant at a moment of national crisis. Or, to put it another way, an irrelevant president is a harmful one. Last night Trump felt obliged to intervene more strongly—just not with the kind of information and leadership that will prepare Americans for a disturbing new reality."

Team Trump can't even figure out what lies to tell about the coronavirus

https://www.salon.com/2020/03/12/team-trump-cant-even-figure-out-what-lies-to-tell-about-the-coronavirus/
"Donald Trump and the massive propaganda apparatus around him — call them "TrumpLand" — cannot decide what lie to tell about the new coronavirus, COVID-19, that is now exploding into a global pandemic. Simply not lying is of course not an acceptable option. The unofficial motto of the Trump administration is quite clearly "Lie about everything, all the time, even for no apparent reason." In this case, Trump is facing a very real PR crisis, and the first instinct of this president and his advocates is always to find some way to lie themselves out of their latest pickle. The problem this time, as many people have noted, is that you can't lie your way out of a pandemic. Even China, which is an authoritarian one-party state that lies to its population constantly about everything, was unable to bamboozle the public about the virus."

Jon Meacham: Trump's Reaping What He Sowed After Attacking Government

Rep. Porter Gets Trump CDC Director To Commit To Free Coronavirus Testing

Governor Ducey declares public health emergency in Arizona over coronavirus

https://www.abc15.com/news/region-phoenix-metro/central-phoenix/governor-ducey-declares-public-health-emergency-in-arizona-regarding-coronavirus
"Governor Doug Ducey declared a public health emergency in Arizona Wednesday in response to the spread of the coronavirus"

Trump’s Oval Office failure

https://www.washingtonpost.com/opinions/2020/03/12/trumps-oval-office-failure/
"Unfortunately, the president’s delinquency in dealing with a worldwide pandemic and his utterly insufficient response, coupled with the blizzard of misinformation he and his lackeys are spreading, have real-world consequences. The blame for the health and economic crisis will lie largely with him. (Indeed, other democracies, contrary to Trump’s attacks, have acted with greater urgency and farsightedness than Trump to protect their people’s health.) Trump’s self-absorption and incompetence never fail to amaze. At a time when state and local governments are pleading for social distancing and banning large events, Trump refuses even to mention these important mitigation efforts. (He quietly canceled events, however, in Colorado, Wisconsin and Nevada.) To soothe his own ego, he quite literally is willing to make Americans sick."

Chris Hayes: The Failure Of Coronavirus Comes From The Top

Mayor’s Dire warning: Coronavirus Cases Could Spike 15 Times By April

Trump’s Speech Shows He Has No Idea What to Do About the Coronavirus

https://nymag.com/intelligencer/2020/03/trump-speech-coronavirus-travel-ban-europe.html
"The cliche about Trump’s presidency is that it is malevolence tempered by incompetence. His haplessness would undermine his corruption and authoritarianism. But now, finally, the country faces a crisis in which Trump’s incompetence will not save us from him. His wholesale unfitness was on bright display from the Oval Office. It may be the most unsettling moment yet of this bleak era."

The Worst Outcome

https://www.theatlantic.com/ideas/archive/2020/03/trump-ensuring-worst-possible-outcome-coronavirus-crisis/607867/
"What he is responsible for is his failure to respond promptly, and then his perverse and counterproductive choice of how to respond when action could be avoided no longer. Trump, in his speech, pleaded for an end to finger-pointing. It’s a strange thing for this president of all presidents to say. No American president, and precious few American politicians, have ever pointed so many fingers or hurled so much abuse as Donald Trump. What he means, of course, is: Don’t hold me to account for the things I did. But he did do them, and he owns responsibility for those things. He cannot escape it, and he will not escape it. More people will get sick because of his presidency than if somebody else were in charge. More people will suffer the financial hardship of sickness because of his presidency than if somebody else were in charge. The medical crisis will arrive faster and last longer than if somebody else were in charge. So, too, the economic crisis. More people will lose their jobs than if somebody else were in charge. More businesses will be pushed into bankruptcy than if somebody else were in charge. More savers will lose more savings than if somebody else were in charge. The damage to America’s global leadership will be greater than if somebody else were in charge. There is always something malign in Trump’s incompetence. He has no care or concern for others; he cannot absorb the trouble and suffering of others as real. He monotones his way through words of love and compassion, but those words plainly have no content or meaning for him. The only thing that is real is his squalid vanity. This virus threatens to pierce that vanity, so he denied it as long as he could. What he refuses to acknowledge cannot be real, can it? And even now that he has acknowledged the crisis, he still cannot act, because he does not know what to do. His only goal now is to shove blame onto others."