Cancel The Trump Show? Let’s Think About This.

Just for the record, here’s a video of the segment of yesterday’s Trump Show in which Trump proposed injecting people with disinfectant. That’s what he said. Loudly and clearly.

And this is from the official White House transcript of yesterday’s Trump Show:

And then I see the disinfectant, where it knocks it out in a minute. One minute. And is there a way we can do something like that, by injection inside or almost a cleaning. Because you see it gets in the lungs and it does a tremendous number on the lungs. So it would be interesting to check that. So, that, you’re going to have to use medical doctors with. But it sounds — it sounds interesting to me.

Is he not saying that we should try injecting disinfectant? Of course, that’s what he’s saying.

I’m bringing this up because the disinfectant remark was stupid even by Trump standards, and right-wing media is tripping all over itself claiming that he didn’t say what he said. For example:

I don’t dignify Breitbart with links, but the article says:

Trump used the word “inject,” but what he meant was using a process — which he left “medical doctors” to define — in which patients’ lungs might be cleared of the virus, given new knowledge about its response to light and other factors.

Let’s review:

And then I see the disinfectant, where it knocks it out in a minute. One minute. And is there a way we can do something like that, by injection inside or almost a cleaning. Because you see it gets in the lungs and it does a tremendous number on the lungs. So it would be interesting to check that. So, that, you’re going to have to use medical doctors with. But it sounds — it sounds interesting to me.

Especially in the larger context, in which he also proposed shining lights into the body to kill the virus, there’s no mistaking that he was proposing injecting people with disinfectant.

A lot of people have called for the networks to stop broadcasting the daily briefings. Some of them have complied; The Trump Show has disappeared from my local NBC affilliate, possibly because it was pre-empting Jeopardy and viewers complained. I suspect there will be louder calls now to cancel the Trump Show before people start dropping dead from drinking Lysol.

The makers of Lysol want you to know you should not injest their product, btw.

But I’m wondering if we’re being hasty. If Trump wants to make a fool of himself on television, why get in the way?

There’s a long but fascinating article in the New York Times headlined Home Alone at the White House: A Sour President, With TV His Constant Companion by Katie Rogers and Annie Karni. This reveals a lot, including about the origins of The Trump Show.

Mr. Trump became enraged watching the coverage of his 10-minute Oval Office address in March that was rife with inaccuracies and had little in terms of action for him to announce. He complained to aides that there were few people on television willing to defend him.

The solution, aides said, came two days later, when Mr. Trump appeared in the Rose Garden to declare a national emergency and answer questions from reporters. As he admonished journalists for asking “nasty” questions, Mr. Trump found the back-and-forth he had been missing. The virus had not been a perfect enemy — it was impervious to his browbeating — but baiting and attacking reporters energized him.

“I don’t take responsibility at all,” Mr. Trump told White House correspondents in answer to one question.

The next day he planned to attend a briefing, but since he was there he was encouraged to just take the podium. And a television phenomenon was born.

The daily White House coronavirus task force briefing is the one portion of the day that Mr. Trump looks forward to, although even Republicans say that the two hours of political attacks, grievances and falsehoods by the president are hurting him politically.

Mr. Trump will hear none of it. Aides say he views them as prime-time shows that are the best substitute for the rallies he can no longer attend but craves.

Mr. Trump rarely attends the task force meetings that precede the briefings, and he typically does not prepare before he steps in front of the cameras. He is often seeing the final version of the day’s main talking points that aides have prepared for him for the first time although aides said he makes tweaks with a Sharpie just before he reads them live. He hastily plows through them, usually in a monotone, in order to get to the question-and-answer bullying session with reporters that he relishes.

Reviewing the transcript, it appears the “disinfectant” remarks came after the prepared talking points part of the program. He might help himself if he, you know, rehearsed some of the show before going live. But I guess that would be too much work.

The article also describes a typical Trump day this way: He shows up in the Oval Office about noon, having been up since 5 am watching television — “Fox News, then CNN, with a dollop of MSNBC thrown in for rage viewing” — and making calls with the television audible in the background. He’s mostly interested in what people are saying about him, not in the news per se. In the afternoon he is given his daily security briefing — whether he pays attention or not isn’t clear — holds staff and other meetings, and makes more phone calls before it’s time for The Trump Show, which apparently is all he really cares about. After the show he watches television in his private dining room, comforting himself with french fries and Diet Coke. He may occasionally have dinner with Melania and Barron before retiring to his bedroom to watch more television.

Somehow I don’t see Franklin Roosevelt or Abraham Lincoln spending most of the day watching television to see what people were saying about them.

Anyway — so should The Trump Show be canceled? I say no. If the man wants to hang himself on live television, let him. There also have been calls to give Joe Biden equal time, since The Trump Show amounts to unpaid campaign advertising. At the moment, though, it may be just as well if Biden stays in the background while Trump stumbles around. We’ve got a few months left before the general election. See Joe Biden is leading in presidential polls as a generic alternative to Trump.

And as of this morning, 50,939 Americans are known to have died of covid-19.

Other Stuff to Read

Politico, Trump owes tens of millions to the Bank of China — and the loan is due soon. Maybe China will repossess him.

Washington Post, FDA issues hydroxychloroquine warning, citing serious effects, including death

Paul Krugman, McConnell to Every State: Drop Dead

Timothy Egan, How Republicans Became the Party of Death

Mitch Antoinette’s Blue State Bailouts

This post is about Mitch McConnell’s suggestion that states facing budget shortfalls because of the pandemic should declare bankruptcy rather than receive federal funds. Mitch actually called relief funds for states  “blue state bailouts,” even though red states need funds, too. This inspired Rep. Peter King of New York to call McConnell “the Marie Antoinette of the Senate.”

My impression is that it’s broadly, but not universally, believed that a state couldn’t declare bankruptcy even if it tried. But let’s look at some background to see what’s going on here.

Something Paul Krugman wrote on April 16:

… But the special loan program for small businesses has already been exhaustedState and city governments are reporting drastic losses in revenue and soaring expenses. And the Postal Service is on the edge of bankruptcy.

So we need another large relief package, targeted at these gaps. Where would the money come from? Just borrow it. Right now, the economy is awash in excess savings with nowhere to go. The interest rate on inflation-protected federal bonds is minus 0.56 percent; in effect, investors are willing to pay our government to make use of their money. Financing economic relief just isn’t a problem.

Yet at the moment further relief legislation is stalled. And let’s be clear: Republicans are responsible for the impasse.

Basically, Krugman is saying that if we want to save the bleeping economy and not slide into depression, the feds should just crank out the money to keep us all afloat until the pandemic is no longer threatening us. This is not the time to be cheap.

Congress is still struggling with a new relief package. Here’s the most recent news

The House prepared Thursday to pass a bipartisan $484 billion spending package that would restart a small-business loan program that was swamped by demand during the coronavirus pandemic and allocate more money for health-care providers and virus testing.

Once approved, lawmakers would send the legislation to President Trump for his signature, following Senate passage earlier this week.

One thing not in the bill is money for states and cities. Senate Democrats tried to get $150 billion for states and cities added to the package, but Republicans wouldn’t allow it.

From the New York Times, April 15:

States provide most of America’s public health, education and policing services, and a lot of its highways, mass transit systems and waterworks. Now, sales taxes — the biggest source of revenue for most states — have fallen off a cliff as business activity grinds to a halt and consumers stay home.

Personal income taxes, usually states’ second-biggest revenue source, started falling in March, when millions lost their paychecks and tax withholdings stopped. April usually brings a big slug of income-tax money, but this year the filing deadlines have been postponed until July.

“This is going to be horrific for state and local finances,” said Donald J. Boyd, the head of Boyd Research, an economics and fiscal consulting firm, whose clients include states and the federal government.

I am no economist, but I understand that if states are forced to cut services and lay off employees this will not just cause inconveniences; it will prolong whatever recession, or depression, we will face going forward. And it will hurt the economies of red states as well as blue ones.

But somehow relief for states has become a partisan issue. And that’s insane. Eric Levitz wrote for New York magazine (April 15),

Political coverage of negotiations on Capitol Hill in recent weeks has consistently framed aid to states and municipalities as a concession to Democrats. And by all appearances, this is an accurate description of the legislative dynamics. But it’s difficult to understand why. Neither the pandemic nor its economic consequences have been confined to blue states. In fact, the collapse of global demand for oil is hammering deep-red petro-states. Oklahoma’s budget was written around the presumption of $55-a-barrel oil, which is more than double crude’s going rate these days. The Texas Taxpayers and Research Association, meanwhile, has estimated that every dollar shaved off the price of oil knocks $85 million in revenue out of the Lone Star State’s coffers.

Beyond the fact that Republican-leaning states are hurting for aid about as much as blue ones are, the president’s party has a profound political interest in mitigating the economic impact of an election-year recession. This is ostensibly why Republicans promoted mailing checks directly to low-income and middle-class households: to prop up consumer demand and prevent economic decline from feeding on itself. And yet, if states are forced to lay off public workers, cut social benefits for constituents, and cancel planned investments in public goods, then they will deepen the recession.

See also The case for a massive federal aid package for states and cities by Dylan Matthews at Vox.

Why are congressional Republicans taking this position? Levitz attributes this to long-held GOP “small government” ideology, and maybe that’s it. Kevin Drum thinks Mitch McConnell is also seizing an opportunity to crush public sector unions and take their pensions.

Republicans have been targeting the pensions of state workers forever. For the most part, these pensions are protected because they’re part of union contracts, but that just makes them even more attractive targets: If you can gut pensions, then not only will you reduce state spending, but you can crush the unions at the same time. Legally, though, the only way to do this is as part of a bankruptcy restructuring.

So as far as McConnell is concerned, COVID-19 has an upside: by wrecking state finances, it will force them into bankruptcy. And that means Republicans can get their revenge on public sector unions, who are big supporters of Democrats. What’s not to like?

Regarding pensions, there is an argument that starving the states for funds would hurt more blue states than red ones. According to an article in Forbes,

… what the Senator failed to mention is that his Commonwealth of Kentucky does not issue general obligation bonds. He also neglected to mention its bottom-level ranking in state public pension funding, 50th in the nation. If state bankruptcy is permitted, Kentucky has no outstanding state general obligation debt that would be negatively impacted, but it would presumably allow the state to renegotiate the terms the pension that tens of thousands of Kentucky pensioners rely on. It is unlikely their payments would increase.

Mitch might also think that hurting some states might help Republicans keep the Senate.

Of the top ten underfunded state public pensions, five states are straight Democrat controlled in both the statehouses and have majorities in federal representation: New Jersey, Illinois, Connecticut, Rhode Island and Hawaii. Each face budget pressures and have either raised taxes or contemplated raising taxes to deal with budget deficits. Some recently had Republican governors that lost to Democrats, suggesting the electorate is not opposed to Republican rule. A local Republican push in those states to file for bankruptcy over raising taxes might be well received. Well received enough to flip those states over to Senator McConnell’s side of the aisle.

Now, how might this backfire? While it’s true that the worst of the pandemic has, for the most part, slammed blue urban areas the hardest, notably New York City. McConnell may not have gotten the memo that the virus is moving in to red states now.

new analysis from demographer William Frey finds that coronavirus is now spreading into whiter and more Republican-leaning areas of the country. Despite initially being concentrated in blue and urban areas, it has slowly extended into new parts of the Midwest and the south, into outer suburbs and small metropolitan areas, and into parts of the country carried by Trump.

Some people are clinging to a perception that the pandemic is mostly a blue state — and urban — problem, and perhaps McConnell assumes his position will be popular in Trump Country.

The organizers of the anti-lockdown protests have worked to create the impression of a groundswell of populist rage at elites shutting down the economy in parts of the country far less impacted by the virus, to protect heavily impacted areas.

Those elites, of course, are mostly Democratic governors, relying on scientists who shouldn’t be trusted. As Tucker Carlson put it, the idea that quarantines are necessary to save lives is “a lie,” because “there is no scientific record to consult.”

Tucker Carlson wouldn’t know a scientific record if it bit his ass.

At times these political-geographic fault lines have been made explicit. The New York Times recently observed that in Michigan, protesters from rural areas are “nearly all white,” with some “hoisting Trump signs and Confederate flags,” even as the vast majority of those afflicted and dying are “concentrated in heavily black and Democratic Detroit.”

Trump himself crudely nodded to this when he mused about quarantining off East Coast blue states, as if to protect virtuous Red America — often described as “Real America” by his propagandists — from infestation by an export from diseased Blue America.

As Ed Kilgore noted, Trump and his followers are relying on such sentiments to fuel the anti-lockdown protests, by blaming “social and economic restraints that are still in effect in much of the country on cities, many of them heavily black, where the coronavirus has been most destructive.”

However, there is all kinds of polling saying that most Americans support the pandemic restrictions and are concerned they will be lifted too soon. And if the poorer red states start getting slammed with more sick people than they can handle, you can bet they are going to be begging for federal relief dollars.

I will give Andrew Cuomo the last word.

Cuomo took McConnell to task in a Thursday press conference, first laying out why he finds state and local government funding to be so important, and then decrying McConnell’s “obsessive political bias and anger.” …

… Cuomo then brought up some cold hard numbers. While New York state contributes billions more dollars to the federal government than it gets in return, McConnell’s state of Kentucky relies on billions of dollars of federal funding each year, prompting Cuomo to ask, “Sen. McConnell, who’s getting bailed out here?”

Maybe that issue of red states being parasites on the blue states can be addressed by a future Democratic-controled Congress…

 

Conventional Wisdom Has Been Cancelled

It’s sometimes said you can predict the future by looking at the past and extending it. But the pandemic has scrambled the old trajectory. Maybe not completely, but close enough. All bets are off now.

Clearly, the pandemic has completely flummoxed Donald Trump. Kevin Drum points out that Trump is, literally, doing nothing at all about the pandemic.

Let’s review our president’s response to the COVID-19 pandemic:

* He has no plan for mass testing.

* He has already let everyone know he’s unenthusiastic about masks.

* He wants to “liberate” states from stay-at-home orders.

* He wants to open up non-essential businesses as soon as possible.

* He appears to have no particular opinion about social distancing, school closings, or large gatherings.

In other words, he literally has no concrete response to the pandemic at all, aside from closing our borders and passing along damaging fictions about vaccines and folk remedies.

Speaking as an armchair psychologist, my take on this is that Trump has absolutely no clue what he’s supposed to be doing about the pandemic, because it is utterly outside his very limited experience. And he is incapable of learning, so he’s not going to somehow salvage some initial mistakes with more proactive and effective policies. That would be like expecting a poodle to play the tuba.

Now Trump is flailing around trying to promote himself as a successful, tough-guy president without having accomplished anything to address the pandemic. His big strategy so far was a hail-mary pass — being the big hero who saves everyone with the miracle drug hydroxychloroquine! But after weeks of promotion, and after stockpiling 29 million pills, the hail mary turned into a fumble. So what’s next?

“Next” appears to be that Trump will revert to his original strategy of pretending his mightly mind-beams can just make the pandemic go away. There are reports he even wants to resume rallies.

But the lipstick-on-the-pig strategy is unlikely to work.

Donald Trump’s botched handling of the Covid-19 crisis has left the US looking like a “third world” country and on course for a second Great Depression, one of the world’s leading economists has warned.

In a withering attack on the president, Joseph Stiglitz said millions of people were turning to food banks, turning up for work due to a lack of sick pay and dying because of health inequalities.

The Nobel prize-winning economist said: “The numbers turning to food banks are just enormous and beyond the capacity of them to supply. It is like a third world country. The public social safety net is not working.”

I doubt most Americans grasp the depth of the trouble we’re in. There is still a lot of hope that in a month or two everything will go back to how it was. But that’s very unlikely. This disaster may be just getting started.

The November election is going to be a referendum on Trump’s handling of the pandemic. Trump is desperate for that to be otherwise, but there’s nothing he can do about it, or at least nothing he will do about it that won’t backfire. All other conventional wisdom is now cancelled. Republicans who assume turnout from Trump’s base will save them in November are in denial, as are lefties who are still arguing that Joe Biden can’t win without the progressive vote. It may barely matter who the Dem nominee is by November.

Do read Everyone is in denial about November by Daniel Drezner. In the face of the pandemic, Republican strategies about messaging and smearing Joe Biden for this or that issue just seem pathetic. “The important thing is that campaign tactics are meaningless when the administration has bungled its pandemic response and the economy is cratering,” Drezner writes.

The only thing that could save Trump is to successfully re-open the economy so that the pandemic is no longer an issue in November. His own incompetence has gotten in the way, however. The experts keep saying test! test! test! And Trump has washed his hands of tests. Instead he appears to be embarking on “Hail Mary 2.0: The Return to Prosperity.” Just push open the economy, now, without testing and tracing. Those governors who won’t comply might be subject to legal action from Attorney General Barr. The strategy appears to be to turn the pandemic restrictions into a red state versus blue state culture war issue, never mind that some Republican governors have seen the light about the restrictions.

But the public health experts say that reopening the economy prematurely will almost certainly result in another wave of virus deaths, possibly worse than the first wave. And as long as the virus is lurking out there, the crowds will not be returning to stadiums, shops, or restaurants even if they’re open. Some people, yes, but possibly not enough to turn a profit. And then when new cases flare up, the restrictions will have to be imposed again. See Matt Yglesias, Opening Up the Economy Won’t Save the Economy.

I have little hope that Trump won’t continue to screw up America. Trump doesn’t want to hear about the tests, possibly because even he suspects pandemic is more widespread than we know. Numbers might make him look bad! In his narrow little mind, mass testing is not in his self-interest.

But you can’t hide the reality of death. The officially recorded numbers of cases of and deaths from covid-19 are almost certainly lower than actual infections and deaths, but the low numbers are bad enough and going up fast. (I’ve added a link to the right-hand sidebar, right over the calendar, that provides a running update of the official number of infections and death by covid 19 in the U.S.. Checking the numbers daily is disturbing.)

There are signs that Trump’s support among seniors is eroding fast.

The latest Morning Consult poll found that 65-and-older voters prioritized defeating the coronavirus over healing the economy by nearly a 6-to-1 ratio. And over the past month, they’ve become the group most disenchanted with Trump’s handling of the crisis. In mid-March, seniors were more supportive of Trump than any other age group (plus-19 net approval). Now, their net approval of the president has dropped 20 points and is lower than any age group outside of the youngest Americans.

Those findings were matched by a new NBC/WSJ poll, which tested the presidential matchup between Trump and Joe Biden. Among seniors 65 and older, Biden led Trump by 9 points, 52 to 43 percent. That’s a dramatic 16-point swing from Hillary Clinton’s showing in the 2016 election; she lost seniors by 7 points to Trump (52-45 percent).

Greg Sargent:

Trump allies have tried to tell seniors that they shouldn’t feel this way, but that hasn’t gone too well. For instance, Dan Patrick, the lieutenant governor of Texas, gamely tried to argue that grandparents should perhaps be prepared to sacrifice themselves rather than allow the economy to continue to tank.

The national backlash was fierce. And as one of the polls highlighted above shows, seniors continue to disagree in overwhelming percentages.

It may be that this debate just might not provide Trump with the culture-war tinderbox he thinks it does.

See also Trump loves to create chaos. But it can come back to bite him.

And do see Richard Stengel, Why Trump’s Coronavirus Optimism Isn’t Working.

The projection of optimism is a hallmark of great leaders, and FDR might have been our greatest model of that presidential virtue. But from the first he was clear that in times of crisis, optimism also required realism—realism in the form of honesty about the nature of the challenge itself. He understood that to engage a whole nation, he could not sugarcoat the task ahead. Optimism had to be earned. In President Donald Trump’s efforts to project optimism, he has been anything but candid and honest. To simply say, “We see light at the end of the tunnel,” without facts or data to back it up, is not optimism but dissembling. Optimism unaccompanied by realism is hollow. Trump’s optimism is more like that of the classic American species, “the confidence man,” the swindler who sells you a bill of goods and then moves on to the next sucker. Moreover, his optimism always seems self-serving, as though it is more about people rewarding him for being upbeat than how he is grappling with the crisis itself. As FDR said in the third paragraph of his inaugural address, “Only a foolish optimist can deny the dark realities of the moment.”

Trump sometimes tries to project seriousness and empathy, but he fails. He lacks genuine empathy or emotional intelligence. Further, Trump’s incessant self-pity and complaining about the way he is treated is totally out of keeping with great leadership, especially in a time of crisis.

Polls are saying that a significant majority of Americans are reluctant to rush into re-opening the economy. But some of Trump’s favorite governors are rushing in where angels fear to tread:

By the end of the week, residents in Georgia will be able to get their hair permed and nails done. By Monday, they will be cleared for action flicks at the cineplex and burgers at their favorite greasy spoon.

And it will almost certainly lead to more novel coronavirus infections and deaths.

As several states — including South Carolina, Tennessee and Florida — rush to reopen businesses, the sudden relaxation of restrictions will supply new targets for the coronavirus that has kept the United States largely closed down, according to experts, math models and the basic rules that govern infectious diseases.

“The math is unfortunately pretty simple. It’s not a matter of whether infections will increase but by how much,” said Jeffrey Shaman, a leading epidemiologist at Columbia University.

And there is evidence the virus can spread through air conditioning systems. If true, this is going to be especially hard on the southern states.

This is going to be a year to remember. Stay safe.

U.S. President Donald Trump announces an agreement with Mexico on the North American Free Trade Agreement (NAFTA) at the White House in Washington, U.S., August 27, 2018. REUTERS/Kevin Lamarque – RC1D94FA7CB0

Today’s Disaster News

Update: The Constitution versus Bill Barr

This just happened. See Barr Threatens Legal Action Against Governors Over Lockdowns

The Justice Department will consider taking legal action against governors who continue to impose stringent rules for dealing with the coronavirus that infringe on constitutional rights even after the crisis subsides in their states, Attorney General William Barr said.

I want Barr to be prosecuted for something as soon as we can get our hands on him.

The Senate just reached a tentative deal on another relief package, says the New York Daily News:

Senate Democrats, Republicans and the Trump administration have reached a tentative deal on $470 billion in coronavirus relief to expand testing and provide lifelines for cash-strapped small businesses and hospitals, a source involved in the negotiations told the Daily News on Tuesday.

The bill, which is $220 billion larger than the initial proposal put forth by Republicans last week, could be approved by the Senate as early as 4 p.m. Tuesday, when the chamber convenes for a pro forma session.

This could all fall through, of course. It ain’t a done deal. I do hope they don’t spin their wheels over it too much longer, though. People need help now.

Is this what’s happening to the PPE and ventilators being confiscated by the feds?

Newsweek reports:

The United States has fast-tracked assistance to North Korea in response to the coronavirus pandemic.

The move comes despite the countries’ leaders stalled denuclearization-for-peace talks and amid strict international sanctions. A State Department spokesperson told Newsweek that the U.S. had greenlit the delivery of certain goods to the largely closed-off country in an effort to ensure the country had access to critical supplies. 

BTW, there are reports that Jim Jong Un is seriously ill, and also reports that he isn’t. So take your pick.

Someday somebody’s going to take Dan Patrick at his word.

The lieutenant governor of Texas, who was criticized last month for saying it was worth risking lives to return to work if that meant saving the economy, has doubled down on his comments.

Dan Patrick, who turned 70 this month, faced a social media backlash in March for telling Fox News that many of his generation were willing to “take a chance” and return to work because an economy that was shut down by the coronavirus would harm future generations.

As parts of Texas started to reopen this week following weeks of restrictions, Patrick defended his comments on Monday, telling anchor Tucker Carlson again that the recent economic hardship had left him “vindicated.” …

… Patrick went on: “There are more important things than living, and that’s saving this country for my children and my grandchildren and saving this country for all of us.”

I wouldn’t throw a victory party just yet, champ. The science guys are telling us that the pandemic is just getting started.

So much for hydroxychloroquine

The Associated Press:

A malaria drug widely touted by President Donald Trump for treating the new coronavirus showed no benefit in a large analysis of its use in U.S. veterans hospitals. There were more deaths among those given hydroxychloroquine versus standard care, researchers reported.

 

Another Trump misfire

Late last night Trump tweeted that he was going to order a temporary ban on all immigration. But now we’re hearing that farm workers are exempt. Somebody might have explained to the Stable Genius that food shortages won’t help him get re-elected. But is there any other immigration going on right now? I can’t imagine anyone in a nice, sane country with sensible leadership would want to be here. See also Greg Sargent, Trump’s new immigration ban is a scam. Don’t pretend otherwise.

The Virus May Be Killing You Right Now Even If You Feel Fine

Not to be alarmist or anything, but medical science is still struggling to understand how the covid-10 virus works. A Dr. Richard Levitan writes in the New York Times about what’s been happening in Bellevue Hospital in New York City. In The Infection That’s Silently Killing Coronavirus Patients, Dr. Levitan explains that the virus is causing what he calls covid pneumonia, and that you can have this pneumonia without knowing it.

During my recent time at Bellevue, though, almost all the E.R. patients had Covid pneumonia. Within the first hour of my first shift I inserted breathing tubes into two patients.

Even patients without respiratory complaints had Covid pneumonia. The patient stabbed in the shoulder, whom we X-rayed because we worried he had a collapsed lung, actually had Covid pneumonia. In patients on whom we did CT scans because they were injured in falls, we coincidentally found Covid pneumonia. Elderly patients who had passed out for unknown reasons and a number of diabetic patients were found to have it.

And here is what really surprised us: These patients did not report any sensation of breathing problems, even though their chest X-rays showed diffuse pneumonia and their oxygen was below normal. How could this be?

The doctor explains that the virus appears to cause a slow hypoxia, meaning that the infected person is slowly being deprived of oxygen without feeling discomfort or showing other symptoms. By the time people are sick enough to get to the hospital, the hypoxia is seriously bad, and the infected person is close to respiratory failure. If it could be caught sooner, Dr. Levitan says, a lot fewer people would need ventilators.

The doctor suggests that everybody should be screened through pulse oximetry. That’s the test they do in the doctor’s office by putting a little clip thing on your finger to test oxygen saturation. Easy peasy. People who have unusually low oxygen saturation should be further checked for coronavirus. That’s the most sensible thing I’ve heard this week. Of course, this is America, so it won’t be done.

More Stuff to Read

Facing a Dying Nation

If you read nothing else today, please do see George Packer’s We Are Living in a Failed State at Atlantic. It starts this way:

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

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

And so on. Years of corruption, neglect, obstruction, program cutting, and economic inequality left us helpless to deal with with this pandemic in the manner befitting a first-world, industrialized nation, never mind the United States of America. Our federal government and many of our state governments are close to being utterly dysfunctional. Systemic change, anyone?

Not to say I told you so, but back in 2009 I wrote a post called “The U.S. as a Failed State” that holds up fairly well. And that links to a George Monbiot article in The Guardian that lamented our inability to address climate change. “Why do we treat the world’s most powerful and innovative nation as if it were a failed state, rejoicing at even the faintest suggestion of common sense?” Monbiot asks.

As many have said, the breakdown of effective government we are experiencing now has been a long time coming. Trump is a symptom, not the disease itself. However, he’s a late-stage symptom. It is particularly telling that all of our fail-safes built into the Constitution to remove a corrupt or despotic president, such as the 25th Amendment or impeachment, can’t work because there’s too much corruption in the rest of government to make it work. If the U.S. were a cancer patient, we’d be close to the point when the doctor says it’s too late to operate, but maybe we can get you into a research study.

Just one sign of our helplessness is that many of the so-called “stimulus” checks are lost in the system because over the years the IRS has been gutted. See Where’s your check? Ask GOP lawmakers. at the Washington Post.

Congress itself deserves much blame for the undercapacity of the IRS. Years of GOP defunding led to severe underinvestment in staff, technology and customer service, the folly of which is only more obvious now.

In normal times, the big problem with the Republican campaign against the IRS was that it led to lax enforcement of tax laws, which let cheaters skip out on paying massive amounts of money to the Treasury. Small amounts of funding spent to maintain a functional IRS would have yielded large amounts of income that the federal government was owed, at the same time ensuring fairness for the vast majority of Americans who obeyed the law.

Now the big problem is that Congress suddenly needs an efficient, staffed-up agency to help rescue the economy, but it must fight the downturn with the agency lawmakers built. Without the years of cuts, the IRS would be more capable of answering Americans’ many questions about confusing procedures to obtain their stimulus checks. It would also have had more capacity to build the technological tools it had to create on the fly to aid distribution.

Similar stories apply to many other government agencies. And then there’s our rickety health care system that’s been tooled to maximize profit over, you know, providing health care. After years of hospital closings — rural hospitals can’t make a profit, you know — and a large part of our population essentially cut off from health care because of no insurance, we are less able to deal with a pandemic than nations with a healtheir population and a national, taxpayer supported health care system. Bernie Sanders wrote in the New York Times recently,

The absurdity and cruelty of our employer-based, private health insurance system should now be apparent to all. As tens of millions of Americans are losing their jobs and incomes as a result of the pandemic, many of them are also losing their health insurance. That is what happens when health care is seen as an employee benefit, not a guaranteed right. As we move forward beyond the pandemic, we need to pass legislation that finally guarantees health care to every man, woman and child — available to people employed or unemployed, at every age.

The pandemic has also made clear the irrationality of the current system. Unbelievably, in the midst of the worst health care crisis in modern history, thousands of medical workers are being laid off and many hospitals and clinics are on the verge of going bankrupt and shutting down. In truth, we don’t have a health care “system.” We have a byzantine network of medical institutions dominated by the profit-making interests of insurance and drug companies.

So here we are. The old song from Hair seems to fit —

We starve-look
At one another
Short of breath
Walking proudly in our winter coats
Wearing smells from laboratories
Facing a dying nation
Of moving paper fantasy
Listening for the new told lies
With supreme visions of lonely tunes

Yesterday David Wallace-Wells wrote for New York magazine that The White House Has Erected a Blockade Stopping States and Hospitals From Getting Coronavirus PPE. I want to write more about that, mostly because it makes absolutely no sense unless you assume that at least part of the confiscated medical supplies are being re-directed into a black market, with Trump and his son-in-law getting a cut of the profits. Do read this for the details of how much has been confiscated by the feds. I’ll skip to the end:

You could call this piracy. You could call it sanctions. The federal government is choking supply chains to states like it chokes supply chains to Iran and North Korea. These blockades aren’t as complete as those surrounding sanctioned regimes, of course, and some amount of the disruption may be honest confusion in a time of crisis. But the disruption is being brought about by federal interference, and unlike the kind of disruptions you’d want to engineer against antagonistic states, the purpose seems completely unclear — indeed the policy is inexplicable and indefensible.

Which may be one reason why no explanation has been given. We don’t know where these supplies are going. We don’t know on what grounds they are being seized, or threatened with seizure. What business do the DHS and FEMA have with ventilators and PPE purchases by governors and local hospitals? “This is like a story out of the last days of the Soviet Union,” David Frum wrote on Twitter of the NEJM letter. “This is what it means to be a failed state,” wrote the essayist Umair Haque, echoing him. In the absence of an explanation, it is hard to come to any conclusion other than that this is simply mafia government, exerting control for the sake of control, not in spite of but because of the crisis-led demand, and squeezing the American people, as they die in hospital beds and attend — with inadequate protection — to the sick and scared.

And let’s not get started on the lack of oversight on the pandemic relief bills that have passed so far. But we can also go back to the failed Katrina response and the billions appropriated by Congress that, somehow, never seem to have reached the Lower Ninth Ward. I understand that what recovery was done there was done by private foundations and volunteers. I don’t believe there has ever been an accounting of which middlemen’s pockets that money disappeared into.

It didn’t start with Trump. But if you aren’t depressed enough yet, do read Paul Wadlman’s The War Against the States.

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

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

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

The cities and states are facing huge budget shortfalls from losses of revenue and horrendous expenses, including paying three times too much for medical supplies. This is setting us up for a long-term economic recession if not depression. And the federal government is making it worse.

It is affecting red states and blue states, cities and rural areas, anyone and everyone. And you’d think that even if they’re indifferent to human suffering, Republicans should at least see it as in their political interest to help. After all, the worse the recession is, the less likely it is that Trump will be reelected and that Republicans will hold on to the Senate.

So why is it that Democrats have to beg and plead for aid to states and cities, while Republicans resist?

Waldman says the most likely explanation is that the Trumpies think the shortfalls will force states to re-open their economies sooner than they would like. Economists don’t think it’s possible to re-start the economy until people stop being fearful of the virus, but Trump and his enablers don’t see that. They want normal life to resume now. They want the pre-pandemic stock market back.

That is, in a word, bonkers. It’s as though they think state governors (of whom there are 26 Republicans and 24 Democrats) are keeping lockdown orders in place only because they and their citizens haven’t been forced to endure enough economic pain; let them suffer a little more, and out of desperation they’ll lift the orders even if public health concerns dictate otherwise.

Trump’s support for the anti-restriction protesters is of a piece with this. If he can’t order the states to end restrictions, he’ll force it some other way.

It may be that if Democrats are very successful in November we can begin to salvage what’s left of our country, although I’m not that confident that Joe Biden is the guy to provide leadership for that. But if Republicans keep the Senate, or the White House, or both, there will be no salvaging anything. Whatever can be sold off for parts will be sold, and the rest will be left to rot. Maybe we’ll get CARE packages.

When Reality Doesn’t Follow the Plan

The plan, obviously, is to reopen businesses as soon as possible so that the economy will be roaring by November, and Trump will get credit and be re-elected. Another facet of this plan is to blame the pandemic on China, and then tie Joe Biden to China, and Trump will be re-elected. Easy peasy.

Anita Kumar reports for Politico,

President Donald Trump and his aides aren’t just weighing coronavirus infection rates as they push for a quick economic restart. They think it’s good politics, too.

Trump aides and allies say they are growing confident that an earlier restart amid the coronavirus pandemic could help the president in his reelection campaign, according to six people close to the White House or Trump campaign.

They point to emerging signs around the country. Trump-supported activists are protesting strict stay-at-home orders. Conservative groups’ internal polling in red-leaning and swing states show a significant uptick in Americans who favor reopening the country. A growing chorus of Republican lawmakers across the nation are on board.

“If you don’t see something start to happen … you’re going to see a conservative revolt by our base,” said Adam Brandon, president of FreedomWorks, a conservative group which recently polled on reopening the economy. “The worst strategy for him is to keep things shut until August. Trump is basically going to win or lose his election right now, in the next month.”

Okay. What could go wrong?

If the consequences weren’t so high, this might be amusing. It’s a bit like watching someone deliberately step on a rake to see what happens. But of course they’re playing fast and loose with people’s lives, so it isn’t funny.

The right-wing media has been playing along, promoting the idea that the isolation measures are a gross overreaction and that the covid-19 pandemic is no more dangerous than past flu vaccines. And, always, the pandemic framework is framed as an “us versus them” issue — Donald Trump versus everybody else.

And as Trump’s incompetence and negligence has hamstrung the U.S. from sensibly returning to economic activity, the message has become let’s just do it, anyway. Trump briefly flirted with the conceit of being a “war leader” against an “unseen enemy,” but now he’s moved on to washing his hands of the whole mess. Being a national leader during a crisis is hard. Let’s just pretend the pandemic isn’t happening, or if it is happening, it’s not that big a deal.

Paul Waldman wrote,

It’s something he’s very experienced at. You have a big, splashy event in front of the cameras announcing that you’ve built the most luxurious hotel or golf course or casino the world has ever seen, and then if it goes bankrupt, you skedaddle out of town, leaving other people holding the bag. So now Trump is preparing to put that experience to work with the coronavirus pandemic and the economic crash it created.

A few days ago Trump was putting on a big “I’m in charge” act; now he’s telling the governors they’re on their own. Yesterday he was lashing out at governors because they were screwing up getting people tested. Apparently the next plan is to force the reopening of the country so that things can go back to the way they were, and if a few geezers in nursing homes don’t make it, blame Democrats.

So now social distancing is quickly becoming unpatriotic in some circles. For example: Rep. Jim Jordan, a guy we all came to know and not love during the impeachment hearings, is calling on the House Judiciary Committee to investigate governors who instituted strict social distancing orders.

Now we’re seeing Trump supporters dutifully turning out to protest isolation measures.

The events — some, like in Michigan, featuring thousands of attendees — are organized largely by conservative groups calling state-based measures too draconian. Some of the groups have posted links and images on Facebook that downplay the seriousness of the virus. And other leaders have advocated against following CDC guidelines, like a ban on big gatherings and wearing face masks (because wearing them would be “counterproductive.”) Some of the protests have taken on the feel of 2016 Trump campaign rallies, with participants wearing Make America Great Again hats and waving flags emblazoned with the president’s face. …

… The displays are tapping into Trump’s main message on the coronavirus pandemic: governors are to blame for the crisis, not him. As the president ratchets up his reelection efforts, his argument is an effort to simultaneously put the brunt of responsibility for the coronavirus catastrophe on the shoulders of his political opponents while also maintaining that he holds “total authority” over the pandemic and the states facing it.

These people have been assured that the danger of the virus has been overblown; they have no clue what kind of risks they are taking. Will Bunch:

The everyday folks who were out there in Lansing or Columbus this week were largely there to serve the interests of the (mostly) rich and powerful people who used their influence to shoo them out there. Their agendas weren’t always the same. Most notably, President Trump — who promoted the rallies and even the right to carry weapons in an even-stunning-by-Trump-standards series of tweets — desperately wants to shift blame away from his multiple failures on the coronavirus and instead onto public-health-minded governors. Right-wing special interests, like the billionaire family of Education Secretary Betsy DeVos, are terrified that the 22 million unemployed will demand a social welfare state. Fox News is eager to make folks forget its dangerous ignore-the-virus punditry.

But the endgame and the shared interests are very much the same. Distraction, and a diversion of anger in the Heartland — an anger with legitimate and understandable roots — away from them, and hopefully onto the political enemies who threaten their power. If it all sounds painfully familiar, it should. This is the Tea Party Redux, except this time with the added thrill of a seeming death wish among the participants. Maybe we should call this one the Ventilator Party, or maybe the Branch COVID-ians.

Nobody who has any real understanding of either epidemiology or the economy thinks that restarting now is a good idea. Paul Krugman:

The thing is, as far as I can tell epidemiologists are united in the belief that it’s far too soon to be considering any relaxation of social distancing. The lockdowns across America do seem to have flattened the curve, allowing us to — just — avoid completely overwhelming the health care system. New cases may have peaked. But you don’t want to let up until you’re in a position to do so without giving the pandemic a second wave. And we’re nowhere close to that point.

So where is this coming from? I’ve seen some people portray it as a conflict between epidemiologists and economists, but that’s all wrong. Serious economists know what they don’t know — they recognize and respect experts from other disciplines. A survey of economists found almost unanimous support for “tolerating a very large contraction in economic activity until the spread of infections has dropped significantly.”

No, this push to reopen is coming not from economists but from cranks and cronies. That is, it’s coming on one side from people who may describe themselves as economists but whom the professionals consider cranks — people like Navarro or Stephen Moore, who Trump tried unsuccessfully to appoint to the Federal Reserve Board. And on the other, it’s coming from business types with close ties to Trump who suffer from billionaire’s disease — the tendency to assume that just because you’re rich you’re also smarter than anyone else, even in areas like epidemiology (or, dare I say it, macroeconomics) that require a great deal of technical expertise.

I could go on about the non-meritocracy we’re living in that allows cranks and idiots to be in charge, but I’ll save that for another time.

We’ve already seen that some nations that have been doing much better than us experienced a “second wave” of virus as they relaxed restrictions. We may have peaked in some places, but we’re possibly weeks away from peaking in other places, especially as the Trumpie protesters take their newly virus-loaded selves back to their neighborhoods.

This is not going to end well.

Anti-social distancing protesters in Michigan.

Death by Stupid

Something about this short video featuring Florida Governor Ron DeSantis completely sums up the current status of our coronavirus response. See if you can spot it:

Yes. Now on to our scheduled topic:

Some people are still arguing that covid-19 is no worse than seasonal flu. An argument I’ve seen lately is that 61,000 Americans died of flu during the 2017-2018 flu season, while (so far) only 30,000-something Americans have died from covid-19. And we don’t have to close businesses and such during the flu season.

Let’s break this down. Flu seasons vary; they last anywhere from five to seven months, usually from October to March or April. The first case of covid-19 in the U.S. was diagnosed on January 20, and the numbers are still going up. So we’ve just about ended the third month of covid-19 data.

But let’s look at some more data. In the 2017-2018 season, according to the CDC:

  • An estimated 45 million Americans got the flu. Yes, 45 bleeping million.
  • 21 million Americans got medical help for flu.
  • 810,000 were hospitalized.
  • 61,000 died.

That’s a very high number of deaths for flu, btw. Most flu seasons in the U.S., the number of deaths falls somewhere between 12,000 and 40,000.

Now, let’s look at covid-19. We have no idea how many people may actually have the virus, since there isn’t nearly enough testing. But as of the most recent data,

  • Diagnosed coronavirus cases in the U.S.: 728,293
  • Deaths: 38,244

I repeat — during the several months of the infamously bad 2017 flu season, there were approximately 45 million infected and 61,000 deaths.

During our three months of covid-19 in the U.S., we’ve had 728,293 diagnosed cases and 38,244 deaths. And the numbers are still going up. They went up by a few hundred just this morning while I was writing this post.

As math imparied as I am, even I know this ain’t equivalent.

Also, thanks to the flu vaccine that I faithfully get every fall, you have a choice to not get the flu. Although once in a while the people who make the annual flu vaccine miscalculate and don’t get that year’s dose exactly right, usually you can get your flu shot and then go your merry way, neither catching it nor spreading it. Vaccines make quarantines and stay-at-home orders unnecessary, except for anti-vaxxers. Were it not for the flu vaccine, the annual flu would be a much bigger problem than it is. Note that rates of vaccination in the U.S. had dropped significantly for the 2017-2018 season, which may be one reason that year was unusually bad.

I understand most seasonal flus evolve from common flu virsuses already in circulation. The last new virus we dealt with was the h1n1 or “swine” flu that emerged unexpectedly in 2009. Trump fans like to claim that President Obama botched that pandemic, but according to data from the CDC, “From April 12, 2009 to April 10, 2010, CDC estimated there were 60.8 million cases (range: 43.3-89.3 million), 274,304 hospitalizations (range: 195,086-402,719), and 12,469 deaths (range: 8868-18,306) in the United States due to the (H1N1)pdm09 virus.” That suggests the government handled that one pretty well in comparison to our current situation, seems to me. It also tells us the swine flu wasn’t nearly as dangerous as covid-19.

I got that flu myself, btw, before the vaccine was ready; it was a nasty flu. I didn’t need to be hospitalized, though. I understand the “swine” flu is still in circulation, but in populations with enough herd immunity it doesn’t pose a threat.

There have been other stupid comparisons of other-things-that-kill you and covid-19. The famous “Doctor Phil” McGraw didn’t exactly glorify himself with this one:

McGraw, who has a doctorate in clinical psychology, compared COVID-19 deaths to those from car crashes, cigarettes, and swimming pool accidents while arguing against the lockdowns that have impacted the nation’s economy in wake of the pandemic. While attempting to make a point that the country isn’t shutdown for those other deaths, McGraw incorrectly stated that 360,000 people die a year from swimming pool accidents. According to the CDC, “an average of 3,536” people die from “unintentional drownings (non-boating related) annually in the United States.” Which, I’m sure you gathered, is much less that 360,000. …

… The talk show host continued, “I get that, but look, the fact of the matter is we have people dying, 45,000 people a year die from automobile accidents, 480,000 from cigarettes, 360,000 a year from swimming pools, but we don’t shut the country down for that but yet we’re doing it for this? And the fallout is going to last for years because people’s lives are being destroyed.”

I’m not going to look up the other stats, but I’m not sure how locking people up would reduce cigarette deaths, assuming people could still get their hands on cigarettes. But while there are many things one can do to reduce your exposure to various health risks — like not smoking — it’s unfortunately the case that you can’t fix stupid.

To repeat:

A Convention of Stupid

Trump Fails the Test Test

Viral photo by Joshua A. Bickel, Columbus Dispatch, of Ohio anti-restriction protesters.

Four or so days ago Trump was claiming absolute authority to order the nation’s economy to start up again. I assume someone was able to explain to him that, in fact, he had no authority to open anything that had been closed by by the states, so he then made a show of authorizing the governors to make decisions for their own states. Which they would have done, anyway.

But then Trump realized that people who like him are protesting restrictions in some states and calling for state economies to re-start NOW. The photo above shows protesters in Ohio — taken this week, mind you. So today the moron encouraged the protests by tweeting LIBERATE MINNESOTA! LIBERATE MICHIGAN! LIBERATE VIRGINIA! Yeah, that’s helpful. I notice he didn’t call to LIBERATE OHIO!, possibly because the governor there is a Republican.

Aaron Rupar writes at Vox that Fox News has been promoting these protests. Of course. Also,

Fox News’s coverage might give you the idea that these protesters represent the views of a significant chunk of people in their states. But polling indicates that’s not the case. For instance, a YouGov/Economist poll released Wednesday found that 61 percent of Americans think Trump should institute a nationwide stay-at-home order, compared to just 22 percent who are opposed. Along the same lines, polling from the Pew Research Central released on Thursday showed that 66 percent of people are concerned their state governments will relax social distancing restrictions too soon, compared to just 32 percent who are worried they won’t move quickly enough.

As Michigan Gov. Gretchen Whitmer (D) noted in response to the so-called “Operation Gridlock” in her state, the sad irony is that such demonstrations could end up extending the need for stay-at-home orders by spreading the virus among protesters. But asked on Thursday if he thinks protesters in Michigan should listen to local officials like Whitmer, Trump said that such people listen to him instead.

By now there’s been enough death in enough states that most Americans realize this coronavirus is a bigger deal than seasonal flu. By now I suspect most Americans are at least acquainted with someone who possibly has the virus but can’t get tested. Trump can brag the car he’s selling is beautiful and runs like a dream, but people are seeing for themselves the bumpers are falling off and the tailpipe is rusty.

But there are always a few who don’t catch on. Some elected officials, not just Fox News bobbleheads, are encouraging the protests.

The tension has prompted Republican lawmakers and supporters of the president to publicly call for Americans to defy their local orders, claiming they infringe on constitutional rights. On Monday, Richard Grenell, acting director of the Office of National Intelligence and the U.S. ambassador to Germany, posted a photo of the Bill of Rights on Instagram with a title “Signed Permission Slip to Leave Your House.” Below the post, in the caption, Grenell wrote, “Love this!”

There’s nothing considered unconstitutional about the state restrictions, as I wrote earlier this week. There are, however, a lot of morons who have awarded themselves degrees in epidemiology, not to mention constitutional law, who are very certain that we don’t really need to be doing all this restricting. And these morons are listened to. There is no surer way to be hailed as an “expert” than to tell people what they want to hear.

Regarding the tests, it’s clear Trump has gone from bragging there are plenty of tests and that they are beautiful tests, the best tests, to just washing his hands, figuratively speaking, of the whole subject of tests. He doesn’t even want to hear about the tests. The tests are the governors’ problems. Here’s Trump three days ago:

In normal times, something complicated that is needed nationally would in fact be the federal government’s responsibility. But getting all those tests is hard. So Trump doesn’t want to be bothered. But they won’t leave him alone about the damn tests. No wonder he’s angry about the tests.

Some of Trump’s other comments inspired an Epic Snark for the Ages from Andrew Cuomo today. You really want to watch this.

But the administration can’t escape the tests. Trump finally sort of convened his business executive task force, although it seems to have been little more than a conference call, to advise him on re-opening the economy. And guess what the business executives wanted to talk about?

The Wall Street Journal reports that in Trump’s first task force meeting of business and political leaders, executives told the president that the administration must dramatically increase the availability of coronavirus testing “before the public would be confident enough to return to work, eat at restaurants or shop in retail establishments,” according to sources familiar with the call.

And today Senate Democrats tore into Mike Pence about tests.

Senate Democrats grilled Vice President Mike Pence over coronavirus testing and President Donald Trump’s tweets during a tense phone call Friday afternoon on the pandemic response.

A Democratic Senate aide told CNN that “almost every question” from Democratic senators on the call “has been about testing,” and said that the administration “has not given clear answers.”

The source said that at one point, Sen. Angus King of Maine, an independent who caucuses with Democrats, said to Pence and everyone on the call, “I have never been so mad about a phone call in my life.”

King called the administration’s failure to develop a more widespread national testing regime a “dereliction of duty.”

Is this the single biggest bleepup in U.S. history? It’s certainly the biggest failure of the U.S. government to respond to a crisis, but I’m not sure it yet rises to the level of sending ground troops into Vietnam. That will depend on how long it will take the nation to put itself back together after we get rid of Trump.

Meanwhile, more protests are being planned around the country. A protest is planned for Kansas City, for example, even though the governor of Missouri is a useless right-wing Republican sock puppet. They must be planning to protest the Democratic governor of Kansas. Trumpers are still confused about which state Kansas City is in, I guess. See also The rightwing groups behind wave of protests against Covid-19 restrictions.

See also: Paul Waldman, Trump’s retreat from responsibility will fail; Robert Edwards, A Special Circle of Hell Awaits.

DIY Government in the Age of Trump

Some day researchers will probably try to determine how many unnecessary deaths happened because of the black hole in the White House. For now, the remarkable thing is the degree to which U.S. institutions are self-organizing to make up for, well, Trump.

In Chaotic search for coronavirus treatments undermines efforts, experts say, Carolyn Y. Johnson of the Washington Post writes that the state of medical research into covid-19 is an uncoordinated mess.

In a desperate bid to find treatments for people sickened by the coronavirus, doctors and drug companies have launched more than 100 human experiments in the United States, investigating experimental drugs, a decades-old malaria medicine and cutting-edge therapies that have worked for other conditions such as HIV and rheumatoid arthritis.

Development of effective treatments for covid-19, the disease the virus causes, would be one of the most significant milestones in returning the United States to normalcy. But the massive effort is disorganized and scattershot, harming its prospects for success, according to multiple researchers and health experts. Researchers working around-the-clock describe a lack of a centralized national strategy, overlapping efforts, an array of small-scale trials that will not lead to definitive answers and no standards for how to prioritize efforts, what data to collect or how to share it to get to answers faster.

“It’s a cacophony — it’s not an orchestra. There’s no conductor,” said Derek Angus, chair of the department of critical care medicine at University of Pittsburgh School of Medicine, who is leading a covid-19 trial that will test multiple therapies. “My heart aches over the complete chaos in the response.”

I don’t have extensive knowledge of how research was conducted in past health emergencies. I’m not sure we’ve had a past health emergency that compares to what we’re facing now. Our current pandemic most closely resembles the great “Spanish flu” pandemic of 1918, but in those days medical science had no clue what to do about virus infections. That pandemic only ended after enough humans on the planet had been exposed and had either died or developed immunity. 675,000 Americans died in that pandemic, it says here.

However, it’s obvious the world is crying out for leadership. In administrations past, probably our CDC would have coordinated with WHO and some other large institutions to set priorities and establish standards, but with Mr. Temper “I take no responsibility” Tantrum in the way, that can’t happen on a national or global level. Or else the world will have to get along without us. As the article says, “the lack of coordination puts the world at risk of ending up with a raft of inconclusive and conflicting studies and little idea of what interventions work for the next wave of illness.”

All manner of trials and “studies” are being intiated in the U.S., but they’re being conducted so randomly and so often outside of established protocols that most are unlikely to produce usable information. For example, most institutions giving their patients remdesivir or hydroxychloroquine aren’t using a control group, so they can’t say whether outcomes are any different from those of patients not receiving the drugs.

Francis Collins, director of the National Institutes of Health, the nation’s largest biomedical research agency, acknowledged researchers’ frustrations but said in an interview Wednesday he has been working behind the scenes to launch an unprecedented public-private partnership to address the problems. He said the framework involves top pharmaceutical companies such as Pfizer and Johnson & Johnson, domestic and international government agencies including the European Medicines Agency, and academic research centers. …

… Anthony S. Fauci, director of the National Institute of Allergy and Infectious Diseases (NIAID), said in an email Tuesday that the partnership led by Collins is the “functional equivalent of a National Strategy.”

Did the White House even know this was happening? I’m guessing not, or Trump would have taken credit for it already.

Meanwhile, some states are figuring out work-arounds to make up for the lack of a functioning federal government.  For example, we now have three partnership groups of states that plan to work together on re-opening their economies. One is made up of New York, New Jersey, Connecticut, Pennsylvania, Rhode Island and Delaware. Another is California, Oregon, and Washington. Now we have a third partnership group, made up of Illinois, Michigan, Ohio, Wisconsin, Minnesota, Indiana and Kentucky. This is what states have to do to make up for a complete lack of leadership from Trump.

Also today, Illinois announced that its Department of Public Health labs are producing enough tests so that everyone in the state with symptoms can be tested.  Before this, people with mild symptoms were just told to stay home and try not to infect anyone else. But now people with symptoms can even be tested without a doctor’s order.

Yet the screwups continue. See A ‘War’ For Medical Supplies: States Say FEMA Wins By Poaching Orders at NPR.

Stuff to Read:

An Open Letter to the New New Left From the Old New Left by “Former leaders of the Students for a Democratic Society” in The Nation. A bunch of people signed this. Good stuff.

Greg Sargent, Pathetic displays like these are all Trump has left

Dana Milbank, Captain Trump Hits the Rocks

Eugene Robinson, Trump refuses to lead a country in crisis

U.S. President Donald Trump announces an agreement with Mexico on the North American Free Trade Agreement (NAFTA) at the White House in Washington, U.S., August 27, 2018. REUTERS/Kevin Lamarque – RC1D94FA7CB0

Gov. J.B. Pritzker Steps Up

I love this. The Chicago Sun-Times reports that Illinois Gov. J.B. Pritzker has arranged secret charter flights to bring medical supplies from China to Illinois. The flights are secret to keep the federal government from confiscating the supplies.

Gov. J.B. Pritzker is planning to obtain millions of masks and gloves from China and bring those supplies back to Illinois on charter jets — but he’s keeping the details secret out of fear the Trump administration might seize the cargo for the federal stockpile, sources said Tuesday.

Illinois Comptroller Susana Mendoza announced Tuesday that the state has spent more than $174 million on purchases related to COVID-19, including supplies such as ventilators, masks, gloves, gowns, protective eyewear and hand sanitizer.

But one of the items on the list of expenditures was unusual: two invoices, each for $888,275, to FedEx Trade Networks Transport for “aircraft charter flight to Shanghai, China for COVID-19 response. … Prepayment required.”

Gov. Pritzker has been holding daily briefings on the pandemic.

Illinois should be grateful Pritzker defeated the former governor, Republican Bruce Rauner, in the 2018 elections. Rauner is a wealthy private equity guy elected in 2014 whose primary activity in office was vetoing budgets and blocking tax increases, throwing the state government into an economic shambles. I have no doubt he would have been worthless during the pandemic. Pritzker defeated Rauner by 54 percent to 39 percent of the vote.

But I didn’t expect much from Pritzker. He’s a very wealthy businessman whose family owns the Hyatt hotel chain. He defeated a couple of Democrats with much more progressive records in the gubernatorial primary, mostly by spending millions of his own dollars to run really effective television ads. Rauner’s ads against Pritzker featured an FBI wiretap from 2008 in which Pritzker and then-Illinois Governor Rod Blagojevich discussed campaign contributions. Blagojevich then dangled a possible appointment as Illinois state treasurer in front of Pritzker, to which Pritzker responded “Yeah, that’s the one I would want.” One could get the impression, although it wasn’t specifically spelled out, that Blagojevich was offering the appointment in exchange for a big contribution. Pritzker was never charged with wrongdoing. But, as I said, I wasn’t expecting much.

However, I’ve been pleasantly surprised. The policies he’s supported and enacted so far — regarding taxes, education spending, reproductive rights, gun control, marijuana, criminal justice, undocumented immigrants, etc. — have impressed me considerably. I doubt the progressives he defeated for the nomination could have done any better. And the moral is, you can’t always predict how someone will do a job.

Regarding Covid-19, Pritzker caught some flack for not postponing the Illinois primaries on March 17, but most legal opinion said postponing a primary was not within his power. The libertarian Illinois Policy Institute faults him for not having a firm plan to open Illinois’s economy, which made me think of this meme —

As you know, I’m not exactly fond of libertarians. Being criticized by them is a badge of honor in my book. Pritzger has also earned the wrath and scorn of Trump and has snarked right back, calling Trump “nearly irrelevant” in the struggle with the pandemic.

Pritzger’s stay at home order bagan on March 20, two days after the order for California and a day before New York’s. He’s extended guarantees of worker’s compensation and expanded child care assistance for essential employees. He’s worked with local labs to develop testing capability. Perhaps eventually someone will identify things he could have done better, but compared to the loser governor here in Missouri, Mike Parsons, Pritzger has been brilliant. See Gov. Mike Parson’s Pathetic Non-Response to Crisis Exposes Cultural Divide. Missouri didn’t have a statewide stay-at-home order until April 6, and even then Parsons gave local government much wiggle room to decide precisely what “stay at home” means. Fortunately most counties and metropolitan areas in the state had acted a lot sooner.

I wanted to say something about J.B. Pritzger because he’s gotten much less recognition than Cuomo of New York and Newsom of California. And I also want to re-emphasize that you can’t always predict how well, or how badly, someone will do in elected office.

Little appreciated historical fact: In 1860 leaders of the abolitionist movement opposed the nomination of Abraham Lincoln for president, because Lincoln wasn’t pure enough for them on the slavery issue. He had signaled he was willing to tolerate slavery in the South, although he did call for barring slavery from the western territories. In short, he opposed expanding slavery but did not call for ending it. Lincoln was scorned for being a supporter of “slave power.”

However, the record shows us that abolitionists didn’t spin their wheels over the morality of voting for the lesser of two (or in this case, four) evils, and they voted for Lincoln anyway. Lincoln may not have been a pure abolitionist, but he was far better on the slavery issue than either of the two Democratic nominees or the candidate of the fringe Constitutional Union party. And Lincoln became the Great Emancipator because all manner of things happened that the abolitionists didn’t anticipate.

In hard times, people either rise to meet challenges or they are crushed by them. (Or, in the case of Donald Trump, do nothing but whine incessantly.) These are times showing us who has the leadership chops, and who doesn’t.