#Help Hotline pence
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heweramber · 26 days ago
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doodles of the help hotline cast
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theyoungturks · 3 years ago
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A MAGA group clogged up the veteran suicide prevention hotline to "protest" the treatment January 6th rioters are experiencing in prison. Ana Kasparian and Cenk Uygur discuss on The Young Turks. Watch LIVE weekdays 6-8 pm ET. http://youtube.com/theyoungturks/live Read more HERE: https://www.dailykos.com/stories/2022/9/19/2123875/-Faketriots-stage-protest-of-Jan-6-veterans-by-trying-to-clog-up-VA-suicide-prevention-hotline "One of the things that the (mostly white) Jan. 6 defendants are experiencing for the first time is how slowly the justice system can move when you are considered too dangerous to release back into the public. The general angle that most insurrection apologists have taken is that the attempted coup d’etat at our nation’s Capitol building on Jan. 6, 2021, was a no harm, no foul violation of civility. Things got out of hand. While many of the people there were talking about hanging Vice President Mike Pence and stopping Congress from making the electoral votes of the 2020 presidential election official, things got broken because everyone was having a grand old party time. The fact is, these MAGA folks broke a lot of laws. Most of the laws these folks broke—running the full gamut of trespassing and vandalism to outright sedition—are federal laws. As such, right-wing fascists have been crying about how they are being treated by the legal system. In the case of the Jan. 6 defendants, there is ample video and social media evidence placing them at these scenes of all the crimes they are being charged with." *** The largest online progressive news show in the world. Hosted by Cenk Uygur and Ana Kasparian. LIVE weekdays 6-8 pm ET. Help support our mission and get perks. Membership protects TYT's independence from corporate ownership and allows us to provide free live shows that speak truth to power for people around the world. See Perks: ▶ https://www.youtube.com/TheYoungTurks/join SUBSCRIBE on YOUTUBE: ☞ http://www.youtube.com/subscription_center?add_user=theyoungturks FACEBOOK: ☞ http://www.facebook.com/TheYoungTurks TWITTER: ☞ http://www.twitter.com/TheYoungTurks INSTAGRAM: ☞ http://www.instagram.com/TheYoungTurks TWITCH: ☞ http://www.twitch.com/tyt 👕 Merch: http://shoptyt.com ❤ Donate: http://www.tyt.com/go 🔗 Website: https://www.tyt.com 📱App: http://www.tyt.com/app 📬 Newsletters: https://www.tyt.com/newsletters/ If you want to watch more videos from TYT, consider subscribing to other channels in our network: The Damage Report ▶ https://www.youtube.com/thedamagereport TYT Sports ▶ https://www.youtube.com/tytsports The Conversation ▶ https://www.youtube.com/tytconversation Rebel HQ ▶ https://www.youtube.com/rebelhq TYT Investigates ▶ https://www.youtube.com/channel/UCwNJt9PYyN1uyw2XhNIQMMA #TYT #TheYoungTurks #BreakingNews 220920__TA03 by The Young Turks
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go-redgirl · 7 years ago
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President Donald Trump, joined on stage by supporters and members of congress including Vice President Mike Pence, Rep. Don Young, R-Alaska, and Rep. Tim Scott, R-S.C., speaks during an event on the South Lawn of the White House in Washington, Wednesday, Dec. 20, 2017, to acknowledge the final passage of tax overhaul legislation by Congress. (AP Photo/Carolyn Kaster)          
With the passage of the GOP tax bill this week, the Trump administration has scored 81 major achievements in its first year, making good on campaign promises to provide significant tax cuts, boost U.S. energy production, and restore respect to the United States, according to the White House.
And along the way, President Trump even outdid his own expectations and slashed at least 11 major legacy items of former President Barack Obama, including cracking down on the open border, slowing recognition of communist Cuba and effectively killing Obamacare by ending the mandate that everyone have health insurance or face a tax.
According to the White House, the 81 accomplishments are in 12 major categories and include well over 100 other minor achievements.
The unofficial list helps to counter the impression in the mainstream media and among congressional Democrats that outside the approval of Supreme Court Neil Gorsuch and passage of the tax reform bill little was done.
Administrations typically tout their achievements broadly at the end of each year, but Trump plans to list jobs added, regulations killed, foreign policy victories won, and moves to help veterans and even drug addicts.
And in a sign of support for conservatives, the White House also is highlighting achievements for the pro-life community.
Below are the 12 categories and 81 wins cited by the White House.
Jobs and the economy
Passage of the tax reform bill providing $5.5 billion in cuts and repealing the Obamacare mandate.
Increase of the GDP above 3 percent.
Creation of 1.7 million new jobs, cutting unemployment to 4.1 percent.
Saw the Dow Jones reach record highs.
A rebound in economic confidence to a 17-year high.
A new executive order to boost apprenticeships.
A move to boost computer sciences in Education Department programs.
Prioritizing women-owned businesses for some $500 million in SBA loans.
Killing job-stifling regulations
Signed an Executive Order demanding that two regulations be killed for every new one creates. He beat that big and cut 16 rules and regulations for every one created, saving $8.1 billion.
Signed 15 congressional regulatory cuts.
Withdrew from the Obama-era Paris Climate Agreement, ending the threat of environmental regulations.
Signed an Executive Order cutting the time for infrastructure permit approvals.
Eliminated an Obama rule on streams that Trump felt unfairly targeted the coal industry.
Fair trade
Made good on his campaign promise to withdraw from the Trans-Pacific Partnership.
Opened up the North American Free Trade Agreement for talks to better the deal for the U.S.
Worked to bring companies back to the U.S., and companies like Toyota, Mazda, Broadcom Limited, and Foxconn announced plans to open U.S. plants.
Worked to promote the sale of U.S products abroad.
Made enforcement of U.S. trade laws, especially those that involve national security, a priority.
Ended Obama’s deal with Cuba.
Boosting U.S. energy dominance
The Department of Interior, which has led the way in cutting regulations, opened plans to lease 77 million acres in the Gulf of Mexico for oil and gas drilling.
Trump traveled the world to promote the sale and use of U.S. energy.
Expanded energy infrastructure projects like the Keystone XL Pipeline snubbed by Obama.
Ordered the Environmental Protection Agency to kill Obama’s Clean Power Plan.
EPA is reconsidering Obama rules on methane emissions.
Protecting the U.S. homeland
Laid out new principles for reforming immigration and announced plan to end "chain migration," which lets one legal immigrant to bring in dozens of family members.
Made progress to build the border wall with Mexico.
Ended the Obama-era “catch and release” of illegal immigrants.
Boosted the arrests of illegals inside the U.S.
Doubled the number of counties participating with Immigration and Customs Enforcement charged with deporting illegals.
Removed 36 percent more criminal gang members than in fiscal 2016.
Started the end of the Deferred Action for Childhood Arrival program.
Ditto for other amnesty programs like Deferred Action for Parents of Americans.
Cracking down on some 300 sanctuary cities that defy ICE but still get federal dollars.
Added some 100 new immigration judges.
Protecting communities
Justice announced grants of $98 million to fund 802 new cops.
Justice worked with Central American nations to arrest and charge 4,000 MS-13 members.
Homeland rounded up nearly 800 MS-13 members, an 83 percent one-year increase.
Signed three executive orders aimed at cracking down on international criminal organizations.
Attorney General Jeff Sessions created new National Public Safety Partnership, a cooperative initiative with cities to reduce violent crimes.
Accountability
Trump has nominated 73 federal judges and won his nomination of Neil Gorsuch to the Supreme Court.
Ordered ethical standards including a lobbying ban.
Called for a comprehensive plan to reorganize the executive branch.
Ordered an overhaul to modernize the digital government.
Called for a full audit of the Pentagon and its spending.
Combatting opioids
First, the president declared a Nationwide Public Health Emergency on opioids.
His Council of Economic Advisors played a role in determining that overdoses are underreported by as much as 24 percent.
The Department of Health and Human Services laid out a new five-point strategy to fight the crisis.
Justice announced it was scheduling fentanyl substances as a drug class under the Controlled Substances Act.
Justice started a fraud crackdown, arresting more than 400.
The administration added $500 million to fight the crisis.
On National Drug Take Back Day, the Drug Enforcement Agency collected 456 tons.
Protecting life
In his first week, Trump reinstated and expanded the Mexico City Policy that blocks some $9 billion in foreign aid being used for abortions.
Worked with Congress on a bill overturning an Obama regulation that blocked states from defunding abortion providers.
Published guidance to block Obamacare money from supporting abortion.
Helping veterans
Signed the Veterans Accountability and Whistleblower Protection Act to allow senior officials in the Department of Veterans Affairs to fire failing employees and establish safeguards to protect whistleblowers.
Signed the Veterans Appeals Improvement and Modernization Act.
Signed the Harry W. Colmery Veterans Educational Assistance Act, to provide support.
Signed the VA Choice and Quality Employment Act of 2017 to authorize $2.1 billion in additional funds for the Veterans Choice Program.
Created a VA hotline.
Had the VA launch an online “Access and Quality Tool,” providing veterans with a way to access wait time and quality of care data.
With VA Secretary Dr. David Shulkin, announced three initiatives to expand access to healthcare for veterans using telehealth technology.
Promoting peace through strength
Directed the rebuilding of the military and ordered a new national strategy and nuclear posture review.
Worked to increase defense spending.
Empowered military leaders to “seize the initiative and win,” reducing the need for a White House sign off on every mission.
Directed the revival of the National Space Council to develop space war strategies.
Elevated U.S. Cyber Command into a major warfighting command.
Withdrew from the U.N. Global Compact on Migration, which Trump saw as a threat to borders.
Imposed a travel ban on nations that lack border and anti-terrorism security.
Saw ISIS lose virtually all of its territory.
Pushed for strong action against global outlaw North Korea and its development of nuclear weapons.
Announced a new Afghanistan strategy that strengthens support for U.S. forces at war with terrorism.
NATO increased support for the war in Afghanistan.
Approved a new Iran strategy plan focused on neutralizing the country’s influence in the region.
Ordered missile strikes against a Syrian airbase used in a chemical weapons attack.
Prevented subsequent chemical attacks by announcing a plan to detect them better and warned of future strikes if they were used.
Ordered new sanctions on the dictatorship in Venezuela.
Restoring confidence in and respect for America
Trump won the release of Americans held abroad, often using his personal relationships with world leaders.
Made good on a campaign promise to recognize Jerusalem as the capital of Israel.
Conducted a historic 12-day trip through Asia, winning new cooperative deals. On the trip, he attended three regional summits to promote American interests.
He traveled to the Middle East and Europe to build new relationships with leaders.
Traveled to Poland and on to Germany for the G-20 meeting where he pushed again for funding of women entrepreneurs.
Paul Bedard, the Washington Examiner's "Washington Secrets" columnist, can be contacted at [email protected]
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megacircuit9universe · 5 years ago
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25 45 Hutt!
THU OCT 08 2020
13 members of a right wing militia group in Michigan were rounded up and indicted today for a plot to kidnap their Democratic governor, Gretchen Whitmer.  The plan, apparently was to kidnap her, put her on trial for treason, and then execute her.
Meanwhile, Nancy Pelosi announced today that Congress will create a commission to invstigate and discuss the rules for removing Trump under the 25th ammendment... citing his apparent, “dissociation from reality,” over the past week.
And news broke that Pence, has cancelled campaign engagements for the near future to return to Washington DC.
So, what it’s looking like tonight, is... Trump’s about to be forcibly sidelined.
But how can it be?  Pelosi doesn’t have that kind of power!  
To take Trump off the field using 25A, she’d need the cooperation of both the white house cabinet and the senate!  And that’s never gonna... 
...Oh, wait!..  didn’t Mitch McConnel pop up in the news today saying he hasn’t been to the White House since August 6th, because he didn’t agree with the way they were blowing off the risk of Covid?
...Oh, wait!..  didn’t we hear today that the number of White House staff who’ve tested positive for Covid is now up to 34?..  and that the White House is nearly empty, with those essential staffers left, being required to wear plastic gowns, and face shields, in addition to masks and gloves?
Maybe Nancy Pelosi DOES have the cooperation of the White House cabinet, and the Senate!
Let’s do a thought experiment here;  Imagine your uncle tests positive for Covid and goes to the hospital for it.  Okay?  Now imagine this same uncle not only elopes from the hospital two days later, but shows up that night in your house, because he knew you had a spare key under the welcome matt... and now he’s in the kitchen, defiantly removing his mask, and telling you how he feels like a million bucks, and he’s gonna be staying in the spare bedroom for the next couple weeks.
For real here... imagine it!  How terrified would you be, that he’s giving you Covid right now, in your kitchen?  And how angry?  You’ve been quarantining here for months.  This is your sacred cold zone... the one place you know you’re safe from the virus, because you’ve taken every precaution to keep it safe.
This uncle was always a jerk, but you tolerated him, because he’s family, but now?.. how long will you hesitate to call 911 and have paremedics... accompanied by cops if necessary... haul his ass the hell out of your house, and back to the hospital?
You hesitate.  You think maybe if you can get him to quarantine in the spare bedroom, and if you just double down on the PPE, maybe it will be okay.  
But the next morning he’s walking all around the house in his bath robe, and he’s jacked up on coke... invading everybody’s personal space, spouting manic nonsense about how your neighbor should be arrested because he’s spying on him, and he’s a perfect specimen who is still 25, and by the way... he has a gun. 
 Don’t worry, I’m not gonna shoot anybody, but I like to have a gun with me, because you know... 
You go to the clinic with your kids to get tested, and both your kids are now positive.  You come home, and your uncle is shout-rambling to himself, “GRITS AND BACON!  VOTE!  JEWS AND TOP HATS! VOTE!..”  while staring out the window at your neighbor, gun in hand.
Are you going to get back in the car... drive around to the other side of the block, and call 911 now?
I feel like you probably are.
And this is pretty much the situation for everybody in the White House tonight, from the lowliest staffer, up to the cabinet appointees... interim as most of them now happen to be.
Crazy Uncle Donald was flown out last Friday with Covid to the hospital, where surely he would spend two weeks under the finest care... and be out of your hair until he was over it, and no longer contageous...
But SURPRISE!.. he came back two days later, ripping off his mask, declaring himself cured, and rambling like 2011 Charlie Sheen in the peak of his Tiger Blood breakdown*  
He’s infecting everybody and calling for Bill Barr to arrest both Biden and Obama, for spygate, saying that Barr could be remembered as the greatest Attorney General ever... or... or... it could end very sadly for him.
And he’s got the nuclear launch codes!
Tell me... somebody did not call Nancy Pelosi directly on a hotline today, crying out for help with 25A!
We need to do 25A right now but we don’t know HOW!  WE’RE ALL JUST INTERIM APPOINTEES WHO DONATED MONEY TO HIS CAMPAIGN BUT KNOW NOTHING ABOUT THE LAW, PLEASE HELP US, FOR THE LOVE OF GOD, YOU IMPEACHED HIM!
Meanwhile... over at the Pentagon... the Chiefs of Staff are starting to test positive, and manic Trump just tweeted today that he’s gonna have all the troops out of Afghanistan by Christmas!.. something the Taliban was celibrating online today.
So you know both Pelosi and McConnel got an earful about that from more than one livid five star general.
The FBI crackdown on the Michigan militia conspiracy, going public today, was also probably not a coincidence, and would have to have been okayed by Barr, who was in attendance for the Coney Barret ceremony and... if he didn’t get Covid there... only narrowly escaped it by the grace of God, and he knows it.
McConnel was smart enough to keep his distance... and while he must be mortally torn between his mission from God to pack the Supreme Court with hard right conservative judges... and his own self preservation... 
...self preservation may be winning out in this moment... when Covid is landing very close to home, and... in his home state of Kentucky, a full blown KKK rally happened today, in support of Trump... threatening to end his career in the Senate.
For McConnel the calculus is incredibly complex right now, because if Pence takes the reigns, he loses that tie breaking vote for Coney Barret’s confirmation, even as he loses two other GOP Senator votes to mandated quarantine because they’ve tested positive. 
Is there enough time in the lame duck session to confirm CB?  Maybe!  Maybe even if they all lose the election, there will be time for Trump to recover, and Pence to return as the tie breaker, and the other Senators to come back with a clean bill of health.  
Maybe maybe maybe!
But also, maybe preventing a nuclear war in the next two weeks is also prudent.
Lastly... in this analysis of the emerging situation...
...Pelosi does not bluff.  I wrote all about this a year ago, when the impeachment hearings were going on.  Pelosi does not gamble. 
She would not have teased publicly a commission into 25A unless she knew it was not only warranted by the circumstances, but also had the necessary support from all parties involved, to result in swift, decisive action.
She only went ahead with impeachment last year, because she knew there was an iron clad case, and that it would pass the House.  And she did it fast!
No, in that case the Senate did not remove Trump... and she had no control over that aspect of the process... but she nonetheless impeached him, and forced the Senate to hear the case for removal... putting the burden on their shoulders to either do the right thing, or not... in a vote that is NOW coming back to haunt them HARDCORE!
Tell me that doesn’t make it easier, a year later, to get the same Senate to play ball on a measure to temporarily suspend the President... who’s tested positive for a deadly virus with no cure, and is contageous, and being given mood and mind altering drugs to fight it... resulting in a state of delerium that threatens himself, the government, the nation, and the world.
Nobody loves Mike Pence, but... if he were in charge until after the election... maybe a civil war might not break out in November, and maybe we’d wind up with a semi-peaceful transition of power in January?
Maybe?
And I thought I’d be able to take the night off, eh?
Not in October of 2020!
Go to bed, and I’ll write again soon.
*In a January 2017 article in NME (New Music Entertainment) Charlie Sheen blamed his Tiger Blood breakdown from 2011 on accidental roid rage.  He’d been using a topical steroidal cream to keep up his libido, and wasn’t aware of the possible side effects.
In Sheen’s case, steroids cost him his leading role on Two and a Half Men... an insanely popular show at the time.  
He was later diagnosed with AIDS, which lead him to become temporarily suicidal, until he learned that AIDS is now survivable with modern drugs, and... he’s still alive today, if living under the radar.
This lends all the credibility to the idea that perscription steroids (much stronger steroids than anything Sheen was taking) have driven Trump into a psychotic split with reality.
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khalilhumam · 5 years ago
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10 things we learned at Brookings in July
New Post has been published on http://khalilhumam.com/10-things-we-learned-at-brookings-in-july-2/
10 things we learned at Brookings in July
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By Fred Dews, Jacob Jordan Like many of the past few months, July flew by—but not without its fair share policy challenges. From continued protests around police brutality to debates around the reopening of schools, July at Brookings has been busy. Here are 10 things we learned from Brookings scholars’ research over the past month.
1. There’s a lot to learn about reopening schools from Finland and Denmark
Emiliana Vegas examines Scandinavian school reopening efforts for insights into what worked. She observed that in Denmark and Finland, “schools prohibited the usual morning meetings held in classes at the beginning of the school day, forbade food sharing, and introduced new preventative practices like staggered student arrivals and much more frequent cleaning and handwashing practices throughout the day.” In Denmark, she added, “classes were divided into two to three smaller groups and, whenever possible, held outside.” Denmark and Finland also focused on supporting school leaders and teachers, Vegas writes, noting the Danish education department’s coronavirus hotline for school leaders. Read her piece to learn more about how these nations approached significant questions in gradually reopening schools.
2. Trump failed to learn from history in his pandemic response
Kelsey Landau and Norman Eisen describe three ways that President Trump, in his administration’s response to the coronavirus pandemic, could have but failed to learn from the U.S. response to the 1989 Velvet Revolution in Czechoslovakia. Landau and Eisen say that these three lessons “offer a sobering framework to understand the full extent of the betrayal of America’s traditional global leadership role by the Trump administration.” First, the administration’s choice not “to support international organizations” like the WHO; second, President Trump’s inability to “exercise moral leadership”; and third, his unwillingness to “work across the aisle.”
3. Working parents are key to COVID-19 recovery
Nicole Bateman highlights the fact that “Parents with minor children comprise almost one-third of the country’s workforce; any economic recovery will rely on their continued participation or reentry into the labor force.” She continues that “the status of schools and childcare programs in the fall will dictate the ability of working parents to fully return to work, and therefore will also largely dictate the speed and robustness of economic recovery.” Bateman argues that “In-person school instruction and childcare programs, along with strong public health measures to respond quickly to any outbreaks, are the keys to reviving our economy.”
4. Unemployment insurance is under duress during the pandemic
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States are under heavy pressure to extend unemployment benefits during the pandemic, write Manuel Alcalá Kovalski and Louise Sheiner: “Although the federal government is fully funding the additional benefits under the CARES Act, the act doesn’t include funding to help states finance the huge increases in regular unemployment insurance benefits.” They add that “states that are reluctant to see payroll taxes on employers increase may instead tighten eligibility rules in the program, slow the rise in weekly benefit payments, or reduce the maximum duration of regular UI benefits.”
5. Saudi-Chinese relations are functional, not strategic
In one of the new papers in the Global China series, Bruce Riedel calls Saudi Arabia’s relations with China “functional, but not strategic.” It’s all about oil, Riedel explains, because “China is Saudi Arabia’s top economic trading partner because China is the biggest importer of Saudi oil.” Riedel traces the relationship between Saudi Arabia and China through the 1980s to the present, when the focus is on trade and energy. Whatever the basis of relations between the two countries, Riedel observes, “Beijing will not replace Washington in Riyadh’s worldview, even if U.S.-Saudi relations falter in the next administration.”
6. Firearm sales spiked in the spring
“When Americans are concerned about their personal security,” Phillip Levine and Robin McKnight write, “they buy firearms. Such concerns have been rampant since March, initially due to the onset of the COVID-19 pandemic and then the social unrest in June that followed George Floyd’s killing.” The authors’ estimates, which include data on monthly firearms sales from 2010 to 2020, “indicate that almost three million more firearms have been sold since March than would have ordinarily been sold during these months.”
7. Beijing’s assertiveness in Hong Kong
Ryan Hass lists several reasons that explain why China is cracking down on Hong Kong, a Chinese city that has enjoyed free speech, free assembly, and legal transparency, including: “Beijing likely wanted to assert greater control over political developments in Hong Kong ahead of its scheduled September 2020 Legislative Council election. … President Trump reportedly told Xi privately he would tone down American criticism regarding Beijing’s approach to Hong Kong to help spur progress on U.S.-China trade negotiations. … [and] Beijing likely judged that the spread of COVID-19 would limit the risk of large-scale protests in Hong Kong in response to the new legislation.” Hass explores these and other factors of the new law that already “has had a chilling effect.”
8. What would happen if President Trump contracted COVID-19?
John Hudak writes that “Given the president’s near-refusal to wear protective gear, unwillingness to socially distance, and commitment to holding in-person rallies, it’s possible that the president himself could contract” the coronavirus. If the illness were to incapacitate President Trump, Hudak says, through the 25th Amendment to the Constitution, “the country will have an individual who is able to execute the full powers of the office of president—in that case, Acting President Mike Pence. While presidential incapacity would be a serious national situation, the government would be able to function in a largely uninterrupted way until the president is recovered.”
9. To reopen safely, schools must protect more than just students and teachers
“The majority of public school employees (about 57%) are not full-time teachers, but can be just as important to students,” Andre Perry and Annalies Goger write. “In conversations about reopening schools, consideration of its effect on employees such as bus drivers, cafeteria workers, substitute teachers, and non-instructional staff seldom reaches the forefront,” they add. Perry and Goger argue that “Keeping children safe requires that we safeguard all who are the least protected. That means prioritizing the protection of a school’s entire network of staff who support and care for our children.”
10. Natural resources can be a double-edged sword for developing economies
Addisu Lashitew and Eric Werker analyzed data from developing countries to determine the effect of natural resources on economic development, concluding that “The results show that natural resources are best seen as a double-edged sword that has a positive economic effect as well as a negative institutional effect on development performance.” Citing a lack of consensus on how resources affect development, the researchers say that” the balance between the two appears to depend on the way natural resources are measured—abundance or dependence—and the specific type of development outcome considered: human or physical.”
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paulbenedictblog · 5 years ago
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%news%
New Post has been published on %http://paulbenedictsgeneralstore.com%
Cnn news Government coronavirus response: Trump expected to announce emergency steps: Sources
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Cnn news
President Donald Trump introduced Friday he's declaring a nationwide emergency to manage with the coronavirus disaster as conditions expand alarmingly and criticism mounts over how he's responding to the ache.
He also acknowledged he "in all chance" will catch tested himself, despite the indisputable fact that he acknowledged he had no symptoms. "I catch I will be," he acknowledged. "Moderately rapidly, we're engaged on that, we're knowing a time desk," he replied to a reporter's inquire, asserting no longer due to of any exposure he could per chance want had, "nonetheless due to I catch I will perform it anyway."
He had been photographed remaining weekend standing next to a Brazilian reliable who tested certain.
Speaking from the Rose Backyard, Trump acknowledged, "To unleash the elephantine energy of the federal authorities, I'm formally declaring a nationwide emergency." Referring to that phrase as "two very gigantic phrases," he acknowledged it might perchance per chance probably per chance allow him to quick catch $50 billion to states, territories and localities "in our shared fight by disagreement disease."
With Dr. Anthony Fauci, Vice President Mike Pence, Health and Human Services Secretary Alex Azar and other individuals of his coronavirus assignment drive standing in the inspire of him, Trump acknowledged, "No handy resource will be spared -- nothing in any method."
The ideas convention became also an effort to manage with the political fallout two days after a speech to the nation Wednesday evening that became viewed as largely ineffective, leaving many puzzled and Wall avenue rattled.
"Declaring a nationwide emergency does two things: it coveys to the public that the nation faces a serious disaster and that drastic action is needed and this could per chance straight create available resources and other make stronger that can even moreover be directed to give protection to communities all over the nation," dilapidated Acting Attach of foundation Security Undersecretary John Cohen, now an ABC News contributor, acknowledged.
"Right here's a basic step that basically based fully fully on contemporary conditions must restful surprise no one -- the ideal surprise is that it wasn't carried out sooner," Cohen acknowledged.
"I'm also asking every sanatorium in this country to suggested its emergency preparedness idea, so that they'll meet the desires of People all over the build," Trump acknowledged in his remarks.
"Emergency orders I'm issuing nowadays will even confer gigantic fresh authority to the Secretary of Health and Human Services. The Secretary of HHS will be ready to straight wave revisions of appropriate regulations and regulations to give docs, sanatorium -- all hospitals -- and health care providers most flexibility to answer to the virus and fancy patients," the president persisted.
"This involves the next serious authorities: the flexibility to waive regulations to allow tele-health, a rather fresh, and gorgeous ingredient," he acknowledged. "It presents a long way off doctor's visits and sanatorium study ins. The capacity to waive certain federal license requirements so the docs from other states can provide products and providers in states with the ideal want."
"They might be able to perform what they deserve to aid out. They know what they deserve to aid out. Now they put no longer want any ache getting it carried out," Trump acknowledged. "This day we're asserting a fresh partnership with internal most sector to vastly expand and flee our means to test for the coronavirus. We would favor to divulge folks that want a test can catch it as very safely quick."
He added, "We catch now been in discussions with pharmacies and outlets to create drive-through assessments available in serious areas identified by public health specialists. The fair is for folks so as to drive up and be swabbed with out having to leave your vehicle."
"Again, we do not desire each person taking this test. Or no longer it is fully needless," the president acknowledged.
Trump then invited Fauci, the generally-respected director of the National Institute of Allergy and Infectious Ailments, to scream. He called Trump's actions an example of what he termed a "ahead-leaning" technique to the disaster. "We restful catch a lengthy technique to switch. There'll be many extra conditions," he warned. "Nonetheless what's happening right here nowadays goes to abet it to discontinue sooner than it might perchance per chance probably per chance catch."
"Now not handiest are we bringing a complete of authorities technique to confronting the coronavirus, we're bringing an all-of-The US technique," Pence acknowledged, talking after Fauci.
"Or no longer it is especially significant now that we glimpse after senior voters with continual underlying medical conditions," he acknowledged, reminding that they "helped us with our homework" and "tucked us in at evening." He later added, "And now it be time for us to be there for them."
"A number of the docs affirm it (the virus) will wash through, this could per chance waft through. Involving terms -- and knowing," Trump acknowledged in answering a inquire. "I catch you're going to acquire in a chain of weeks it be going to be a ultimate term. In instances of hardship, the upright personality of The US repeatedly shines through."
His response about getting tested himself came after a reporter asked, "Are you being egocentric by no longer getting tested and doubtlessly –" nonetheless he decrease her off, asserting, "I didn't affirm I wasn't going to be tested."
Home Speaker Nancy Pelosi made a degree of turning in her have assertion about an hour sooner than the president became scheduled to scream. She acknowledged Home Democrats would scurry a equipment of measures "nowadays" to manage with what she called a "lengthy overdue response" to the disaster, asserting the three most crucial ingredients deal would take care of "discovering out, discovering out, discovering out."
Pelosi acknowledged the invoice would make certain free assessments would be available for "each person who desires a test," asserting a coordinated, nationwide technique became wished to "realize the scale and scope" of the ache so that there is most frequently a "science-basically based fully fully response."
The measure would also comprise paid unwell and emergency poke away, she acknowledged, to boot to enhanced unemployment advantages to abet families take care of the industrial consequences.
The quick-transferring trends came after the Trump administration moved Friday morning to nominate a degree particular person for locating out and introduced expanded measures in what appears to be an acknowledgement of the shortcoming of obtainable discovering out and delays in processing the results.
Health and Human Services Secretary Alex Azar has designated Adm. Brett Giroir to coordinate U.S. discovering out efforts as the conditions of infected People develop exponentially. Below the HHS umbrella, the Meals and Drug Administration is introducing an emergency hotline for internal most laboratories and providing fresh funding for partnerships with corporations growing speedily assessments that can detect the virus internal an hour.
The announcement of the enhance in discovering out comes as means has struggled to catch pack up with the inquire of nationally at public health labs. Fauci called the fresh design “a failing" on Capitol Hill Thursday even as Trump told journalists the identical day it be been "going very restful."
The Home is anticipated to vote on a stimulus idea Friday to offset the industrial fallout to day to day People from the outbreak, pending a deal between Pelosi and Treasury Secretary Steve Mnuchin -- the administration's point particular person on negotiations.
Tune into ABC News Stay at noon EDT every weekday for doubtlessly the most up-to-date info, context and prognosis on the fresh coronavirus, with the elephantine ABC News crew the build we are able to try to answer your questions about the virus.
Listed below are Friday's most doubtlessly the most crucial trends in Washington:
President Trump publicizes nationwide emergency
Trump administration announces steps to flee up discovering out
Pelosi says Home Democrats will scurry a financial reduction measure 'nowadays' that ensures free assessments for each person who desires one
Right here is how trends in Washington are unfolding
Trump publicizes a nationwide emergency
President Donald Trump declared a nationwide emergency on Friday which he acknowledged "will open up catch admission to to as much as $50 billion" to fight the fresh coronavirus.
Trump also introduced internal most sector partnerships to "flee our means to test for the coronavirus."
Fauci: 'We catch now no longer peaked yet'
Following two days of testimony sooner than the Home Oversight Committee, Fauci gave a warning on ABC's "Proper Morning The US" Friday that he has made sooner than as the coronavirus continues to unfold: "It gets worse sooner than it gets greater."
"This is doubtlessly no longer lower than a topic of several weeks. Or no longer it is unpredictable, nonetheless in the occasion you glimpse at historically how this stuff work, this is most frequently wherever from about a weeks to as much as eight weeks," Fauci acknowledged. "I am hoping it be going to be in the earlier fragment, two, three, four weeks, nonetheless it completely's no longer probably to create an apt prediction."
Pelosi: Settlement is 'come' with White Home on lend a hand equipment
Earlier, Pelosi acknowledged that she and the Trump administration had been near settlement on a coronavirus lend a hand equipment to reassure anxious People by providing unwell pay, free discovering out and other resources, hoping to easy teetering financial markets amid the mounting disaster.
“We catch now -- are come -- to an settlement,” Pelosi acknowledged, rising from her administrative middle at the Capitol late Thursday evening.
Mnuchin tells afraid traders 'don't peep at the masks'
When asked Friday what his message is for People -- especially these near retirement -- who are afraid as they glimpse at their 401Ks this morning, Mnuchin sought to project easy amid the industrial turmoil brought about by the coronavirus.
“Don't peep at the masks, okay,” Mnuchin acknowledged, in providing advice. “This is doubtlessly increased or a twelve months from now, as I acknowledged, folks that weathered the wreck in 1987, folks that weathered the financial disaster. For lengthy term traders, the US is the ideal method to make investments on this planet.”
Mnuchin many instances infamous that what the U.S. is coping with nowadays is "no longer the financial disaster," describing it as a non eternal ache, nonetheless acknowledged the White Home is taking a inspect at taking most crucial stimulus actions to abet People through this time.
“I'm able to guarantee you, the president is certain, we are able to perform irrespective of we prefer. I catch the president is taking a inspect at a most crucial stimulus equipment, whether it be in the course of the payroll tax decrease or through one incorrect approach to turning in liquidity to exhausting working People,” acknowledged Mnuchin.
As the administration nears a take care of Pelosi on a COVID-19 lend a hand equipment, Mnuchin described it as correct the "second inning" in a baseball game.
“I catch we glimpse this as this is the second inning in a baseball game. The most crucial inning became the $8 billion invoice, this is the second inning,” acknowledged, Mnuchin, who acknowledged the thought to “reach quick inspire” to Congress on components coping with the airline alternate.
His feedback illustrate a most crucial shift tone from the administration from correct per week in the past, when the president's high financial adviser Larry Kudlow acknowledged the administration at that time became no longer fascinated by any sweeping stimulus measures.
Australian reliable assessments certain for COVID-19 after assembly with AG Barr Ivanka Trump
Australia's minister for Home Affairs, Peter Dutton, acknowledged Friday he's contracted coronavirus, one week after he became viewed assembly with Attorney Long-established Bill Bar and President Trump's daughter in Washington, D.C.
Division of Justice spokeswoman told ABC News that while Barr is "staying residence" Friday, "the AG is feeling unparalleled and no longer exhibiting any symptoms," adding that the "CDC isn't very any longer recommending he be tested at this point."
The ideas comes at some point after Trump acknowledged he is "no longer fervent" that an aide to the Brazilian president tested certain for COVID-19 days after he attended dinner with Trump at his Florida resort.
ABC News' John Santucci, Katherine Faulders, Josh Margolin, Jordyn Phelps, John Parkinson, Alex Mallin, Anne Flaherty and Lauren Lantry contributed to this represent.
0 notes
plusorminuscongress · 5 years ago
Text
New story in Politics from Time: ‘Doomed from the Start.’ Experts Say the Trump Administration’s Coronavirus Response Was Never Going to Work
The Trump Administration’s strategy to combat COVID-19, the novel coronavirus, began with a relatively simple focus: keep it out of the United States. In service of that goal, the White House issued drastic travel restrictions, imposed mandatory quarantines, and repeatedly told the public that these steps were working.
“We have contained this. I won’t say airtight but pretty close to airtight,” White House economic adviser Larry Kudlow said in a television interview on Feb. 25, echoing Trump’s tweeted declaration that the virus was “very much under control” in the United States.
But it wasn’t, and the administration’s rosy messaging was fundamentally at odds with a growing cacophony of alarm bells inside and outside the U.S. government. Since January, epidemiologists, former U.S. public health officials and experts have been warning, publicly and privately, that the administration’s insistence that containment was—and should remain—the primary way to confront an emerging infectious disease was a grave mistake.
In congressional testimony, in medical webcasts and in private discussions with health officials, they warned that the unique features of this flu-like virus made it impossible to control, and that the administration must use any time that containment measures might buy to prepare the country for an inevitable outbreak. The administration was using all its resources to blockade the doors, they warned, but the enemy was likely already in the house.
“The current U.S. policy to deny visas to travelers from China and to quarantine returning Americans is not the right approach,” Jennifer Nuzzo, an epidemiologist and expert in disease outbreak detection and response at the Johns Hopkins Center for Health Security, testified to Congress on February 5. “I am deeply concerned that these measures will make us less safe by diverting public health resources from higher priority disease mitigation approaches.”
Two days earlier, former FDA commissioner Scott Gottlieb had warned “we have to assume it’s already here and circulating.”
When it finally became indisputable that an outbreak was underway in Washington state, the administration were slow to catch up. There were not enough COVID-19 testing kits, hotlines were overwhelmed, and hospitals and public health departments were hobbled by a lack of reliable statistics on the spread of the disease. Experts say the U.S. response is now likely weeks—if not months—behind schedule.
On Thursday, Vice President Mike Pence, who is spearheading the White House response to the virus, cast doubt that the administration would be able to fulfill its promise to deliver one million testing kits by the end of the week. “We don’t have enough tests today to meet what we anticipate the demand going forward,” he said.
COVID-19 first emerged in December in China’s Hubei province, where more than 80% of the 95,000 known cases have since been identified. By January 31, the Trump administration declared a public health emergency, and moved quickly to cancel flights from China, ban non-U.S. citizens who recently visited China from entering the U.S., and quarantine Americans who had recently visited China’s Hubei province.
That initial strategy was not without validity, epidemiologists and former U.S. health officials tell TIME. Those measures likely helped to slow the spread of the virus. The problem, they say, is that once it was clear that the virus was within our borders officials did not pivot quickly enough to changing circumstances.
And those new circumstances, experts told TIME, were entirely predictable. In a world linked by tens of thousands of flights a day, it’s nearly impossible to completely contain the transmission of an infectious disease like COVID-19, in part because people carrying the virus do not necessarily show symptoms. An effective response, experts say, would have required that administration officials capitalized on the temporary delay of new infections offered by containment strategies in order to aggressively prepare for inevitable outbreaks. But not one of the dozens of experts, doctors or former public health officials who spoke with TIME thought that the Trump administration used that delay effectively.
The problem, they say, is partly that the administration misallocated limited resources. By being told to focus on monitoring a small number of quarantined travelers returning to the U.S., public health departments were not fully engaged in preparing mitigation efforts in communities, where we now know the virus was already infecting more people. Healthcare workers could have used that time to coordinate with hospitals, track suspected cases, funnel resources to diagnostics, prepare vulnerable populations, like nursing homes, and promote mitigation measures, such as isolating known cases outside of a hospital.
Instead, the administration telegraphed that such mitigation work would only be necessary if containment failed. “Community mitigation work is not a failure, and part of the problem is not recognizing that,” Nuzzo tells TIME. “Sending the message that we are stopping this at our border, keeping this from coming in from China, has a psychological impact not on just on the American people but on practitioners as well.” The President’s repeated assertions that the containment strategy was working also diminished the sense of urgency, causing delays in community preparedness, public health experts and doctors told TIME.
“Quarantines are intended to buy us time. Did we make good use of the time? No—and now we’re hustling,” says Steve Morrison, the director of the CSIS global health center and a former State Department official who served in the Clinton administration.
The Trump Administration only last week began authorizing disease surveillance within major American cities, where the medical community has been blind for weeks to the expanding number of new cases. Additionally, the drive to quarantine individuals from certain countries—China, Italy, Korea—discounted those from other nations, where the virus was also being transmitted. Taken together, the federal government’s singular focus on containment came at the expense of a more comprehensive—and more effective—approach, Nuzzo said.
In ideal circumstances, infectious disease experts tell TIME, the government would also have focused on mobilizing capacity to test for COVID-19 prior to the first reported case on U.S. soil. It would have sent test-kits to hospitals and clinics around the nation to identify any new infections and, armed with that data, officials would have tailored a rapid response, issuing public recommendations on sanitation practices, when to seek medical treatment, and how to limit the spread of the disease.
Instead, public health departments in some parts of the country were blindsided. As experts predicted a month ago, some state coronavirus hotlines and hospitals have been overwhelmed.
The administration’s failure to quickly disseminate enough working COVID-19 test-kits has also had lasting repercussions, likely exacerbating the spread of the disease and robbing public health officials of vital data about the spread of the virus.
Because medical professionals have been forced to limit the number of tests administered, there is no clear picture today of how many people, including those with mild symptoms, have been infected. (Until recently, Centers for Disease Control and Prevention advised that tests only be administered to those who had known exposure to someone with the virus, travel history to an affected region or had symptoms of a serious respiratory illness.) It’s unclear how many, Americans contracted COVID-19, but only had mild symptoms, and so were not tested and quarantined. It’s also unclear how many other people those patients infected.
The CDC is struggling to gather state testing data, which isn’t being publicly shared, on where COVID-19 outbreaks are occurring or how many Americans total have been infected. A new genomic analysis by the Seattle Flu Study suggests that COVID-19 has likely been spreading in Washington state since mid-January, weeks before the U.S. implemented travel and quarantine measures.
“Given the features of this virus, we knew from the onset that it’s not the type of virus that is amenable to containment,” says Luciana Borio, who served as director for Medical and Biodefense Preparedness at the White House National Security Council from 2017 through 2019 and as chief scientist for the Food and Drug Administration. “And that only works if you use the time really wisely. It’s possible that the time that it bought us wasn’t used in the best possible manner to help us get ahead of the curve in terms of preparing the homeland for the eventual epidemic.”
Public health and infectious disease experts have been urging the Trump administration to take actions to mitigate an outbreak for more than a month. As early as Jan. 28, Borio, along with former FDA commissioner Scott Gottlieb, began publishing op-eds highlighting the ways the U.S. healthcare system needed to prepare. The first one was titled “Act Now to Prevent an American Epidemic.” They warned that more cases in the U.S. were inevitable, that the CDC would struggle to keep up with the volume of screenings, and that hospitals and public health workers needed to prepare for an influx of patients. While U.S. containment measures could stall an outbreak, they wrote that officials needed to start testing patients with symptoms who had not traveled to China.
Several former government officials also warned Congress in early February to resist the temptation to focus on travel bans and restrictions from affected areas. “Congress should press the administration for the science behind recently announced quarantines….and inquire as to the effectiveness of the measures being implemented,” Ron Klain, who served as Ebola response coordinator under President Barack Obama, told Congress on Feb. 5. He called the travel ban a “band aid.”
Other former U.S. officials have put it more bluntly, calling the administration’s focus on restricting flights and quarantining travelers the “original sin” of the Trump administration’s response. “The containment strategy was doomed from the start,” says Jeremy Konyndyk, who directed USAID’s Office of Foreign Disaster Assistance during the Ebola outbreak and is a member of the World Health Organization committee overseeing health emergencies.
The containment measures were meant to buy the Trump administration time to move aggressively, but they didn’t do that, Konynkyk added. “What did you do with the delay?” he tells TIME. “If you buy time, you need to use that time to prepare. It’s insane to me that they’re still harping on containment and travel controls and keeping the disease out when that is not going to be the driver of transmission at this point.”
Even as the coronavirus spread from Asia to Europe, Latin America, Sub-Saharan Africa and North America, and tracking and quarantining travelers became increasingly ineffective, the White House doubled down, insisting that containment was working. For weeks, both the President and administration officials repeatedly claimed that the decision to impose travel restrictions and quarantines was the reason for the low number of cases, and that the media and Democrats were exaggerating the threat. In fact, the low number of cases appears to be due to the fact that very few people were being tested for the disease.
“We have had tremendous success, tremendous success, beyond what people would have thought,” the president said at a Feb. 27 press conference in which he often appeared to contradict his own administration’s health officials. “At the same time, you do have some outbreaks in some countries—Italy and various countries—are having some difficulties.”
Two days later, the administration increased travel restrictions on South Korea, Iran and Italy, and a man in Washington state—who had no relevant travel history— became the the first to die of COVID-19 on American soil.
“Every state should be in the middle of mitigation planning at this point,” says Paul Biddinger, director of the Emergency Preparedness Research, Evaluation and Practice Program at the Harvard T.H. Chan School of Public Health. “It’s an urgent need. Everything we’ve seen indicates this disease will be widespread within weeks, not months.”
Once it became clear that the crisis was unavoidable, the administration should have pushed harder, Nuzzo says. “What was missing was the sense of urgency. They were still so mentally focused on ‘we just have 15 cases.’”
To subscribe to our daily coronavirus newsletter, click here, and please send tips, leads, and stories from the frontlines to [email protected].
By Time on March 05, 2020 at 08:07PM
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heweramber · 2 months ago
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the family of time
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orlyradio · 8 years ago
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ORLY-EP0167 - World on Fire! - Danger Mangos
ORLY-EP0167 - World on Fire! - Danger Mangos
Welcome to ORLYRADIO #167c recorded Friday, October 6th, 2017 - where we dismantle the current events for your edutainment through mostly rational conversations that make you go ‘Oh Really’! I’m your host Andy Cowen with my usual suspects, Daniel Atherton, Stephen Griffith, and Amber Biesecker.
We make mistakes. Please, if you find one, pause the podcast, and send us a note. [email protected] or phone it in 470-222-6759
Thank you to our Patreon Supporters!
Donald Davis Melissa G. Henry Daniel Duncan (Problem Addict Podcast)
What happened this week:
In Shift, Justice Dept. Says Law Doesn’t Bar Transgender Discrimination https://www.nytimes.com/2017/10/05/us/politics/transgender-civil-rights-act-justice-department-sessions.html
Trump - Pence to remove reproductive mandate  http://www.politico.com/story/2017/10/06/trump-rolls-back-obamacares-contraception-rule-243537
U.S. job loss: Trump or Climate Change? http://www.politico.com/story/2017/10/06/economy-lost-jobs-in-september-2017-243532
U.S. Unsecure: A Comedy of Errors http://www.politico.com/story/2017/10/05/john-kelly-cell-phone-compromised-243514 http://www.npr.org/2017/10/05/555922305/report-hackers-stole-nsa-cybertools-in-another-breach-via-another-contractor
Iraqi Kurds vote for independence. http://www.cnn.com/2017/09/27/middleeast/kurdish-referendum-results/index.html
Catalonia votes for independence https://www.nytimes.com/2017/10/06/world/europe/catalonia-referendum-sedition.html
Philippines drug war destabilization http://www.aljazeera.com/news/2017/10/philippines-top-diplomat-defends-duterte-drug-war-171006080715833.html
Lana Hart stuff
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http://www.gofundme.com/rebranding-my-book-series - GoFundMe
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If you’ve enjoyed what we do here and would like to help us out, there are a few ways.
You can donate to the show through www.Patreon.com/orlyradio and get early access to full show content.
Make the Algorithm work for us by reviewing us on iTunes to boost our ranking.
Use your Words and tell someone about us.
And of course, engage us! Send us an message on the social medias or the electronic mails @ [email protected] or if you are the more talkative sort 470-222-ORLY (6759) is always ready to take your call or text.  
And if you don’t like what we’ve done here this evening, you can contact the National Suicide Prevention Hotline at 1-800-273-8255, available 24 hours a day, 7 days a week. The Lifeline provides free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals.
Thank you for choosing us to waste your valuable time on! This has been ORLYRADIO, Part of The Random Acts Company.
This work is licensed under a Creative Commons Attribution 3.0 United States License, including the music Rocket and Pamgaea created by Kevin MacLeod (www.incompetech.com)
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phooll123 · 5 years ago
Text
New story in Health from Time: ‘Doomed from the Start.’ Experts Say the Trump Administration’s Coronavirus Response Was Never Going to Work
The Trump Administration’s strategy to combat COVID-19, the novel coronavirus, began with a relatively simple focus: keep it out of the United States. In service of that goal, the White House issued drastic travel restrictions, imposed mandatory quarantines, and repeatedly told the public that these steps were working.
“We have contained this. I won’t say airtight but pretty close to airtight,” White House economic adviser Larry Kudlow said in a television interview on Feb. 25, echoing Trump’s tweeted declaration that the virus was “very much under control” in the United States.
But it wasn’t, and the administration’s rosy messaging was fundamentally at odds with a growing cacophony of alarm bells inside and outside the U.S. government. Since January, epidemiologists, former U.S. public health officials and experts have been warning, publicly and privately, that the administration’s insistence that containment was—and should remain—the primary way to confront an emerging infectious disease was a grave mistake.
In congressional testimony, in medical webcasts and in private discussions with health officials, they warned that the unique features of this flu-like virus made it impossible to control, and that the administration must use any time that containment measures might buy to prepare the country for an inevitable outbreak. The administration was using all its resources to blockade the doors, they warned, but the enemy was likely already in the house.
“The current U.S. policy to deny visas to travelers from China and to quarantine returning Americans is not the right approach,” Jennifer Nuzzo, an epidemiologist and expert in disease outbreak detection and response at the Johns Hopkins Center for Health Security, testified to Congress on February 5. “I am deeply concerned that these measures will make us less safe by diverting public health resources from higher priority disease mitigation approaches.”
Two days earlier, former FDA commissioner Scott Gottlieb had warned “we have to assume it’s already here and circulating.”
When it finally became indisputable that an outbreak was underway in Washington state, the administration were slow to catch up. There were not enough COVID-19 testing kits, hotlines were overwhelmed, and hospitals and public health departments were hobbled by a lack of reliable statistics on the spread of the disease. Experts say the U.S. response is now likely weeks—if not months—behind schedule.
On Thursday, Vice President Mike Pence, who is spearheading the White House response to the virus, cast doubt that the administration would be able to fulfill its promise to deliver one million testing kits by the end of the week. “We don’t have enough tests today to meet what we anticipate the demand going forward,” he said.
COVID-19 first emerged in December in China’s Hubei province, where more than 80% of the 95,000 known cases have since been identified. By January 31, the Trump administration declared a public health emergency, and moved quickly to cancel flights from China, ban non-U.S. citizens who recently visited China from entering the U.S., and quarantine Americans who had recently visited China’s Hubei province.
That initial strategy was not without validity, epidemiologists and former U.S. health officials tell TIME. Those measures likely helped to slow the spread of the virus. The problem, they say, is that once it was clear that the virus was within our borders officials did not pivot quickly enough to changing circumstances.
And those new circumstances, experts told TIME, were entirely predictable. In a world linked by tens of thousands of flights a day, it’s nearly impossible to completely contain the transmission of an infectious disease like COVID-19, in part because people carrying the virus do not necessarily show symptoms. An effective response, experts say, would have required that administration officials capitalized on the temporary delay of new infections offered by containment strategies in order to aggressively prepare for inevitable outbreaks. But not one of the dozens of experts, doctors or former public health officials who spoke with TIME thought that the Trump administration used that delay effectively.
The problem, they say, is partly that the administration misallocated limited resources. By being told to focus on monitoring a small number of quarantined travelers returning to the U.S., public health departments were not fully engaged in preparing mitigation efforts in communities, where we now know the virus was already infecting more people. Healthcare workers could have used that time to coordinate with hospitals, track suspected cases, funnel resources to diagnostics, prepare vulnerable populations, like nursing homes, and promote mitigation measures, such as isolating known cases outside of a hospital.
Instead, the administration telegraphed that such mitigation work would only be necessary if containment failed. “Community mitigation work is not a failure, and part of the problem is not recognizing that,” Nuzzo tells TIME. “Sending the message that we are stopping this at our border, keeping this from coming in from China, has a psychological impact not on just on the American people but on practitioners as well.” The President’s repeated assertions that the containment strategy was working also diminished the sense of urgency, causing delays in community preparedness, public health experts and doctors told TIME.
“Quarantines are intended to buy us time. Did we make good use of the time? No—and now we’re hustling,” says Steve Morrison, the director of the CSIS global health center and a former State Department official who served in the Clinton administration.
The Trump Administration only last week began authorizing disease surveillance within major American cities, where the medical community has been blind for weeks to the expanding number of new cases. Additionally, the drive to quarantine individuals from certain countries—China, Italy, Korea—discounted those from other nations, where the virus was also being transmitted. Taken together, the federal government’s singular focus on containment came at the expense of a more comprehensive—and more effective—approach, Nuzzo said.
In ideal circumstances, infectious disease experts tell TIME, the government would also have focused on mobilizing capacity to test for COVID-19 prior to the first reported case on U.S. soil. It would have sent test-kits to hospitals and clinics around the nation to identify any new infections and, armed with that data, officials would have tailored a rapid response, issuing public recommendations on sanitation practices, when to seek medical treatment, and how to limit the spread of the disease.
Instead, public health departments in some parts of the country were blindsided. As experts predicted a month ago, some state coronavirus hotlines and hospitals have been overwhelmed.
The administration’s failure to quickly disseminate enough working COVID-19 test-kits has also had lasting repercussions, likely exacerbating the spread of the disease and robbing public health officials of vital data about the spread of the virus.
Because medical professionals have been forced to limit the number of tests administered, there is no clear picture today of how many people, including those with mild symptoms, have been infected. (Until recently, Centers for Disease Control and Prevention advised that tests only be administered to those who had known exposure to someone with the virus, travel history to an affected region or had symptoms of a serious respiratory illness.) It’s unclear how many, Americans contracted COVID-19, but only had mild symptoms, and so were not tested and quarantined. It’s also unclear how many other people those patients infected.
The CDC is struggling to gather state testing data, which isn’t being publicly shared, on where COVID-19 outbreaks are occurring or how many Americans total have been infected. A new genomic analysis by the Seattle Flu Study suggests that COVID-19 has likely been spreading in Washington state since mid-January, weeks before the U.S. implemented travel and quarantine measures.
“Given the features of this virus, we knew from the onset that it’s not the type of virus that is amenable to containment,” says Luciana Borio, who served as director for Medical and Biodefense Preparedness at the White House National Security Council from 2017 through 2019 and as chief scientist for the Food and Drug Administration. “And that only works if you use the time really wisely. It’s possible that the time that it bought us wasn’t used in the best possible manner to help us get ahead of the curve in terms of preparing the homeland for the eventual epidemic.”
Public health and infectious disease experts have been urging the Trump administration to take actions to mitigate an outbreak for more than a month. As early as Jan. 28, Borio, along with former FDA commissioner Scott Gottlieb, began publishing op-eds highlighting the ways the U.S. healthcare system needed to prepare. The first one was titled “Act Now to Prevent an American Epidemic.” They warned that more cases in the U.S. were inevitable, that the CDC would struggle to keep up with the volume of screenings, and that hospitals and public health workers needed to prepare for an influx of patients. While U.S. containment measures could stall an outbreak, they wrote that officials needed to start testing patients with symptoms who had not traveled to China.
Several former government officials also warned Congress in early February to resist the temptation to focus on travel bans and restrictions from affected areas. “Congress should press the administration for the science behind recently announced quarantines….and inquire as to the effectiveness of the measures being implemented,” Ron Klain, who served as Ebola response coordinator under President Barack Obama, told Congress on Feb. 5. He called the travel ban a “band aid.”
Other former U.S. officials have put it more bluntly, calling the administration’s focus on restricting flights and quarantining travelers the “original sin” of the Trump administration’s response. “The containment strategy was doomed from the start,” says Jeremy Konyndyk, who directed USAID’s Office of Foreign Disaster Assistance during the Ebola outbreak and is a member of the World Health Organization committee overseeing health emergencies.
The containment measures were meant to buy the Trump administration time to move aggressively, but they didn’t do that, Konynkyk added. “What did you do with the delay?” he tells TIME. “If you buy time, you need to use that time to prepare. It’s insane to me that they’re still harping on containment and travel controls and keeping the disease out when that is not going to be the driver of transmission at this point.”
Even as the coronavirus spread from Asia to Europe, Latin America, Sub-Saharan Africa and North America, and tracking and quarantining travelers became increasingly ineffective, the White House doubled down, insisting that containment was working. For weeks, both the President and administration officials repeatedly claimed that the decision to impose travel restrictions and quarantines was the reason for the low number of cases, and that the media and Democrats were exaggerating the threat. In fact, the low number of cases appears to be due to the fact that very few people were being tested for the disease.
“We have had tremendous success, tremendous success, beyond what people would have thought,” the president said at a Feb. 27 press conference in which he often appeared to contradict his own administration’s health officials. “At the same time, you do have some outbreaks in some countries—Italy and various countries—are having some difficulties.”
Two days later, the administration increased travel restrictions on South Korea, Iran and Italy, and a man in Washington state—who had no relevant travel history— became the the first to die of COVID-19 on American soil.
“Every state should be in the middle of mitigation planning at this point,” says Paul Biddinger, director of the Emergency Preparedness Research, Evaluation and Practice Program at the Harvard T.H. Chan School of Public Health. “It’s an urgent need. Everything we’ve seen indicates this disease will be widespread within weeks, not months.”
Once it became clear that the crisis was unavoidable, the administration should have pushed harder, Nuzzo says. “What was missing was the sense of urgency. They were still so mentally focused on ‘we just have 15 cases.’”
To subscribe to our daily coronavirus newsletter, click here, and please send tips, leads, and stories from the frontlines to [email protected].
via Blogger https://ift.tt/3aqBwIO
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itsfinancethings · 5 years ago
Link
The Trump Administration’s strategy to combat COVID-19, the novel coronavirus, began with a relatively simple focus: keep it out of the United States. In service of that goal, the White House issued drastic travel restrictions, imposed mandatory quarantines, and repeatedly told the public that these steps were working.
“We have contained this. I won’t say airtight but pretty close to airtight,” White House economic adviser Larry Kudlow said in a television interview on Feb. 25, echoing Trump’s tweeted declaration that the virus was “very much under control” in the United States.
But it wasn’t, and the administration’s rosy messaging was fundamentally at odds with a growing cacophony of alarm bells inside and outside the U.S. government. Since January, epidemiologists, former U.S. public health officials and experts have been warning, publicly and privately, that the administration’s insistence that containment was—and should remain—the primary way to confront an emerging infectious disease was a grave mistake.
In congressional testimony, in medical webcasts and in private discussions with health officials, they warned that the unique features of this flu-like virus made it impossible to control, and that the administration must use any time that containment measures might buy to prepare the country for an inevitable outbreak. The administration was using all its resources to blockade the doors, they warned, but the enemy was likely already in the house.
“The current U.S. policy to deny visas to travelers from China and to quarantine returning Americans is not the right approach,” Jennifer Nuzzo, an epidemiologist and expert in disease outbreak detection and response at the Johns Hopkins Center for Health Security, testified to Congress on February 5. “I am deeply concerned that these measures will make us less safe by diverting public health resources from higher priority disease mitigation approaches.”
Two days earlier, former FDA commissioner Scott Gottlieb had warned “we have to assume it’s already here and circulating.”
When it finally became indisputable that an outbreak was underway in Washington state, the administration were slow to catch up. There were not enough COVID-19 testing kits, hotlines were overwhelmed, and hospitals and public health departments were hobbled by a lack of reliable statistics on the spread of the disease. Experts say the U.S. response is now likely weeks—if not months—behind schedule.
On Thursday, Vice President Mike Pence, who is spearheading the White House response to the virus, cast doubt that the administration would be able to fulfill its promise to deliver one million testing kits by the end of the week. “We don’t have enough tests today to meet what we anticipate the demand going forward,” he said.
COVID-19 first emerged in December in China’s Hubei province, where more than 80% of the 95,000 known cases have since been identified. By January 31, the Trump administration declared a public health emergency, and moved quickly to cancel flights from China, ban non-U.S. citizens who recently visited China from entering the U.S., and quarantine Americans who had recently visited China’s Hubei province.
That initial strategy was not without validity, epidemiologists and former U.S. health officials tell TIME. Those measures likely helped to slow the spread of the virus. The problem, they say, is that once it was clear that the virus was within our borders officials did not pivot quickly enough to changing circumstances.
And those new circumstances, experts told TIME, were entirely predictable. In a world linked by tens of thousands of flights a day, it’s nearly impossible to completely contain the transmission of an infectious disease like COVID-19, in part because people carrying the virus do not necessarily show symptoms. An effective response, experts say, would have required that administration officials capitalized on the temporary delay of new infections offered by containment strategies in order to aggressively prepare for inevitable outbreaks. But not one of the dozens of experts, doctors or former public health officials who spoke with TIME thought that the Trump administration used that delay effectively.
The problem, they say, is partly that the administration misallocated limited resources. By being told to focus on monitoring a small number of quarantined travelers returning to the U.S., public health departments were not fully engaged in preparing mitigation efforts in communities, where we now know the virus was already infecting more people. Healthcare workers could have used that time to coordinate with hospitals, track suspected cases, funnel resources to diagnostics, prepare vulnerable populations, like nursing homes, and promote mitigation measures, such as isolating known cases outside of a hospital.
Instead, the administration telegraphed that such mitigation work would only be necessary if containment failed. “Community mitigation work is not a failure, and part of the problem is not recognizing that,” Nuzzo tells TIME. “Sending the message that we are stopping this at our border, keeping this from coming in from China, has a psychological impact not on just on the American people but on practitioners as well.” The President’s repeated assertions that the containment strategy was working also diminished the sense of urgency, causing delays in community preparedness, public health experts and doctors told TIME.
“Quarantines are intended to buy us time. Did we make good use of the time? No—and now we’re hustling,” says Steve Morrison, the director of the CSIS global health center and a former State Department official who served in the Clinton administration.
The Trump Administration only last week began authorizing disease surveillance within major American cities, where the medical community has been blind for weeks to the expanding number of new cases. Additionally, the drive to quarantine individuals from certain countries—China, Italy, Korea—discounted those from other nations, where the virus was also being transmitted. Taken together, the federal government’s singular focus on containment came at the expense of a more comprehensive—and more effective—approach, Nuzzo said.
In ideal circumstances, infectious disease experts tell TIME, the government would also have focused on mobilizing capacity to test for COVID-19 prior to the first reported case on U.S. soil. It would have sent test-kits to hospitals and clinics around the nation to identify any new infections and, armed with that data, officials would have tailored a rapid response, issuing public recommendations on sanitation practices, when to seek medical treatment, and how to limit the spread of the disease.
Instead, public health departments in some parts of the country were blindsided. As experts predicted a month ago, some state coronavirus hotlines and hospitals have been overwhelmed.
The administration’s failure to quickly disseminate enough working COVID-19 test-kits has also had lasting repercussions, likely exacerbating the spread of the disease and robbing public health officials of vital data about the spread of the virus.
Because medical professionals have been forced to limit the number of tests administered, there is no clear picture today of how many people, including those with mild symptoms, have been infected. (Until recently, Centers for Disease Control and Prevention advised that tests only be administered to those who had known exposure to someone with the virus, travel history to an affected region or had symptoms of a serious respiratory illness.) It’s unclear how many, Americans contracted COVID-19, but only had mild symptoms, and so were not tested and quarantined. It’s also unclear how many other people those patients infected.
The CDC is struggling to gather state testing data, which isn’t being publicly shared, on where COVID-19 outbreaks are occurring or how many Americans total have been infected. A new genomic analysis by the Seattle Flu Study suggests that COVID-19 has likely been spreading in Washington state since mid-January, weeks before the U.S. implemented travel and quarantine measures.
“Given the features of this virus, we knew from the onset that it’s not the type of virus that is amenable to containment,” says Luciana Borio, who served as director for Medical and Biodefense Preparedness at the White House National Security Council from 2017 through 2019 and as chief scientist for the Food and Drug Administration. “And that only works if you use the time really wisely. It’s possible that the time that it bought us wasn’t used in the best possible manner to help us get ahead of the curve in terms of preparing the homeland for the eventual epidemic.”
Public health and infectious disease experts have been urging the Trump administration to take actions to mitigate an outbreak for more than a month. As early as Jan. 28, Borio, along with former FDA commissioner Scott Gottlieb, began publishing op-eds highlighting the ways the U.S. healthcare system needed to prepare. The first one was titled “Act Now to Prevent an American Epidemic.” They warned that more cases in the U.S. were inevitable, that the CDC would struggle to keep up with the volume of screenings, and that hospitals and public health workers needed to prepare for an influx of patients. While U.S. containment measures could stall an outbreak, they wrote that officials needed to start testing patients with symptoms who had not traveled to China.
Several former government officials also warned Congress in early February to resist the temptation to focus on travel bans and restrictions from affected areas. “Congress should press the administration for the science behind recently announced quarantines….and inquire as to the effectiveness of the measures being implemented,” Ron Klain, who served as Ebola response coordinator under President Barack Obama, told Congress on Feb. 5. He called the travel ban a “band aid.”
Other former U.S. officials have put it more bluntly, calling the administration’s focus on restricting flights and quarantining travelers the “original sin” of the Trump administration’s response. “The containment strategy was doomed from the start,” says Jeremy Konyndyk, who directed USAID’s Office of Foreign Disaster Assistance during the Ebola outbreak and is a member of the World Health Organization committee overseeing health emergencies.
The containment measures were meant to buy the Trump administration time to move aggressively, but they didn’t do that, Konynkyk added. “What did you do with the delay?” he tells TIME. “If you buy time, you need to use that time to prepare. It’s insane to me that they’re still harping on containment and travel controls and keeping the disease out when that is not going to be the driver of transmission at this point.”
Even as the coronavirus spread from Asia to Europe, Latin America, Sub-Saharan Africa and North America, and tracking and quarantining travelers became increasingly ineffective, the White House doubled down, insisting that containment was working. For weeks, both the President and administration officials repeatedly claimed that the decision to impose travel restrictions and quarantines was the reason for the low number of cases, and that the media and Democrats were exaggerating the threat. In fact, the low number of cases appears to be due to the fact that very few people were being tested for the disease.
“We have had tremendous success, tremendous success, beyond what people would have thought,” the president said at a Feb. 27 press conference in which he often appeared to contradict his own administration’s health officials. “At the same time, you do have some outbreaks in some countries—Italy and various countries—are having some difficulties.”
Two days later, the administration increased travel restrictions on South Korea, Iran and Italy, and a man in Washington state—who had no relevant travel history— became the the first to die of COVID-19 on American soil.
“Every state should be in the middle of mitigation planning at this point,” says Paul Biddinger, director of the Emergency Preparedness Research, Evaluation and Practice Program at the Harvard T.H. Chan School of Public Health. “It’s an urgent need. Everything we’ve seen indicates this disease will be widespread within weeks, not months.”
Once it became clear that the crisis was unavoidable, the administration should have pushed harder, Nuzzo says. “What was missing was the sense of urgency. They were still so mentally focused on ‘we just have 15 cases.’”
To subscribe to our daily coronavirus newsletter, click here, and please send tips, leads, and stories from the frontlines to [email protected].
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paulbenedictblog · 5 years ago
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%news%
New Post has been published on %http://paulbenedictsgeneralstore.com%
News Trump signs executive order to combat human trafficking as some advocacy groups boycott summit - The Washington Post
News
President Trump signed an government recount Friday creating a assign interior his domestic policy team dedicated entirely to combating human trafficking. The recount, signed for the length of a White Dwelling summit on the scenario, furthermore proposes a further $42 million in funding for service capabilities and prosecutions.
“Human trafficking is worse than ever earlier than on account of the Internet,” Trump said. “The Internet has introduced on many of correct issues to occur and a total lot of in truth inappropriate issues, and right here is maybe the worst of the inappropriate issues.”
Trump used to be joined by Vice President Pence and first daughter Ivanka Trump, whom he credited for championing the scenario.
“I would disclose that this scenario may maybe well maybe be closest to her heart on account of the extent of tainted which you can by no method imagine is even which you can imagine in a as a lot as date age,” Trump said.
Ivanka Trump’s assign of business organized the summit to commemorate the 20th anniversary of the Trafficking Victims Safety Act, which established trafficking as a federal crime. Whereas some anti-trafficking organizations were grateful for the spotlight on the scenario, others boycotted the tournament, citing the administration’s treatment of trafficking victims who're immigrants. Among them used to be Polaris, the group that runs the nationwide human-trafficking hotline.
The president gave the impression to respond straight to those critics in his speech Friday.
“You will be ready to learn what you pick to have, which you can disclose what you pick to have, but nobody has performed greater than what we now were doing on human trafficking,” Trump said.
The tournament unfolded because the ancient impeachment trial of the president persisted within the Senate — a truth that went unacknowledged by each speaker but Trump himself.
“We had a total lot of gigantic senators who wished to be there so desperately, but I said, correct discontinuance the assign which you can maybe be.”
He praised Attorney Celebrated William P. Barr for going after traffickers.
“My administration is combating these monsters, persecuting and prosecuting them, locking them away for a extremely, very lengthy time,” Trump said. “We have had a ample computer screen record, the handiest computer screen record in a truly lengthy time.”
Statistics from the Justice Department exhibit otherwise. Prosecutions of intercourse and labor traffickers, which fluctuated for the length of the Obama years, are down from 531 in fiscal 2016 to 343 in fiscal 2019.
The funding proposal in Trump’s government recount would amplify the budget for those investigations and prosecutions by $4 million, or 5.7 percent.
The recount furthermore establishes a federal working team on housing for trafficking survivors and a internet-based assign itemizing the authorities’s anti-trafficking sources.
Its most necessary advent shall be the trafficking-centered assign on the White Dwelling Domestic Policy Council, one thing advocates praised as of venture to centralize efforts that have lengthy been scattered across multiple federal agencies.
“The anti-trafficking neighborhood bought a necessary shot within the arm this morning with President Trump’s announcement,” said Lance Lemmonds of the U.S. Institute Towards Human Trafficking. “President Trump has dedicated extra federal sources and further nationwide focal level on combating the systematic purchasing for and selling of our nation’s younger of us than any administration in history.”
That message used to be echoed by speaker after speaker on the summit, which incorporated feedback from two trafficking survivors, nine Republican politicians and the ambassador to the Vatican, Callista Gingrich, who emphasised the significance of faith-primarily based entirely mostly anti-trafficking organizations.
Pence led attendees in a standing ovation for Ivanka Trump.
Ivanka smiled graciously, as she had every time her efforts were praised at some level of the tournament. In her contain speech, she complimented her father.
“In the early days of this administration, President Trump dedicated to bringing the fleshy power and weight of the U.S. authorities to tackling this horrific self-discipline,” she said.
She mentioned the human-trafficking legislation she has helped shepherd into law. As the viewers applauded, she said, “And we’re correct getting started.”
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gyrlversion · 6 years ago
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Sunday Morning Talk Shows Largely Ignore Trump Rape Allegation
Acclaimed author E. Jean Carroll publicly alleged for the first time Friday that President Donald Trump raped her in a dressing room in the mid-1990s.
Two days later, the hosts of the most popular Sunday morning talk shows in the U.S. had the opportunity to ask their guests ― often a mix of high-profile Republicans and Democrats ― about Carroll’s horrifying claim and whether to hold the president accountable.
But the allegation went largely undiscussed by major TV networks on Sunday morning, clearing the path for yet another sexual assault allegation against the president to slip into the void.
ABC, CBS, CNN, Fox and NBC ― the networks that make up the “big five” of Sunday morning talk shows ― boasted major political players in their lineups that included Vice President Mike Pence and 2020 Democratic presidential candidate Sen. Bernie Sanders (I-Vt.).
And yet not a single one of them was asked about Carroll’s allegation that, just days earlier, had prompted front-page stories and news alerts from almost all of the major media outlets.
Carroll, 75, on Friday became the latest of more than a dozen women to have publicly accused Trump of sexually assaulting, groping or forcibly kissing them since the early 1980s.
In an excerpt from her upcoming book, “What Do We Need Men For? A Modest Proposal,” published in New York magazine on Friday, Carroll described Trump shoving her against the wall of a Bergdorf Goodman dressing room and forcing his penis inside her.
She was a 52-year-old former Miss Cheerleader USA and a famous advice columnist by that time. He was a 50-something real estate mogul.
Trump has denied sexually assaulting anyone, including Carroll. And despite a photograph of Carroll with Trump embedded in the magazine’s story itself, Trump claimed Friday that he had never met her.
The inconsistencies in Trump’s response, the sheer number of women accusing him of sexual misconduct, the hypocrisy of Republicans believing Juanita Broaddrick’s rape accusation against President Bill Clinton in 1999 while ignoring Carroll’s now ― all were topics that would seem to warrant significant airtime on the Sunday morning talk shows but simply didn’t receive it.
Both CNN and CBS hosted Pence. Several 2020 Democratic presidential contenders appeared on some of the shows, including Sanders, Sen. Cory Booker (N.J.), Montana Gov. Steve Bullock and former Housing and Urban Development Secretary Julián Castro. A few other congressional Republicans and Democrats were interviewed across the networks as well.
Several pressing topics were addressed, including escalating tensions between the U.S. and Iran, climate change and inhumane conditions at detention centers housing migrant children at the country’s southern border, but Carroll’s allegation was noticeably absent from the conversations.
NBC’s “Meet the Press” aired an interview with Trump that taped Friday. Given the timing, host Chuck Todd was likely unaware of Carroll’s allegation before his interview with the president. Still, Todd seemingly did not reference the accusation during other portions of Sunday’s show.
Carroll appeared Sunday on NBC-owned network MSNBC during the 11 a.m. hour of “AM Joy” with Joy Reid, who lamented that the author’s allegation had been “relatively buried in this week’s news cycle.”
“In any other universe, in any other presidency, in any other news cycle, E. Jean Carroll’s bombshell revelations against the sitting president of the United States would have been the lead story all week long,” Reid said
CNN’s Brian Stelter, during an episode of “Reliable Sources” that aired Sunday at 11 a.m., discussed the apparent “media fatigue” over sexual misconduct allegations against Trump with his panel.
“The day that [Carroll’s allegation] dropped it felt like it was very much a part of the conversation on Twitter,” Shani Hilton, deputy managing editor for news at The Los Angeles Times, told Stelter. “It was really blowing up ― I mean all day long.”
She continued: “Two days later, it kind of feels like it’s faded away. And I think by the end of the day Friday, it really felt like here’s one more allegation in the long line.”
ABC, CBS, CNN, Fox and NBC did not immediately respond to HuffPost’s requests for comment.
This story has been updated to include Carroll’s appearance on MSNBC and Stelter’s panel discussion on CNN.
Need help? Visit RAINN’s National Sexual Assault Online Hotline or the National Sexual Violence Resource Center’s website.
REAL LIFE. REAL NEWS. REAL VOICES.
Help us tell more of the stories that matter from voices that too often remain unheard.
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thisdaynews · 6 years ago
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Even if Roe is upheld, abortion opponents are winning
New Post has been published on https://thebiafrastar.com/even-if-roe-is-upheld-abortion-opponents-are-winning/
Even if Roe is upheld, abortion opponents are winning
Demonstrators gather during a protest vigil outside of the Planned Parenthood of Metropolitan Washington, D.C., Carol Whitehill Moses Center in January. | Zach Gibson/Getty Images
health care
A drip, drip, drip of state restrictions has made abortion harder to obtain.
Abortion is still legal in the United States, but for women in vast swaths of the country it’s a right in name only.
Six states are down to only one abortion clinic; by the end of this week, Missouri could have zero. Some women seeking abortions have to travel long distances, and face mandatory waiting periods or examinations. On top of that, a new wave of restrictive laws, or outright bans, is rippling across GOP-led states like Alabama and Georgia.
Story Continued Below
Both sides of the abortion battle are focused on the future ofRoe v. Wade,but opponents have already won the ground game over the past decade, chipping away at abortion access.
The Supreme Court’s new conservative majority, about to wrap up its first term, has not yet taken up a case challengingRoe.Just this week it declined to reinstate an Indiana law, signed by Mike Pence when he was governor, that would have banned abortion on the basis of gender, race or fetal disability. But that’s no guarantee the court won’t take another look at the landmark 1973 abortion rights ruling.
But even without the high court, GOP-backed laws have added restrictions and obstacles, whittling away access. Since the start of the Trump administration, hostility to abortion in general and Planned Parenthood in particular has only intensified in statehouses around the country.
“We celebrate freedom in America. But I believe that my choice ends when another life begins,” Louisiana state Rep. Valarie Hodges said just before a fetal “heartbeat” abortion bill passed there.
Years of piecemeal state laws have left their mark. Mandatory waiting periods, travel, missed work and lost wages all make getting an abortion more expensive and more difficult, particularly for low-income women. Doctors and clinic staff have to face protesters, threats, proliferating regulations and draining legal challenges; clinics have closed. In remote parts of the midwest and south, women may have to travel more than 300 miles to end a pregnancy.
“This is a moment of seeing how all of these laws fly in the face of medicine and science and go against what we in the medical profession know, which is that any restriction on medical care by politicians will endanger people’s health,” Planned Parenthood President Leana Wen, a physician herself, said in an interview.
It’s intensified of late. Republicans in Alabama and other states have raced to enact laws that would almost completely ban abortion, sometimes without exceptions for pregnancies that result from rape or incest. Eight states have enacted laws which, if allowed to go into effect, would ban abortion once a fetal heartbeat can be detected, as early as the sixth week of pregnancy, when many women don’t even know they are pregnant. (Missouri’s variant is eight weeks.) Alabama has gone even further, granting “personhood” and legal rights from conception.
Those laws may eventually reach the Supreme Court and testRoe,the 1973 decision that recognized women’s right to abortion. But those statutes aren’t what’s crimping access nationwide right now. That’s happened through a drip, drip, drip of lower-profile efforts that have created obstacles for pregnant women and led to a dwindling supply of doctors trained and willing to perform abortions.
Many of those laws were promoted as attempts to make abortion safer — though courts often disagreed and threw them out as unconstitutional barriers. Now, abortion opponents are openly talking about ending the practice altogether.
“The strategy used to be death by a thousand cuts,” said Colleen McNicholas, a physician based in St. Louis who also provides abortions in Kansas and Oklahoma. “They’re no longer pretending things are to promote the health and well-being of women, which is what we used to hear all the time. Now they’re being very bold and upfront.”
“It doesn’t change the fact that for many Americans, particularly for women in the middle [of the country] and the South, abortion is inaccessible,” she added.
Data from the Guttmacher Institute, a research organization that supports abortion rights, shows that 788 clinics in the U.S. provided abortion services in 2014 — a drop of 51 clinics over three years. Since 2013about 20 clinics have closed just in Texas.
Further, one in five women would have to travel at least 43 miles to get to a clinic, according to a Guttmacher analysis from October 2017. In North Dakota, South Dakota and Wyoming, at least half of the women between 15 and 44 years old lived more than 90 miles from a clinic.
Six states — Kentucky, Missouri, Mississippi, North Dakota, South Dakota and West Virginia — have only one clinic left that performs abortions, according to a recent analysis from Planned Parenthood and Guttmacher. Lawmakers in many of those states have pursued limits in when abortion can be allowed — such as fetal heartbeat laws or 15-week bans, though the laws have been blocked in court. Four of those states have also passed so-called trigger laws that would ban abortion immediately should the Supreme Court overturnRoe.
In Missouri, the sole clinic, which is in St. Louis, could close this week. On the surface, it’s a dispute with the state health department over licensing, safety and regulation, but the showdown comes just days after state lawmakers passed a ban on abortion after eight weeks of pregnancy, with no exceptions for rape or incest.
“States have been marching down this path for a number of years. The restrictions that have passed previously have set the stage for the bans this year,” said Elizabeth Nash, Guttmacher’s senior state issues manager. “It’s counseling, it’s waiting periods, it’s abortion coverage in your health plan. It’s limits on abortion providers, such as unnecessary clinic regulations.”
“Missouri is the first and other states could be next,” Planned Parenthood’s Wen said on a recent call with reporters.
The ramifications of the anti-abortion movement’s sustained assault against Planned Parenthood are perhaps no clearer than in Texas, where lawmakers have passed dozens of restrictive laws, including mandatory ultrasounds, waiting periods and state funding restrictions.
The Supreme Court overturned another set of Texas restrictions in 2016 — but not before about 20 clinics shut down, many of which were never able to reopen. Providers retired, staff found other jobs and clinics had to start from scratch to get licensed and staff up. “All of those things take time and a significant amount of money,” said Kari White, an associate professor in Health Care Organization and Policy at the University of Alabama at Birmingham and an investigator with the Texas Policy Evaluation Project.
Even though Texas permits abortions until 20 weeks — itself a cut-off point that conflicts withRoe v. Wade, although it hasn’t yet come to the Supreme Court — abortion access has sharply declined. That scenario is likely to play out in other conservative states, even if they don’t go as far as Georgia or Alabama.
More than half of Texas’ 41 abortion clinics closed or stopped performing abortions after the state passed legislation, TX HB2 (132), in 2013 that bundled several onerous restrictions, according to research from the Texas Policy Evaluation Project. The average distance a woman had to travel one way for an abortion jumped to 35 miles from 15 miles. In rural parts of the state, drives of 100 miles or more to access care are not uncommon, according to the group.
The evaluation project found that while the number of abortions overall declined after the Texas law went into effect, the number of second-trimester abortions rose as women were forced to wait and travel longer distances. Currently only about 22 abortion providers, mostly in urban areas, are operating in Texas, a state with roughly 6.3 million women of reproductive age.
Low-income women are disproportionately affected by abortion restrictions, said Kamyon Conner, executive director of the Texas Equal Access Fund, which helps women who can’t afford an abortion, which costs between $500 and $10,000 dollars depending on the point in pregnancy. The nonprofit was part of a group that challenged dozens of Texas abortion restrictions in court.
Calls to the group’s hotline have tripled over the past few years to 6,000 in 2018, but it only funded about 1,000 women last year, she said. Some of those women are undocumented immigrants, some are incarcerated and others have children but cannot afford to raise more.
Other costs mount — both in money and time, Conner said. Because Texas has a 24-hour waiting period between an initial consult and the abortion, women miss work and may have to pay for hotel rooms.
“There are fewer clinics to provide the services,” said Conner. “The few clinics that are left are in very high demand.”
Telemedicine could plug some gaps in care for women seeking abortion medication, instead of a surgical abortion. But there too access varies widely by geography. Some states ban telemedicine-facilitated abortions. Elsewhere, providers are using video-chat technology to dispense the medication. Seventeen states require licensed abortion providers to be physically present when administering abortion medication, which effectively is a ban on telemedicine, according to the Guttmacher Institute. Abortion medication is approved for use up to ten weeks into pregnancy, but under current FDA rules can only be dispensed at certain medical facilities, including abortion clinics.
Alternatives are being tested. In one FDA-reviewed study, clinicians can mail abortion medication directly to patients after a video chat. Study participants can go to any clinic for their screening and ultrasound, send the results to a participating abortion provider, and then video chat with that provider. If appropriate, the provider can decide to dispense the medication to the patient’s address, and the patient can take it at home.
Under this system, women don’t have to travel several hours just to pick up the abortion pills, Erica Chong, director of Gynuity Health Projects, told POLITICO. The Gynuity study has enrolled about 360 people across eight states since 2016; it builds on recent research concluding that telemedicine-facilitated medical abortions are just as safe for patients as the ones administered in-person.
Because it’s been reviewed by the FDA, the Gynuity trial is exempt from the dispensation limitation. The study operates in Maine, New York, New Mexico, Hawaii, Colorado, Oregon, Washington and Georgia. Gynuity’s trial in Georgia began a few weeks ago, shortly before the state passed its “fetal heartbeat” law.
“With a lot of these bans, there’s going to be a long legal battle,” Chong said, explaining that she didn’t expect the new Georgia law, which bans abortion after a fetal heartbeat is detected at about six weeks, to affect the study in that state just yet. But she noted that the recent spate of early abortion bans have alarmed patients, who are unsure whether their appointments are still legal.
Gynuity’s goal is to convince the FDA that dispensing abortion medication directly to women’s homes, or even to retail pharmacies, is safe and effective, and that restrictions on its dispensation should be eased, Chong said.
Outside the Gynuity trial, some providers across the country let patients drive to the facility closest to them and video chat a clinician located at another site. Planned Parenthood, for instance, lets patients in 14 states virtually consult with clinicians based elsewhere. Yet in many cases, the clinician must watch the patient ingest the pill on screen to comply with federal restrictions limiting where the medication can be dispensed. Women might still have to travel across state lines to access these services — and many don’t even realize these options exist.
“How’s a woman in Alabama going to know to go to a Georgia clinic to find services?” Chong said.
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investmart007 · 7 years ago
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WASHINGTON | Separations at the border didn't worry some Trump officials
New Post has been published on https://is.gd/72q0p2
WASHINGTON | Separations at the border didn't worry some Trump officials
WASHINGTON — The government’s top health official could barely conceal his discomfort.
As Health and Human Services secretary, Alex Azar was responsible for caring for migrant children taken from their parents at the border.  Now a Democratic senator was asking him at a hearing whether his agency had a role in designing the Trump administration’s “zero tolerance” policy that caused these separations.
The answer was no.
“We deal with the children once they’re given to us,” responded Azar. “So we don’t — we are not the experts on immigration.”
Separating families while sidelining the agency responsible for caring for the children was only one example of a communication breakdown in the federal government that left immigrant children in limbo, parents in the dark about their whereabouts and enraged Americans across the country.
Today, the Trump administration is still dealing with the fallout: It’s still not clear how officials will implement the policy or comply with a court order requiring that families be reunited within 30 days.
Instead, the administration is hoping Congress will fix the mess, despite its recent failure to pass immigration legislation.
“We are happy to change the policy when Congress gives us the tools to do it.  That’s what we’re asking for,” Marc Short, White House director of legislative affairs, said on MSNBC.
The idea of separating families goes back to the first two months of the Trump presidency.  John Kelly, then the Homeland Security secretary, said it could be used as a deterrent.  But the notion was quickly dropped, even as President Donald Trump pushed a hard line on immigration, a crucial issue for his political base.
But behind the scenes, senior policy adviser Stephen Miller and others hadn’t given up on the concept. It suddenly reappeared this spring after a persistent spike in illegal crossings.  It took the form of the zero-tolerance policy announced by Attorney General Jeff Sessions that requires criminally prosecuting anyone coming to the U.S. illegally.  Sessions and others argued families would have to be separated because children can’t go to jail with their parents.
How or whether families would be reunited wasn’t much of a concern to the policymakers, according to administration officials and others with knowledge of the discussions who spoke to The Associated Press on condition of anonymity.  That lack of planning was evident in an interview Kelly, now White House chief of staff, did with NPR in May.
“The children will be taken care of — put into foster care or whatever — but the big point is they (the parents) elected to come illegally to the United States,” he said.
The policy sowed confusion and anger not only in the border region, but in Washington.  There was a lack of coordination among some of the government agencies involved in the process, the officials said. And there were multiple agencies involved: Customs and Border Protection, part of Homeland Security, detains immigrants.  Health and Human Services is responsible for caring for children. Adults are referred to the Justice Department for prosecution.  After those cases are resolved — generally a quick process — the adult immigrants are detained by Immigration and Customs Enforcement, another DHS agency.
Children were being sent hundreds of miles away from their parents and parents were unable to access hotlines to help them find their children.  Some were deported without their kids.  There was no system set up beforehand to link families and no plan on how to bring them back together, the officials said. More than 2,000 children were being separated from about 2,000 parents.
Religious and humanitarian leaders decried the policy.  Doctors warned of serious trauma from separation.  A pediatrician spoke of seeing a toddler weeping uncontrollably in a shelter and staff prevented from comforting her.  Audio leaked of Border Patrol officers joking amid sobbing children.
As the crisis worsened, Trump tried to blame Democrats. Sessions quoted the Bible in his defense of the policy.  Homeland Security Secretary Kirstjen Nielsen took questions during a tense White House press briefing and said there wasn’t a policy to separate children.  She was later heckled at a Mexican restaurant where she was eating dinner.
As criticism became more intense, Trump sought to calm the situation, the officials said.  He had initially wanted to sign a full immigration bill as part of an executive order, but was told by attorneys that it wasn’t possible, they said.
So, instead, Trump said he wanted an order written, and written quickly, they said.  By midday on June 20, about six weeks after the policy started, Trump had signed papers that stopped separation — but also still required 100 percent criminal prosecution for improper entry.
“We’re going to have strong, very strong borders, but we’re going to keep the families together,” Trump said.
Now, the administration is arguing over how to implement the hastily formed order.  They’re struggling with how to reunite the families — pushed by a court order this past Tuesday requiring they do so within 30 days, and within 14 days for children younger than 5.
While administration officials insist they know where all the children are, there has been no clear plan on how families will be reunited. Parents are still detained.  Some 500 children were already returned to their parents, but those kids never made it out of Border Protection custody.
Some White House aides were determined to reunite families with their children as soon as possible, recognizing it was the only way to put the episode behind them.  But another group, including Miller and many at the Justice Department, were advocating a more combative approach, prioritizing removals and prosecutions. Any shift toward the humanitarian concerns, some in that camp have argued, would be a sign of weakness that would reflect poorly on the president, the officials said.
Trump continues to advocate immediate removal, without an appearance before a judge or other due process, for those apprehended entering the country illegally.
Vice President Mike Pence and Nielsen met with Central American leaders on Thursday to discuss the number of migrants trying to cross into the U.S.
In a speech in Guatemala, he said the U.S. was working to reunite families “from your nations who’ve been caught trying to illegally enter the United States – because we believe that we can — as the old book says — “do justice and love kindness.”
But Pence also cautioned:  “If you want to come to the United States, come legally, or don’t come at all.”
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By COLLEEN LONG and RICARDO ALONSO-ZALDIVAR, Associated Press
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phooll123 · 5 years ago
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New top story from Time: ‘Doomed from the Start.’ Experts Say the Trump Administration’s Coronavirus Response Was Never Going to Work
The Trump Administration’s strategy to combat COVID-19, the novel coronavirus, began with a relatively simple focus: keep it out of the United States. In service of that goal, the White House issued drastic travel restrictions, imposed mandatory quarantines, and repeatedly told the public that these steps were working.
“We have contained this. I won’t say airtight but pretty close to airtight,” White House economic adviser Larry Kudlow said in a television interview on Feb. 25, echoing Trump’s tweeted declaration that the virus was “very much under control” in the United States.
But it wasn’t, and the administration’s rosy messaging was fundamentally at odds with a growing cacophony of alarm bells inside and outside the U.S. government. Since January, epidemiologists, former U.S. public health officials and experts have been warning, publicly and privately, that the administration’s insistence that containment was—and should remain—the primary way to confront an emerging infectious disease was a grave mistake.
In congressional testimony, in medical webcasts and in private discussions with health officials, they warned that the unique features of this flu-like virus made it impossible to control, and that the administration must use any time that containment measures might buy to prepare the country for an inevitable outbreak. The administration was using all its resources to blockade the doors, they warned, but the enemy was likely already in the house.
“The current U.S. policy to deny visas to travelers from China and to quarantine returning Americans is not the right approach,” Jennifer Nuzzo, an epidemiologist and expert in disease outbreak detection and response at the Johns Hopkins Center for Health Security, testified to Congress on February 5. “I am deeply concerned that these measures will make us less safe by diverting public health resources from higher priority disease mitigation approaches.”
Two days earlier, former FDA commissioner Scott Gottlieb had warned “we have to assume it’s already here and circulating.”
When it finally became indisputable that an outbreak was underway in Washington state, the administration were slow to catch up. There were not enough COVID-19 testing kits, hotlines were overwhelmed, and hospitals and public health departments were hobbled by a lack of reliable statistics on the spread of the disease. Experts say the U.S. response is now likely weeks—if not months—behind schedule.
On Thursday, Vice President Mike Pence, who is spearheading the White House response to the virus, cast doubt that the administration would be able to fulfill its promise to deliver one million testing kits by the end of the week. “We don’t have enough tests today to meet what we anticipate the demand going forward,” he said.
COVID-19 first emerged in December in China’s Hubei province, where more than 80% of the 95,000 known cases have since been identified. By January 31, the Trump administration declared a public health emergency, and moved quickly to cancel flights from China, ban non-U.S. citizens who recently visited China from entering the U.S., and quarantine Americans who had recently visited China’s Hubei province.
That initial strategy was not without validity, epidemiologists and former U.S. health officials tell TIME. Those measures likely helped to slow the spread of the virus. The problem, they say, is that once it was clear that the virus was within our borders officials did not pivot quickly enough to changing circumstances.
And those new circumstances, experts told TIME, were entirely predictable. In a world linked by tens of thousands of flights a day, it’s nearly impossible to completely contain the transmission of an infectious disease like COVID-19, in part because people carrying the virus do not necessarily show symptoms. An effective response, experts say, would have required that administration officials capitalized on the temporary delay of new infections offered by containment strategies in order to aggressively prepare for inevitable outbreaks. But not one of the dozens of experts, doctors or former public health officials who spoke with TIME thought that the Trump administration used that delay effectively.
The problem, they say, is partly that the administration misallocated limited resources. By being told to focus on monitoring a small number of quarantined travelers returning to the U.S., public health departments were not fully engaged in preparing mitigation efforts in communities, where we now know the virus was already infecting more people. Healthcare workers could have used that time to coordinate with hospitals, track suspected cases, funnel resources to diagnostics, prepare vulnerable populations, like nursing homes, and promote mitigation measures, such as isolating known cases outside of a hospital.
Instead, the administration telegraphed that such mitigation work would only be necessary if containment failed. “Community mitigation work is not a failure, and part of the problem is not recognizing that,” Nuzzo tells TIME. “Sending the message that we are stopping this at our border, keeping this from coming in from China, has a psychological impact not on just on the American people but on practitioners as well.” The President’s repeated assertions that the containment strategy was working also diminished the sense of urgency, causing delays in community preparedness, public health experts and doctors told TIME.
“Quarantines are intended to buy us time. Did we make good use of the time? No—and now we’re hustling,” says Steve Morrison, the director of the CSIS global health center and a former State Department official who served in the Clinton administration.
The Trump Administration only last week began authorizing disease surveillance within major American cities, where the medical community has been blind for weeks to the expanding number of new cases. Additionally, the drive to quarantine individuals from certain countries—China, Italy, Korea—discounted those from other nations, where the virus was also being transmitted. Taken together, the federal government’s singular focus on containment came at the expense of a more comprehensive—and more effective—approach, Nuzzo said.
In ideal circumstances, infectious disease experts tell TIME, the government would also have focused on mobilizing capacity to test for COVID-19 prior to the first reported case on U.S. soil. It would have sent test-kits to hospitals and clinics around the nation to identify any new infections and, armed with that data, officials would have tailored a rapid response, issuing public recommendations on sanitation practices, when to seek medical treatment, and how to limit the spread of the disease.
Instead, public health departments in some parts of the country were blindsided. As experts predicted a month ago, some state coronavirus hotlines and hospitals have been overwhelmed.
The administration’s failure to quickly disseminate enough working COVID-19 test-kits has also had lasting repercussions, likely exacerbating the spread of the disease and robbing public health officials of vital data about the spread of the virus.
Because medical professionals have been forced to limit the number of tests administered, there is no clear picture today of how many people, including those with mild symptoms, have been infected. (Until recently, Centers for Disease Control and Prevention advised that tests only be administered to those who had known exposure to someone with the virus, travel history to an affected region or had symptoms of a serious respiratory illness.) It’s unclear how many, Americans contracted COVID-19, but only had mild symptoms, and so were not tested and quarantined. It’s also unclear how many other people those patients infected.
The CDC is struggling to gather state testing data, which isn’t being publicly shared, on where COVID-19 outbreaks are occurring or how many Americans total have been infected. A new genomic analysis by the Seattle Flu Study suggests that COVID-19 has likely been spreading in Washington state since mid-January, weeks before the U.S. implemented travel and quarantine measures.
“Given the features of this virus, we knew from the onset that it’s not the type of virus that is amenable to containment,” says Luciana Borio, who served as director for Medical and Biodefense Preparedness at the White House National Security Council from 2017 through 2019 and as chief scientist for the Food and Drug Administration. “And that only works if you use the time really wisely. It’s possible that the time that it bought us wasn’t used in the best possible manner to help us get ahead of the curve in terms of preparing the homeland for the eventual epidemic.”
Public health and infectious disease experts have been urging the Trump administration to take actions to mitigate an outbreak for more than a month. As early as Jan. 28, Borio, along with former FDA commissioner Scott Gottlieb, began publishing op-eds highlighting the ways the U.S. healthcare system needed to prepare. The first one was titled “Act Now to Prevent an American Epidemic.” They warned that more cases in the U.S. were inevitable, that the CDC would struggle to keep up with the volume of screenings, and that hospitals and public health workers needed to prepare for an influx of patients. While U.S. containment measures could stall an outbreak, they wrote that officials needed to start testing patients with symptoms who had not traveled to China.
Several former government officials also warned Congress in early February to resist the temptation to focus on travel bans and restrictions from affected areas. “Congress should press the administration for the science behind recently announced quarantines….and inquire as to the effectiveness of the measures being implemented,” Ron Klain, who served as Ebola response coordinator under President Barack Obama, told Congress on Feb. 5. He called the travel ban a “band aid.”
Other former U.S. officials have put it more bluntly, calling the administration’s focus on restricting flights and quarantining travelers the “original sin” of the Trump administration’s response. “The containment strategy was doomed from the start,” says Jeremy Konyndyk, who directed USAID’s Office of Foreign Disaster Assistance during the Ebola outbreak and is a member of the World Health Organization committee overseeing health emergencies.
The containment measures were meant to buy the Trump administration time to move aggressively, but they didn’t do that, Konynkyk added. “What did you do with the delay?” he tells TIME. “If you buy time, you need to use that time to prepare. It’s insane to me that they’re still harping on containment and travel controls and keeping the disease out when that is not going to be the driver of transmission at this point.”
Even as the coronavirus spread from Asia to Europe, Latin America, Sub-Saharan Africa and North America, and tracking and quarantining travelers became increasingly ineffective, the White House doubled down, insisting that containment was working. For weeks, both the President and administration officials repeatedly claimed that the decision to impose travel restrictions and quarantines was the reason for the low number of cases, and that the media and Democrats were exaggerating the threat. In fact, the low number of cases appears to be due to the fact that very few people were being tested for the disease.
“We have had tremendous success, tremendous success, beyond what people would have thought,” the president said at a Feb. 27 press conference in which he often appeared to contradict his own administration’s health officials. “At the same time, you do have some outbreaks in some countries—Italy and various countries—are having some difficulties.”
Two days later, the administration increased travel restrictions on South Korea, Iran and Italy, and a man in Washington state—who had no relevant travel history— became the the first to die of COVID-19 on American soil.
“Every state should be in the middle of mitigation planning at this point,” says Paul Biddinger, director of the Emergency Preparedness Research, Evaluation and Practice Program at the Harvard T.H. Chan School of Public Health. “It’s an urgent need. Everything we’ve seen indicates this disease will be widespread within weeks, not months.”
Once it became clear that the crisis was unavoidable, the administration should have pushed harder, Nuzzo says. “What was missing was the sense of urgency. They were still so mentally focused on ‘we just have 15 cases.’”
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